51043.1-C720975 I VALLEY GREEN DRIVE Lot No. C-7
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date
_196
Application is hereby made for a permit to
n
to be occupied only as
FEE$
Ownar
Comr.
Phone
File No.
Son !to ry
story, Type
in accordance with Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements
b
Plan Check $
Address
Address
State License
Approved _
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Cont'. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �— 196 GAS FEE $
� yy PLUMBING FEE /b/ 'Z
Contr. o�Vf Address /9t� C.h"n.,r+.�r�G-�--�i U /✓/
Phone State 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
RECORD OF INSPECTION APPROVALS
-�
FOUNDATION - LZ,.(/'(�' BUILDING
Date
UNDERFLOOR
Date
FRAME _ _—.
Date
LATH & PLASTER
Date
FINAL
Date
ELECTRICAL
Inspector
Inspector
Inspector
Inspector
Ins nectar
SERVICE SIZE
UNDERGROUND
SIZE
TERIAL
,OUTLETS
Date
Inspector
SWITCHES
TOTAL FIXTURES /
RECEPTACLES
Date
Inspector
FIXTURES
PARTIAL ROUGH
H.P. CHARGE
Data
Inspector
PERMIT FEE
Inspector
MAIN DRAIN FEE
TOTAL FEES
Date
Inspector
ELECTRICAL
Inspector
Inspector
Inspector
Inspector
Ins nectar
SERVICE SIZE
UNDERGROUND
SIZE
TERIAL
TYPE OF APPLIANCE
Date
Inspector
ROUGH WIRING
TOTAL FIXTURES /
REGISTERS
Date
Inspector
FINISH WIRING
PARTIAL ROUGH
COMBUSTION VENT
Data
Inspector
FIXTURES
Inspector
MAIN DRAIN FEE
MISC
Date
Inspector
Motors
Do to
Inspector
Date
Inspector
FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
SIZE
TERIAL
TYPE OF APPLIANCE
C�
FEE
CIRCULATING HEATERS
TOTAL FIXTURES /
REGISTERS
UNDERGROUND -
FIXTURE FEE
PARTIAL ROUGH
COMBUSTION VENT
Date
Inspector
MAIN DRAIN FEE
MISC
ROUGH COMPLETE
GAS RANGE
Do to
Inspector
STORM DRAIN FEE
- MAIN DRAIN
d'V
Date
Inspector
WATER SYSTEM FEE
GAS PIPING
Date
Inspector
GAS PIPING FEE
- FINAL
d
a °�
- Dote
Inspector
PERMIT FEE
`—'
MISC
Date
Inspector
TOTAL FEE
oLdO
� MISC
Vote 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
tucocrran __
Date Inspector