NO PERMIT NUMBER0/ %/ I .. ' .. . Lot No.
No. Street/
APPLICATION FOR BUILDING PERMIT !\ Q bJ
CITY OF CUPERTINO
File No. V //%/
Sanitary No.-�rI / �/
Date %6 196 _./7
to be occupied only as
is hereby made for a permit to
a 77' /_ story, Type
in actor&hce with plot plan, plans and Specification filed herewith„
Estimated Value of Improvements
FEE$ % O O
• /.��IC.K-.t.aJ Owner ✓��s+t-�✓
Contr.
Phone .3 SY► e2/i��i
s .2.S700o U—t
Plan Check $ '99
Address 4C70 0 �V �
Address /
State Licensee 2-2- Z 3 2' y
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date Y7� � 196 -7
Contr. S
Phone t�3 % ' 0 % >-�0
FEE$ ///// 5' /s
Address 7�� x4 3
State License r/1.2-00 G gV
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Data h 196
Contr.
Phone a u .1' 2._3
GAS FEE $
PLUMBING FEE $ 073, S-0
Address
State License /rGS g
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% - r % FEE$ ��3�
LL �� ��
Contr. ;—xxrAddress 8� ��+'+-s��✓ �"i �`7y�
Phone
3,%, j L 3 stare License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING `Tr-,>U
FOUNDATION
DATE SPECTOR
UNDERFLOOR - l6
DATEINSPECTO
FRAME -5 6
DATE INSPECTOR
LATH & PLASTER
- DATE INS OR
FINAL 6
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
UNDERGROUND -
ROUGH WIRING -
FINISH WIRING -
FIXTURES
MOTORS
.FINAL
Ida W -
PLUMBING & GAS
:RGROUND
DATE
CTOR
'IAL ROUGH
/
- G
DATE
INSPE T
�H COMPLETE
V
o 7
DATE
PECTOR
DRAIN
DA
INSPECTOR
1IPING
♦tg
- 6OO[[YY
INSPE R
L
DATE
INSPECTOR
DATE
INSPECTOR
DATE INSPECTOR
e��2`• Tl���/-�-C7 PLIANCE1s:�C�a�b
INSPECTED 7 -
DATE INSPECTO
K
MISC
MISC
DATE
TE
INSPECTOR
INSPECTOR
INSPECTOR
No. Street
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO'
Sanitary No.
Lot No.
Date V-f �` , 196_ Permit No.,"
do
Q Fee $_
Application is hereby made to the City of Cupertino for a permit to install plumbing 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 Cupertino, and all other
laws applicable thereto. n
Use of Premises
Owner
By
Contractor, Agent
Phone Z+' �3 ' /
LState License��Or[AKC�Y..�Jt//
f
Address
Address
Approved OLAt
Plumbing Inspector
FIXTURES
NUMBER
MAW DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Pro . Line
Lavatories
To Existing
Kitche m
N t nn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
I To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
OV
Area Drain
Main Drain Fee
Water Leader
Storin Drain Fee
Sprinkler System
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total
Total Fee
ROUTE SLIP
File No. 7W 7 9-
Date 3 4— 6 ?
Location
Subject
Notes
Approved3`d�6� w
Date. Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... ...................................... MAX..- Building Permit Nor
The Building Located at ........ ..... . r--( .... ....
Ownedby ..... ...... ......................................... .. ................
(COMPI
Has Been (AUepo4TZ For Use As: .... ly. op .... : ...................... — -----------------
BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE' OFFICE,
copy
BUILDING INSPECTOR'S OFFICE
CITY OF` CUPERTINO
To
You are hereby, authorized to • co/n�neecctt the GAS service for
Owner or Tenant ._.. .................... ....`r."!i!.c+................ ........... :.:r
......
At........ /.o...C..7:f......
.:....k�.¢c......�C-°a....,.........:...........................
New Service ................. :........
No. of Meters ....�............... Reconnect '.............................
Move Service :...................... '
No, of Add. Meters .............. Move
Meter ...............'......... .
IOYy/L%�"
........................ ....... ........................................
........
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO ewer Connection Sanitary Permit No. ..J~...t<../..ccyy
7....---
ffT'�Plumbing Final Plumbing Permit No..J..�...�./7 9 ..........
LotNo - ---------------- /-----------
Owr
At
Trac
Date Connected ---------w. . 6.L. ... 19............
DateFinal ........................ ...... -......-......... ........................ -�........... ..........E. 19............
PLUMBING INSPECTOR
111 12/66-1M
OFFICE COPY
1
To
You are
Owner or Tenant
At ...._�...C�..L�
No. of Wires .....
Motor Load
Heating Load
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO �/
-1..... ......_.......... J. �..., W............... 19. --
I�... ✓........ Size of Switch .�.b.th..
