51181 Plumbing Lot No.3 9
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO y
File No.
p Sanitary No. ,
Do to 196 10
Application isherebymade for a permit to
a , story, Type .fz r
to be occupied only as
in accordancqgith Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ a.2 aOQ 0.2-
FEE$ 7 ad
Plan Check $
Ow r.er Addresses r.1 iC.Ct_
Contr. Address
Phoma S Z /�s� State License' /-r/7 fl
Approved K/�a/�'ti— . �O•
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$ 02 � 5-7?)
Contr, ( IL.t lei Address
Phone _ -2— ` 'ol. 70 o State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. /!'N �`�`""�' Address Z J-G a - lq`t' ' a`
Phone 7`f �'.-3-0 J State License ' 32Q��9s-)-
Approved
APPLICATION FOR APPLIANCE PERMIT /a, S -2)
Date 1%d FEES
Cont,. Address ���/ V
Phone '3ZJ'"no State License C2 (o
F
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
Sate of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION - .23 -6
DATE .I-N_S P,ECoT
UNDERFLOOR 15-- /
,([ ryDATE N TOR
FRAME -/ zr-./ V
7T rl� N O R
LAT PLASTER 66 _
/IAATE INS TOR
FINAL 'Z �0 0
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
r — �DA T� INSPECTOR
ROUGH WIRING l� -
INSPECTOR
FINISH WIRING / �V�TI�
a /DAT INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
DATE INSPECTOR
FINAL
DATE L INSPECTOR
PLUMBING & GAS
UNDERGROUND
D♦ E SPECTOR
PARTIAL ROUGH
T SPECTOR
ROUGH COMPLETE
DATE SPECTOR
MAIN DRAIN �a
ATE SPECTOR
GAS PIPING
ATE INSPECTOR
FINAL .�v'3�
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DOTE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC '
DATE ( INSPECTOR
I
MISC
;ATE ECTOR
MISC
DATE INSPECTOR
YI
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... ...................... 1911... Building Permit No.
The Building Located at Ja... ...... -4--,
C..................•,.. ............
Owned by Irdt.-A-10 L-79 3 )
... ....... ........................................ .........................................
Has Been (Com ).For Use A's.. ............ ..............................................
..... .. ...........
............................ ....... ............**................ .........*"**..........
....................;....................FG----a
.......................... .................. .... ..............................................
............................................................................................ .................... .........................
. . .........................................................................
102 1/63-500 BUILDING INSPECTOR
GAS SERVICE NOTICE OFFICI:
BUILDING INSPECTOR'S OFFICE COPY,
CITY OF CUPERTINP
`eJ y�
.................... ........ ........... 196VDr
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ...
At ......
New Service
No. of Meters ...L ............. Reconnect .......................
Move Service ..........
No. of Add. Meters .............. Move Meter ..........................
PL6 B NG INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. .'.
o. .-'. O r7l
...........................
2�Plumbing Final Plumbing Permit No. .......
Lot No. .
Owner or Tenant ..54,,-e.- c,�.9...................
At ------------------------------------------
Tract ------- ee�,41,14k ....e
............ ......
Date Connected .............................
Date Final ............................ 19.kl;.
........................
PLUMBING T
131NG INSPECTOR
111 12/66-IM
FICH COPY
ELECTRIC SERVICE NOTICE
CI BUILDING INSPECTOR'S OFFICE
CITY OF CU P E R T I NO
-- . . .. ...... ...... .. ........ 19E-
TO
You are hereby au o ize conn electrical service for
Owner or Tenant .................... .... ... electrical
.. ........
At ............ ................ ... .... ...... ... ...............................
I .... ...... Size of Switch
No. of Wires ...a................ Size of Wires
.I:Motor Load ...........................Voltage ............ ................... Phase .......................... ......
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters....... h New Service....... Reconnect...............
No.of Add.Meter;:::::::��:JHeat... 220.. �19! Wi ........ .... Move Service........._.
Power............... p ........... .. ove Meter..............
............. ...... ................. ................ . .........
ELECTRICAL INSPECTOR
u
ROUTE SLIP
File No,
Date Out
Date In
Location 3 9
Subject.
Notes X29_3
Approved' 2-Z3-6.�
Date Inspector
I
✓KNZLL (/I/LX /4 , LOT NO. 1�
NO. STREET'
1a/P OR PLUMBING PERMIT
® �i �.7Y CUPERTINO
Sanitary No.
Date /F 7 1968 i Permit N
I 115-111fl
nn V '/� Fee S
Appli4tiTYs t�by���elf(y of Cupertino fora permit to install plumbing
pipes and/or fixtures listed on tie rev, e 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 Premises ti • /— • x./
Owner erl5
By
CONTRACT,", AGENT
Phone 'S�zr =7'�p O -y
State License. - � O qr 5.:-2
G -a 77
Approved G[J�/
PLUMBING INSPECTOR 41
FIXTURES NUMBER MAIN DRAIN
UNITS 1 FEES UNITS FEES
Water heater / ° Size v; ^'
Water Closet I -R -0 11 Material C1.
Shower
1,4-6
To Prop. Line
Lavatories
-1.60
To Existing
Kitchen Sink
To Curb
Not Conn.
Dish Washer
Drinking Fountain
Sewer Box
Waste Disposal
Washing Machine
/ /-,)-d 11 Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink&'Cray
To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size / " I I d S-0 it
TOTAL
Mrea main
ii mn chain N ee c�
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee / oz
Relief Valve
Gas Fee i s2
11 Permit Fee I a o0
Total i /J. Total Fee 1 23 s_a