1418/0.41'A0
NO.
LOT NO
S-6
APPLICATION BUILDING PERMIT
QCT 6 191LTR
:CUPERTINO
Datettlto
Permit No. % A l=isaieb QJ
a story, Type Building
at
to be occupied only-a!S�� _6� ZZ -V4 —A,
in accordance with Plans, Specifications and Plot filed herewith.
Estimated Value of Improvements, $ c=qt O1 Fee $ A,
N
u 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
Cupertino willIe co m lied wi
n Owner Address
By Addresses '
CO RACTOR, AGENT
i� A rov
C. Phone pP BUIL�.NSIICIOR
RECORD OF INSPECTION APPROVALS
FOUNDATION ---
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER -
I T INSPECTOR
FINAL BLDG. � -3�
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
NO. STREET LOT NO.
ELECTRICAL PERMIT
Cl CUPERTINO
FfJAN 2 6 1960 �.��
Date , 195— Permit No.
CITY OF CU�'����� p Fee
Application is herebyma e o i of Cupertino for permit to install electrical
wiring and/or fixtures 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
Owner
By
Phone: 'q1— G;Z ` 4� 6 Z0
IW -W -YAW,
-
IV0I
1 CO
RIS
Rough Wiringtf l�t�N'ZP,_ Finish Wiring ...E
V4a..
O..R.
..
..T9 1 INSPKCTO.IN
INSPECTION
APP
pnFitu es"M'Z
sp OR
11-P
oa
tors ...........
P tOR
Final-- - - ----- -----•-----
AT� INSPECTOR
NEW
RPL FEES
Size Service Conduit ---- "41 ------- _Number of Outlets ----- --------
---------Tl.e70
-
_
Size Service Wires_.:�� ---------
Number of Switches...._-.? --- ---------
I
Size Service Switch__/P0_?"84umber of Receptacle*b:!9 r
------ ----------
----------
I
---
Size Sub Feed Conduit ..................Number
of Fixtures .................. ..........
..........
..............
Size Sub Feed Wires ...................Ranges.....------.-_..
................ KW .............. ..........
---..........-----------
.......................Number
Numberof Circuits-------------------
Oven -------------- KW-------------- ----------
----------
--------------
Number of Meters ------------------------ Signs .......... Transformers ........ ..........
..........
..............
Misc------------------------------------------------
Dryers ------------------------- -------------- ----------
----------
--------------
Motors -------------------- HP .................... Phase ------------------ _ Permit Fee
Motors -------------------- HP .................... Phase --------------------
$1.00
Motors .................... HP .............
------ Phase -------------------- H P Charge ................
--------------
TOTAL FEES
3, 6;L
IV0I
1 CO
RIS
Rough Wiringtf l�t�N'ZP,_ Finish Wiring ...E
V4a..
O..R.
..
..T9 1 INSPKCTO.IN
INSPECTION
APP
pnFitu es"M'Z
sp OR
11-P
oa
tors ...........
P tOR
Final-- - - ----- -----•-----
AT� INSPECTOR
I, the undersigned do hereby certify that I am
the owner and occupant of the single family dwelling at
for which I am making
application to do _ work as a home owner.
I also certify that i will no c Yu{C'e any non -licensed
',. - or contractor, but will do this 1.17ork myself,
A L
TELEPHONE NUT BEFZ SIG MHE
-AOT NO.
NO. STREET
jQ3aIT*R PLUMBING PERMIT
0CT 2 961OF CUPERTINO
, 195
CITY OF CUPERTINO
Permit No. / c�< a
o -o
Fee $��
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures 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 kaws applicablSkheretoy /j
Use of
W
I UNITS FEES 11 1 UNITS I FEE
Wat^_r Heater 1 I II Size
Water Closets l I II Material
Sh6wers
Lavatories
To Prop. Line
To Existing
Not Conn.
Waste Disposals I I
Wash Trays STORM DRAINAGE
Washing Machines II Size
Water Softeners I 1 II Material I i
tsar Jinks I
I 11 10 Main Drain
Comb. Sink & Trays
To Curb
Dental Units
�I
;Drinking Fountains)
I II
Floor Drains
�� WATER SYSTEM
Hoppers
Size
Restaurant Sinks
Material
Sand Traps
TOTAL FEES
Urinals
Fixture Fee
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
Sp inkier Valves
Water Sys. Fee
D Ij, A o I
1 n/,ll Permit Fee
RECORD OF INSPECTION
I, the undersigned do hereby certify that I am
the owner and occupant of the single frmily dwelling at
f40 Y, , for which I am making
application to do work as a home owner.
^lso certify that I will not hire any non -licensed
or contractor, but will do this work myself.
/� 1'FL I' Oi i 'moi SIGNATURE