NO PERMIT NUMBER Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 00
a Sanitary No.
Dare o � S 196
Application is hereby madee,fora�permit to
�/ C7 t- /
^�'�/r- s story, Type
to be occupied anl01
V in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ \/\y,,( Pion Check $
n
Ower �w-/t -"�-/+�/ Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date Y/f��� /J 196 FEE$ a"2 7_,S—
� —S—C-0 1 —,
Contr. �/v.'a�-ria..wi �`+`." Address ZOO// 6::!:,
S-.2 —S—C-0 ''/
O 7"' State License 2. JK/ 7 CO
Approved ef_z'L „
Z t
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
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
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date - Inspector
FRAME
Date Inspector
LATH & PLASTER
Date Inspector
FINAL
Date Insoector
ELECTRICAL
.OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Data Inspector
RECEPTACLES ROUGH WIRING
tom.✓ Date ,Inspector
FIXTURV FINISH WIRING on
Is pe<tor
n
H.P. CHARGE FIXTURES
Data
PERMIT FEE / �' Motors Date specter
TOTAL FEES pz In
7s FINAL 1 tam Inspector
Date 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
Date Inspector
STORM DRAIN FEE MAIN DRAIN
'
WATER SYSTEM FEE GAS. PIPING Date Inspector
GAS PIPING FEE FINAL Date Inspector
PERMIT FEE MISC Date Inspector
Date Inspector
TOTAL FEE M_ ISC
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
Dara Inspector
Lot No.
r
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
/Xn Sanitary No.
Do to 196
Application is hereby made for a permit to
n story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
JQstimated Value of Improvements $
7T7f oy
FEE$ Plan Checks$
Owner4qQ-'e;t Addresszqs nay—
P �
Conir, � vr• � Address lb 2w � r.'•^�w�
Phone (OZ/ State License /6y �(0
7;�E2.s W10e,3 Approved WILLIAM D. ESENEVICH
Rus 94zx- 1443/
APPLICATION FOR ELECTRICAL PERMIT
Dote 196 FEE$
Cont'. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $ 40
..PLUMBING FEE $
Cont,. Address/'6 Z�LLr64�
Phone A? ��� , ', State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date: 196 FEE$
Cont,. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Dote Inspector
LATH & PLASTER
Date Inspector
FINAL
Do to Ins oe ctor
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
H.P. CHARGE FIXTURES Date Inspector
Date Inspector
PERMIT FEE Motors
TOTAL FEES FINAL Date Inspector
Date 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
STORM GRAIN FEE MAIN DRAIN Do to Inspector
011 Date ns pe ctor
WATER SYSTEM FEE GAS PIPING
D e nspettor
GAS PIPING FEE FINAL % I •U
Loi Date Inspector
PERMIT FEE MISC
OU Date Inspector
TOTAL FEE M_ ISC
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 r TOTAL FEE
INSPECTED - I
Dote Inspector