51179Lot
No. Street aY 7e
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Data 196
Application is hereby made for a permit to
to be occupied only as
a
File No.%$—//
Sanitary No. r-rr3 ` -dF
story, Type .r 1' .7
in accordancgyzth Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements s U hd 4 o-0
FEES S-OPlan Check $ '
Owr.or Address `
T
Coni Address
Phone J Is. State License e2.2'-1��•[t; •L�
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date /3 196FEE$ ';�-d ' &-.&
Cant,. <R Address 6
Phone 7-3 "_ Q 7 0 State License U d 6 d
r o
Approved
APPLICATION FOR PLUMBING & GAS PERMIT ll
Dote 2—/6 196 GAS FEE $
Contr. _ ��-�+�J (%✓�-�".S
Phone o2 4-S 'a 3 2-J
PLUMBING FEE $ - o?�Sy��Jd
Address — /�.3`� ')t-/o•'c-i-'-�+ `i
� G
State License /J— 7
Approved
APPLICATION FOR APPLIANCE PERMIT
Date t �l^ 1%'V FEE$
Contr. Address el
Phone State License
Approved ����'�.•-e l%/
Applicants agree not to violate any of the _
Workman's Compensation Laws of the -
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
q ?I
FOUNDATION
' D4TEp-
UNDERFLOOR
INSP OR
DATTE
FRAME 9 0 tNV
INS` OR
X I
DATE
INSPECTOR
LATH & PLASTER
INSP R
p� DATE
FINAL
�O I6 T
INSPECTOR
b
ELECTRICAL
ELECT.
UNDERI
ROUGH
FINISH
FIXTUR
MOTOR!
FINAL
UND
PAR
ROUT
MAID
GAS
FINA
MISC
MISC
SERVICE
DATE
INSPECTOR
;ROUND
1 TE
INSPECTOR
WIRING
_
-
DAT
JD
INSPECTOR
WIRING
DATE
INSPECTOR
s�-
ES
o-
'
D�E��
INSPECTOR
DATE
INSPECTOR
-t0 -
DATE
PLUMBING & GAS
I INSPECTOR
ERGROUND
DATE
SPECTOR
fIAL ROUGH
- --�-
DA
SPECTOR
gp
;H COMPLETE
DATE
ECTOR
DRAIN
O
DATE
SPECTOR
_
PIPING -
DATE
SPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED
MISC
MISC
DATE
APPLIANCE
DATE
DATE
DATE /
DATE
INSPECTOR
INSPECTOR
INSPECTOR
SPECTOR t '
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... ........................ 19-kr. Building Permit No.
The Building Located at ... j.hA.17 ........ -6,ft .... %
Owned by ........ 69Sj ;� 441" . ........................ Ft ........
V ........ . . .........................
Has Been (Completed)
6A*ered`)- For Use As:........ .............................
BUILDING INSPECTOR
102 12166-IM
GAS SERVICE NOTICE 01-TICE
COP)'
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
....................................................
To
You are hereby >46ed to connect the GAS service for
A J-1
Owner or Tenant �.�=dzw4ZL---�—
At. .......... .
New Service ...........
No. of Meters ..... Reconnect ..............................
Move Service ........................
No. of Add. Meters ..... Move Meter ..........................
........... ......
,00' ifUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Fj Sewer Connection Sanitary Permit No. .....
�-Plumbing Final Plumbing Permit No. 7� .... . �. - -.-9 .....
Lot No...... �1/0 ...................
Owner or Tenant .......
At
oe
Tract ...........
I .....7
Date Connected ........ ck
............. tv
. .. . .. ................. ..........................................
Date Final ..................... .......
----------- .......... . .. . ................................... 19.A�op
,.v PLUMBING INSPECTOR
111 12166-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO,,
TO ...... ..... ........................ 1962 ca el is
C
You are hereb(Bai ed to connect el for
.. .. . . ....... — .. ....
Owner or Tenant ..... ... . ... ........ .. . ..........
. ...................
lt>Z
At............................. .... .............. .......... .. . . ��c . .......
No. of Wires Z ................ Size of Wires t�
........ N Size of, Switch ....
Motor Load .......................... Voltage ................................ Phase
HeatingLoad ........................ K. W . . ................................ Voltage .............................. -'� a
No. of Meters ...... Light..... 0.�� New Service Reoc,omS"t,,ic,�� ........
Heater
No. of Add. 220.... M
..... Move Meter.............. ............ .
Power .............. 26---y .......
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10297. Cold Harbor avenue . 40
LOT NO.
