NO PERMIT NUMBER (2) NO. S11REET - I LOT NO.
I CITY OF CUPERTINO
;APPLICATION FOR BUILDING PERMIT a
SANITARY NO.
FILE NO.
DATE 19
Application is hereby made for a permit to
a story,type
to be occupied only as
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$
FEE$ PLAN CHECK$
OWNER ADDRESS
PHONE
CONTR. ADDRESS
PHONE STATE LICENSE
APPROVED
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.B E%T.
FIREWALLS
MEMBRANE LANDSCAPING
/ F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS - -MISC-
DIAPHRAMS
MOOREBNSINESS FORMS INC..L4
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES !
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS 8 INSULATION
UNDERGROUND ROUGH FLUES 8 COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN I( g-
FINAL GAS
FINAL P6HM81 G -
MISCELLANEOUS
-2 0 0 fK cJ CJ/�/ R r .I C V//�• LOT NO.
NO _ V t'MEET
O tq CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Sanitary No. Z,21;
9
Date 19_ Permit No.
Fee 5 y p
Application is hereby made to 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 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
Premises Pevform,d
Owner c /�Y i 2 l o Address
Phone
By Lf Addresses .2,E/r� Cf o 7✓/V(/t'vdh/d ��/d/d
on�actor/,yA nt!
Phoneys%7�S
State License // 7 !�6FA� Approved-
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF T 49
HE WORKMEN'S /F
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
d
LL
W C
Z i2Q C
W N
W
C Z_ N W
K J Q N W M
p � J
Z 0 W F
O w O. n 0 C O p N Y LL LL
0
° o
�
� u
W Y
me LL
G
r
Z C
Y T C
O
o x E
= V N O p N N J P O O O O y p 0 u
LL « s 3 o o
0 8 - E � .__ 8 o v o E v o a
m° w ° ie o 3 3 3 3 m° i� 1101 x° � ,°n LL n° .°
aO5Oq Sun R1SE Cie • LOT NO.
NO.C!�'T ," :I -STREET
'A79. CITY OF CUPERTINO
U APPLICATION FOR APPLIANCE PERMIT
pP
�(J Permit No.
Dote I L�- I ,I9 1=1 Fee$ 7
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in:
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all,
other laws applicable thereto.
Use ofis Work To Be
Promises�-yRFS>,c��� � Performed �/F�U�R`n'r�c� (� TfnIJ
Owner 1 1(]`\ K— /� 1 P � Addressc)L5,9" 1 ` un f� 5E
Phone— f 35 -L sqa
By 1 llk:kk Anop'-) Address
^^Co(n�tr,a lcItor,Agent[�
Phone c';l�ry -r.��-,opc�"I O/^�
State License �JO��IJ Approved
Plumbing Inspector
1 AGREE I WILL NOT VIOLATE ANY OF 9E WORKMEN'S K
,O COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
N
W
W
N
F
Z F a
� o
N
z
_Z � a
J
VO - O w O i
Z z N p
z 8 W O J d r H ¢ ON N O O
1 N m Z m
2 a
Q m u K F a H
O >O p O i m LL w S
W -Z' Z a N m Q m J x y 0 ~
O O Z < a y $ O J m
2 LL LL oz 'Z ' fin o0o � u O = o
i F l > OD x ,xo � �xn 8 nj $ Z a ,'„ i
O v of U m a
a s a a i O LL U O O m O o p O m a a ¢ i 0
OO� um gr EOzmo O
zz Ow F
zO
VaxiFu
z
O
Z OO " azZ a
UM a < - xaiidOVNF
O 0000006N0N > Ww00 jo2O0F
0zi0a
w > > ¢ x p V