NO PERMIT NUMBER No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. -
File No.
Data 19
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 $
FEE$ Plan Check $
Owner Address
Conte. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date l d 19 7 7— FEE$
Cont
e, =• / LAii�� - `Address y0�
Phone _az-V- State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Conte. Address
Phone �"y2�
State License
Approved '-lc.-.�-2�_ /
APPLICATION FOR APPLIANCE PER
Date 19 FEES
Conte. Address
Phone
State License
Approved
Applicants agree not to violate any of the �
Workawn's Compensation Laws of the
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRIC L
DATE INSPE R MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS.--
FINAL-
PLUMBING,
OTORS.FINALPLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH -7
ROUGH COMPLETE - -/
MAIN DRAIN
FINAL PLBG. l 7
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
CITY OF CUPERTINO
10300 Torre Ave. Telephone 252-4505
INSPECTION NOTICE
BUILDING DIVISION
/ / WEA ER
ADDRESS Q(9I
DATE �� L G. ELEC. ❑ LBG.
❑ DAI ORT CORRECTION NOTI E VIOLATION NOTICE
i
D GAS SERVICE NOTICE OFFICE
a BUILDING INSPECTOR'S OFFI COPY
CITY OF CUPERTINO /
..........I..........�1� . .. . .................... I Z—
To
You are hereby authorized to conned the GAS service for
Owneror Tenant ... .. ..............._............. ...__....................................._..............
ew Service ..........................
No. of Meters ........(........... Reconnect .......e.-7-7.�..........
Move Service .......................
No. of Add. Meters .............. Move Meter .........................
4yy ......
PLUMBING INSPECTOR
G & F.
GAS SERVICE NOTICE P COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...................... //
................. . ............ ..........
TO
You are hereby authorized to connect the GAS service for
Owner or Tenant ...........
At ......... �.zt/..... &7
/l.A�
New Service ..........................
No. of Meters ........./.......... Reconnect ...... ..............
Move Service ........................
No. of Add. Meters .............. Move Meter ..........................
........................; L............................
........
PLUMBING INSPECTOR
CITY OF CUPERTINO
10300 Torre Ave. Telephone 252-4505
INSPECTION NOTICE
• BUILDING DIVISION
WEATHER
ADDRESS /U(v0
DATE�/p zSP. ❑ G. ❑ ELEC. PLBG.
❑ DAI REPORT 0 RECTION NOTICE ❑ VIOLATION OTICE
CITY OF CUPERTINO
10300 Torre Ave. Telephone 252-4505
INSPECTION NOTICE
• BUILDING DIVISION
ADORES
WEATHER
O Q
DATE 9 9�NSP. LOG. ElELEC. LBG.
0 DA Y EPOR7- ORRECTION NOTICE 11 VIOLATIO TICE