51027 i
10250 S. SARATOGA S.V. RD
51027
F
SCANNED BOX # 709
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File Nq?�7ul
r' Sanitary Noe
Date 196
Application is hereby mad fo ,a L o
�to he occupied sry, Typemy n.n
in accordance wit&01
tPlan, Plans and Specification filed herewith
Esti fed Value of Improvements $
FEES Plan Check $
Owner Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
?9
A t Approved
HgHT" AQP NG & GAS PERMIT
Dare 196 GAS FEE $
ITY 8F-- CUPE TING PLUMBING FEE S
Contr, C. oec
// ddress 66 )/—?X
Phone
`{1Q e�-.�e� S-4 State License
\ ,
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Dote Ins pe c for
LATH & PLASTER
Date Inspector
FINAL
Date Ins oe ctor
ELECTRICAL
.OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LuATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTUR F PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do t6 Inspector
STORM DRAIN FEE MAIN DRAIN
' Date I pector
WATER SYSTEM FEE GAS PIPING
it ,p
GAS PIPING FEE FINAL d L .P or
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE � MISC
Date 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
FLOOR FURNACE TOTAL FEE
INSPECTED
Dote Inspector