51226toll
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO I
Sanitary No. �O
File Nosg)
Date 1019
to he
Lot No. I
atioin is her made t permit to
1 n Z s
a.5
in accordance with plot Plan,'Plans and
E tinnot dValue of Improvements $
FEE$ /b ��(�, Plan C
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Owner _ da
Contr. Address �L
r
3 -1 ct(fl i (m F o nom.
Phone tare License
Approved
Type
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herewith.
Approved �*--+%�
APPLICATION FOR APPLIANCE PERMIT /
Date 196 ,7_L/ FEES �/
Contr. 9 �crQ.n,,.G ic/ AI .Q.�._w,. C-
t�,//J Address/`� s
Phone -37 i 1 T State License .x)�`�,ot�
Approved.
4pplicants agree not to violate any of the.
Vorkman's Compensation Laws of the
itate of California
APPLICATION FOR ELECTRICAL/PERMIT
p:qa
-71
Data
196 FEES —fZ7
nn
Contr.
Address /j 7C2Phone
/ �i Ci-
(7))
b ?LI ��))) State License 2Z00&())
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote X02
196 GAS FEE $��
PLUMBING FEE E �
Contr.-r-�--�/
Address
Phone __-32 tp
— 6 9 oL / State License`
Approved �*--+%�
APPLICATION FOR APPLIANCE PERMIT /
Date 196 ,7_L/ FEES �/
Contr. 9 �crQ.n,,.G ic/ AI .Q.�._w,. C-
t�,//J Address/`� s
Phone -37 i 1 T State License .x)�`�,ot�
Approved.
4pplicants agree not to violate any of the.
Vorkman's Compensation Laws of the
itate of California
RECORD OF INSPECTION APPROVALS
DATE
PAD FINAL
FOUNDATION -
UNDERFLOOR
FRAME Z- 1
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
BUILDING
INSPECTOR
MISC.
ELECTRICAL �'L�oil
DATE INSPEC R MISC.
UNDERGROUND ROUGH
ROUGH WIRING 1 _1
FINISHED WIRING
FIXTURES 0 Z
FINAL
M
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH -
ROUGH COMPLETE Z
L -
3
MAIN DRAIN
FINAL PLBG.'4^27
I
FINAL GASFINAL
APPLIANCE
X.Pi.f.-�-�� g.�.
DAT
MISC.
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... /.0 ....
'"Y ............ 19-7
The Building Locat4at ... 1-017—oe
Owned by ......
Has Been(Altered) r Use As:
5 Building Pennit No. - .6
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/1e. -'r �LR F�A-!� N LGh L-=C�A� LOT NO.
NO. STREEI'
�A TION
F
�IA�����
FOR PLUMBING PERMIT
OF CUPERTINO
Sanitary No.
Permit No 5 12• Z 6
wii� ���arn 1 6 Fee $ 4 g 5 0
LL ° CITYPp(ittioq, RERTWQto the City of Cupertino for a permit to install plumbing
0 a pipes and/or Tiextures listed on the reverse side hereof, and agrees to install said prices
r . and/or fixtures in accordance with the provisions of the Plumbing Code of the City Of
a w Cupertino, and all other laws applicable thereto.
�r t
LL Use of Premises
0 0 ./J/ o
3 Owne ��——'h'—��/ Addr ��++
By��
0 �� Address>fi�0
3 � COIJ�AACTOR, AGENT
- 0 Phone�p�
a o State License/ 7)-yJ I Approved
PLUMBING INSPECTOR /
FIX. Cou,•T Ox 3,-.';�• 31391
FIXTURES NUMBER
MAIN DRAIN
Units I Fees
Units
Fees
Water Heater
Size IV
Water Closet
Material/0,
Batb Tub
To Curb
Shower
To ProD. Line✓
Lavatories 41rb
I To Existin
Kitchen Sink ZLT
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
- STORM DRAINAGE
Washing 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
Sand TrapTOTAL
FEES
Urinal
Fee
.iaArea
Drain
tFixtum
ainFee
Water Leader
rain Fee
Sprinkler System
ys. Fee .f�D
Relief Valve
I Gas Fee /Iry
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
y
Total
Total Fee