51226'No. Street.
Lot No. 2.1
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. (=Q4
(�. File No. �� 1
Date 0196012
made for a permit to
/9 _ 2.
Type qS-- T
.. in accordance with Plot Plan, Plans and Specification filed herewith;"
Estimated Value of Improvements. $ � t �ae
0
FEE$
plan Cc
Owr'°r
dress
Contr.
Addrress !
/f s� q
Phone. e7 �� - ( to r �
littataicenyC_
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 1- i1i 196 FEES 50
Contr. :14A Le�-r 1f Address 1170
Phone �i '7��1' �1�U State License '2 '
Approved
APPLICATION FOR PLUMBING & GAS FERMI
Date 196 ?/ GAS FEE $ �
• PLUMBING FEE $ _
.".ontr./6 ..... . / Address
Phone 3'/ rte' 6 -7 State License
Approved
gate
APPLICATION FOR APPLIANCE PERMIT
�/./Y"fL/4' ,�1�% 7/
:antra -r'-'l "-"`'`-'C 0 .1/ Address
'hone 6,5),3 State License r�-S
Approved
Ipp Licants ,agree not to violate any of the
torkman's Compensation Laws of the
'tate of California _
RECORD OF INSPECTION APPROVALS
DATE
PAD FINAL
.FOUNDATION -�' A
UNDERFLOOR 2
FRAME O C
LATH & PLASTER
GRADING FINAL
FINAL BLDG. 3
BUILDING
INSPECTO
..-2&
ELECTR
INSPEC
UNDERGROUND ROUGH
ROUGH WIRING -
�-
FINISHED WIRING
FIXTURES
��
MOTORS
FINAL
i CT
MISC.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ..
SANITARY NO. ,
UNDERGROUND ROUGH_
PARTIAL ROUGH ?— -
ROUGH COMPLETE 3- 5-7 p ,� Q
MAIN DRAIN 3 y� .lz7 _9 �y lwi'p�!IA� FL Z I -)5 -71
FINAL PLBG. /
FINAL GAS - �✓
FINAL APPLIANCE - -
GA; LIN6 V404"'" Novlai To C'Rm'
W,L. 3-16-71 9.1d,
DATE INSPECTOR
MISC.s�lf"ei Al bTAL 3-'1 -7)
MISC
MISC
M
J
c
CERTIFICATE. OF COMPLETION
BUILDING INSPECTOR'S OFFICE
QTY OF. CUPERTINO
Date ...... �D..:r..._�(.......................... 19.7Z Building Permit No. ............. (•
The Building
Owned by
Has Been ( (Altered) or Use As: ....:.�r.lt".:
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No. eet�
1N6111A
PP I ION FOR PLUMBING PERMIT
12 io7i ITY OF CUPERTINO
Sanitary No.
Lot No. y v
Permit No. SJ Z 26
Fee S Z? SQ
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
laws applicable thereto -
Phone --1 7011j-d;
hereto.
Phone 1j%j-d;
State License Approved
Plumbing Inspector
F*ynde (20j'- Oe 4.7 915 76
FIXTURES NUMBER
Units Fees
Water Heater
Water Closet
Bath Tub
Shower
Lavatories
Kitchen Sink
Dish Washer
Waste Disposal
Wash Tray
Washing Machine
Water Softener
Bar Sink
Comb.Sink & Tray
Dental Unit
Drinking Fountain
Floor Drain
Hopper
Restaurant Sink
Sand Trap
Urinal
Area Drain
Water Leader
Sprinkler System
Vac Breaker
Skimmer
Filter
Total
MAIN DRAIN
Units Fees
Size `f
Material
To Curb
To Prop. Line
To Existing
Not Conn.
STORM DRAINAGE
Size
Material
To Main Drain
To Curb
WATER SYSTEM
Size
Material
TOTAL FEES
Fixture Fee
Main Drain Fee . /v
Storm Drain Fee
Water Sys. Fee
Gas Fee
b
Permit Fee %D -'o
Total Fee