NO PERMIT NUMBER �tw
. ' /Y / I ✓V�•-C� Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
® ErHo 1 a File No./40041 I�
!�'NDY 231954 Sanitary No.
Dote a.r 196t!
CITY OF t � T de for a permit to
7 r�,""_ story, Type
to b ccupied only as
in accordance with Plot plan, ens and Specification filed herewith„
G�Estimated Valve of Improvements $ tz
FEE$ — / Plan Check $
ownar dress A014 D Cit'�iiGa./L1L1/��^.A..
Contr, p p y d• Address LI 4111-4ZM
-L Cf. leg
Pho]n/1e, d State License
Approved
LK
DEC1AP0@KT 64OR ELECTRICAL PERMIT
c
Date Ug7y7r FEE$ 3
CantT.C C� � Address L0, /<K
Phj`oTnLe 7-6 �� State License
o �S U0i `3
l
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $ -
PEUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% FEE$
Contr. Address
Phone State License
Approved "tt"
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
r
RECORD OF INSPECTION APPROVALS
BUILDING
-FOUNDATION
Data Inspector
UNDERFLOOR
' po to pector
FRAME Y
Date Inspector
LATH & PLASTER ,
' ns pe c for
FINAL �
VDA. Ins oe c for
ELECTRI L
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
/ ..p Date a for
RECEPTACLES / ROUGH WIRING Y'
.-a Dote Inspector
FIXTURES � � FINISH WIRING
Data Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE % Motors
pv Data Inspector
TOTAL FEES 3 FINAL
Dote Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I 1.0,16TERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do to Inspector
STORM DRAIN FEE ' MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
' 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
s�v 9P/1 dru-c-r r/s/G Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTIWi
File No/OD D
Sanitary No.
Date 196
Apelication is hereby made for a permit to
story, Type
to be c d o lfyi
in acco da cI th Plot Plan, Plan nd Specification filed herewith„
4�
s ima a Va ue of Improve manes $ — 02 �
FEE$ PP)!r IAjA Plan Check $
4.911111"1
0w oar n Address 1-41o-y �t� c -V -s�+ SL
Contr. (..�• Address &mssQL44-A.
Phone./ C4 9f. tr 7�� State License
(J
— A pproved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING 8, GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
r
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BU LDING
FOUNDATION
Date Inspector
UNDERFLOOR
D to Inspector
FRAME
to Inspector
LATH 8 PLASTE
1 t� pector
FINAL
oto Ins ae c tar
ELECTRIC L
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE ITERIAL
ERIAL
WATER SYSTEM SIZE
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
Date nspector
TOTAL FEE MISC
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
n..... Inc na etnr
RECORD OF INSPECTION APPROVALS
FOUNDATION
- DATE. - INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR
Ce IF N s 7— 4 LOT No.
NO. STREET
20
W APPLICATI-ZN- FOR BUILDING PERMIT
r o CITY OF CUPERTINO
0 _
0 a Sanitary No:.
s, 40d f3
W LL Date ��— -� 3 , 196E Permit No._
M
r0 .�� / /
o F Application is hereby made for a permit totlL--ZIX/R �,r4-X OdAlkf F
a
i to a ,L _story,Type Building
aw
to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
or
> 00 Estimated Value of Improvements,$ Fee$ 9
OJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, locatiog, and use of buildings within the City of
J 0 Cupertino will be complied with.
3 a
N Ownernl� /�A lf,4,44AA'YA AddressAP//JO.4L !'/S76 ,O2 enP!
-
W d B L'o -r D Address ve 9'
ao Phone ' S�� _
_U Approve
State Licensez B!lILDING INSPECTOR
I t'L--3 S ) b7 C i)(D, LOT NO.
NO STREET
CITY OF CUPERTINO -
APPLICATION FOR PLUMBING PERMIT.
{� , l 1979 Sanitary No: �_0�T
-Date '_i l� ,19_s�IGL% f PermneS
f� 7-
Fee E
Application is hereby made to the faty o'i Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side'hereof, and agrees to install said pipes
and/or fixtures in accordance with the provisions of the Plumbing.Code of the City of
Cupertino,and all other laws applicable thereto. -
Use of Work To Be PremisePerformed
Owner 'f - �� y�fT� `]� ,gess _�� f r'• ..4 5T�R-
Phone
Il PJ '1 V� Address QJ AL
Contractor Agent
Phone „�" � ��
State Ucens��L+ �- 7� Approved—(Z,"
Plumbing Inspector /
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S - -
"COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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33 $ � � 333mu° o0LL = � °n � a3 n � >