NO PERMIT NUMBER /0 .3 e ' I �� �.iC� • Lot No.
No. Street � 1
APPLICATION FOR,BUILDING PERMIT
CITY 'OF CUPERTINO
1
File No.
Sanitary No.
Data X196
/g(A/''//,glicacttion . hereby made for a permit to � 7
am/ story, "��p
to he occupier!n y as
in accordance with Plot Plan, Plans 0 land Specification filed herewith,
Estimated Value of Improvements $ aV dj'
JO
FEE$ t/ 'J Plan Check $
OwnerQQ.� _� Address
C ontr. ��s�"�•'R� Address
Phone CN
(0 �O ' State License
Approved /��-/ �/' �
l�
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196"'�`' FEE$
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
FOUNDATION BUILDING
Date - Inspector .
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Dy1e i Inspector
FINAL
Date Insoecto
ELECT CAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
Date Inspector
FIXTURES FINISH WIRING
Date nspecter
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
to specter
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
U
WATER SYSTEM SIZE ITERIAL
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 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
1
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE - TOTAL FEE
t
INSPECTED
Date Ii pe ctor
DU1Lv11VV UWAKIWNT
CITY OF CUPERTINO
Correction Notice
Job Located at -1.. A?R..,....-.
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
Laws o erning same.
...__. ___......--'-..e...-_.... ---- -------- -----
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.....__. _"7""___..-..-..--"-_... ...- -----
..................... .
_...._... ...- ..... .. ....... .....1------ --------- . ...y........
-----------------------------------..............._-----------_..........................................
You are hereby notified that no more work shall be done
upon thesepremise until thea Eve iolati ns are corrected.
When corr tions h I been ma4e ' Spector.
Date - --- -. ........ .... ...... ------------'-' ----------- ... .......... ..
I Spector or Building Dept.
DO NOT REMOVE THIS TAG
101 6/63-IM .
11>3%i C_Q�'. ` LOT N - -
No . 5TMEET
W Z APPLICATION" FOR•BUILDING PERMIT
so
r CITY OF CUPF.RTINO
MSanitaiN
LL
Q
Th
F o Wt III it , 196 ermit No.
& f
o �A�ppllcation isihereby made for a per 't t
to astory,T e5 Building
w = TV n - i,1 SIA ti it • "SL AR g in accordance with
�i T pccupled only�as
00 plans, Specifications and Plot-Plan 151W herewith_ PI Ck Fee
Estimated Value of Improvements, Fee$
0a
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable t9 the construction, location, and use of buildings within the City of
J o Cu Cupertino will com{�I' d tvld p
P /
3 a Owner � ' rt Addressit I �a`,
w Z d i/�� ✓Cu--I'T SC
By
/ S Addres � 5
<U Phon, Appro
State Licenseb/ annDING I EE oa