51132 Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File NoS/I
`rte Sanitary No.
i Dote �96� � ,
Applicatio reby made for a permit to
a story, Type
aLJAA
to be occupied only as o
in accordance with Plot Plan, Plans and,Specification filed herewith,
60
E� `
Estimated Value of Improvements $
FEE$ Plan Check $
Owner ress MOA
—
s �
Canty,
%
Phone State License
Approved Isk
Q 40
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date " 196 GAS FEE $
PLUMBING FEE $
Contr. Address
PhoneState License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
?AAO FINAL
RECORD OF INSPECTION APPROVALS OWING FINAL
BUILDING
FOUNDATION
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
to Inspector
FINAL oil
Date Inspector
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
.Date Inspector '
TOTAL FEES FINAL
Date Inspector '
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LILATERIAL
1
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
Date Inspector
WATER SYSTEM FEE GAS PIPING
- - Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date 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
GAS RANGE ! MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE 'r i TOTAL FEE
INSPECTED ,
Date Inspector
lea 1 c W I -&aca^a 6-- 44 Q .OT NO -87
N NO. STREET
W FOR BUILDING PERMIT
x o OF CUPERTINO
tr
FAN 25 1965 N No.
l� y
,� pate I96_ Permit No.
0
o ca is permit to
��� , WWft
a a story,Type SIM► - CANWO ILBuilding
iL
to be occupied only as Z D� � ® ` &1/60
0 o in accordance with Plans, Specifications �ot- filed herewith.
> 0 Estimated Value of Improvements, $ �11+� Fee$
Oz J It is hereby agreed that the requirements of the Cupertino Buildi nd Zonin Ordinances and
J z all other laws applicable to the construction, locatiop, and use h ildings w tin.the City of
d 0 Cupertino will 'complied with,
Address 6 S
,a Owner Q
z a�
a By r Address -
Phone Approv
State Licens 9� BDn.DING INSRF.Ct'
RECORD OF INSPECTION APPROVALS
FOUNDATION
a.
DATF. � ' �' INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
63 ,S 1 JR0 rit r4- ! A ✓ c LOT NO 3g
NO. STREET
CITY OF CUPERTINO (VAL.
C:TY C? G;=-'.TR70 CAP. {
a QA�PPLICATIONJ�FOR BUILDING PERMIT ( PEE
D?t�.1�J 5 S t n 7 Building Per.No.
W U- '19-7—s7anitary Per.No.
pM AltatO is hereby made for a permit to YC v c S�7�-
= o
0 �story, Type #01"A Hs �ioeK (iP.iricZL Structure
�
F to be occupied only as in accordance with
a
i `w Plans,Specifications and Plot-Plan filed herewith.
x Estimated Value of Improvements,S-)3 7 S
< LL PI Ck Fee$
O_ O It is hereby agreed that the requirements of the U„
w Cupertino Building and Zoning Ordinances and all Fee$
p a other lows applicable to the construction,location,and
Z — use of buildings within the City of Cupertino will be Total Fee$
ZO complied with.
3 2 s 7-GR�t
44 v vv /l! /�9at..i S Sss r.ti as
W R PHONE ADDRESS
< 0 CONTR.OR AG NT ADDf-55.
_ U �lc3-39o9 ,2G87 L G
PHONE STATE LICENSE BUILDING I> ArTOR
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