51181 Lot No. / O
No. Street ` /.L 15--;A 1
APPLICATION FOR BUILDING PERMIT /
CITY OF CUPERTINO
File No.5I1 n.
Sanitary No. -S
Date 196J
Application is hereby made for a permit to T
Ore Gr a story. Type 5---
to
to be occupied only as 5 D L 6V
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ .260�� L
FEES - `.!/Rep
pL Plan Check $
Owner —_ /7-V � l/�ra h'e Address a2 Is- /s)p /k rry a+ s'C
Contr. �-p Address
Phone � ��J tr State License 15-1771
Approved (UN 4&.4,4 I
APPLICATION FOR ELECTRICAL PERMIT
Date 196 a FEES a (�
Contr. ` Address 114 J— �S `-' 'o
Phone "2 / 0d State License
i
Approved WILLIAl14 n. R^w:¢ce reser•
APPLICATION FOR PLUMBING & GAS PERMIT
azo
Dote .� 196 � GAS FEE $
�LJ PLUMBING FEE $
Cont,. Pte/ Address /�'L6 a 7,(-G U i
Phone °"e7 '-s- _P ko '3 State License�--
Approved
APPLICATION FOR APPLIANCE PERMIT
2 —b
Date Z 1% �' FEES /f /d'�S
Contr. '/ "'" 'ate L Address
Phone n? 0'9 X State License `7�`2'G 2 --
i
1's.. Approved
Applicants agree not to violate any of the -
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUND AT7o BU LDING
ns pe
UNDERFLOOR 2-6
ate n
FRAME Inspect
o �6 A
LATH 8 PLASTER
?3c—d If Ins pe
Z Dat s .tor
FINAL
Date Ins De ctor
ELECTRICAL
,OUTLETS
SERVICE SI
SWITCHES UNDERGROUND
•' Inspector
RECEPTACLES ROUGH WIRING a
S DO y Inspector
FIXTURES FINISH WIRING / -!
Da Inspector
H.P. CHARGE FIXTURES ' 'Ll
Date Inspector
. PERMIT FEE Motors --- �
(( DatInspector
TOTAL FEES FINAL d
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE l(AAA -
TOTAL
FIXTURES UNDE gklW-
/ S
FIXTURE FEE PARTIAL ROUG '�-
to ns c
MAIN DRAIN FEE ROUGH COMPLETES S'
Doe s
STORM DRAIN FEE MAIN DRAIN -
Dyt
WATER SYSTEM FEE GAS PI PING..J -o�I��6
D to
GAS PIPING FEE FINAL - 3'G
ikP.ct.,Date
PERMIT FEE MISC
Date Inspector
TOTAL FEE _ MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC '
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL F
INSPECTED -�
• Dat Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..J A2...I......................... 1q..6:f... Building Permit No.,�
...................
The Building Located at JAILK........ ...........................
Owned by .... .......ck-IuLe.....................(
...............
Has Been (Completed) For Use As: ...... ...........................................
(-Altered)
............................... .......................................................... ...............................
......................... . ...........L..kAA4
............ ...............................
...................................................................i.....................i��...................
...................I.....................................................
BUILDING INSPECTOR
1021/63-500
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
�0 CITY OF CUPERTINO
......................
..? .........--...... 196.?
0
You are hereby authorized to connect the GAS service for
Owner or Tenant
At aF.,e
.................... ..........
New Set-vice
............... .......
No. of Meters ... ............ Reconnect ..............................
Move Service --...................
No. of Add. Meters .............. Move Meter ..........................
PL MBING INSPECTOR*
Bldg.-Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No.
...I. ......................
dumbing Final Plumbing Permit No. .151-1 ......
Lot No. .....i�6...................
Owner or Tenant ..........................
At
-----------------------*------------------*------------------
Tract ..........
Date Connected .......................
..................................
Date Final .............................
PLUMBING INSPECTOR
111 12/66-1M
OFFX9 COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are hereby a ho ize t nne electrical service for
Owner or Tenant ............ .. ....../...
At .....IGQ1. � -. ...........
... :.. .................................
............. . ............ n
No. of Wires ....:................... Size of Wires ....�..... ..... Size of Switcl�p0.6......
Motor Load .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W�. .................................. Voltage .........................:......
LighL.... 110............ New Service...�.1 Reconnect..................
No. of Meters....................
Heat................. 220.. Wi .. .......... ove Service............
No.of Add.Meters............
Power............... Ph e........... . Move Meter..............
.. .................... ..............................
ELECTRICAL INSPECTOR
LOTNO.
NO. STREET /
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No,
Date O ' ,973 Fee 3
Application ishereby,made to the City of Cupertino for a permit to install gas
appliances as listed on 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 o! J/i ,„VWore
k To ee
Premises �// (�/ Performd
Owner / ` ,^/�7�'V Address
Phone � i �y
eY Address '02 2 c.
Contrgg��tor,Agent
Z
Phone-.. �` Zk Z °
State License Qy72i Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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��O /G I ✓/� LOT NO.
NO. S
®'
/iia PLUMBING PERMIT
z d CI UPERTINO
xIFEB 27 1968 Sanitary No.
0
0 a Date 196 Permit No
CIT OF RT1
w LL COPE
h C. � Pee $ .� • S o
� o
Application is hereby made tote I y E Cupertino for a permit to install plumbing
o w 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
Ln
Cupertino, and all other laws applicable thereto.
w I _
� r
LL Use of Premises
00
0 3 OwnerAddress5A
zJ o a
z B �• Address ,P h '{
3 o y CONTRA C R, AGENT `•�
— 0 Phone 9�' dT o0
w z
ao State License 17?-3"9,51A Approved- /e
U PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater O Size Pd
Water Closet 3 ' Material C•Z -
Bath Tub /.S o To Curb
Shower /-5-0 To Prop. Line
Lavatories 3-00 To Existing
Kitchen Sink / 1-, -e Not Conn.
Dish Washer -c- Sewer Box
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine / So Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinkin Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material 6,4pv.
Sand Trap TOTAL FEES
Urinal Fixture Fee r
Area Drain Main Drain Fee J- O-0
Water Leader Storm Drain Fee
Sprinkler Valve Water Sys.Fee / 5-0
Relief Valve Gas Fee 5-0
Vac Breaker
Skimmer
Filter
Permit Fee 3 "�
Total / ,S u Total Fee SV