51226No.
Date �
t
to he: Occup
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
only as
made for a permit to
Lot No. / 11
Sanitary No.�
File NAI
Type
in accordance with Plot Plan, Plans and Specifi%lQo. filed herewith.
Estimated Value of Improvements E C=;z 9 Q
FEE$ KIC) Plan Check
Ar A t s 1
Ownerddres`�
Contr.
Address
Phan. 319 -161
L,, eL (vE'u—te
Approved
APPLICATION FOR ELECTRICAL PERMIT
Daae 196 -71 -- FEES --)
Contr, ! (- 01.1/ti.r Address /i1 �9A ('D� rj '
Phone 77 ND Sta to Licensee4. {2�2 QLV (9 7y
Approved ..yl[f1-�
C/ /li1.G
APPLICATION FOR PLUMBING & GAS PERMIT
Dote / Z' 196 7 GAS FEE E
PLUMBING FEE E 6f, 3-
Contr.
Phone -�%.f— (P9a-/
Address
State
. Approved
3 APPLICATION FOR APPLIAN PERMITz,
Date �� 1% FEE$ / 7s
Contr. ��-M i�-(�-(' ✓�`-�a// Address 13�& 'I� Q'
r
Phone —ter %� t X State License 4
Approved
Applicants agree not to violate any of the
Aorkmnn's Compensation Laws of the
hate of California
RECORD OF INSPECTION APPROVALS
DATE
BUILDING
INSPECTO
PAD FINAL
Z r
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
_
-
Fh
FINAL BLDG.
ELECTRICAL
DATE NSPQCTOR
UNDERGROUND ROUGH—
ROUGH
OUGH ROUGH WIRING
FINISHED WIRING C'
FIXTURES -
FINAL IYr we
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH_
PARTIAL ROUGH
ROUGH COMPLLEET-EeZ -
MAIN DRAIN
FINAL PLBG. qf -ZT
FINAL GAS4- 2-o-7
FINAL APPLIANCE4-1
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
R.Du, c.. 3 —9—'1 �-d.
r
INSPEC
MISC.
TV
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date.... �®y.......................... I9.7
The Building I.oCcate� ak
Owned by .......�1..`f/�kt
T�,, v
Has Been �Al— �- -`For Use As:
Building Permit No. ....yj .6
� . i/i.:�/LOT NO.
NO. STREEI
..r
FOR PLUMBING PERMIT
OF CUPERTINO
Sanitary No.
196_ Permit No 51226
Fee$ 2-2. 50
^ n17lij'ati�r�is }AT MTJe @tc City of Cupertino for a permit to install plumbing
pip h d/ xt on he 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.
State License .17y 1-dp/ Approved 6;94'�
I'(. PLUMBING INSPECTOR
r mr ei Qv.,,r oa O.J. -41576
FIXTURES
NUMBER MAIN DRAIN _
Units Fees Units Fees
Water Heater
Size
Water Closet
Materia
Bath Tub
To Curb
Shower
To Pron. Linc
Lavatories
To Existing
Kitchenin
Not n.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washin Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Materia
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee re -v
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relqef Valve
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 7�r�
Total
Total Fee p