51187b
Lot No.a r
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO f
File No.
Sanitary No. -S--rcq O
Dote 196
Application is hereby made for a permit to
to be occupied only as
in
Estimated Value of Improvements
FEE$ a
Owner __OCW.i Q^.O }/
Contr.
a — ?, story, Type
Plan, Plans and Specification filed herewith,
isr
Plan Check $
Address 92X5 X_ tea. cst4iw
Address
Phone a sti —" X—'9' State License -I/.IQ—�/ r/ 0
Cis/ /:. '
Approved i w.I e r //
APPLICATION FOR ELECTRICAL PERMIT
Date 196
Contr. e -/<J
Phone - ;z ,-/
FEE$ - a"6
r0 1
Address — 12-'�� A,,- `,
State License L L 2—
Approved Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date '�,L9 196 IF GAS FEE $ (/_ate
PLUMBING FEE $ a ,S"t1
Contr. _ � ✓ l _ Address — 1-2,3 ` >J 9
Phone — -Z -7 S 'x.313 State License If 6 \S_7r9
Approved WILLIANI .D. SEWIVICH
S�/ APP,LICATION FOR APPLIANCE PERMIT 3�
Date S 196 i FEE$ A f
Contr. Address
Phone 3 —U 3 State License 6 �
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION PR VALS
DATE
\
r S g��
INSPECTOR
BUILDING
o,4 y, Irl �
SPECTOR
'SPECTOR
/Q /y
L —(P
'
FOUNDATION o d
DATE
DATE
5-7—,Cr
INS TOF
UNDERFLOOR
v �(,.o
DATE
6 I y-4
INS E TOR
FRAME Z
INSPECTOR
DATE
IN 9P R
ATH PLASTER
L
IN9 TOR
FINISH WIRING
^DAT
FINAL D!
DATE
INSPECTOR
DATE
INSPECTOR
ELECTRICAL
ELECT. SERVICE
INSPECTED _
MISC
MISC
DATE INSPECTOR
APPLIANCE
r
DATE
DATE
DATE
DATE y
I t
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
DATE
:RGROUND
INSPECTOR
UNDERGROUND
SPECTOR
'SPECTOR
DATE
;H COMPLETE
DATE
D TE
INSPECTOR
/W_
v �(,.o
DRAIN /D'
ROUGH WIRING
INSPECTOR
PIPING Y
(') DAa---
yV
DA E
L
INSPECTOR
FINISH WIRING
INSPECTOR
DATE
INSPECTOR
-�/J—OAT
�
INSPECTOR
FIXTURES
INSPECTOR
MOTORS
DAT
INSPECTOR
FINAL
DATE
INSPECTOR
o_,oe�-��
PLUMB & GAS
INSPECTED _
MISC
MISC
DATE INSPECTOR
APPLIANCE
r
DATE
DATE
DATE
DATE y
I t
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
:RGROUND
'IAL ROUGH L✓�J'
SPECTOR
'SPECTOR
DATE
;H COMPLETE
D TE
SPECTOR
DRAIN /D'
D TES/
INSPECTOR
PIPING Y
(') DAa---
yV
INSPECTOR
L
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED _
MISC
MISC
DATE INSPECTOR
APPLIANCE
r
DATE
DATE
DATE
DATE y
I t
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
ROUTE SLIP
File No. -.,r / • t
C Date
Locations O
Subject
Notes
CERTIFICATE 'OF COMPLETION
BUILDING INSPECTOR'S OFFICE
�j CITY OF CUPERTINO
Date ......0...�. ..�~..�................... 19..R.. ...... Building Permit No.Y
�(� ----
The BuildingLocated at ..1--.7.-........dS%'�n1...:!'.:".:'�.0..............
�.............
Owned by .... .......... 1/.. `.u` `.....................(............ <(!� -... QJ...�.....4.............
Has Been (C(.omle ) For Use As: ......S1. ---f:.,'......................................................
.................... ........................................... :....... .................................. .........................................
.................................................................................................................................I..........
............................................................................... .......y./! '...................
