NO PERMIT NUMBERi007zI1,04�
No. Street
No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO �y y
File No.ld o, dao
� .�� Sanitary No.
Date _aa�196 60
�Appliccaattion is herebyymmade for a permit to
to be occupied only as
r
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements §
FEES Plan Check §
Owner
C ontr
Phone
Address
State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date '� 2-02-0196 FEES c'2 vM '
Contr. Address
Phone Z-3 _ %' / T State License %Zt2- F�a/%`s -^
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196
Contr
Phone
GAS FEE §
PLUMBING FEE §
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT J -
Dara a 1% i�y FEES
Cantr. �ry�,p!=;JLT.c-to/-r�.c`-�tJ �-c/ Address -�'5 �r= +�—.-.,r�� • - i%
Phone rl q d `S �1� State License - /3 7p0 3 -
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
SIZE
BUILDING
FOUNDATION
I MATERIAL
FEE
Do to
UNDERFLOOR
I
Llm6TERIAL
Date
FRAME
Inspector
MAIN DRAIN FEE
Date
LATH & PLASTER
MISC.,.) �*'^' ���
Do to
Inspector
Date
FINAL
MISC
Do to
ELECTRICAL
Inspector
Inspector
Inspector
Inspector
Ins oector
MAIN DRAIN
SIZE
I SIZE
I
I MATERIAL
FEE
STORM DRAIN
I SIZE
I
Llm6TERIAL
WATER SYSTEM
SIZE
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
REGISTERS
PARTIAL ROUGH
BLOWER FURNACES
Date
Inspector
MAIN DRAIN FEE
ROUGH COMPLETE
MISC.,.) �*'^' ���
Do to
Inspector
STORM DRAIN FEE
MAIN DRAIN
MISC
Date
Inspector
WATER SYSTEM FEE
PERMIT FEE
GAS PIPING
FLOOR FURNACE
Date
Inspector
GAS PIPING FEE
FINAL
Date
Inspector
PERMIT FEE
MISC
Dote
Inspector
TOTAL FEE
MISC
ulv
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
SUSPENDED UNIT
MISC.,.) �*'^' ���
"1-
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR FURNACE
TOTAL FEE
fa=
INSPECTED
Date - Inspector
�0O7�i N• �
alis
OvtoI�. Street
� 9 �J,z
CITY OF CUPERTINO
Lot No.
z-367
J�-au PPLICATION FOR BUILDING PERMIT
WAVO , 1974 Sanitary No. O
"I� Permit o.
'E Application is hereby made for a permit to ( ♦' r
��
lt
a story, Type Building
U to be occupied only o P Y as in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
sEstimated Value of Improvements, $ G,W �u Fee $ d
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
0
3 all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
2 Owner &17T Rlj )7Trrx r.
m
By DSIGAJ nP.
o Phone_ 3Z7'5050
U.
jLSrate License
Address
Address
Approved _
wilding Inspector