NO PERMIT NUMBER /0333 Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. Ut%
Sanitary No.
Dote �`1 ^� 196 ss_
Application is hereby made for a permit to,
V'- a story, Type
to be occupied only as A
in accordan , with Plot 10on, Plans and Sp ific t filed herewith,
Estimated Volae of Improvements $ 3 Q 0
FEES Plan Check $
Owner Address
Contr. Address
Phone d F,6-270 ,S7 State License R �/
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date /`2 196 16—
FEES
Gorrir. C' �• Z Address `J^7a'
/
Phone o2-f6 -3.7i S- State License J -
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
J
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Date Inspector
FINAL
Date Insoector
ELECTRI
,OUTLETS
'P SERVICE SIZE
SWITCHES U /"O UNDERGROUND '
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
H.P. CHARGE FIXTURES Date Inspector
a"'o
PERMIT FEE � Motors Date Inspector
3 OU Date Inspector
TOTAL FEES � FINAL
Dote Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE TERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURESUNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do t4 Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
GAS PIPING FEE FINAL Date Inspector
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
Date Inspector
`OFFICE COPY
LECTRIC SERVICE NOTICE
qToy)
BUILDING INSPECTOR'S OFFICE,CITY OF CUPERTINO/ ....... ........................... 19 .i'
You are hereby ayelloriz tonne-ct elect ..for
for
Owneror Tenant ........./'... ..• .. ......... ........................ ...........................................
At /..4,� ........ ..... .. ..... . ... .................. . .......:.
3 �a /oo�
No. of Wires ........................ Si E Wires .......:.............. Size of Switch ........:..........
Motor Load ........,................ Voltage ................................ Phase ...................
HeatingLoad ........................ K. W. ................................. Voltage ................................
Light............... I10._..�,New Service.._........... Reconnect..............
...
l No. of Meters....... ....
I �. Heat................. 220............ Three Wire................ Move Service............
No.of Add. Meters............
�i Power............... Phase....... .._ Move Meter..............
..__... ........
........................
ELECTRICAL INSPECTOR
a31 l
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Fila Nd/D �,• ��
Sanitary No.
Dote /Viv D 196
Application is hereby made for a permit to
� r
a .story, Ty tc
to be occupied only as
in a,.,.orjVn,c with Plo lan, P IJUs and Specification filed herewith,
Estimated Value of improvements $ 3406 Qt_
6�
FEESn /3 Plan Check E /''
Ower It 7'--- --� ddress /-#�' '' •r+ s-/�''r m
Contr. c Address
Phone �` State License
Approved
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
BUILDING
FOUNDATION
DATE '" INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
DATE INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
DATE _ INSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATEINSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
og COPY
2ELECTRIC SERVICE NOTICE
;'r BUILDING INSPECTOR'S OFFICE
.. CITY OF CUPERTINO 7
To
You are hey auo
oze connedeled �� al service for
.��
Owner or Tena !. - -
� .
u`Z
'I No. of Wires ........................ Size of Wire ...
Size of Switch ....................
` .......... _
................ Voltage .. .....:.._.................. Phase ._..................._._.....-.
Motor Load
fE
K. W. Voltage ................................
Heating Load ...................... .
............
` Light............... 110............ New Serv' e......_........ Reconnect........
No. of Meters.................... . Tree Move Service............
HeaL.....:...../... 120... ..... hree
No.of Add. Meters........... Power./ e................ Move Meter..............
ELECTRICAL I SPB OR 1
t N.0 STREET r LOT N0.
w a (NOV
?APP ICA, ION FOR BUILDING PERMIT
r O/ CITY OF CUPERTINO
a _
o a Samtnn• No.
QX 196— Permit No. ,
�. Application is hereby made for a permit to
0 a
i N a story,Type Building
aw
to be occupied only as ordance with
0 o Plans, Specifications and Plot-Plan) led herewith. P1 Ck Fee
F "; Estimated Value of Improvements,S 30 0 W Fee a-5'
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
J 0 Cupertino will be complied with.
3 F`m Owner I1 �. eRR Address _/
W W BvX I' L 2� sem. Addres`ss G�?tN, C1✓o9J�} .
< 0 Phon Approved WILLIAM D. DENF VICH
State License BUILDING INSPECTOR