51064 3� 44Ajaw
sr
d
• IAT NO. 9�
a APP
0 LIC N FOR BUILDING PERMIT
� ,f AUG 3-0 1965 ITY OF CUPERTINO-- - - - - - - -- -- — - --_- -
r 0
Sanitary No.
i 0 I I s 196`5 Permit No.
r
`o A ication is hereby made for a permit to �/�(/1'PiP®'C'r -
a
im a story,Type `� Building
a w
��w/AI �f0� �.y.A1/ �/
w to be occupied only as �•, accordance with
00 plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee
?. Fstimated Value of Improvements, S 1715 0 Fee$ XX IO
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
j = all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied w/h.
3'„ Ow r ��1� v/S•L�G/� Address ZZAl7�CFyx (/7r e
w z Address
a
a Phon J/T-�7G S 7 Approved
State LIcen,,/'S 3 39r-3 ILDING INSPECTOR /
(,,..rs Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. s �
oG �
. Sanitary No.
Date b 1962�
plication is hereby made for a permit to
o story, T e s
to be occupied only as '
kn accordance with Plot Plan, ans and Spec cati filed her itvy h,
Estimated Value of Improvements s .3Q0 "a
FEES J t Plan Check $
Owner �+ U dress
Csatr. Address
Phone ..7�—f 3 9 �! State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEES
Contr. Address
Phone State License
1
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% FEES
Contr, Address
' h
Phone State License t
Approved
Applicants agree not to viola te'o`ny of thc'.
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Dote Inspector
LATH & PLASTER
D e, Inspect r
FINAL
Date Insaector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Dote Inspector ,
PERMIT FEE Motors
Data Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE 11TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Dote nspector
TOTAL FEE M_ ISC
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
Date Inspector