NO PERMIT NUMBER s
;¢l .
Zo,33 o I r' Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No. 's ��'Z�''d
0
Data ` � 19
Application is hereby made for a permit to '
a story, Typ
to be occupied only as
in accordance with Plot lan, Plans and Specifi ion filed herewith.
Estimated Value of Improvements $
7�U d
FEE$ — O2SPlan Check $
Ow r,er Address
Contr. Address 1 /Q 1
il
Phone 1,2 :2 — e2 7/ State License
Approved //4� �
eft.
APPLICATION FOR ELECTRICAL PERMIT
Date /1� 19 ? L/ FEE$ S �
Contr. ! - Address Z
Phone �"Z'Z ��G State License
/ i
Approved ����"'^-�'�"^�
APPLICATION FOR PLUMBING & GAS PERMIT
Do to D 19 7/ GAS FEE $ r �V
PLUMBING'FEE $ "— —
Contr. J ~'�'�� Address
Phone 2- 7 1 7 j State License /41,L0 3
Approved
Date A APPLICATION FOR APPLIANCE PERMIT
�r
19 FEE$
Contr, Address
IF
Phon7 State License
Approved 621
Applicants agree, not to violate any of the
Workman's Compensation Laws of the
State of California
Ml
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PpD FINA
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING F NAL
FINAL
6 Q6 ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS `
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO. ^�
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE / 1
DATE INSPECTOR MISC.
MISC
MISC
MISC
CITY OF CUPERTINO -
ENCROACHh ENT 'PERMIT.
Ns . 0221
Date...Q ........'�...:__.................._ 19.//... {,
,Bond Deposit $. CJ.e..:.........
PERMISSION IS HEREBY' GRANTED TO OPEN Fee $..__Sr.._..___.
...
Applicant Stree�i..T.. / _�.4`r...Sidewalk............
........:....... .DrivewaY Approach
..........................................:.._...:.:......... �
G.....Lm
Location ....../a 3 3 QV: ...:.._.......... ..
....._......_.
Purpose ... ....{nOO L_....:..........._...___...._..:...........:_.._..__ ..:._......_............
f 'Contractor5-a-al-f.........,./.......................__.........._,._._.._....:.......:_.._.._._._,..(.p.............._! _...�.....................:..
Conditions: - C •�� -
"`CITY OF CUPERT7MO ''h
` OFFIXE OF CITY ENGINEER'
10300 TORRE AVENUE
95014,;'
:CUPERTINO , sCA:
CITY. OF C6PERTINO
10300 Torre Ave. Telephone 252-4505
.INSPECTION NOTICE
• BUILDING. (VISION "
n
(�'tr-'L__ WEATHER
'ADDRESS '
DATE INSP. BLDG. ❑ ELEC. ❑PLBG.
❑ DAILY REPORT ❑COR ECTION NOTICE ❑ VIOLATION NOTICE
1055 43 N - V Q!! ell ?'LOCA . LOT NO 2$'
WY (NOCl3FE.-Mh TREET
CITY OF CUPERTINO VAL. JAM
CAP. 1 M
oriQl{ 1 I`hAIPUCATION FOR BUILDING PERMIT FEE
w z Date 19 Building Per.No.
�� Sanitary:;� o.
3 u Application is hereby made for a ermit to
= u_ a 2 story, Type Q— - Structure
� O
O . to be occupied only as b,% U%An.accordance with
a
Z , Plans,Specifications and Plot- an filed herewith.
W
Estimated Value of Improvements,$
7` PI Ck Fae$�—
p O It is hereby agreed that the requirements of the
�"'w Cupertino Building and Zoning Ordinances and all Fee$�
6 3 other laws applicable to the construction,location,and
Z g use of buildings within the City of Cupertino will be Total Fee$
OZ complied with.
3 �
w
w w OWNER PHONE ADDRESS
a[ 6
Q f CONTR.ORAG T ADD
` � PH NE STA E LICENSE BUILDING INSPECTOR