NO PERMIT NUMBER (2) No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
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$ Plan Check $
Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
/APPLICATION FOR PLUMBING & GAS PERMIT
Date r �' 196 v GAS FEE $
PLUMBING FEE $
Contr. ! Y V Address -�5��/i�/sGt�i.u�C�,��
Phone ._nLSe? ' -ZJ.4 ,�- State License �S3 91��/
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Conte 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 BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Ins pe c tar
LATH & PLASTER
Date Inspector
FINAL
Date Insoector
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Dote Inspector
TOTAL FEES FINAL
Data Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I Llm6TERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND oce
FIXTURE FEE P'O PARTIAL ROUGH
D ns actor
MAIN DRAIN FEE ROUGH COMPILET
Datil Ins peetoi
STORM DRAIN FEE MAIN DRAIN
' ate Inspector
WATER SYSTEM FEE GAS PIPING
II t ns actor
GAS PIPING FEE FINAL 4
Date Inspector
PERMIT FEE ar�0 MISC
O ate 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
Date Inspector
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO 'J
File No. r//d- /
Date t
Sanitary No.
/Z 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 $ Z a a
00
/8�=
FEES - plan Check $
Ow r,er �yJ6_ Address
C ontr. �..�—i�'� q C;/'flr/t�rLV{dffi %ten Yddress
phone a' 2 'K.��J State License �,�rr'� /-4.-7/0p
?�"Approved K (voi
low
APPLICATION FOR ELECTRICAL PERMIT
Date = .196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data / 196 �� GAS FEE $
PLUMBINGFEE $03 W
Contr. --fiC�t/z/ V�1^4� Address _ -r
Phone �9- '7'�:3 - 7 2-,,e C State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
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 BUILDING
Dare Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Ins pe ctor
LATH & PLASTER
Date Inspector
FINAL
Date Insoector
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector li
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Data Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I IM6,6TERIAL
WATER SYSTEM SIZE// JATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH �'64
Da spe ctor
MAIN DRAIN FEE ROUGH COMPLET ./
Date Inspec r
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE ��' GAS PIPING
ate for
GAS PIPING FEE FINAL
Data Inspector
PERMIT FEE �"' 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
Date Inspector
/6 // d I IV J102,4 %O CT,4 'SUiI/N i/ (,10.66 &L%t No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No.
6
Date vd lq 7 L
�'- Application is hereby made for a permit to
a story,//Tyy�pe . 5 /
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements §
FEE§ Jb Plan Check $
Owner e �C /Address
v /J
Contr. �i t�J-x��o� Address
Phone — I S-o1 �C- State License 1' 5e J- J
r
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE§
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 19 GAS FEE $
PLUMBING FEE §
Cont, 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
PDA
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 REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
� NO. STRE' `Y
W iAPPLICATION FOR BUILDING PERMIT
Ix
a _
CITY Or CUPERTINO
o a Sanitary Nu.
3u
i o Date 196 Permit No.
01 Application is hereby made for a permit to
a
ain
a story,Type-X Building
to be occupied only as in accordap� ith
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
> m � ` O •
Estimated Value of Improvements, A+�Q Fee
o a XD&"
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino wiI be complied wit .
3 �
_ < Owner dress
M a By '�
<u Phone .R as .3 -48 U Approve
State License IF DING INSPECTOR
No. Street Lot No.
OF ruwrN0 CITY OF CUPERTINO
cRt APPLICATION FOR BUILDING PERMIT fe
N A 28 1972 Sanitary No.
e U"bate , 19 Permit No.
� n �dj .a
Adplic ticips hereby made for a permit to
`o o S d�
3 _ a / story,Type 'r-A44Building
to be occupied only as � [y►� Car accordance with
`°
Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
r
/�.-,/
Estimated Value of Improvements,$ � v �" Fee$ 14f�
0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino wil be complied with.
c
_ c
° Owner`i
3 'y Address
v a By
Address-.i-
E_ PhonerF a,S Z- 3 9 Appr5Bufldmg
1 pState License '�; /9�- 39S ns ector
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/ o /ioy -eg," /Q•Q
No. Stre Lot No.
CITY OF CUPERTINO
/APPLICATION FOR BUILDING PERMIT
Date
(o Sanitary No.
/ 19�L Permit No. '
Y � Application is hereby made for a permit to F1 re iu d -k;; v11
0 0
story,Type4,,DOY-�l.P-4 Building
U
'o to be occupied only as r--t E tit ( V+' in accordance with
o Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
T m
N
� = Estimated Value of Improvements, $ Fee$ We x76'C
0o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
c A Cupertino will be complied with.
c
3
.° Owner Sy-, TOSe ht Address 10 /d art �a �SJNN�
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c By
oPhone Approve
U
State License nspector
X 'nr Its .
/u //O I N $gro ��d - S✓NNY✓�l• CQ IOTNo.
No. STREET
w Z APPLICATION FOR BUILDING PERMIT
' it
p ° CITY OF CUPERTINO
9 a Sanitary No.
SU _
i W Date 196_ rmit No.
0
o r Application is hereby made for a permit to
a
i to a story,Type x / L Building
to be occupied only as � in accordance with
o o plans, Specifications and Plot-Plan filed herewith. PI Ck FeB
> ; Estimated Value of Improvements, $ i ob 23MFee$ • L'
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
d O Cupertino willan li d wi h. a E �� �.{ we
3 a \ r�oi���.J
— W Owner - Add res /ai/o AJ Se,e'fs`w-_C+raN✓,l,- ),iJ
W Z r—
ByAddress rr.(c
a 0 Phone .7 S 3—6 a S 9 Adak
Approve
State LicenseB.ILDING 1....c' it
14,110 ALL,,coA-�lu✓✓✓l�il��1�. /
Q NO. S'rRRGT LOT NO.
e S,pO CITY OF CUPERTINO
r o c�,,..
0 u an or 1(#P,PLICATION FOR ELECTRICAL PERMIT
n= o /�fl�sl
F Date , 19 Permit No. _
oa m0
r Fee h
m Application is hereby made to the City of Cupertino for a permit to install electrical
a w
w wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> m City of Cupertino, and all other lawsa�p>licable thereto.
z Use of Premises
O �-!
3 a OwnAer i• OStf;e9 /.�� Address
w z By('iO /�dn ��d/" i L ice! Address
ww
rc a
Q O //CONTRACTOR, AGENT Approv �—
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ELECTRICAL INS
State License ���G�r37
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