51009 - E ' t _
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File Nc,4700
Sanitary No.
Date 196
Application is hereby made for a permit to i
a story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEES Plan Check $
Owner raRw.«.es/ 1�.'17.S�d Addressr
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dote V//� Ay 196 O FEES �O�, y
Contr. ie.-. U A8A&0Qf&6.e Address
Phone 62 / _ay//VDState License
Approved ` ,.�—s--r0
APPLICATION FOR PLUMBING & GAS PERMIT
Data. 196 GAS FEE $
PLUMBING FEE S
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 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 -:1 -
.e�
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Date Inspector -
FINAL
Date Ins oector
_ ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
FIX ORES FINISH WIRING Date Inspector
Date Inspector
W.f."C dftRG FIXTURES
Data Inspector
Ita
PERMIT FEE Motors '
TOTAL FEES 7— � FINAL v � , , Spector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE TERIAL
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
Date Inspector
GAS PIPING FEE FINAL
y Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
' Data Ins peeror
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWERFURNACESCOMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE/')
FLOOR FURNACE TOTAL FEE'
INSPECTED 1
Data Inspector
OFFICE COPY,
ELECTRIC SERVICE NOTICE
14 BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO
5— I. .. .. ........
.... . ............ .............. . ..
TO You are herebyQuth rized to connect I rical service for
Owner or Trfn�............ ........�Z .....................................
At ...... ....... ......................................................... ........
........a....—.......... ...... iLq..:........ Size of Switch ,3!;;�.Iq.....
No. of Wires ....:................... Size of Wires ...
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Volt-age .............................
.L h se , —......... Reconnect..................
Light
1,o............ ew rpi�e...
No. of Meters.................... 220........ .. ree it I e.. . ........ Move Service............
No.of Add. Meters............ I
Power............... P . . ...... Move Meter.............
....... ..... .............................. ..... ............ ...........
BLECMCAL INS R