51009/03V9
,
I "' Lot No.
No. Street '
APPLICATION FOR BUILDING PERMIT
,CITY OF CUPERTINO
File No"/O0
Sanitary No.
Date -196-
Application
ata 196Application 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 $
n
Ower Wf4 � Address
Contr. Address
phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
0
Date 1961 FEE$
Cantr. J'//
p Address
Phone a ' O �� 6 State License" �s� C —3
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Cont,. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 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
( i
RECORD OF INSPECTION APPROVALS. -
FOUNDATION
PPROVALS. •FOUNDATION BUILDING
Date Inspector -
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH 8 PLASTER
Date Inspector
FINAL
Date Ins sector
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
P. CHARGE FIXTURES Date Inspector
Date Inspector
RMIT FEE Motors
to � ' r
TOTAL FEES FINAL
ate Inspector
PLUMBING ✓S 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
Do to Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PI ING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Dote 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 Rj
GAS RANGE MISC
GAS DRYER PERMIT FEET /tI
FLOOR FURNACE TOTAL FEE f(
INSPECTED /
Da to Ins qc for
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
✓ . ....................
......... .....I................. ......
TO
You are hereby Rut orized to ect el 'ic service for
Owner or Tenant .. ....... ........ .... ....... .... ...I. ......... . .. .....-10-CA-
....................................
At .............1..c>.3...... ..q .. . ...... -- ---- '**..... .. ...
.. . .... .....
...q
... . ...... .... .... ........
No. of Wires .....0.................. Size of Wires ..... .... Size of Switcl. ....................
MotorLoad .......................... Voltage ................................ Phase ...... --------------. - - -
Heating Load ........................ K. W. ...................---........ Volt-age ................................
I h 110..... .... New Service.._......._..- Reconnect.................
..........
No. of Meters........
No.of Add. 220........ Th Wire................ Move Service............
Power............... e................ MO Meter..............
... .................... ........ ... ...............- �:.........
ELECTRICAL INSP OR .
/03 `/9 L"cola Cf LOT o,r zs
NO. STREET
CITY OF CUPERTINO vAL.
CAP.
d APPLICATION FOR BUILDING PERMIT FEE_._2
'j `� r� -7 Buildin Per.No. d0f
wW Date J —�C 7- �CJ 119 B ��
CITY O? Cu?E21I1`40 DD,,__ QQSanitary Per.No.
O a Application is hereby made for a permit to
3 LL[0AR2, 751 C178Type Structure
= O
Oa, Poe as in accordance with
u, f
Z Plans,Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements, bil8`S"'_0
a LL PI Ck Fee$
O O It is hereby agreed that the requirements of the
> 3Cupertino Building and Zoning Ordinances and all Fee$
a other laws applicable to the construction,location,and Total Fee$
Z use of buildingswithin the City of Cupertino will be
Z complied with.
3 g 25/-3/38 12Q?( 6 1/'*,S/'
w w ADDRE yN� OWNER /I " PHONE S's
Q
CONNTRTR
.OR AGENT A E 5
_ $ 253
PHONE 9g Gio
PHONE STATE LICENSE BUILDING INSPECTOR
K O L.
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