NO PERMIT NUMBER (3) 21618 I FLINTSHIRE STREET Lot No. 43
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51167__
Sanitary No.
Date 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$ Pion Check $
Owner Address
Contr. Address
Phone State License
/9/�" yl'., Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
. Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
101%'' Approved
Applicants agree not to violate any of the
91orkmanrs Compensation Laws of_the
State of California T
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
UNDERFLOOR Dote Inspector
FRAME Date Inspector,
LATH & PLASTER Date Inspector
Date Inspector
FINAL
Date Ins ae ctor
ELECTRICAL
.OUTLETS
SWITCHES UNDERGROUND SERVICE SIZE
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Dote Inspector
M.P. CHARGE FIXTURES Data Inspector
PERMIT FEE Motors Date Inspector
Inspect
TOTAL FEES FINAL Dote or
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE LMIL4TERIAL
WATER SYSTEM SIZE 11TERIA L
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
I
MAIN DRAIN FEE ROUGH COMPLETE Date nspector
STORM DRAIN FEE MAIN DRAIN Data Inspector
Date Inspector
WATER SYSTEM FEE GAS PIPING
GAS PIPING FEE FINAL Data Inspector
Date Inspector
PERMIT FEE MISC
ote
TOTAL FEE � MISC nspectcr
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
Date Insnector '
r STREET — _LOT NO. -43
/
w 0 P OR ELECTRICAL PERMIT
3 u R 20 191 P cvprxrlrao
4 w
Date / 19r� Permit No.
O �
P Fee 5 • 0 0
a Application is hereby made/(8�+e City of Cupertino for a permit to install electrical
w
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordan(e with the provisions of the Electrical Code of the
> City of Cupertino, and all other 'aws applicable thereto.
zJ Use of Premises �Ll� .._ ' �%<<1 ice& R
3 a Owner �r T Z�Cf�fft/C AddressSC-
-
wBy r
w J!!/G/F _ A
¢ a
O 1 CONTRACTOR, AGENT
a o Approved -:
—0 Phone: �'` 7 0 _ ELECIR3U1 EMPEC1 r /
f State License, V
NEW BPL 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... ------ -.......-- ---
I...... ..............
Number of Circuits................... Oven .............. KW........ ........ .......... ..............
Number of Meters........................Signs.......... Transformers........ .......... ......:... ..............
Misc................................................Dryers........................................ .......... .......... ..............
Motors.................... HP.................... Phase.................... Permit Fee $1.00
Motors.................... HP.................... Phase....................
Motors.................... HP.................... Phase.................... H P Charge................ ..............
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring............................................ Fixtures ...................... ............................
ORT' INSPECTOR DATE INSPECTOR
Finish Wiring ................ ....................... Motors ............. ..........
DATE INSPECTOR D.1T[ .......INSPECTOR
iFinal ..........................�. .......
DATE INSPECTOR
i
OFFICE COPY
;ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
moo PCN
' her , �f
CITY OF CUPERTINO
. ��
u are hereby atuhorled to tonne electrical sery¢e for
1-7 6c A ^�2
Owner or Tenant .............�:_!.!... .........................................................:.......:.................
....!..to
At ..........................................
as/.....
Wires
g .............:............t{
Size of
Motor ......
Load .. ............... Voltage Wires....... ...........�"........... Phase f Switch ......... ........
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light....... 110........ .. New.Servic ................ Reconnect..................
No. of Meters...._'..........
...
Heat................ 220..... .... Thr it .........:...... Move Service............ .
No. of Add. Meters............ '
Power...... T Phas . .. ......... Mo Meter............:
.4
1
............ ..................�,...!..... ....
ELECTRICAL It EEtioR _