51248.3E
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No. Street Lot No.�
CIT OF CurEan"o CITY OF CUPERTINO �D
,�p LICATION FOR BUILDING PERMIT
MAY 17 1 Sanitary No.
Date II.� ^^ '19 _ Permit No.
ApatppBCaiioJ is Deby made for a permit to
a
to be occupied only as
story, Type
Building
in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, o Fee $ BZ9
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the constructign, location, and use of buildings within the City of
Cupertino will be complied with. ,% / // _ _ /% n - /
By Address—
Phone
ddress_Phone �8 Approved
State License
,7'
aha 3
NO,
G" 777-& 6�6e
STREET
LOT NO.
CITY OF CUPERTINO
,XPLICATION FOR ELECTRICAL PERMIT
(av 0V Date � A91Z ��3 , 19 Permit No.
Fee SIr
App,SatiQn is is made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises SINMI_E FAMILY RESIDENCE
Owner 2bdw fl/' mfI A
By ZEE ELECTRIC
�j_/)C/ONTRACTOR, AGENT
Phone: L -5076
State License aelx916
`.'.c►tiTd1
w
ITEM I NEW IRPL I FEES
Number of Receptacles I . 7 I/
Number of Panels I I I I /. n A
H.P.
No. STREET
LOT NO, J /
CITY OF CUPERTINO
Z < O APPLICATION FOR PLUMBING PERMIT6
Y�¢('1 OF CVP Sanitary No. 77'r�
3 jU1y1:I / 19 Permit No _jr 5�0;
((�� Fee $--
O Appli atiiin is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures 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.
w i
� r
LL Use of Premises
00
z0
Ownner } Address /DU
z By ! Address G ��
CONTRACTOR, AGENT
3�
-m 1'honea9�' OSS
0 NY
State License l S3 Approved
NY PLUMBING INSPECTOR
v K�f
Water Heater
Comb.Sink & Trav I 1 II To Curb I I
Floor
Water Sys. Fee
Fee
02
S 2,2 dL I / I% _ `' Of!, LOT NO
NO. STREET
CITY OF CUPERTINO
cmr cr+�w,e�x�m+0i►��P,PPLICATION 'FOR APPLIANCE PERMIT
0 6bte lL�d��o`— �� 19 -Z2 Permit No.
OFee $
,0 Application is hereby made to the City -of Cupertino for a permit to
o W,install gas appliances as listed on the reverse side hereof, and agrees to
<N install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
3�
Use of Premises �-tsrtEGG.I��
OC
k',; Owner Addresses A-14.40
O
J z By 1!5J� �Q Address !9 1
O CONTH.ACEOR, AGE��
— a Phone
fZ95�— 700
ao State License Approve
_ U _X_ PLUMBING INSPECTOR
APPLIANCE 11 UNITS I FEES
Ovens
Forced Air Over 4000 CFM II 1
No. of Air Outlets, No. of Flues
Smoke Stacks. Misc. Eauio. II 1
Comfort Cooling
Comp. of 20 HP or less
of
Total 11 Total Fee I Igj'y
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... ................... t Noz.
"ding Pohni-�>J
.. . ... .... ....
The Building Located at .............
RECORD OF"INSPECTION APPROVALS
BUILDING
BACK FLOW REQ._
SANITARY NO. _
UNDERGROUND RO
PARTIAL ROUGH _
ROUGH COMPLETE
MAIN DRAIN O
FINAL PLBG. 3
FINAL GAS_
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR _
:BIm
VM
DATE
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSP TOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
' b�
FINISHED WIRING
FIXTURES _ >d
73
MOTORS
]�
FINAL v
BACK FLOW REQ._
SANITARY NO. _
UNDERGROUND RO
PARTIAL ROUGH _
ROUGH COMPLETE
MAIN DRAIN O
FINAL PLBG. 3
FINAL GAS_
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR _
:BIm
VM
DATE
No.
Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
.. Sanitary No. ( /Q
f A/
Lot No.
,$-A A Of
4
Da to -.M" LL 19
IIApplication is hereby made for a permit to
to be occupied only as
a .story,
File No.. Airy,
in accordance'with plot plan, plans andtSpecification filed hereAh„
Estimated Value of Improvements S oto5�
i
FEE$ - 6%6,0
%8,0 Plan Check $
Owner mQ WeS Address JO 16 Cu 1104ya
Contr. �yy Address
Phone e/ a° /� State Licen a
Approve
APPLICATION FOR ELECTRICAL PERMIT
Dote }- 0- 19 7 �� FEES
Contr.Addresses -/�'`f /Zou,
Phone - �� -S� 7 (o State License -Z �/�r'r
Approved ' /
APPLICATION FOR PLUMBING & GAS PERMIT
Data GZ % 19 �� GAS FEE f v
PLUMBING FEE $
Contr.
Phone d-�'/f - O
Address
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1
a
.r„
Approved -/
Data /a
APPLICATION FOR APPLIANCE
19 1. FEEf
C ontr.
Address
Phone - a %-
7G S z
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1
a
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