NO. 1 �)STR6�aT %�� Plait 2978
1) �APPL'ICATION FOR BUILDING PERMIT
��JAN 9 1968 �G�TY OF CUPERTINO 5368
Sinitary No.
Date DeCeltbeT 26 196 7 Permit No. 11
.'Application isthereby made Foil permit to Wild
a one story, Type V - I.J. Building
to be occupied only as S.F. Dwl,
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, location, and use of buildings within the City of
P.O.Box 1135
p los Gatos,Calif. 95031
State L" tce`n`s�` euapwc INSPP.Ct'O0.
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG,
DATE
INSPECTOR
FINAL GAS
DATE
INSPECTOR
l Ot
N f ST :Cy1�,► P
LOT NO.(.PLICi -IOOR ELECTRICAL PERMIT
y6 OF P CU LRTIfdO
Date OF 1 jp�!1 4Permit Notl ,
Fec $ -`.6� 3 c)
Application is 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 !asys applicable thereto.
Use of Premises
Phone: ,?ifo-7� APPrvtt�2 u
(� State // t � v
License ��d�%(��
NEW RPL FEES
Size Service Conduit r�n Number of Cutlets
Size Service Wires iS Number of Switches
Size Service Switch Number of Receptacles
y' 3
Size Sub Feed Conduit Number of Fixtures %
Size Sub Feed Wires Ranges KW i
Number of Circuits� Oven KW
Number of Meters Panels Transformers
% 3
Signs
Misc. Dryers /
a
Motors FIP — . Phase /
Motors HP Phase
Motors HP Phase
Permit Fee
HP Charge
Total Fees
2.00
o2. o 0
L�C/�iL/ fd�ZI� LOT NO. �ll
® PLUMBING
a CITY CiJPF.RTINO
wZ
PERMIT
r o F B 7 G ldbd Sanitary No.
3 a Date 196-Z Permit No. ��� 7 9
I CITY OF CUPERTINO Pees �s ;cn
o Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed tin the reverse side hereof, and agrees to install said prices
i and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
w I
Use of Premises ertl
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Owne .dam
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BY ���m ' �{�
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CONTRACTOR, AGENT
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Phone o7,3 jr
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State License l GS7�
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Address
Address
,1 PLUMBING INSPECTOR ✓
FIXTURES
NUMBER
MAIN DRAIN
[SNITS.
FEES.
UNITS
FEES]
-blazer Heater
Size
`^W`a`t'er�Clo`set °-
-•�2.,
-
Alaterial
e5 f
riBath Tub
To Curb
;. Sbower
/
To Prop. Line
`Lavatories
To `Io Existing
"'Ifitcbw iak
Not Conn.
€ Dish Washer
Sewer Box
`:.Waste Disposal
Wash Tray
STORM DRAINAGE
Washin (Machine
/
Size
;.._}Water Softener
Material
Bar Sink
/
To Main Drain
�- Comb.Sink&Troy
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
� Hopper
Size
Restaurant Sink
Material
k Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
k
Water Leader
Storm Drain Fee
' Sprinkler Valve
Water Sys. Fee150
Relief Valve
Gas Fee
P Vac Breaker
i Skinner
r Filter
Permit Fee
Total
Total Fee
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APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date 7+...� _ Permit No.
��pp�� qq��pp Fee$
liN tAnfis�Hgby rle to the City of Cupertino for a permit to
install gas appliances as listed on the reverse side hereof, and agrees to
it t; 1 ai�1�.Pp n _ qq ance with the provisions of the Plumbing
Cad i fiii� CII cif Ittho, and all other laws applicable thereto.
Use of Premises .
Owner
ay MERCURY SHEET METAL & HEATING. INC.
CONTRACTOR,AGENT
Phone '709— '/02-2�3
/ State License
I�
Address owe1a Z`. i
81 Pioneer Way
Address
Approved
PLUMBING/✓INS�BC OR
N
Type of Appliance I
Units Fees II
Remarks (Check V;
New j
Replace j Relocate
Gas Ranges {
I
II
I
Wall Heaters I
1
II
I
I
Gas Plates I
I
II
I
I
Circulating Heater
Blower Furnaces j
jam.
QO II
I
I
Gas Fired Boilers
Waning Ovens
Percolators
Griddles
I I
G I
Steam Tables
I
I
II
I 1
Gravity Furnaces
I
I
II
I I
Suspended Unit
I
I
it
i
Floor Furnace
I
I
(I
{
I
II
i
Miscellaneous
I
I
if
I
NAME TYPE)
I
Iz.o�ll
I
_
(�7 ad
II
I
Appliance Fees
Inspected and Approved -----._.. .... !------------- ......._..............._........
DATE INSPECTOR