NO PERMIT NUMBER Lot No:
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No. 6-/078�
Do to 196
Application is hereby made for a permit to
_ _a story, Type
to be occupied only as J _
in accordance with Plot Plan, Pla s and Specification filed herewith,
Estimated Value of Improvements $
FEE$ Plan Check $
Dvrner Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dot. AAU/ !Y11- /3 1199,6�I 26 FEE$
/
Contr. 411) 'r F! Address 5�1?9 S'me-Aemu /-t r
Phone _ 9-97- X8-97 State License aoO -7 2—CC) e-10
Approved C— . / uk to
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Dote 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 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
FINAL
PLUMBING, GAS & 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
13 L-fr
/Dy95 Seecresra — su/\Wy�/Nc� .eo,LOTNO.
NO. STREET VAL
CITY OF CUPERTINO CAP.
z < y��A^JPWIICATIONpFOR BUILDING PERMIT FEE 5�
K IS jL—q`` �J ,19l. Building Per.No.�e9_
0(j�` ' � Sanitary Per.No.
3 V AppllIs cl'll'n hereby made for a permit to 1A0!5' Z1 ;VA slr:/L')
PPrr
= O rstoly, %F pe Structure
O a to b�occupied only as in accordance with
Z' Plans,Specifications and Plot-Plan filed herewith.
F Estimated Value of Improvements,
PI Ck Fee$
O O It is hereby agreed that the requirements of the p-p
uo Cupertino Building and Zoning Ordinances and all Fee$ (0
O' a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
ZO complied with.
�Ov9r
3 STREyc'RnP S 9 _ V*AhfiA W SQ,4DAeB
wZ OWNER PHONE ADDRESS
/Qd-A,PJ1.y[' 7 L
< 00 CONTR.OR AGENT / ZILDING
ESS
_ U .487- Fr�9/2 27 lot //
PHONE STATE LICENSE NSPECTOR
0 u
NO. STREET � LOT NO. ,
N
r o APPLICATION FOR ELECTRICAL PERMIT
14
G a CITY OF CUPERTINO
3� ®
I 4
� 0 e
'o F D 1�.? Permit No. `� 7 _
` jur M
Fee
a w Application is(hereby�made�t{oy�th,e City of Cupertino for a permit to install electrical
,�, v�lirTn;�an�r 'CUL P R 1'�IVL!'n the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordan(c with the provisions of the Electrical Code of the
'> m City of Cupertino, and all other laws applicable thereto.
r 3
oa
z_j Use of Premises
J Z
Owner � �i �
�� 2 ��
3 a v� )Address
a a By ' _ - Address i In
O f '.CONTRACTOR, AGENT
aU 62f� :; .,,n- rl �. - 197.7897` 7*pprov
P1... Ilpidl'� 95110 RLEC IR l INSPE
State License•_aD
NEW RPL FEES
Size Service Conduit Number of Outlets
Size Service Wires Number of Switches
Size Service Switch Number of Receptacles
Size Sub Feed Conduit Number of Fixtures
Size Sub Feed Wires Ranges KW
Number of Circuits Oven KW
Number of Meters Panels Transformers
Signs
Misc. D ers
Motors IIP c
Motors HP hese -�
(Motors HP Phase
Permit Fee 2.00
HP Charge
Total Fees -