NO PERMIT NUMBER (4)No. Street
Lot No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No./00 I�
!�'NDY 231954 Sanitary No.
Dote 196
CITY
to
only as
for a permit to
Type
in accordance with Plot plan, Ins and Specification filed herewith,
GjEstimated Value of Improvements $ tz
FEE$ — / Plan Check $
Owr,ar dress A014 0,/L1L1/��.A..
Contr. A Address flZ •�� �. Y" V
Phone 102FJ _O s7-� State License /37
Approved
DEC }AP0@KTON''FOR ELECTRICAL PERMIT
c
Date yy
C % Ug7y7rj FEE$ 3
Conti. //U �I=C�UNU
Address Cv /<K
Ph on 7-6 /� State License
l
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 GAS FEE $ —
PEUMBING FEE $
Contr. Address
Phone
Date
Contr.
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
1% FEE$
Address
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
I
,OUTLETS
UNITS
BUILDING
SWITCHES
-FOUNDATION
Date
RECEPTACLE
a for
ROUGH WIRINGY�
Data
Inspector
UNDERFLOOR
Dote
PERMIT FEE
%
pato
TOTAL FEES
�1 pector
FRAME
Y
Inspector
FIXTURES
Dote
Inspector
LATH & PLASTER
Date
PERMIT FEE
Inspector
Motors
PERMIT FEE
'
ns pe c for
FINAL
�
Inspector
FINAL
FDA.
Insoector
ELECTRI L
Dote Inspector
PLUMBING & GAS
MAIN DRAIN
SERVICE SIZE
I
,OUTLETS
UNITS
STORM DRAIN
SWITCHES
Date
RECEPTACLE
a for
ROUGH WIRINGY�
FIXTURES j
o
H.P. CHARGE
Dote
PERMIT FEE
%
MAIN DRAIN FEE
TOTAL FEES
3
0'p
Dote Inspector
PLUMBING & GAS
MAIN DRAIN
SERVICE SIZE
I
UNDERGROUND
UNITS
STORM DRAIN
'
Date
REGISTERS
a for
ROUGH WIRINGY�
TOTAL FIXTURES
UNDERGROUND
COMBUSTION VENT
Dote
Inspector
FINISH WIRING
MAIN DRAIN FEE
MISC
Date
ROUGH COMPLETE
Inspector
Data
Inspector
FIXTURES
WATER SYSTEM FEE
Date
GAS PIPING
Inspector
Date
PERMIT FEE
Inspector
Motors
PERMIT FEE
Date
MISC
Inspector
Data
Inspector
FINAL
Dote Inspector
PLUMBING & GAS
MAIN DRAIN
I SIZE
I
I MATERIAL
UNITS
STORM DRAIN
I SIZE I
1.0,16TERIAL
REGISTERS
WATER SYSTEM SIZE
ITERIAL
TOTAL FIXTURES
UNDERGROUND
COMBUSTION VENT
FIXTURE FEE
PARTIAL ROUGH
MAIN DRAIN FEE
MISC
Date
ROUGH COMPLETE
Inspector
STORM DRAIN FEE '
Do to
MAIN DRAIN
Inspector
WATER SYSTEM FEE
Date
GAS PIPING
Inspector
GAS PIPING FEE
PERMIT FEE
Date
FINAL
Inspector
PERMIT FEE
Date
MISC
Inspector
TOTAL FEE
Dote
MISC
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 necfor
azo /
No.
Date
to
FEE$
Owner
Con tr.
Phone.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTIWi
196
Apelicattion is hereby made for permit to
Lot No.
File Nol-00-AdlZi
Sanitary No.
Type
Plot Plan, Planand Specification filed herewith.
hack $
.icense 37 /— 14,y�
Approved
S�/ Es}I aid V�I a Of ImD�emant
L— J
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
Workman's Compensation
Laws of the
State of California
RECORD OF INSPECTION APPROVALS
SERVICE SIZE
I MATERIAL
' BU LDING
STORM DRAIN
FOUNDATION
SWITCHES
Date
Date
Inspector
UNDERFLOOR
FIXTURES
Date
D to
Inspector
FRAME
PERMIT FEE
FINISH WIRING
'
D to
Inspector
LATH 8 PLASTE
Date
1
L' t�
pector
FINAL
,
Inspector
Date
oto
Insaectar
Motors
ELECTRIC L
Date Inspector
PLUMBING & GAS
MAIN DRAIN
SERVICE SIZE
I MATERIAL
,OUTLETS
STORM DRAIN
SIZE
SWITCHES
Date
RECEPTACLES
Inspector
ROUGH WIRING
FIXTURES
Date
H.P. CHARGE
Date
PERMIT FEE
FINISH WIRING
'
TOTAL FEES
Date
Inspector
Date Inspector
PLUMBING & GAS
MAIN DRAIN
SERVICE SIZE
I MATERIAL
UNDERGROUND
STORM DRAIN
SIZE
La,6TERIAL
Date
REGISTERS
Inspector
ROUGH WIRING
BLOWER FURNACES
Date
Inspector
Date
Inspector
FINISH WIRING
'
MISC
Date
Inspector
Date
Inspector
FIXTURES
Date
Inspector
Date
PERMIT FEE
Inspector
Motors
Date
Inspector
Date
Inspector
FINAL
•
Date
Date Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
I MATERIAL
TYPE OF APPLIANCE
STORM DRAIN
SIZE
La,6TERIAL
SYSTEM
SIZE
IIWWATER
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
REGISTERS
PARTIAL ROUGH
BLOWER FURNACES
Date
Inspector
MAIN DRAIN FEE
ROUGH COMPLETE
'
MISC
Date
Inspector
STORM DRAIN FEE
MAIN DRAIN
MISC
Date
Inspector
WATER SYSTEM FEE
PERMIT FEE
GAS PIPING
FLOOR FURNACE
Date
Inspector
GAS PIPING FEE
FINAL
•
Date
Inspector
PERMIT FEE
MISC
Date
nspector
TOTAL FEE
MISC
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
'I I 9 pp
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APPLICATtZN- FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No:.
Date -� 3 , 196.2/- Permit No. M40 d i3
Application is hereby made for a permit torp--Z'XIl't 4�,4r4-X 0j"4L F
a L _ story, Type
to be occupied only as
Building
in accordance with Plans, Specifications and Plot -Plan filed herewith.
or
Estimated Value of Improvements, $_ . Fee $ 9
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
J 0 Cupertino will be complied with.
3 a
N Owneral�/'A 1PA,44AA'YA Address/D//JO 4L A'1W ,O2 enP!
-
W d B tfe&-r—r Address v6 9'
ao Phone' Sim _
_ U Approve
State License.Cr V,LDING INSPECTOR
9 jF -_L/-1 s D14 D ,c
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NO STREET
CITY OF CUPERTINO _
APPLICATION FOR PLUMBING PERMIT.
Ct:Y
{� , l � 1979 SanitaryNo: �_o�T
'-Date '_i l� ,19_i"�IC;L% f Permn No.
(\ f� Fee s
Application is hereby made to the C ty 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
Phone
Address QJ : ?�C- & 7�
Conh`actoq Agent (/ /^_1 _�, D_Jp- ,, D- - '
y'�^S�C.(/ O�""'l�./V
Stote Ucens��L+ �- 7� Approved
Plumbing Inspector /
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S - -
"COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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