......................... Voltage .............. :................. Phase ............... ...................
........................ K. W . .................................. Voltage ................................
Light.... .. I
No, of Meters.......I......
Heat ................. 2
No. of Add. Meters............
Power ...............
ELECTRICAL
Reconnect ..................
Move Service............
Move Meter ..............
104 7/63-500
i
'<ROUTF. SLIP
File No: Is
Date 7�—
Date Out /0 6
Date In o
Location
Subject.
Notes oZd�i
Approved a . f— 7
Date Inspector
i
�p3 10171 I DeeProse Place,,Cupertino
•' No. STREET
N <
J Z
J 0
3�
a
- N
W Z
WW
�U
W
i3-ty
LOT NO. 1
(,2 Jf 76 )
APP�IGATIOj1 FOR BUILDING PERMIT
Tflo
CITYOFCUPERTINO
Sanitary No.Date CT 7 3 19fiZ, Permit No. s11 :Z 9
Application is hereby made for a permit to Build
a oneClTY stb'ry TfoUPERT1111 Building
to be occupied only as St n gl o Fnmi ly
in accordance with Plans, Specifications and -Plot -Plan filed herewith. 33qq ppqq
Fees 7g• D0 FPlan ee
Estimated Value of Improvements, s 25. 000. 00 yy'7I� ((ll P� 1
It is hereby agreed that the requirements of the Cupertino Building JZonllrg Urdinpaoe s and
all other laws applicable to the construction, lucatiop, and use of buildings within the City of
Cupertino will be complied with.
Address 15700 Winchester Blvd.
Address Los Gatos
Approve
BUILDING INSPECTOR
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
Adwk
DATE.
INSPECTOR
NO. STRr: LOT NO.
N Q
o AlltP IC TIC{Q -,FOR ELECTRICAL PERMIT
< `a J 11 OF CUPERTINO
W u
oW Date- IryJ Permit No. S / 7
< pp p p�
a w ApjjTUfio,0FhegAy RERVN'bZity of Cupertino for a permit to install electrical
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordanro with the provisions of the Electriral Code of the
; City of Cupertino, and all other !aws applicable thereto.
ZJ
Use of Premises IZc-FJ-a-,-�C1z/
J Z
J O
3 a Owner a.AddrAICA,
N
W n BY r _ AddrS
Q O CONTRACTOR, AGENT
- U Phone: d Q ��/� APPr
State License Z Z d d6/ U a t/
EW API, FEES
Size Service Conduit 7_ Number of Outlets
a7 "—
Size Service Wires -;t— Z Number of Switches
Size Service Switch /DJA Number of Receptacles y
Size Sub Feed Conduit — Number of Fixtures
Size Sub Feed Wires Ranges KW b'
Number of Circuits % Oven KW
Number of Meters / Panels Transformers
Signs
Misc. ere
^�
Motors IIP 6p - Phase /
2.00
61otors lip Phase
Motors HP Phase
Permit Fee
HP Charge
Total Fees
2•
J
W i
w Z
i 0
,0
¢ _
3a
W0
=o
W F
0
z )
<N
w
3� W
00
i�
ZJ
J
J 'O_
3 F
a
_ W
W
W W W
°ao,p
— U [I�
/G 1 7/ LOT NO. /
NR0.EET
APPPIctCgyp► IQN FOR APPLIANCE PERMIT
5 I OF CUPERTINO
Date" � � �1967 --, 16 Permit No.
/ p nFee•$ Z/ -5-0
C!TAfpp0ention/iliFiErR)TImIDc 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 Cupe no, and j�I1 other laws applicable thereto:
Use of Premises r `
Owner Address
By&ZeLzz , Mf �i%Zt-.
t
NTTRACTOR, AGENT
PhonStaten
Address. -���_(/`—�vwu. �*
Approved
PLUMBING INSPECEOR
Ae-/
Type of Appliance
Units Fees II
Remarks (Check J;
New I
Replace I Relocate
Gas Ranges I
I
II
I
I
Wall Heaters
Gas Piates I
I
II
I
i
Circulating Haters I
I
I
I
I
Blower Furnaces I
✓I.T,
a II
I
I
Gas Fired Boilers I
I
II
I
I
Warming (Teens
Percolators
Griddles
I
I
II I
Steam Tables
I
I
II
I I
Gravity Furnaces
I
I
II
I I
Suspended Unit
I
I
it
Floor Furnace
I
II
I
Miscellaneous
I
I
ii
I
(NAME TYPE)
69,
I /YI
3Sall
I
fir,::....
I
I � • o III
I
Appliance Fees
/,s
�—
Inspected and Approved
DATE INSPECTOR