FILE 51132/9G 24
No.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Dote 196 O
Application is hereby made for a permit to
L
to be occupied only as
Lot No.
File No. s//SL
Sanitary No.
Type
in accordance with Plot Plan, plans alSpecification filed herewith,
Estimated Value of Improvements $
FEES
Owner
Contr. A774 _
Phone mZ 'V�G
Plan Check $
Address
Address - 7 5teI d ae'L
State License
Approved ��i
iV
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr.
Phone
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196
GAS FEE $ —
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Cont'. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE
UNDERFLOOR
FRANF DATE
DATE
LATH & PLASTER
FIN OI DATE
INSPECTOR
INSPECTOR
INSPECTOR
UND
PAR'
ROUI
MAID
GAS
FINA
MISC
MISC
PLUMBING & GAS
RGROUND
DATE
INSPECTOR
s'
:H COMPLETE
DATE
ELECTRICAL
DRAIN
/
INSPECTOR
a
�mow"
p E
(I/
SPECTOR
ECT RV CE
DATE
Irl INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTOR
DE
�rOUND
DAT
INSPECTOR
ROUGH
WIRIN
DATE
INSPECTOR
FINISH
WIRIN
T
INSPECTOR
FIX TU
DATE
INSPECTOR
MOTO
ATE
INSPECTOR
�
�
FINAL
INSPECTOR
UND
PAR'
ROUI
MAID
GAS
FINA
MISC
MISC
PLUMBING & GAS
RGROUND
PIAL ROUGH
DATE
INSPECTOR
:H COMPLETE
DATE
INSPECTOR
DRAIN
DATE
INSPECTOR
PIPING
p E
(I/
SPECTOR
L
DATE
Irl INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED
MISC
MISC
MISC
DATE INSPECTOR
APPLIANCE
DATE
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
O I Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO r ?
File No —; 11d 'Z
/ Sanitary No.
Do to 4 196
Application is hereby made for a permit to
to be occupied only as
a
in accordance with Plot
Dote
Contr.
Phone
fans and Specification filed herewith,
s .ZODO°o
Plan Check $
Address
Address
Estimated Value of Improvements
FEES
Approved
Ow ne r
Cont,.
Phone
OZ
Dote
Contr.
Phone
fans and Specification filed herewith,
s .ZODO°o
Plan Check $
Address
Address
0 1
State License
Approved
4 �
APPLICATION FOR ELECTRICAL' PERMIT
196 FEES
Address
State License
i Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 6 GAS FEE $ l
PLUMBING FEE $
ly
Contr."�,`" Address ��D T i�A��tti-+-Q 4
Phone - 2 `2'`r� v State Licensee C,S�� �9e X79
Approved-
APPL CATION FOR APPLIANCE PERMIT e
Data �- '196 (/���,�Q� FEES
Contr. a ,,// `� �� Address 90
Phone -Z -54 State License
Approved _ l/y"�✓--�P t/'r-cam//
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RD F I PECTION APPROVA
U D TION
G)
Date Inspector
UNDERFLOOR -
Date for
FRAME sk
Dot ls A+ Inspector
LATH & P Ve/_
acja
FINAL
Date Insoector
ELECTRICAL
SERVICE SIZ
RGROUND I �E
�
ns pector
RD GH WIRING
ns pector
FINISH WIRING I
,OUTLETS
Dote
Inspector
SWITCHES
Dare
RECEPTACLES
Motors 04
FIXTURES
Inspector
FINAL ®®®
H.P. CHARGE
Dore
Inspector
PERMIT FEE
TOTAL FEES
Dote
Inspector
ELECTRICAL
SERVICE SIZ
RGROUND I �E
�
ns pector
RD GH WIRING
PLUMBING & GAS
MAIN DRAIN
ns pector
FINISH WIRING I
TYPE OF APPLIANCE
Dote
Inspector
FIXTURES
Dare
Inspector
Motors 04
BLOWER FURNACES
Inspector
FINAL ®®®
Inspector
Dore
Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
MATERIAL
TYPE OF APPLIANCE
STORM DRAIN
I SIZE
I Lwii.ATERIAL
SYSTEM
SIZE
11WWATER
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
REGISTERS
PARTIAL ROUGH - -
BLOWER FURNACES
Data
Inspector
MAIN DRAIN FEE
ROUGH COMPLETE
MISC'•GY�T'e-(/
Dote
Inspector
STORM DRAIN FEE
MAIN DRAIN _
MISC
�"rt
Aa
actor
WATER SYSTEM FEE
/ %
GAS PIPING
FLOOR FURNACE
'dlwDQ
Spector
GAS PIPING FEE
FINAL � 'p
Dote
-Inspector
PERMIT FEE
d8-
MISC
-
o
Date
Inspector
TOTAL FEE -
MISC
Dote Inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VE,.NT
SUSPENDED UNIT
MISC'•GY�T'e-(/
�`=
GAS RANGE
MISC
�"rt
GAS DRYER
r
PERMJJFEE
FLOOR FURNACE
INSPECTED I - I6,(6— P
Date Inspector
BUILDING DEPARTMENT
CITY OF CUPERTINO
•Correction Notice
job Located at J -q .. .....
I have this day inspected this structure and these premises
and have found the following viola o1a 'ons of City and/or State
Laws g00Mme
I
...............
........... .............................................
You are hereby notified that
- more work shall be done
upon these remises until the b * - olations are corrected.
When torr ��tiop(ns e bneen midpa he inspector.
Date
Inspector fnt Building De C.
DO NOT REMOVE THI
101 12/63-1M
r
` 3'♦ ROUTE SLIP
�y y _ 7Ss� File No. .5 2 -
-------- Date Out
Date In
Location / 7 6 70
vv
Sub jeotNotes
Approved '
Date Inspector
i
i'
TRENCHING
,.PERM6T
SIDEWALK PERMIT
DRIVEWAY APPROACH PERMIT N� 21.2
CITY OF CUPERTINO
Date ..................._--�.ar 6.... ... 13.. 196-4
Permission IsVp
Granted _..-.._i! ..-... 4�4..?..............(.�!!�.5.4/. .......
Location----........Q................................`.--------'-"-------.............
Purpose------y .. w'rh d" �. t f.- ...............--..............-------------.................
r Contractor ...........�^..�S.f-+f?+. 1X.6!?..5..........---.................-----...........................-....
NOTE: All work shallomply� 0 1 nditi ns co`�nGvained in Ordinance 130.
Issued by ......._y .... . ...i.��.f.... .....................
BUILDING INSPECTOR
RECORD OF INSPECTION
.................................... ........ ' ......................................... .------._...-- ----------
DATE TIME INSPECTOR
........................................................................................................................
DATE TIME. INSPECTOR
... .... ................. ........_.................................... ................................................
-- DATE TIME INSPEC'rOR
... _................................................ .--------------------- ------- ..........
DAT17 TIM12 INSPECTOR
NOTE: Inspector must be ;given 24 hours notice on each inspection. 115 9/60-5oo
GAS SERVICE, NOTICE Pty..
COPT
C
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTI O
............I . ................... ....GZ !V.........., It)
To
Youere y
uthorized to connect GAS service for
Owneror Ten _.
_. _..........�..... ........ . ...... .......
At ........... L. r�.. .....Q.:..........
//:...
New Service✓ ...................
No. of Meters .................... Reconnect ..............................
Move Service ........_ ..............
No, of Add.
Meters ...:......... e Meter .......................'...
.........ga....... .. ..
PLUMBING INSPE 0