492LOT NO. --
NO. STREET
APPLICATION FOR BUILDING PERMIT
4�O& La
CUPERTINO %
Date cc� Ito
Permit No.Appfi io lA4hkrbb$ m��[p r U�
a �� sto , Ty _ Building
at �► CUPER IN
to be occupied only as
in accordance with Plan Specifications//and Plot -Plan filed here ith. ,
Estimated Value of Improvements, $J..52�� ' O ly Fee $
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
Cupertirie-Ft(I be complied with.
By \ _ Ad
A
INSPECTOR
7%�` RECORD OF INSPECTION APPROVALS
FOUNDATION
:e-j�F�RA �E�'
LATH nd PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
NO. STREET LOT NO.
APPLIC A
kECTRICAL PERMIT
!F�TTINO
A
Date _195 Permit No.
Fee
Application is A rri�de to fhe City of Cupertino for a permit to install electrical
wiring and/or fires as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premi
Owner Address
By - Address
CONTRACTOR, AGENT i
Approv
Phone. J ECTRICAL INSPECTOR
NEW
Size Service Conduit_______________ ______Number of Outlets -------------- .--- __11.._
Size Service Wires -_______ __________Number of Switches ---------------- ---
Size Service Switch ------------------------Number of Receptacles ------------ --- /_.__-_
Size Sub Feed Conduit ------------------Number of Fixtures ------------------ j .....
Size Sub Feed Wires --- ---------------- Ranges. -Y........... KW -------------- ---------
Number of Circuits___________________ Oven .............. KW -------------- -.-..--.--
Number of Meters ....... ................. Signs .......... Transformers..................
RPL FEES
Misc................ -------------------------------Dryers------------------------- I----------I----------I--------------
Motors _./lc!- L?`. HP .................... Phase -------------------- Permit Fee $1.00
Motors-------------------- HP -------------------- Phase _._..-------- -----
Motors ---•---------------- HP -------------------- Phase -------------------- H P Charge------------
Rough Wiring''V:Y!!"
TE INSPECTOR
Finish Wiring ________________ ______
DATE INSPECTOR
TOTAL FEES
ON APPROVALS
Fixtures----------- ----------
----------------------------
DATE
(Motors ...... ... .........I.
---- IIjSPECTOR
Final
IN ----
DATE
INSPECTOR
LOT NO.
ATO. STREET
A IGAT40#t, FOR PLUMBING PERMIT
0 C �F CUPERTINO
Date `A 95 95— Permit No. `r `
11pCpTTt{��O Fee $ CJ
Appli �' is eb�t (e16 the City of Cupertino for a permit to install plumbing
pipes an /� xtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all
/other laws. `applicable thereto.
Use of Premise -
By
Address
Address
Approve __
PL MBING INSPECTOR
I UNITS I FEES 11 1 UNITS I FEES
Water Heater I II nice ( I
Water Closets I I /. 0 o 1 Material I I
r.�
Kitchen Sinks I 1 O d II Not Conn.
Dish Washers l /
Waste Disposals I 1 II I I
nes
Water Softeners M�
Bar Sinks I I 11 To
Comb. Sink & Traysl I II To
Dental Units
Drinkine Fountainsl 1 11
Floor Drains
Hoppers
Restaurant Sinks
n Drain
Urinals I
d
1 11 Fixture Fee I 5-"06
Area Drains I
I 11 Main Draih Fee
Water Leaders I
I II Storm Drain Fee
Sprinkler Valves I
1 1I Water Sys. Fee
Permit Fee p
TOTAL I t,
I S ,a) II TOTAL EEE /n lrT �l
RECORD
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LOT
NO. STREET
#PP r ION FOR BUILDING PERMIT
ti.
OF CUPERTINO
Sanitary No.
l� 196_ hermit No,�
Alication is hereby made for a
aCIT WWF
to be occupied only as
or
Building
in accordance with Plans, Specifications and PlotoPlan filed herewith. o_o
Estimated Value of Improvements, $ /10 Q . Fee $
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, locatiop, and use of buildings within the City of
Cupertinp will be complied with�� � /�
Owner 1�w d` �iYVVct "�-� b Address -u a &L-<-- k)/-
ByAddress
Phon Approve
State Licens LDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
UNDERFLOOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DAIIINSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
-1 DATE
INSPECTOR