_......-.........._.... .. ................................
BUILDING INSPECTOR
102 12/66-1M,
To
You are hereby
GAS- SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OF1710E COPY
CITY OF CUPERT17. (
........ In I 1 11 ** _,, `0.................
0.. .. . ....... 19k.
Owner or Te L
A, ........ 1............
No. of Meters ......_L..........
No. of Add. Meters ..............
GAS service for
AAj0-,tK
..........
New Service ..........................
Reconnect ..............................
Mov Service -- ...................
M b Meter ................. — ......
PLUMBING 0 I ECT
F ICE COP
000000 ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN
......................_.f.....L..p...._......, 19C.
To
You are hereby autho ze t^neer el ctrical service for
Owner or Tenant ....
At ...
..... ._ ... ........ .. ......."....,._..._........_.........._ ....
...a �: .:.
No. of Wires .....Z ............. Size of Wires -Size of Switch
Motor Load .......................... Voltage ..................... Phase .................. ..........
HeatingLoad ........................ K.W......... ................ ......... Voltage ................................
Light...._.,10..../New Service.._./._��. Reconnect. .................
No of Meters.................. ,
Heat ................. 220....../.` I W .... .._ Move Service..........
. of Add. Meters............
O Power......'........ _y�V�//gee�ee Pt(ye.....:... ��. Move Meter ......
, / e .l.l A
........... N.1 -,..V .... \........ _........... .......r -
ELECTRICAL INSPECTOR-(
Bldg.
)dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No.
...........................
� Plumbing Final Plumbing Permit No.
Lot No . ........
. ....................
Owner or Tenant ........ V...
At..........
Tract..............................
Date Connected ........................................... .
.....................
Date Final ....................................-.......k.:: - - 9 .... . . -I /
--T -...... % ..... .........
PLUMBING INSPECTOR
III 7/63 -IM
t�
3 7 e 'lX IYf!, LOT NO.
NO. STREET
�JJ
e ) A_P_PL•ICAT 1 N F,0R BUILDING PERMIT
CITY OF'CUPERTINO
r IAP [1 sg � Sanitary No. ri-A 0
)ate �'" 196A Permit No.
Application is hei
a story,
Building
to be occupied only as in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee odkl "
BO
Estimated Value of Improvements, S 9 DOO. . Fee $ g . 0 d
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 he Clty of
Cupertino will --b//eje complied�� with. /Y/�j`,'/bn"�r/7
Ow ne /w[-(/GQ�� Address -;Io
By �� Addre r
Phones -2—^` /9
02CIE3 ApprovePILLIAM D. 13ENEVICH
State License / � / BUILDING INSPECTOR
L''�7�I ril "a�C�//�—� ^�E!! F COT NO.
NO. I- WREEI
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
o � L ��� Sanitary Nao.
. SS34
Date APR 9 1968
u i Penna Nr e $ �� z
3
10 0
° Application is hereby made to the City of Cupertino for a permit to install plumbing
`o a pipes �rnd fc�r fi�Ur es((.��St���<yy��-tfie`t verse side hereof, and agrees to install said prices
> and/on textures-in actE)rdint�el"' V11 the provisions of the Plumbing Code of the City of
a w Cupertino, and all other aws applicable thereto.
w x '
� r
LLUse of Premises
0 0 �1
3 Owner A—drdresss/
O J
z Iiy�s�i�L QL�iivh(iitllC/ Address
° CONTRACTOR, AGENT
-0 Phone
w z
f State License. ��GS %9 Approved Vr.LL::0.7 D.
ao
0 PLUMBING INSPECTOR �/
FIXTURES NUMBER MAIN DRAIN
UNITSFEES UNITS FEFS
Water Ileater Size
Water Closet Material /.
Bath Tub To Curb
Shower / To Pion. Line
Sewer Box
Water
Bar Sink
To �i\1ain Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinkin Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
fixture Fee
Area Brain
I Main Drain Fee Ljr�
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee 1-67
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee aL
Total /
Total Fee ere .sv