FILE 51001.23
Lot No. 3
No. Street 70-1*7
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO /�F
File No. 'S/Oy/- eL
Sanitary No. 1147 1$ - 3
Date 196,7—
tion is hereby made for a permit to
611L r a story, pe
to be occupied only as '
in accords a with Plot Plan, PlanAand Specification filed &4rewitk_
Estimated Value of Improvements $ S0 d e d
FEES �L0 S:? Plan Check E
n /)
Ower 0.0- � (2&Address � %
Contr,
Address
Phone State License / 9 7-4-1-e
Approved ,Ioo' /
APPLICATION FOR ELECTRICAL PERMIT
Date /.6 1�J96 7
C ontr. r/� p� I Ile-&—
Phone I -. i76
FEES -:2,V i/O
Address ::LL 0"-% t�C�✓ li
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT s
S`a
Date 796 % GAS FEE E .
� � - /� PLUMBING FEE x/a/- -
Can tr. �^'s/� /" �/�"�"' Address
Phone c,7 -y-3 _ Jv�4 7 7 State License3 Y
Approved
APPLICATION FOR APPLIANCE MIT _
Date. a11%-7FEES 7
Contr., YL 61-�//41 % S/J
/�v
Phone / i� State License ela0�
Approved
Applicants agree not to violate any of the �[
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
UNDERFLOOR ✓ O—� _
Daeer
FRAME
LATH PLASTER d Dcye G
FINAL L D6 Do to Insaector
�tt
EYE CTMCAL
,OUTLETS _.
UNDERGROUND
Inspector
ROUGH WIRING '
Dgto
Inspector
Y
TOTAL FIXTURES //
SWITCHES
I b
Inspector
RECEPTACLES
1
FIXTURE FEE
FIXTURES
Date
Inspector
H.P. CHARGE
Date/ / for
-
MAIN DRAIN FEE
PERMIT FEE
D to
�v" t�
Inspector
TOTAL FEES
Date I stor
STORM DRAIN FEE
UNDERGROUND
Inspector
ROUGH WIRING '
Dote Inspector
oNoMM
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
Dgto
Inspector
FINISH WIRING
Y
TOTAL FIXTURES //
c9f'
I b
Inspector
FIXTURES
1
FIXTURE FEE
BLOWER FURNACES
Date
Inspector
Motors
Date/ / for
-
MAIN DRAIN FEE
SUSPENDED UNIT
SUSPENDED
D to
�v" t�
Inspector
FINAL
Date I stor
STORM DRAIN FEE
Dote Inspector
oNoMM
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
SIZE[TERIAL
FEE
TYPE OF APPLIANCE
UNITS
TOTAL FIXTURES //
c9f'
UNDERGROUND
REGISTERS
1
FIXTURE FEE
BLOWER FURNACES
PARTIAL ROUGHJ —
!'fid
S-0 12
O
Date/ / for
-
MAIN DRAIN FEE
SUSPENDED UNIT
SUSPENDED
ROUGH COMPLETE '
MISC
Date I stor
STORM DRAIN FEE
GAS RANGE
MAIN DRAIN
'
Da Inspector
?'rS0— Co
WATER SYSTEM FEE
GAS DRYER
GAS PIPING
S�
Date or
X
GAS PIPING FEE
FINAL Z %
TOTAL FEE
%S
Date Inspector
PERMIT FEE
� �
MISC
� �
Date Inspector
MISC
TOTAL FEE -
IANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
!'fid
COMBUSTION VENT
2—
SUSPENDED UNIT
SUSPENDED
MISC
GAS RANGE
MISC
GAS DRYER
-
PERMIT FEE
FLOOR FURNACE
TOTAL FEE
%S
INSPECTED zD/ �1% —
Dote ���_,__ Inspector
�
AGREE \ % /S' 3 F %A.
\
/
;o`/
..
,
)(/\§\
\
}/§
\ o ;
kj
'a/
2 �
�»$§
J
\\\3ƒ!
{\
0
o\
;to
I
:9 N{/
�
\
}/.
/
;o`/
..
,
/PIP
\
}/§
\ o ;
kj
'a/
2 �
�»$§
J
N
J
Q
e
o
�
0.
o
�
w
d
m
w
a.
C7
Q
z
Z
z
z
O
V
4A
Z
LL
O
w
a
p,
<
C
cc
O
V
WIm
y
O
O
H
d
Q
z
z
a
w
04
w
A
o
z
]
A la to I� to
m
w
a.
C7
z
z
z
z
�1--REE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
- PENSATION LAWS OF THE STATE OF CALIFORNIA.
\
)
O
■
m
n
�
¥
&
�'
z §
\(\y.
A,
�0
\
!\}
0)�/
�
,&-
§
�j
/}
2
c)
; of
.
