NO PERMIT NUMBER (3) Q� O I C�ofKAUJ /�r / Lot No. '
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 707 • - 1
Sanitary No.
TT �a
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i
Data 196 6
,y �Application is hereby made for a permit to /—
•'(r� ""`�" a story. Type
to be occupied only as
in accordance with Plot Plan, Plans// d Specification filed herewith„
�d
Estimated Value of Improvements E t 0 _
FEE$ ,3'� p Plan Check $ 91n'� ' �
Owner _ (n /.� . Address �' /6 a -f-. z:2
Contr. Address
Phone State License
Approved ./
v
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Q •
APPLICATION FOR ELECTRICAL PERMIT
Date 9 '
,/ C
07- � 196 � FEE$ `moo
Contr. _ /0--( --�.�/-v-s j Le"Z . 'Address
Phone - 37, —
State License -,7� 7/7 5�
APPLICATION FOR PLUMBING & GAS PERMIT
r Ste,
Date 196 GAS FEE $ /
.. PLUMBING FEE '$ v--a
Contr. " ' - 1 Address
Phone '5s `� S7 State License
Approved
Q AP CATION FOR APPLIANCE PERM 08
Date v � 1b I% FEES ��� 5
9 --
Contr. • Address � �•� � 1 fw o 5
Phone 24 • State License O
Approved
Applicants agree not to violate any of the _ .�
Workman's Compensation La
ws,of the
State of California - E
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date _ Inspectors
UNDERFLOOR
FRAME of nspector t
D° actor I
LATH & PLASTER // O
FINAL
�;>DPt il_ ns pe ctor
`rLLJJ
Do to I ns oe c tor
ELECTRICAL
.OUTLETS
' SWITCHES UNDERGROUND SERVICE SIZE
,
- RECEPTACLES ROUGH WIRING q pector
Data Ins pec4r
FIXTURES FINISH WIRING
Dote pector
LH.P. CHARGE FIXTURES- j_L,'
Date Inspector
RMIT FEE MotorsDateTAL FEES FINAL �- I O �,
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAINSIZE &ATERIAL
WATER SYSTEM I SIZE „•ATERI
TOTAL FIXTURES 'FA 07. UNDER UN
FIXTURE FEE PARTIAL ROUG
ID6to for
MAIN DRAIN FEE '2 `^'9 ROUGH COMPLETE f
•Date speetor
STORM DRAIN FEE MAIN DRAIN It- to Q-
I', / p<
-
p< DaXn.p..t.,
WATER SYSTEM FEE GAS PIPING lb- I Y
-t3-
-Z) Date , -to'GAS PIPING FEE l' FINAL t - i G.-1
Date
PERMIT FEE � � MISC
Date Inspector
TOTAL EE �� MISC
Date Inspector
APPLIANCE
TYPE OF-APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS , ��
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISCO ab
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACES TOTAL FEE
INSPECTED
Do to Inspector
NO. sTRELT LOT NO.
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APPLICATION FOR ELECTRICAL PERMIT
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CITY OF CUPERTINO
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D // 7
LL F 194"� Permit No.
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Fee 5
a w Application is hereby made to the City of Cupertino for a permit to install electrical
ar wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordan(c with the provisions of the Electrical Code of the
> a City of Cupertino, and all other !aws applicable thereto. p
o a
z_j Use of Premises
3 m Owner ��'--e-r>ti,✓ �Q�� 'and�e$$
W w By l/. �� _ .. _ I Address
01 CON"ACTOR� AGENT
a 3 —r/ 6 902. Approved
U Ph,,ne: ELECTRIUL IN E E—
_
(
CTA
State License' a
_ fi
.1C, RrL FEES
Size Service Conduit......................Number of Outlets.................. ...._ .......... .. .7—°
•"`� Size Service Wires..........................Number of Switches............... .......... .......... a...
Size Service Switch.......:................Number of Receptacles............ T/,/
3 70
Size Sub Feed Conduit..................Number of Fixtures.................. .Al. .......... ..............
Size Sub Feed Wires.. . ...........Ranges................ KW.............. .......... .... . ...... ....
Number of Circuits............. Oven .....--- KW..............
._....... ..._..--. ............
Number of•Meters........................Signs.......... Transformers........ .......... . °�"
Misc.........._...---------..............._...Dryers....----... ----------- ------- ----...... ..............
Motors------22.......... HP-----3�.�........... Phase....:3-- Permit Fee $1.00
Motors------ ---------- HP.......
Y-�....... Phase-----�---........ .c0
Motors...---............ HP-------------.._ Phase.................... H P Charge-------------. ....... ......
b c °
TOTAL FEES _
RECORD OF INSPECTION APPROVALS
RoughWiring................ .....................--.... Fixtures ...................... ...........-------.--...--
DATE INSPECTOR DATE INSPECTOR
Finish Wiring ...........--CTO----- Motors ------------- --........�-------------------.......
i DAT[ IN]P[CTOR OAT[ INSPECTOR
Final ----------.._........--- -'--.....................–
DATE INSPECTOR
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NO. STREET SLOT NOC
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G APPLICATION FOR ELECTRICAL PERMIT
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3 < CITY OF CUPERTMO
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` o Date 195— Permit No,
LL W
OaSZ
Fee 5 -2—(e
<
aApplication is hereby made to the City of Cupertino for a permit to install electrical
W
,i, 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
> W City of Cupertino, and all other lies applicable thereto.
03
oa
z_j Use of Premises
J a
J O
3 m Owner Address
Wz
n By — _ Address —
U F CONTRACTOR, AGENT
a o Approved
U Phone: _ ELECTRICAL INSPECTOR
State License ,r
aew nrL Fees
Size Service Conduit......................Number of Outlets.................. 4z— .......... ..-/� a
a a 70
Size Service Wires..........................Number of Switches................ .....�.. .......... .......... 0
Size Service Switch........................Number of Receptacles............ . . .......... ..........
Size Sub Feed Conduit..................Number of Fixtures.................. 7L..... .......... ....�4..5�
Size Sub Feed Wires...................Ranges................ KW........ .. .......... .... ..............
Number of Circuits................... Oven .............. KW........------ .......... . ........ ..............
Number of Meters........................Signs.......... Transformers........ .......... .......... ...
Misc................................................Dryers...---.....--------......-.----....... .......... .......... ..............
Motors......?------------ HP---..�.-_...... Phase-.i-----....._-- Permit Fee $1.00
Motors------&.......... HP----� Phase l----------------
Motors-------------------- HP............... .... Phase-----------.. ...... HP Charge..............
S.L'.T/.-SZt
TOTAL FEE
RECORD OF INSPECTION APPROVALS
RoughWiring................ ............................ Fixtures ........ -- ..._I..--------.....---...----
OATCINSPECTOR O/.TE INSPECTOR
FinishWiring ......----.._.. .. Motors ............. ..........�-------------------------
DATE INSPECTOR OATS INSPECTOR
Final --------------------- ............................
DATE INSPECTOR