51073 01
27A tC� Lot No. '/'
t —v(I]f
No. Sere
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO 2
File No. .37o7a
Sanitary No. SDI t
Date _l196
A Uca tion is hereby made for a permit to }�
a �T story YPe S Z
accord ce ✓
to be occupied only os
in with Plot Plan, Pllan and�Sppeec�ification filed h wit
JEstimated Value of Improvements s Q0-d/ 0=
FEES 3.w" Plan Check $
Owner Address 2 Z'YO,*
Contr, Address _
PhoneaS- 3— �7/^� State License .T
Approved �(
APPLICATION FOR ELECTRICAL PERMIT
Date S 196 7 FEES --- o? .J
Contr. i � I r� Address /d
Phone r9S State License L X Y! I ,7
Approved ��-
APPLICATION FOR PLUMBING & GAS PERMIT
Do to 196 GAS FEE $
PLUMBING FEE $ ra
Contr. r Address
Phone �s3^�OSZ State License
Approved
PR ICATION FOR APPLIANCE PERMIT'
Date 6 FEE$
Contr. - Address if
Phage Va � 3 ' '7e Stale License•.
Approved,-
Applicants agree not to violate any of the
Workman's Compensation Laws of the .,
State of California
RECORD OF INSPECTION APPROVALS, ,
FOUNDATION —t,17 BUILDING
Do _ pector
UNDERFLOOR
FRAME 16-- /ZDa%e4r e�
LATH PLASTER 8ate(d 6 7 am r pa
FINAL q O ZL
Insoactor
ELECTRICAL
,OUTLETS
SERVICES E
SWITCHES. UNDERGROUND
DInspector
RECEPTACLES ROUGH WIRING
'0
-�t - Inspector
FIXTURES FINISH WIRING
D e Inspector
H.P. CHARGE FIXTURES
D '^ Inspectors
PERMIT FEE Motors
ra; Inspector
TOTAL FEES FINAL �V
Dote Inspector
PLUMBING & GAS
MAIN DRAIN SIZE - MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH —
note n )or
MAIN DRAIN FEE ROUGH COMPLETE 1$ 9
yd
a d r
STORM DRAIN FEE MAIN DRAIN / !r
WATER SYSTEM FEE GASP I P I N G or
D a pact:;
GAS PIPING FEE - FINAL 3 -( e
Data Inspector
PERMIT FEE MISC
Date nspactor
TOTAL FEE I 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 -- TcO.T�AL FF �E�
INSPECTED - ✓! 2,-6 orDo to Inspector
CERTIFICATE Of COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......6..-.........z.(
.. ... ...................... Building Permit No. PPZ,�
17 'A -
...... . ....... ........
k 141
The Building Located at ... C /0 ..............................
'A
.................. ...........I.......
Owned by ..........�W��... .... ...........
Has Been (Completed)
For Use A.. ........................
(Altered) .. ...................................................
..
.................................................................................................................................................
. ........... ......................................................................................................................................
....................................................................................- ............
CAW z
...................................... ..............................
BUILDING INSPECTOR
102 12/66.1M
OFFICE COPY
ELECTRIC ,SEPVJCE NOTICE
BUILDING INSPECTOR'S OFFICE
ca-t CITY 017 CUPERTINO
TO
You are hcrLaulloriz d tine e ctrical servic for
'c" "ervc
at ...... ......
Owner or Tenant ... .. .. .....
At
Size
No. of Wires --Z ......... Size o ircfi-'4Y Size of Switch
Motor Load .......................... Voltage ................................ Phase ......... ... .......... ...
HeatingLoad ........ ............... K. W. ........_..................._--- Voltage ---..... ........
Light._.. New Reconnect......
No. of Meters.......'...._..._.
No. of Add. Meter Heat................. 210 Thr A wire...... Move Service
Meters............
Power...............
Th Ph'. �2w... Mo
LECT'C" 'N" ;oti
TEMPORARY RLE.CTRICAL SERVICE
4ty
DATE: ..... �............................... Fee: ..�..........................
OWNER: ....... J . T
.. ...... .. .
<...........................................
.. .... ........ ........
.. ......... . ......
LOT: ......................... ).....................
REAWY...�F....Ctle.E.R'T' N-0
The undersigned agrees to be responsible for the electrical service at the above location'
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino. Phone .....e?.J—Y— P?
..... .
... .......................
...... ..... . ......
................................................................... ...ATE �A`N-T..OR.0. ER. ... ..........
116 1/63.500
INSPECTOR NT OR 0
TEMPORAX,Y, CPAS SERVICE
DATE: ....... ............................. Fee: .. ........................
E .. ... ... .. . .......... xc.
.............................. .........
A : 1 0// ff-r—
.....................................
V,FE 7 ... .. . .. ..... ... ..
LO : ............... P
................... ....... .. .... ..............................
CRTs OF CUPERTINO
, ON: ........................................................................................
The undersigned agrees to be responsible for the gas service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino. Phone --- S—j- 'q 9
...............................................
nn
INSPW11OR TENANT"
NT0R'0,' 'ER'*...
117 1/63.500
'.,.ROUTE SLI P
File No . io>7�j7
Date Out
Date In .
Subject .� 7�
Notes
Approved
Date -•Inspe for
V�/'0 / O KA�sl� i. LOT NO.
NO. ST 'T
` AQLI TION FOR BUILDING PERMIT
= a
r o CUPE.RTINO I0Q58111tar\' I��U.S/a 73Date Mor
6_ Permit No.
ro
o Application is hereby made for a permit to
aN a �,fstot� � Building
W
to be occupied only as _ a�prd� with
20 ?laps, Specifications and Plot- n filed herewith. P1 Ck Fee G
�
"; Estimated Value of Improvements, 8Qdd ew Fee$ Q3 s_o
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
J O Cupertino will be complied with.
3 N Owner k/'hRIt IV4S da /fi✓ I/K Add, a S ,69.0 us Rc1. �i/'L Rrny
W Z
W a By. T� OW NGR( /,IX Add-6:4 44
l'1
<u Phone X aS3 — 4'79 9 Approv
/� State Licens U11 DING INSPPCTOR
FI" /