FILE 51139 ry
Lot No.
I
No. 5t e(et
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Dote 196
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 $
Own �p/'er X111 Address
C ontr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote `P// (, 796 (' GAS FEE E
,,�` PLUMBING FEE $
Contr. _li"�-�"Q/ �Un t"-i re✓ Address ,:/7.3 p A66,ltO?=
Phone `� Jr� ' r2—S " State License
(�-
Approved
v
APPLICATION FOR APPLIANCE PERMIT
Dote 196 FEES
Contr. Address
Phone State License
t Approved
Applicants agree not to violate;any of the
Workman's Compensation Laws.'of the
State of California
RECORD OF INSPECTION APPROVALS-
FOUNDATION BUILDING
UNDERFLOOR Data Inspector
FRAME Date Ins pe ctor
LATH 8 PLASTER Data Inspector
FINAL Date Inspector
Date Ins oe cfor
ELECTRICAL
OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES- ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
,
H.P. CHARGE FIXTURES Date Inspector
PERMIT FEE Motors Date Inspector
Ins pecfor
TOTAL FEES FINAL Date
Data Inspector
PLUMBING & GAS.
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LOMTERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
MAIN DRAIN FEE `" ROUGH COMPLETE I
Date Inspector
Data Inspector
STORM DRAIN FEE MAIN DRAIN2 f L
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
PERMIT FEE ,y!= Date Inspector
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 - TOTAL FEE
INSPECTED
Do to Ins pe cfor �-
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c 'T ,N f=OiR PLUMBING PERMIT
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Yo Sanitary' No.
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- Fee $
�io h �pf�'� {{��'' t 1�Wy City of Cupertino for a permit to install plumbing _
o a pip fidyor4l turrLYWC4'A��hL'�everse side hereof, and agrees to install said prices,
i and/or fixtures in accordance with the provisions of the Plumbing Code of the, of -
r, a.w. Cupertino, and all other ws applicable thereto.
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PLUMBING INSPECTOR -
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BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
C1,4ewer Connection Sanitary Permit No- -------4L�.- .......
F1 Plumbing Final Plumbing Permit No. ......ty---I t-s�. .....
LotNo. ................................
Owner or Tenant ...... .................. . . . ......
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Date Connected -z-.-._A. ...
Date Final ........... ....................... - Z- — .J --- -- ---- -- - -
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PLUMBING I SP-
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< Application is hereby made to the City of Cupertino for a permit to i stall clectri 1
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
j LL wiring and/or fixtures in accordaore with the provisions of the : ectrica40k f the
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F3 Cit}' of Cupertino, and all other laws appy able thereto. `IpIJ
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WATER DEPT. CITY OF CUPERTINO
wii FEB 1 JWLICATION FOR PLUMBING PERMIT
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a 19 Permit No
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n 0 Application is hereby, made to the City Of Cupertino for a Permit to install Plumbing ,
01 pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i m and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
a Use of Premises PAC-
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Address
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CITY OF CUPERTINO
3 iAPPLICATION FOR APPLIANCE PERMIT
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a Date ods 19 Z;� Permit No. J /� 4--
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' 0 Application is hereby Irmle to the City of Cupertino for a permit to
o Q install gas appliances as listed on the reverse side hereof, and agrees to
z m` install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
j( L Use of Premises �r5
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� 3 Owner ��( ' /Nee AddressaP5
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Address-90 /ft�/N'IV
O VNTRACTOR,AGENT • �'
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o s State License Approved
PLUMBING INSPECTOR
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Lot No.
No. Street 1
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No.
Dara / �' 19 7 ��
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
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date / L 19 77-- FEES
Contr. ddress �-r �` Z "-^—>`+ X12,
Vj
Phone
o2-5 L -45VL3 State License
Approved /
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman'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.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
SIXTORS
M ^
_7 V
-0
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC I
i
-j •j OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
l-- CITY OF CUPERTINO
To
1 Z
Y are her y au oriz to connect electrical service for
Owner 6r Tenant .. -.....-. .. ..... ..... . ... .....:.......................
� G _.... . ..
At ....fit!-Ca.. .-....t.:�....., -- ' .._........_.....::_... ../......._.. . ...
No. of Wires ........................ Size of Wir ...................... Size of Switch) . ."
MotorLoad .......................... Voltage ..---..........--._.......... Phase
HeatingLoad ........................ K. W. .............................
_._ Voltage .......
........... - .
Light..--..._...-... 110............ New Se ,ic .. .....__... Reconnect..._._.........
No. of Meters........_........--1
No.of Add. Meters............1 Heat.......__...... 220 Thr 're........_.... Move Service......... ..
Il Power............... r r P ..............- MoveMeter-.............
...... ....... __......
ELECTRICAL INEC OR