}(�
§�
�
£
w
\
\
)
O
■
m
n
�
¥
&
�'
z §
\(\y.
�0
\
0
0
�
,&-
\
)
O
■
m
n
�
¥
&
�'
W
W
w
a
a
m
sd
C1
ryryv
•0
v m v
Gu d Cs.
d
a
�
0000
z
zCC
z
a
a
�Ej
o\
IU.
U
U
5
U
v
G
U
U
d
U
O
CL
( 3
O
y
O
y
N
N
Ui
N
N
N
N
N
I AGREE I�WI
'd tOM PENS'1011
�.._ O ..
ry o
w
°3
L'o
VIOLATE ANY OF THE WORKMEN'S
O
S,OF THE STATE OF. CALIFORNIA.
S
ro
`I
[`
o,ow
OBD
In
co
!o'er
Lk
(7,-0
so
0
TT0
N
a
G
U,W
n
-}U
,
O
H
Mm
m
0:.
°3
L'o
O
S
ro
`I
T
In
co
!o'er
(7,-0
TT0
a
G
,
O
H
m
0:.
�.
\k
� OL
y�
klrr
OF
I__IWILL NOT VIOLATE ANY OFTHE WORKMEN'S
COMPENSAT16N LAWS OF THE STATE OF CALIFORNIA.
-
°\
')
7
2 E 5. 5.
§r&«E
c
z
)
Ir
w
-
00
\
)
a
_
+ /}�
)°
33§0
{
■
\)
an
!&9¥
o
{\ �
>
> Eig
2�
}
ER/
}d
;-
■
/0��
°§
�
(moi,/
&
o
!
�
�
/
Type of Appliance Units Fees II
Gas Ranges I I II
Remarks (Chedc ✓,
New I Replace I Relocate
I I
Wall Heaters
Gas Plates I
I
Circulating Heaters
Blower Furnaces
Gas Fired Boilers I it
I
Warming Ovens
Percolators
_
Griddles
Steam Tables I
I�
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
NAM F. TYPO
FAH '—I
Q—
Htr�r.uVent 1 11.04_�1�
I�
--
Wnf.Ar Htr_ UAn�- Il,,.Qi
—
90� _,-
Pp lance -
Inspected and Approved....._..........................................................
DATE. INSPECTOR
CERTIFICATE'' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY} OF CUPERTINO
Date ..... i....._:.....:'...' ...............:.... 19.'<.. .''�.. Building Permit No.'�rUrJ 1.22.
....................
The Building Located at ..a . .:.. .......... ZA
Ownedby .......... .??. — !.................°.-- .... •....................._....................
Has Been (Completed) For Use As: ....... ! w C"
...... .I--------- -
'BUILDING INSPECTOR
OFFICE
GAS SERVICE NOTICE COPY'
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
19(1.�7
To
You are hereby authorized to connect the GASsmice for
Owner or Tenant ......... ............
At....................... ....
New Service
No. of Meters ..... ....... Reconnect ..............................
Move Service ... ....................
No, of Add. Meters ....... Move Meter ................. .......
PL MBING—INSPECTOR
n
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r
Sewer Connection
[Plumbing Final
Owner or Tenant ---
At .
Tract
Date Connected .........
Date Final
egx,e-14�Y-fO�
in 1 /66-1M
Bldg. Dept.
Office Copy
Sanitary Permit No....../...1 /7.�7.-// _-----
Plumbing Permit No�//��P/ t.�
. Lot No......�. ............
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSbECTOR'S OFFICE
CITY OF CUPERTINO y
..._ ..................... w.✓.. y.............. 196..7.
To
You are hereb thor zed nnec ectricaI servi f
Owner or Tenant .. ._ .„F .; r ..:.... ...:.:...... :..._.. .... C,
f\ ��9
i
At......... 3.. .........._.._...... c y-. ...._............... -
Voltage .............`.. %... Size of Switch .�..d�
No. of Wires ........................ Size of Wires
Motor Load ......._..........._. Phase ................................
Heating Load ........................
.I .............
K.W....... ..... ........ ....... ........_. Voltage _........._...._.........
Light .1/11o..._!//NNw ServicL�/Reconnect ..... _...
.......
No. of Add. Meter ............ 220..... ThreWir Move Service......No. of Meters.....Heat.
Power ............... C'rD .
.. Move )meejer..............
ELECTRIC INSPECT
ROUTE SLIP
File No.Do /, 2
Date Out
Date In 2-/Z
Notes
Approved'
Date
Inspector
m n o m n
E
N
m
o
r
n
o
O
O
m
�c
i
]
m'
o
e
,
z
0
h
e
s
O
O
M
r
�
a
z
Y
a
r
s
Im
o
M
'9
Z
r
m
a
m
m
a
9.
a
d
a
m
m'
�
r 0
C«
Y
o
o.
m
Z
� T
H
«
^
m
n
r
N
zm
m
6
mm
r
Cl «
a
'
o-
'J
T
m
m
v n m
T O m
o ] m
S
0.
E
0
z
0
a
� m
r
n
^s
1
T0
0
nA
C �
m
m
A r,
—10
= Z
On
Ma
m
a
3
r
4
�c
Z
m
o
z
0
h
O
O
r
4
a
0
u
w
z
w
O
u
u
w
z
n
0
u
w
Z
w
0
J
Q
V
�
r
V
O
a
❑
u u
w
n
N
Z
a
❑
u u
w
a
N
2
a
❑
u
u
w
a
N
Z
a
❑
u
u
w
a
N
Z
a
❑
u
u
w
a
N
Z
Z
a
¢
w
a
a
O
a
n
O
m
J
J
O
❑
❑
❑
u
m
W
�
�
�n
u
w
u
w
J
u
J
Q
w
w
w
w
a
CL
a
w
w
w
0
w
w
w
N
w
r
<
w
Z-
w
a
z
z
z
z
a
<
w
`
Q
❑
❑
Z
�
O
U
p
o
F
p
V
s
D
u'
>
LU
z
Z
z
CL
W
n
O
K
_
K
N
a
Z
r
u
n
LL
Z
O
7
O
o
U
U
!-
M
0
2
a
LL
d
LL'
p
w u
0
O
✓ r
O
a
V
3
p <
w
2 X
O
z a
0'
LL
7 LL
w
O
u
u
w
z
n
0
u
w
Z
w
0
J
Q
V
�
r
V
a
❑
u
u
w
N
Z
a
❑
u u
w
n
N
Z
a
❑
u u
w
a
N
2
a
❑
u
u
w
a
N
Z
a
❑
u
u
w
a
N
Z
a
❑
u
u
w
a
N
Z
a
❑
N
Z
N
Q
�
ed
t7
Z —
a
¢
w
a
a
a
a
n
O
m
J
'
O
❑
❑
❑
u
W
�
�
u
w
u
w
w
u
J
w
w
w
w
a
CL
a
w
w
w
w
w
w
w
N
r
<
Z-
<
z
z
z
z
z
t7
w
w
�
U
p
o
p
O
s
D
u'
>
z
z
Z
z
W
n
O
K
_
K
a
ti
r
u
p
a
K
7
Z
N a
U
U
!-
M
x
2
✓t
J
d
LL'
U
W
0
✓ r
O
a
w
p
7
2 X
r
2
J
W
z
7
O
w
LL LL
O
I
LL.
w
p
�
o
�
w
p
�
w
w
w
w
w
a
¢
¢
a
a
a
a
n
O
❑
❑
❑
O
❑
❑
❑
u
u
�
�
u
w
u
w
w
u
w
w
w
w
w
a
a
a
a
a
n
w
N
Z-
z
z
z
z
z
z
w
p
�
o
�
w
p
�
w
w
w
w
w
w
w
I
w
r
t7
w
o
rc
s
z
u'
a
a
r
u
p
a
K
7
Z
N a
U
U
Z
✓t
N_
d
LL'
E
l7 LL
E
E
W
V
Z
Q
a
❑
u
u
w
z
w
❑
Y OF THE WORKMEN S
COMPENSATION a0 cSTATE rc/� m�
} f x ® »
» (\�
® \0
; �'- m�
> �
\ �
�,
C
�
F3 0
,o
er
m
/
^\\
�
f7°■
F3 0
m
^\\
3
7
¥
FIXTURES I NUMBER ill MAIN DRAIN
Shower
UNITS I FEES
Kitchen .Sink_� Not Conn.
Dish Washer Sewer Dox
To Curb
ze
Total 11"Cotal flee 3 i0
`
.N_.. I AGREE I WILL NOT VIOLATE ANY OF THE N/ORnmEN'S
r� COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
A
H
ro
n
o_
0
m
O
C
Oil E,
d
P
0,
❑
o
:°
°cvab,.I�.
L
i%i
^ ^ 1
Mry
T
Q
G G
7
Rv
^
n
rn
O
.MA
n
O
1
b T
1
° n
9
h
j O
°
M w
A
rn 0ry J.
N
°
0
On k�
0 w 0
A
H
ro
n
o_
0
m
s
§ �
/
\•\
]
;
;
/
\
—
,°
e»i
9J
\
\
\
\
k
iz,W
4 iA/
m
iz
2
k
§ �
—
,°
e»i
9J
�
)
)
(j
q �:
Si
5
�(((
b
()§§
/
)