51131 Lot No.
No. Street
APPLICATION FOR BUILDING ER
CITY OF CUPERTI
File No.
Sanitary No.
Date 196
Application is her 1, m d ar a permit to
a story, Type
to 6e occupied only a.s
in ccordanre with Plot Plan, Plans and Specification filed herewith,
Estimafeedll Value of Improvements
$
FEES " ; Plan Check $
Owner Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
BANG & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE E
Y OF � PERTINO
Contr. Address
_ y
Phone � � / State License 2
2-d 41
Approved �/��'er't-°'r—"✓e_r✓�/
o iZ�
APPLICATION FOR APPLIANCE PERMIT
Deto 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 APPROVAI S
~
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Do to I ns pe ctor
LATH & PLASTER
Date Inspector
FINAL
Date Ins oe ctor
ELECTRICAL
OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
-- RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
H.P, CHARGE FIXTURES Do to Inspector
PERMIT FEE Motors Date Inspector
Date Inspector ,
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I 1.0,66TERIAL
WATER SYSTEM SIZE IATERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE �'� PARTIAL ROUGH
MAIN DRAIN FEE ROUGH COMPLETE Data Inspector
STORM DRAIN FEE MAIN DRAIN Data Inspector
WATER SYSTEM FEE GAS PIPING Date Inspector
GAS PIPING FEE FINAL Z -49:5' Data or
Date Inpe
PERMIT FEE � MISC sctor
Data Inspector
TOTAL FEE MISC
Data 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
Data Inspector
LOT NO.
NO. - STREET -
APPLICATION,FOR-PLUM BING PERMIT
z d CITY OF CUPERTINO
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W 0 Sanitary No.
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o a Date / 1961/� Permit No S/ -
319 ,
LL Fee $ 5'`
xo
1- Application is hereby made to the City of Cupertino for a permit to install plumbing
0 a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
wCupertino, and all of ws applicabl to.
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a Use of Premises
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i ; Own Ad res
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COONTRACTGE
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ao State Licen �� Approved
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Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Date �3 19�
l
Application 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 $
r-
FEES �� �� Plan Check $ ,.
Owner Address
Contr. L-V ' � Address
Phone a 4 7 State License �T2
Approved /
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEES
Contr. Address
Phone State License
Approved
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
.z
Approved - _
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FIN/ALL 1 o
PLUMBING, GAS 8 APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.'
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC t~
r
CITY OF CUPERTINO OFFICE COPY
ELECTRIC SERVICE NOTICE
.... .. . ... ....... 19 A,
You are hereby a tho zed to conn ct cl(ctricjal �ervice for
Ow4nr or Tenant fzl I
................. -
..........I..........
A: q.?�
No. of Wires ........................ Size of Wirt ................. Size of Switch
Motor Load ... ......... ........ Voltage ........ .............. Phasc ...—...............
HeatingLoad ........................ K. W. ................. ............ Voltage ...............................
'r
No. of Meters........ Light......... Ito............ 'i e._...... .... loc,.nnect..........--
Heat. "o hr ire....... ...- Nfo,c S,r,j........... ..
No. of Add. Meters..............
eters............ PoweThree se..... .. ..... .%I...e Meter.......
a
AL oNSPECTI-1.4
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Ui Q NO. ST WT
LOT NO.
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APPLICATION FOR ELECTRICAL PERMIT
11
05 CITY OF CUPERTINO
"herebmade
oDate19 70 permit No.o �< Lrea m Appty of Cupertino for a permit to install electrical
w I wiring and/or fixtures as listed on/t�he reverse side hereof, and agrees to install said
0 o wirinCITYorOFAU, PiRTINOwith the provisions of the Electrical Code of the
5 � City of Cupertino, and all oarec,laws abl�-.Khe
oa /�/�
z J Use of Premises
J o LITON CONST. C Address 6-6 Ra&era Ava
Q.. Owner
- w ose, Calif.
w z By �,�f?!.� /�Z ?/'✓P.P•%> Address —
w w i CONTRACTOR, AGENT Approve /
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ihonc: 297 6067 ELECTRICAL IN E
State License 217937
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