51226of
Lot
No. Street v
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. (09
�„• File No. 1
Dote
it cation i,% hereby a for a permit to
P Y�L 0.\N \I rY. Type 0'to be occupied 1 as
lzs
in .accordance. with Plot Plan, Plans
and Specification filed herewith,
Estim//ated Value o4 Improvements S � X` beo5
d
FEES Plan Cho
Owner ddress - •� • 1 •1�
Contr. aq / Address �
` l MS - G S-0
ws rJ
Phone State
License
Approved W Yom! k
APPLICATION FOR ELECTRICAL PERMIT
Date `I Ll
19966 /
FEES
Contr. �1 L"
/t�f
PO OL /.t
-7
Address / / Q
C
//„11
Phone _ �l�—
()- I D
State License _2 Z0';Gq
Approved q"/": /g /
APPLICATION FOR PLUMBING 8 GAS PERMIT
Date 1-
196 y/
l
GAS FEE $
PLUMBING FEE $ _-0 _lZi
Contr.
C , V a -�
Address=F�^-�u
Phone 3 Z6 - G 9�) i State License
Approved
APPLI ATION FOR APPLIANCE PERMIT
)ate �J 196 FEES --- ZS-
:ontr, i�� t/`-rcw .� Address -/�V' /U4� e
'hone — •� 7 ["� y �� State License a "2 •�- S!
Ipplicants agree not to violate any of the Approved
%orkman's Compensation Laws of the r,
'tate of. California ”
RECORD OF WSPEC'nON APPROVALS
UNDERGROUND R
ROUGH WIRING—
FINISHED WIRING
FIXTURES —
FINAL
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH—
PARTIAL
OUGH_PARTIAL ROUGH
ROUGH COMPLETE 2
MAIN DRAIN
������ ''77
FINAL PLBG.
FINAL GAS -ZC> -7/
FINAL APPLIANCE,
BUILDING
INSPECTO
ELECTRICAL
DATE INSPEqtr0R
3-1
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
f tu.c.
DATE
,PAD FINAL
rote,
FOUNDATION
MISC
UNDERFLOOR
MISC
�' ��'
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
UNDERGROUND R
ROUGH WIRING—
FINISHED WIRING
FIXTURES —
FINAL
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH—
PARTIAL
OUGH_PARTIAL ROUGH
ROUGH COMPLETE 2
MAIN DRAIN
������ ''77
FINAL PLBG.
FINAL GAS -ZC> -7/
FINAL APPLIANCE,
BUILDING
INSPECTO
ELECTRICAL
DATE INSPEqtr0R
3-1
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
f tu.c.
3-1-7/91.
DATE
MISC Z'
rote,
MISC
MISC
Pal c'
r.
'71
MISC.
MISC.
CERTIFICATE' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
crry OF cupumo
Date.. ... ( ... ... y-7 ........................19- .. Building Permit No.
The Building Lo at ...... ..... ..............
Owned by
Has Been (ckliL-p
le.t-o)Ir Use As"...... ...... : ....................
(Altem
tere
N Q
w Z
/2�& L602" r^_ '^ � LOT NO./ /
NO. STIIEE.9'
PpL• TION FOR PLUMBING PERMIT
.TTY
OF CUPERTINO
V
Sanitary No.
� o ",7 196— Permit No JIW4
Pee S I& _4'V
rMAYI,Ic t oni�Ll PERTIM the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other jaws applicable thereto.
Use of Premises
y sCONTRACTOR, AGENT
Phone
State License /7)--1/d0/
Addresses
Address
Approved
PLUMBING INSPECTOR
f%R, eo,.,r oK g1. 31614
FIXTURES
NUMBER MAIN DRAIN
Units 11 Fees Units Fees
Water Heater
Size
Water Closet
14,al Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
IJI) Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size °r
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
I Fixture Fee Aero
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee 7,j -
Relief
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee