NO PERMIT NUMBERLot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF,CUPERTINO
File No Q�
/ aa.. f r Sanitary No.
Ir Date - xg 196 J
Application is hereby made for a permit to
AMCWO astory, Type &tiT
to be occupied only
in accordance with
y Estimated Value of Improvements
FEES !� Q
Owner��a �YL/GT
Contr. S/O11�lLr'
Phones
in, Plans and Specification filed herewith„
Plan Check $
Address /44'P- ",1WCWkffj V 910
Ye
Address
State License 2"10 Y-r
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr.
Phone
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS�PERMIT
Dated 196 „$'� GAS FEE $ /
Contr. Qts;�
Phone 42?/1t —
PLUMBING FEE $ Co
Address
State License�-,f�� ��6 / 71`�1_9/ 5P
Approved
APPLICATION FOR APPLIANCE PERMIT
Date //,��t I% S— FEES
Contr. LO-2,
Phone - �'LW d State Lice
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
gel -
E RD"F INSPECCTIOg TI Gs
R ON ROVA_L'S
FOUNDATION g5 BUILDING
t
UNDERFLOOR —
JQAR FINAL.
aRADING FINAL
FRAMEy v
actor
L'ATH'S PLASTER —
Inspector
FINAL
Date Ins De cter
14 O 3'» ELECTRICAL
OUTLETS I f
`j]/(3SERVICE SIZE
,
SWITCHES
7-11
RECEPTACLES
�)
FIXTURES
H.P. CHARGE
S
PERMIT FEE
I
°p
TOTAL FEES
l6DO
UNDERGROUND
ROUGH WIRING .
FINISH WIRING
FIXTURES__
Motors
/AlMst!
tor
Inspector
Inspector
Inspector
FINAL
Date v Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
I
MATERIAL
STORM DRAIN
I SIZE
LW4TERIAL
WATER SYSTEM
SIZE
ITERIAL
TOTAL FIXTURES
!D
- UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH 'a
Date
or
��
2- f-46'
MAIN DRAIN FEE
ROUGH COMPLETE
—
DetA
n r
STORM DRAIN FEE
MAIN DRAIN
a
/
// Dytei
WATER SYSTEM FEE
GASP NGGAS
��'
WI.P.,t.,
PIPING FEE
� FINALDate
PERMIT FEE
o2'�
MISC
ate
Inspector
TOTAL FEE
MISC
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
h
COMBUSTION VENT
SUSPENDED UNIT
MISCY-[y�am,•--�
GAS RANGE
MISC Nf Y✓--�-"'
GAS DRYER
PERMIT FEE
c ��
FLOOR FURNACE �
J
TO FEE
fa
INSPECTED
Date Inspactor
ROUTE SLIP
File No. �d
Date Out= ./
Date In
Location ��4 �7
y
Subject
Notes _
Approved
Date Insp.ctor
77
14
74
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY bF CUPERTINO
2— � � _ '�fix. ` ----
Date '......__:.._......-- 19s.... Buildin Permit No . ............_.:-----
The Building Located at�lf• �...._i -------------
i/? rY
Owned by .__
✓(Completed F Has or Use As:
'Beer ._�Xlkered) )
BUILDING INSPECTOR ,
102 1/63-500
GAS SERVICE NOTICE' OFFICE.
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
... ....... .................. .. 196.cS
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ......
At ...
New Service ..... ........
No. of Meters ..... / ........ .. Reconnect ..............................
Move Service — ------ -- ..........
No. of Add. Meters Move Meter ---------- ......
LUMBING INSPECTOR
OFFICE COPY
ELECTRIC ;SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO.
--------------- -- - 7f ---------------------- 196
TO
You are hereby authori3o to conned electrigi service for .
Owner_or Tenant ....... te�- ---- 94—
At -----------
---------------- ----- ---------------
No. of Wires ............. Size of Wires -Zli;Z-6 .... - ---------- Size of Switch
Motor Load .......................... Voltage -------------------------------- Phase ------------------------------
Heating Load ------------------------
K.
W - ------------------------------- .-- Voltage ......
................
No. of Meters.,
L ight.
110-*-. New Service_------------ -
Reconnect--
No. of Add. Meter S-
H 't.:
220 .-----------Three Wire._--__------.
Move Service ...... ....
Power---_.---------
e ----------------
Move Meter.-------------
........ ----- -- ------------------- --
i-
.ELECTRICAL INSPECTOR'."
io4 7/63-500
Bide. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Ej Sewer Connection Sanitary Permit No. ..........
[[Plumbing Final Plumbing Permit No.
' CIA. -
Lot No. - .................
Owner or Tenant
Tract--------- ---------------------------------
Date Connected -------------------------- 0-7--07 --------------------------
Date Final
PLUMBING INSPECTOR.
III 7/63-1M
1949��-
191 - _ /if
LOT NO.�
W z A FOR BUILDING PERMIT
EG
r a _ 4 IJAN 26 1965 OF CUPERTINO
s
Sanitary No.
V Z
=u Uate —[ PAVA196� Permit No.-r1aIC�
0 o
CIYpliQ on l]tibi a permit to
a
a s X story, Type _ C 7 T Building
w
to be occupied only as S_ F n
a
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith.
" Estimated Value of Improvements, E . 3 P-�3Q�Q�. Fee E
iJ It i hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all er laws applimble to the construction, location, and use of buildings within the City of
O C ertino will be complied with.
3<
_ N wne / AddressN/o y cV ".0 a .!/ lk
w Z
a w Addressh
u _
a Po —
Approve
'.tat[ License A BUILDING INSPECTOR ' l
RECORD OF INSPECTION APPRdVALS
FOUNDATION
DATE
INSPECTOR
UNDERFLOOR
DATE
"INSPECTOR
FRAME
DATE.
INSPECTOR
LATH and PLASTER
�—
DATE
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR '
FINAL ELEC.
I
DATE
INSPECTOR
PLBG.
I
_FINAL
DATE
INSPECTOR
FINAL GAS
DATE.
INSPECTOR
S
LOT NO O 7
Va A FOR PLUMBING PERMIT
EB g 1965 TV OF CUPERTINO
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 prices
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
Addm
Approve
UMBING INSPECTOR
---rrM- RES NORMI
N
• I UNITS I
FIi ES
IUNITSI
FEES
Water Heater J
Size y/
Water Closets
Material z`
Bath .Tubs
To Curb
Showers
/
To Prop. Lin!,�
Lavatories
3
To Existing
Kitchen Sinks f—
Not Conn.
Dish Washers j.�j-2��
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
I
Bar Sinksl
To Main Drain
Comb. Sink a Trays
Dl Units
Drinking Fountains
To Curb
i
JiI
Floor Drains
I
Jill WATER SYSTEM
Hoppers . ,
�� Size
Restaurant Sinks
Material qJ
Sand Traps
�� T TAL FEES
Urinals
Fixture Fee
Area Drains
Main Draih Fee j
Water Le
I Drain Fee
Sprinkler Naives
Water Sys. Fee I o�
Permit Fee n" _
TOTAL
J/
TOTAL VEE
RECORD OF INSPECTION
Partial Rough
Rough Complete
Final
9
N
NO. .STREET LOT NO: -V
® P 1 OR ELECTRICAL PERMIT
OF CUPERTINO
IF 6 1965
Date ,195(�5 Permit No.
TY�/ �F �UPERTINQ Fee S
ApCetSon Ts hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises
Owner �'�-L4 Y `^
By A w OO,e
/
CONTRACTOR, AGENT
Phone: 3S(- - 5�02
State License:
T&4� 5I J NEW "L FEES
c
Size Service Conduit.- --------...---- Number of Outlets------------------
Size Service Wires..--..- a/C� T ---Number of Switches.--------------
Size Service Switch---....L Sa.�-Number of Receptacles -------
Size Sub Feed Conduit ------------------ Number of Fixtures ------------------
--q%q-�--
d
----------
-yqq---
---
---- -
---------
----------
----------
--._.....--
-----........-
------------
--.-!�---�. O
Size Sub Feed Wires --- ---------_---- Ranges......... I----- KW------------
Number of Circuits--------------- Oven ----- 1-....... KW--------------
--------
---------
----------
---------
--------------
------
Number of Meters .-------1------------Signs.-------- Transformers------
.I.-- i / f S « AC n_, , I
---------
---------
------------------
-------f_0.O
Motors ........ 9 ---------
---------
Phase..----------------
Permit Fee $1.00
Motors---_--------------
HP -------------------
Phase ..-----------------
Motors --------- ----------
HP --------------------
Phase -------------------
H P Charge -------
......... I----------�
TOTAL FEES!_
RECORD OF
INSPECTION APPROVALS
RoughWiring
---------------- ------------------
Fixtures -------------------- ----------------------------
DATE INSPECTOR
DATE
ILSTECTOE
FinishWiring
------......- -------------------
Motors ... _-------- -----------.................------
DATE INSPECTOR
DATE
INSPECTOR
Final----------- -------------- --------
--------------
➢ATL
I 111TLCTDa
ObC/ I LOT NO. A-
NO.
