1706 ',ly _.✓�,. 1�"-'V l� LOT NO.
NO. SaAE '_�� , +j�� —�
°APPLI TI N FOR 0M& NG^PERMIT
INO /
Date V' i. �-- - 5_ tPermyi't No.
Application is hereby.made for a permit to
a / story,Type &- lz�ifw Building
at
to be occupied only as t,
Y+
in accordance with Plans, Specifications and P16 - la8filed herewith. �q
L Estimated Value of Improvements,$ �� oFee
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
a all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
i Y
l
CON"rRACTO , AGENT
O—-3 — Approved i
' BUILDING. INSPECTOR
RECORD OF INSPEC4NI& OVALS
FOUNDATION _
DATEINSPECTOR SSC
FnAi,tr:�" DATE INSPECTOR
l/c6�
LATH and PLASTER
TF INSPECTOR
FINAL. BLDG. ? . �—
DAYS INSPECTOR
FINAL rLEC.
DATE INSPECTOR O
FINAL PLBG. -
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR,
1
I, the unde signed do hereby certif- tljat
-'4?e3a the ow er and occ t ot-� the '�,irij�l,e y
family dwel ",ng at
for which I a Maki - applica on to do
work asoa •homeowner.
I a so certif I wJ-l],Pnot hire any
non-licensed G6. or contractor,
but will do this work myself. Q
TELEPHONE NUMBER r J SIG ATRERE ��
NEW RPL FEES
L r� I
Size Sefvir� C�o*,iduit-----------: ....�.Number of Ogargs......... .. ........
S�
/ofR,
Size Service WriZ ......? umber /Switches.--.--
Size Service Switch--//?.) umber of Receptacles............ .. ------- ---------- -------------
Size Sub Feed Conduit_...---------_------------------Vullt/r of Fixtures----------------- ----- *
Size Sub Feed Wires--------------------Ranges------ --------- KW- --------- --------- --------------
Number of Circuits---------------- Oven .............. KW----------- ---------- ---------- --------------
Number of Me.ters........i-------!... ...Signs.......... Transformers........ -----.--I-------------- ----------- --
Misc------ -------------------------A -'.-Dryers.. .....*- -- - ----- --- ----- -- -*------- -----
- ---
Motors.....----.---------
HP:��----------------- Phase-------------------
Motors___- ---------- Permit Fee $1.00
----------------- HP--:------------------ Phase....._..........
otor- --
HP----------- ........ Phase----------------- H P Charge..----._--
---------- ----
-I(YI AL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring---------------- ---------------------------- Fixtures ----- ---------------- ---.---------------..---
DA" -- 1.SIZCTI-R DATE IASIZCTOI
Finish Wiring ---------------- ---- ------------ ------ Motors -------/---- -------- -------*------------ -----
DATE IKSPECTOR DAT
Final 2
EET _ d :' r NO. _t
APPLICATI N FOR ELEtCT AL PERMIT
r I CITY,OF PERT-I
Date , 195 Permit No. r
4 Fee
Application is hereby made to the City of CupertAo for a permit to install electrical
wiring and/or fixtured as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures) in accordance with the provisions of the Electrical Code of the
City of Cupertino, a all other flaws applicable thereto.
� Use of Premi=—
-
'a
/By
,f��+ i7 )';5V' Z Address �'�
yA gy Address
COMEACTOE, AGEM /
l Phonc: bL Approved
••� �• �� EEQ - CAe INSVECIOA'n
No.�..1. _ STREET OT.NO.
APPLICATION FO ELECTAL PERM
e CITY OF ERTI
Date 195_ Permit No. r
� 4
Pee $
Application is hereby made to the City of Cupertino for a permit to,install electrical
I wiring and/or fixtures as listed on-the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, (dT )1 other laws applicable thereto. .
v Use`of Premicci
j�/4
wner �?��. ail /,�1��% Address
� y Address
��CONTRACTOR, AGENT Approved
Ph '� / Lr �� J ��.5 l E "ICA [NS COR
NEWj RPL FEES
......I N,umber of ......... If-
Sizd Service. Conduit_-'- 0 .......
ber of witches........
Size Service Wires.:...............A .. Number of itches........ --- ---------- ------~r
umbe of Recep -------
Size Servii:e,SwitaL..................... umber
of Receptacles... - --- ---
Size Sub Feed Conduit---------........ r of Fixtures......... --- ---------- ---------- ---
Size Sub Feed Wires...................Ranges.---------------------------- KW-------------- ------- -- ----- --- --------------
O Number of Circuits_................. Oven .............. KW------------- ---------- --------- --------
Number of Meters...... ---------------!.Signs---------- Transformers-------- ---------- ---------- --------------
Misc------------------------------------------------Dryers---------------------------------------- -------- --- . ..............
Motors----------- -------- HP-------------------- Phase-------------------- Permit Fee $1.00
Motors.................... HP.................... Phase-----... ..........
Motors-------------------- HP.................... Phase----- -------------- H P Charge_--------... ....... t.--
TOTAL FEES Xule��
RECORD I-OFj' INSPECTION APPROVALS "
RoughWirin� .............. --- Fixtures ..................... ------
.. AMU.
.... IK3PEeiOK
................ motors ----- .T I........
Finish Wiring------------ .......
,ATK INSFICTO�-
Final ---------- -------
I, the undersigned,do hereby rtify that
I am the owner an& occupa�ntr the Sini
family dwelling at IQ:)
r whit am mking appYication to do
2 work as a homeowner.
also certil ill not hire any
licensed �- t oYC (contractor,
will do this work myself
,c
I, the undersk ned o hereby, rti€y t1i�
I am the owner and o ant_j the Big le,+
family dwelling at
For i h I m making, ap on to do
6r' owork as a homeowner.
a o cer y I 111 not hire any,
non-licensed YIV or contractor,
but will do thig work myself.
--CERtTIFI i7'.E4 PLET16ti� �}
B NG PECTOR'S OFFICE "
t
O .CUPERTINO
3r 7v G
Date ..-...JJ. r --- --------------- ti•- `Buildin ern t No. / ..
The Building; Located at .J(1
Owned by --- .,.,t,-...,�-�—• .....
f. - -------....... ._.
Has Becn(C6hT, jed')`For U ....... -•'G��
(Altered) -----------.._t. - - " ---------._... ..
.___..._............. .....•Cr?,'1 '.?5i!.'.yr„ .------
i ....... .... -------------------------- .....-------... --- ------_ --
-
...
l r,•;. �� ---
BUILDING INSPLCTO.: -
102