100071 10250 N . SARATOGA S.V. RD
100071
F
WILLIAM WEIL
SCANNED BOX # 709
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
F ie No. ��d, O 7
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 $
FEES �p Plan Check $
Owner •C.C�-tiyTr�/ (iU-e-t�/ Address
k C
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
v
Date �O I 196 FEE$
Cant r.� •r--�/ l�`'' � Address
Phone _ r� S L '3 �d � State License 2 r3 cj
Approved
APPLICATION FOR PLUMBING & GAS PERMIT _
p a
Date O 196 1�1 GAS FEE $ a
PLUMBING FEE S,
Contr.
Phone '�' _a3 ` , State License
Approved
APP ICA TION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. C Address 1S--1 �-` ✓ �+ �t-c •� ��
Phone - y�Q y L 7'-� State License
Approved
Applicants agree not to violate any of the
State of
Compensation a[iort Laws of the /, S � L�J \
Strste a Cali nrnia 2—i v°--(, 'y S
13d
c -;-/3 �,;z-Is, �e.ZO
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Dote Inspector
UNDERFLOOR
Date Inspector
FRAME
e Inspector
LATH & PLASTER
to Inspector
FINAL _
Date Insoector
ELECTRICAL
.OUTLETS /
UNDERGROUND SERVICE SIZE
SWITCHES / re
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date S Inspector
H.P. CHARGEFIXTURES 07
to Inspector
PERMIT FEE N Motors
/ Drto nspector
TOTAL FEES �� FINAL
Date j Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE Llik4TERIAL
WATER SYSTEM SIZE tTERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do to Ins pector -
STORM DRAIN FEE MAIN DRAIN
Date Ino pe ct or
WATER SYSTEM FEE GAS PIPING
-41' Date Inspector
GAS PIPING FEE � � FINAL
Dote Inspector
PERMIT FEE o2- MISC
Dote Inspector
TOTAL FEE Sp M_ ISC
Date Inspector
APPLIANCEc Com✓ - v'^�
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MIST"
GAS RANGE MISC /
GAS DRYER Is PERMIT F
0
-FLOOR FURNACE TOTAL FEE t3
INSPECTED
Dote w I pector