NO PERMIT NUMBER 26 Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
'File No. S1/' O
se
Sanitary No. r✓✓S
Data 196
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ Plan Check $
0wriar Address
Contr. Address
Phone State License '
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 7 — / 196 GAS FEE $
PLUMBING FEE $ _ =°
Contr. Address -36? 72?
Phone sie>ra3! ��7 .State License 02
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
r"
Approved
Applicants agree not to violate any of the
Workman(s Compensation Laws of the
State of California
I
RECORD OF INSPECTION APPROVALS
BUILDING
.FOUNDATION
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH 8 PLASTER
Date Inspector
FINAL
Date Inspector
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND —
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector "
'TOTAL FEES FINAL
' Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE TERIAL
WATER SYSTEM SIZE ATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inz pector
MAIN DRAIN FEE a ROUGH COMPLETE
T
JaD:tor
STORM DRAIN FEE MAIN DRAIN 119 '
Data nape ctor
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE °^ MISC
w ate Inspector .
TOTAL'FEE $�'-- 'MISC -
Date Inspector ,
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
n_... Insnector
Bldg. Dept
�a Once eapy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO ''//
E-] ;"Sewer Connection Sanitary Permit No. ..... 2_G------
I umbing Final Plumbing Permit NOC.6T. '.I./.(/0.......
LotNo. ................................
Owner or Tenant ------- ...:- ----...'....... '�-�...... ... .. ................................
Tract
Date Connected ............................... ----- --------- . ................... 1 �
QQ .. .. /` ....
DateFinal ....................................... .. .�...1. .. ..... .. .. ..................
-------- ... .... .. . ...... ...::.�.
PLUMBING IN EC OR
111 7/63-1M
`-W
las— c4Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO 1,(
File No. rll / io
Sanitary No.
Dote 196 -
Applica on is hereby made for u permit to
a story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements $
FEE$ Plan Check $
Owner Address
Contr. Address
Phone State License
Approved _
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved'
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the '
State'of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Date Inspector
UNDERFLOOR
Date ` Inspector
FRAME
Date Inspector
LATH & PLASTER
Dote Inspector
FINAL
Date Inspector
ELECTRICAL
OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Dote Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE ;PARTIAL
ERIAL
WATER SYSTEM SIZE ERIAL
TOTAL FIXTURES ERGROUND
FIXTURE FEE ROUGH
Date *npp,
r
MAIN DRAIN FEE ROUGH COMPLETE
DateSTORM DRAIN FEE MAIN DRAIN 1 0— 'Date r
WATER SYSTEM FEE GAS PIPING
,. Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE I TOTAL FEE
INSPECTED
'-� Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPFRTWO t'//
Sewer Connection Sanitary Permit No. -4-it,O�...........
�I Plumbing Final Plumbing Permit No. .+ ��. .(J........
LJ- Lot No. ........ ..:.................
Owner or Tenant ----------L ..Q. Q--.....
...'J. .'5.....-----......._......._.........
I� Tract ...........................................................
I
19 ~
Date Connected ......................_�..-h.�---- ..O..r.............................
Date Final �..Q.-.•.. -'. .:. ." ' .. ........
1 .
PLUMBING INSPE
I
III 7/63-IM
Lot No.
No. / Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
/.
7
Sanitary No.
Date 196 L
Application is hereby made for a permit to
a � story, T
to he occupied only as/VJ
e!�Eq&
in accordance wi of rnrt�peci herewith.
Estimated Value of Improvements $ �a V �S.,
FEE$ 3 '
'� Plan Cheek $
Ow oar ss
Contr. t/ Address
Phone dz r3 State License
Approved iee*t /
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Do to 196 FEES
Contr, Address
Phone State License
Approved i
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State;of California
RECORD OF INSPECTION APPROVALS' '
BUILDING
FOUNDATION -
Date Inspector
UNDERFLOOR
Data Inspector
FRAME
Data Inspector
LATH & PLASTER
FINAL
'8 -6 9 speafar
Date I ns oe c for
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
' Do to Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Data Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Data Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
nnte Inspector
Lot No.
No. Street . �
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
` File No.
Sanitary No.
Date 196
Application is hereby made for a permiCto.'
neer• ,
a story, Type
to be occupied only as
in accordance with plot plan, plans,and Specificationfiled herewith,
Estimated Valve of Improvements $'
FEES Plan Check $
Owner Address
IV
Cont,, Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
.Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING A GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APP L TION FOR APPLIANCE PERMIT !!'�
Date �2 V 196 FEES
Contr. c� Address Q A
Phone —`� f� a16C State License /7� Qa
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the '
State of California
c.
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Dote Inspector
LATH & PLASTER
Dote Inspector
FINAL
Dare Insoactor
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Data Inspector
RECEPTACLES ROUGH WIRING
Data Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE LailATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do to Inspector
STORM DRAIN FEE MAIN DRAIN
Data Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Date Inspector
MENNEN
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE. TOTAL FEE
INSPECTED , has anetor t s!
ty,'I ��sy
� LOT NO.
NO. STREET `��
N Q
w 2 APPLICATION FOR BUILDING PERMIT
E
' 0
CITY OF CUPERTINO
o a Sanitary No.
5
1- lf 196 ermi No.
r 0
o A�ppHtign fs 1ln�matl) pe mit to
a
i w a cry, uilding
av
I- 1 tgrbc;o[cu o '
20 in accordance with Plans, pea capons do - Ian erewith. OtD
Estimated Value of Improvements,$� '-S . - Fee$
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J , all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino ill be complied with. �.
3 ---"-42--Y4,-,Address
_ N Owne
W By ? Address
au Phone25 3 Approve
AI State Llcens LDINn INSPECTOR
IV_-V s
5
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATA INSPFCTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATA. INSPECTOR