51043.1, Bldg 3VA
20975 LLEY GREBldg. 3
EN DRIVE
No. Street Lot No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 911044.1
Sanitary No.
Date April 20196 6
Application is hereby made for a permit to
a story, Type
to he occupied only as -�
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements
FEE$
Ow r.e r
Contr.
Phone
E
Plan Check $
Address
Address
State License
Approved
Phoria
State License
Approved
Applicants agree not to violate tany of the
Workman's Compensation Liws of the
State of California
APPLICATION FOR ELECTRICAL PERMIT
Date .i S 1996 (/g FEE$ _ 8T
39s
Contr.
(. Z_ ' i(/tl Address .I
Phone
/
9, ^- s -D / b $ta te'Lica nse
Approved
APPLICATION/FOR PLUMBING & GAS PERMIT
S_
Dote
-s— 196 GAS FEE $
`
PLUMBING FEE
$ -' LO 9 Pa
J ,[/n /"�
(1 0 la' -C-1
elJy
Contr,
Address If-
-&/
9-5 2--,
Phone
/ State License
Approved
T'✓�""��`-i
APPLICATION FOR APPLIANC PERMIT
Date
196 FEE$
3,.
Contr.
Address
Phoria
State License
Approved
Applicants agree not to violate tany of the
Workman's Compensation Liws of the
State of California
ELECTRICAL
SERVICE SIZ
UNDERGROUND
e
ROUGH WIRING
Date
FINISH WIRING
Date
FIXTURES
Date
Motors Och
1 _
FINAL � l,D
I spectoi
Inspector
Inspector
Inspector
Data v
Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
I SIZE
FEE
OUTLETS
UNITS
TOTAL FIXTURES G 6
RECORD OF INSPECTION. APPROVALS
/ol
so
- BUILDING
77
FOUNDATION
"
FIXTURES
7*
A
Data
'Inspector
UNDERFLOOR
PERMIT FEE
.MAIN DRAIN
D
ter/ —+`
/D�
nspector
FRAME
�'"a
GAS PIPING
.
Da�
Spector
LATH PLASTER
GAS DRYER -
FINAL (n
eCFINAL
Inspe c for
PERMIT FEE
MISC
TOT FEE
Date
Insoector
ELECTRICAL
SERVICE SIZ
UNDERGROUND
e
ROUGH WIRING
Date
FINISH WIRING
Date
FIXTURES
Date
Motors Och
1 _
FINAL � l,D
I spectoi
Inspector
Inspector
Inspector
Data v
Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
I SIZE
FEE
OUTLETS
UNITS
TOTAL FIXTURES G 6
SWITCHES
/ol
so
RECEPTACLES
77
�27
"
FIXTURES
7*
A
H.P. CHARG
450
STORM DRAIN FEE
PERMIT FEE
.MAIN DRAIN
TOTAL FEES
S
7C
ELECTRICAL
SERVICE SIZ
UNDERGROUND
e
ROUGH WIRING
Date
FINISH WIRING
Date
FIXTURES
Date
Motors Och
1 _
FINAL � l,D
I spectoi
Inspector
Inspector
Inspector
Data v
Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
I SIZE
FEE
TERIAL
UNITS
TOTAL FIXTURES G 6
���'
. UNDERGROUND
FIXTURE FEE
.REGISTERS
PARTIAL ROUGH
MAIN DRAIN FEE
BLOWER FURNACES
ROUGH COMPLET n' pat / ctor
COMBUSTION VENT
.yD6 r .
STORM DRAIN FEE
SUSPENDED UNIT
.MAIN DRAIN
��'
WATER SYSTEM FEE
GAS RANGE
GAS PIPING
.
MISC
A Date tar
GAS PIPING FEE
GAS DRYER -
FINAL (n
��•
Date Inspector
'
PERMIT FEE
MISC
TOT FEE
G_yc�MISC
Date Inspector
TOTAL FEE -
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 t;
'
FLOOR FURNACE'
TOT FEE
INSPECTED /0 Ab_ lg �.agz i
Date Inspector
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
n Sewer Connection Sanitary Permit No.
..........
[Plumbing Final Plumbing Permit
.......................
Owner or Tenant .. . ... ----
- .. ...
At
..........
ROUTE SLIP
File No.
Date Out —% �7 c
Date In
Loca'ionU Ai� Af
/,' nn �..
Sub' dc't
Notes
Approved
Da e specto
GAS SERVICE NOTICE OFFIC: -
BUILDING INSPECTOR'S OFFICE COM
CITY OF CUPERTINO
............ ^"/p
............. 196)<
To
You are hereby authori-zed to connect the GAS.service for
Owner or.Tenant ..
At
New Service
No. of Meters Reconnect ............................
Move Service ... .......... ..........
No. of Add. Meters .............. Move Meter . ................ ........
PLU BING INSPECTOR
TO
You are hereby
0 or enant
wrier ��Z .
I
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO q
r
No. of Wires ....04........_--. Size of Wires Qi!q-.lNX%4M Switch
Motor Load - ----- ........ . . Voltage .......... — ......... ...... Phase
Heating Load ........ ----------- -- K. W. ....._...EPSP Voltage ......... ... ..........
Z, 10 Sery . . ........ Reconnect...._.........
.........
No. of Meters.... Ught--
No. of Add. Mete Heat 220 ..... ... . hree ire-!— Move Service.........
Power—.— ........ tee Move M r..............
I'
ELECTRICAL INS PEC T Z
OFFICE COPY
196-<:