51226No.
v0/:M I —/ Lot No. H
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
7b
File No�/mria
Dote �.C196 Lb—
tion is hereby made for a
to be occupied +ly ns
v
in accordance with plot plan, Plans and Speci atiom filed herewith,
Estimated Value o4 Improvements S c2x-b ® O O�
FEES
Plan C
Owner Ift Q A A•
dras.
Contr.
Address
3MS-I(aIL,J,
Phone
State L
Approve
4IAAPPLICATION FOR ELECTRICAL PERMIT
Date J 11.96-. FEES - C, q<
Contr. -1" ouxu'C' Address )/-70 16 LD/1 /Q" 5✓
Phone — / 0-71-40 State License -Z 20o C7�
Approved
APPLICATION FOR PLUMBING & GAS PERMIT -
Date �a' 196 7/ GAS FEE $ `;1 Je'
PLUMBING FEE $ rOs ab�
Contr. Address
Phone �7�-6 9ai State License
Approved
APPLICATION FOR APPLIANCE P RMIT
Date `j �� 1% Z7�`
o _
Address
Phone -...�% ty U �1 �= State License `/-����.J •'f �/J- �'
Approved
Applicants agree not to violate any of the z^�
Forknwn's Compensation Laws of the
itate of California
Ci"
RECORD OF INSPECTION APPROVALS
EaFFf,�- 6� Azo
PAD FINAL _
FOUNDATION
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL -
FINAL BLDG._
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
DATE
BUILDING
INSPECTOR
IW
ELECTRICAL 061 Z4,11
INSPACTOR MISC.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH 17/77
ROUGH COMPLETE Z
MAIN DRAIN
FINAL PLBG.T—
FINAL GAS -ZO -
FINAL APPLIANCE
R's_ ` ^ •r•' �� %D/A INSPECTOR MISC.
MISC %•/9'%7'
MISC
MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
GITy OF CUPERnNO
Date .....r..l�...� ..., 19-�-� Building: Permit No. ....................
...- -
ne Building L..ted at .... d�.3... .. --
Owned by :..�o� ..-- A4 ..C'^.^*
N Q
W Z
/�iWOO AM
® " ,LUMBING PERMIT
TY OF CUPERTINO
r
f.14N �L 1771 Sanitary No
Date�yF— 2y 196— Permit No .'fl.% a
11T (�'F rU°ERTINO Fee S OV &
rAPpYlication isliereby 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 prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
State
License / 7yL/ Approved��d� /
PLUMBING INSPECTOR
PIA. Cou.ir oe 4.. 316148
FIXTURES
INUINBER 11 MAIN DRAIN
Units Fees Units Fees
Water Heater
Size
Water Closet
Material
Bath Tub
ArYll To Curb
Shower
To top. Line
Lavatories
To Existing
'tchen Sin
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Zall Size
Water Softener
Material
Bar Sink
I To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOUAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Valve
11 Caq Fee,
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee