NO PERMIT NUMBERLot No.
No. Street C ��
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO G
File No.
Son Ito ry,No.
Do to 196
tion is hereby made for a permit to
to he occupied only as
a story, Typ.s 2 tT
- O
in accorrdanclAith Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements S C;sL'f. 1 t, t'i _ tS Q
p 7
FEES _ /LS ..
Ow r,er
Contr.
Pion Check $ n
Address ��, 5— 0K,4
Address
Phone 3i�` �e�.�L ��� State License .&,:1 3 3 atl
Approved '6 ,,,e — -�
/✓
APPLICATION FOR ELECTRICAL PERMIT
Date 3 196
FEES � 3�
Contr,
Address 6
-7
Phone - 7� 6 ' 0 / 51— p
State License .?-2 d 6 J
'
,0
A
Approved
APPLICATION FOR PLUMBING
& GAS PERMIT
Dote 196
\
GAS FEE $ rS�J
PLUMBING FEE $
QQ�
Contr. O�-�++� U✓u' 7'
Address 1°'2J `r'
Phone a 5C3 07 ,3 1_j
State License//-.jL6��j-7f
Approved
APPL CATION FOR
APPLIANCE PERMIT
��
Date 1%
FEES
Contr. �Ad°d
�Q
re ss//-a�--v/�-✓-t
Phone �'"L' Z
State License/ �6 6 �:2-.�..3 J��
Approved _ �" ,
Applicants agree not to violate any of the
_LV-x2
Workmen's Compensation Laws of the
State of California
l
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION / _ /� _ o W
DA TIE/
UNDERFLOOR P2— Z / _ ad
DATE
FRAME 3—`d
DATE
ATH PLASTER j-6
FINAL
ELECT.
UNDER(
ROUGH
FINISH
FIXTUR
MOTOR!
FINAL
IN
INSPECTOR
ELECTRICAL
A
SERVICE
DATE
INSPECTOR
;ROUND
3 , 1 ^ Di T� r
(-�` /i
INSPECTOR
WIRING
HIRING
_ DATE
0
INSPECTOR
_ DATE
INSPECTOR
ES
DATE
INSPECTOR
DPT�
IN9PECTOR
_
DATE / IN9PECTUN
PLUMBING & GAS
:RGROUND
ATE
SPECTOR
'IAL
ROUGH
DATE,
NSPECTOR
COMPLETE
,H
DATE
SPECTOR
DRAIN
'I PING
//DATE
N9PECTOR
DATE
OW
PECTOR
41
L
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED
DATE INSPECTOR
APPLIANCE
DATE INSI
MISC
MISC
DATE ,I
E
INSPECTOR
ECTOR
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r.
Date -............... 19 _F'.... Building
_ Permit NO. r�. ..
S� tr..O-f'G-r
The Building Located at . f l�rZ.... ....................-----------
Owned.....7.r........... .......................
by .... t ..1011 ... `.•r a7....._......... .............IL4 .._1..1:::..........--
Has Been (Completed) ((A4teFUA.............................................................�
ed)or Use s:........_ (
BUILDING INSPECTOR
4 102 12/66-1M
GAS SERVICE NOTICE OFFICE
COPY
BUILDING 4 �ECTOR'S FFIE
IN CITY ( 0
)ISPCUPIERTINO
. .............................. . .......................... 19(vo
To —
You are hereby au rized to connect the GAS service for
Owner or Tenant .. .....
At
. .......... .....................
New Service ................
No. of Meters ../............. Reconnect ..............................
Move Service - ...... - - ............
No. of Add. Meters .............. Move Meter ....... ..................
B&G INSPECTOR
Bldg, Dept,
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. .......
[94PIumbing Final Plumbing Permit ......
Lot No....... 4q ................
Owner or Tenant ....
At
. ....................................
Tract ...............
.. ....... .... . ... I .......... ........................................
DateConnected .................. .... .. ...........................................................
DateFinal .............................. .. ..... .................. =_ .......................... 19 AMA
INSPECTOR
111 12/66-1M
OFFICE .COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are hereby\puth6ri¢ea to connect
y
Owner of Tenant .............
At.....................................
No. of Wires ...................... Size of Wires ....... y........
Motor Load .......................... Voltage ................................
Heating Load ........................ K. W....................................
ca Light.... /.... 110. / N Sery
No. of Heat................. i20....`
0W
of Add. Meters............
Power ...............
I.........................................I...............
ELECTRICAL INSPECTOR
for
Size of Switch'.
Phase
Reconnect ..................
Move Service.........:..
Move Meter ..............
10257, Cold Harbor Avenue LOT NO. 42
RAN
y�\z STyEET\ Plan 2978
� `APPLICATION FOR BUILDING PERMIT
9 1968 CITY OF CUPERTINO
C ✓ Sanitary No. 5370
Date_ 'C Tuber 26 196 Permit No._ 4 1179
`'' Application is heieby'made for a permit to build
a one story, Type V - I.J. Building
to be occupied only as S.F. DW1.
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 28,000.00 Fee $ 85.50
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, locatiog, and use of buildings within the City of
$�fjjf i b'F%k;datthtd.Partnership Address P.O. Box 1135
Owner
,«.os Gatos,Calif. 95031
u Approved
p'. State Ltcens BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
FINAL PLBG. J
DATE INSPECTOR
FINAL GAS
DATE. INSSPFCTOR
NO.
10_
OR ELE TRICAL PERMIT
OF CUP' TINO
f.fMAR 1 8 ;
Date I491 Permit No, 5
CITY P TINQ pees moo. 3 b
Application is hereby ma e 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 accordanrc with the provisions of the Electrical Code of the
City of Cupertino, and all other !aws applicable thereto.
Use of Premises
Owner
By
O i c/uNIRA� ,AGGENT
<U Phone: 1/1�tD-0770
�L State License-,9-2—Q2,�Z
Address
ELECTRICAL INSPECTOR
n //
NEW APL FEES
Size Service Conduit �Number of Outlets
Size Service Wires.? Number of Switches
�L
Size Service Switch �QQA Number of Receptacles
Size Sub Feed Conduit Number of Fixtures
Size Sub Feed Wires Ranges KW ArJ
Number of Circuits g Oven KW
Number of Meters Panels Transformers
Signs
Misc. DDilers
2.00
Motors fiP — Y Phase /
Motors lip Phase
Motors lip Phase
Permit Fee
UP Charge
Total Fees
-'-
14
157 I LOT NO.
NO. STRRRT
PI�1 R PLUMBING PERMIT
z d gcz
GRTINO
xp Sanitary Nu. �3 70
0aDate s ]. 6 1968 I Permit No J217 %
U
=w V n� ���hCpTI�I Fee $,2,5106
' O Applic.Q�T �s ht FY Aykl�tlyR Woof Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all otherlawsapplicable thereto.
w Use of Premises
20 �J-7.
oa Owner yte2� <� Address C�
z Oy /l� Address 9
0 CtNTAACT0R,AGr.NT
z Phone
yY 3oL�
wz
w w
ao State License ,AhGsZ9 Approved
A( PLUMBING 1NSPBCTOR
FIXTURES
NUMBER
MAIN DRAIN I
UNITS
FEES
UNITS
FEES'
'Water Heater
Size
.2,1
wwhmt�, Closet
-2—
Material
j
Bath Tub
To Curb
Shower '
To Pro p."Lbne
I --
'Lavatories
To Fidsting
Kitchen, Sink_
Not Conn.
:Dish Washer
Sewer Box
Waste Disposal
Wash Tr4
STORM DRAINAGE
WashingMachine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
DrinkingFountain
Floor Brain
WATER SYSTEM
Ho per
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Z5-21%fl
Area Drain
Main Drain Fee
Water Leader
Strom Drain Fee
SprinklerValve
Water Sys. Fee
157y
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total
J
Total Fee
Sc
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a�
,o
Y
C Wo`
3U
W LL
I O
4 W
°a
iN
W
0
0
> N
M
iJ
J
J,p
3F
-Z
W
w W
Os
ao
T4
/0.X / I �I(q /G'a v/ Pii K�/T�YCI�C LOT NO.
N STREET
APPLICATION FOR
ja6l Ex
OF
Date N 9.1968 Tt
APPLIANCE PERMIT
CUPERTINO
Permit
Fee• $ //, 5�
A lication is hereli made to the City of Cupertino for a permit to
inst � s . lia Q RERT4,9 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 of Premises RESIDENCE �I !
Owner ++=e.��., � Address%vuJ
By WCURY SHEET METAL & HEATING, INC.
CONTRACTOR, AGENT
Phone. 73 9—
State License 166835
81 Pioneer Way
Address
Approved .
PLUMBING INSPECTO✓
Type of Appliance I
Units Fees II
Remarks (Check ✓;
New I Replace I Relocate
Gas Ranges I
I
II
i
I
Wall Heaters 1
I
11
{
I
Gas Plates I
i
II
I
I
Circulating Heaters (
1
I
I
Blower Furnaces I
I
a.0411
I
I
Gas Fired Boilers
Warning Ovens
Percolators
Griddles
I I
II
I !
Steam Tables
I
I II
I {
Gravity Furnaces
I
1
11
I I
Suspended Unit
I
I
j
41,11
Floor Furnace
I
1
11
I
I
II
I
Miscellaneous
NAME TYPE)
1313•
�
II
I
I
I .gd
11
I
_
I
1
II
I
_
ems -
'
1?.C/II
1
Appliance Eees
I
VA .2j
{
I
Inspected and Approved ............-- I ------ --------------------- ----------------
DATE INSPECTOR