*�MEB
ICATION FO AS PERMIT
W C7 fNo
f¢
y O ``��' T A,
3 U Date, tJ B I lltlo Permit No. S
= a Fee $ l
' O Application is hereby made to the City of Cupertino for a permit to install gas pipes
o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
im and/or appliances in accordance with the provisions of the Plumbing Code of the City
< W of Cupertino, and all otherlawsapplicable thereto.
Use of Premises
00
Gf 1i,.Yyi�_.�o
3 Owner /4mi9/C!2 %� Addres Gic
o<
zJ
J z Bye^ Address
O /� C/ONTRACpTO/R, AGENT
io State LicenseC 3 �7sl 2— Approved r
F I PLUMBING INSPECTOR
of Appliance I Units Fees
Miscellaneous
NAME TYPE)
HOUSE GAS PIPING
Number of Outlets ain Jt/
Gas Piping Fees J - �—
TestedanApproved ._.............................................._.....................
DATE INSPECTOR
Tract # 3628
LOT xo.Lot jff 87
ti0.• STREET
n�
FEB R APPLIANCE PERMIT
= z OF CUPERTINO
Y LL 17
1F1965
o< Date 2 1 f 196— 5 Permit No. S /L
3U
W LL Fee• $ d
o C� I�pp� do UPhEr jb y iniNOde to the City of Cupertino for a permit to
o F install gas appliances as listed on the reverse side hereof, and agrees to
`N install said appliances in accordance with the.provisions of the Plumbing
W = Code of the City of Cupertino, and all other laws applicable thereto.
LLUse of Premises Res —
00
> 0 Owner Diin & Rl l i nt Address I It 08 g Wj_n hne t-
o<
__ San Jose
J z by Address
"o 779 Old_ I�j �°ag' nce T j a o S
< Phoneed
z
W
WW
ao State License 08 Approved
_ U OPLING101t
Type of Appliance
Units Fees II
Remarks (Check ✓,
New Replace Relocate
Gas Ranges
�—
Wall Heaters
Gm Plates
Circulating Heaters
Blower Furnaces
l
l _ 00�1
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
(NAME TYPE)
Fee
1
2.0011
1
vents12
Htr. vent
1:OOl
_
W_H vent
li-on
_
i
pp lance «s
Inspected and Approved ............ .....:....... ....................................... ..
DATE. INSPECTOR
z Z- � C I e. a ru-e eI' (2f. LOT NO.
N REEI T
C CITY OF CUPERTINO
VNS 4`1Oo APPLICATION FOR PLUMBING PERMIT
` Sanitary No,
Dalee-�7-70 ,19 Permit No.
fse f
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. -
Woof "' ' Work To Be 1n� �, — U
Premises` 11-1C3 • Pvrlormed P� ` I
Y
Owner '�_�'ri1.n Q> _ Addrass�.L��`LQ�
Phone
By J 11J"i'tnt.�ni: IC IC �j . Address ZJSS
JJ Contractor, AACaa, nt
Phone,p�(.1[�`�
State License a$ 'C 3 Approved
' Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
LA
FIXTURES
NUMBER-'
.MAIN DRAIN
Units
fees
Units
Fees
Water Heater
p?
Size
Water Closet
- Material
Bath Tub
11
To Curb'
Shower
f
To Prop. Line
Lavatories_
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Troy
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
j To Moin Drain
Comb. Sink 8 Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM 1
Hopper
Size
{Re1ourant Sink
Material
'Sd^d$rop
I TOTAL FEES
U_inol
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Pee
Vac Breaker
_
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee