NO PERMIT NUMBERLot Noy J
No. Street r.%
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 196 9
Application is hereby made for a permit to
a
to be occupied only as - --1y
Sanitary No. G YJo 6,c
File No. '01Of'
story, Type .S Z ✓
in accordance with PlFt plan, Plans and Specification filed herewith,
Estimated Value of Improvements S '0 p 6 d O
7
FEES S' -�D �• � /� � Plan Check S
Owner l 1��w J � 00110- -a Address as!a i
Contr.
Address
Phone 94 s*- 74' State License(�/, Jr
-
Approved �
APPLICATION FOR ELECTRICAL PERMIT
3 5—
Date /dl 196 FEES �3�l
Contr. �/ /C� �("�-aie�-a-.ci Address
Phone _ a2 �' �' - O �- Z.{/ State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date //'� 196 GAS FEES (1? �u-
PLUMBING FEE t qq5 - j -V
Contr. Address 9 c t-s7 f
Phone�� �^/ �.7 State License
�^^^�Approved
APPLICATION FOR APPLIANCE PERMIT
Data 5 L 1% 9 FEES Z,s, 7S
Contr. �'T�-=-✓ a
Phone -9' O S / (e
Address a 3-rp .S`✓
State License
Approved-�''•-'--�V
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS Y
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
AT & PLASTER
GRADING FINAL
FINAL BIrD G
rLIGTF
BUILDING
INSPECTOR
ELECTRICAL
INSPECTOR
nw
MISC.
UNDE G 0 D ROUGH
'� 0
ROUGH WIRING
FINISHED WIRING
O
FIXTURES
MOTORS
FINAL..
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. 2
FINAL GAS %
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
nATF INSPECTOR
MISC
MISC
MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
rcet^ Q f I G _pq
Date............................... 19...l..0
The Buildh
Owned by
Has Been
Permit No...Mv.l /
(Completed) For Use As: /.-'�/— '
(Alt ......./......
.......................................... ........ ......................
........... �� o?--�-:....
C. , LDING INSPECTOR
Inter -Dept. Route Slip
File # �T/U . Subject
Requested by
Date Remar
,Chief Building Building Inspector Date
ROUTE SLIP
File No.
Date3—/7 - 70
Location E-G ?IC.oe p
L e T 34 r-ox-L
Subject L gg��,ry e t
Note
Approved -/ 7- 74/` k
Date or
I OFFICE COPY
ELECTRIC SERVICE NOTICE
31 BUILDING INSPECTOR'S OFFICE
CITY 01" CUPERTINO
....... ...... 196
You aWereby author��to conn ct clectri service for
0 j .
wner or Tenant ...... ....
At......... ........ .... ...... ...
No. of Wires ........................ Size of Wires ............... ..... . Size of Switc
Motor Load .......................... Voltage .. . . ..... .................. Phase ........ .......... _ . ..
HeatingLoad ........................ K. W . ........................ ......... Volta - ............................ .
'2, Light................ .,,
No. of Meters .................... I 10 Senlice ..... .-O.Reconncct ....... . ........
No. of Add. Meters............
Heat ................ :�Th
Three
Power .......... TreeMP. LCTPCL RcTOR
�-6 t 33 GAS SERVICE NOTICE °OPY�
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
i
.......:..... .. ^7...-... .....................ram-....
.To
You are hereby authorized to connect the GAS service for
Owner or Tenant . 75klC �...l..i... ........ C.�..............................................
At .... /03.f.l.......... �....... R/tl?.Q... ........W.fly.....:.................../...............
New Service ......X.............
No. of Meters ........... Reconnect .............................
Move Service ................:......
No. of Add. Meters .............. Move er ........................
..................
PLUMBING INSPECTOR
2-0-r 33
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Sewer Connection Sanitary Permit No. 6�S
Plumbing Final Plumbing Permit
CC FLOW DEVIiC 7 ..
Lot No. ......»..................
Owneror Tenant .... J ............................................... r..�.................... ............
At.....�U.r� �.�.j..1-.....: .U. '.-Yl.y..._.................................. ...........
Tract .. f rtit......1.l.�viUN� J .. /�:NC-fJb
/....�j..... ..............................................................
Date Connected .... ��..-'.. Y..--....: i..:.......................................... 19............
Date Final
CITY OF CUP jfRTINO
10300 i'�orre Ue.
CORRECTION NOTICE Department
Job Located at �.6..�rq....EL 7'RA00 U/7
-- ---------------
OF.... Gr- �s.... --------------------------------------------
---------
f!Z' LAG .116i1.?�7Z ......................
z ID..-..V.t,'" LV-.-M.....SiEC... ......
0o Wog-K-S...... - ----- I ------------------
N UNIT
... ... .......
You ar hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: .(9...--Z-7--1------------
City Telephone Inspector: .. .i... V................
�i
CITY OF CUPfRTINO
1030016rre"Ave.
CORRECTION NOTICE
yrvt 81NG ..........
ClfiZA C
Department
Job Located at -f o359-_EL lfp-p_-why__.._.
"`r fAr2. NEB!'Q --'-----------------
_.......... _-------------------- --------- ...... .:..........................
....
. ............. - -- --..................... .................
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: 2:. .Z..7...7U.....----
City Telephone Inspector: ..............
r
rGi
ROUTE SLIP
File No.SX6W.1
Date
Location
SubjectW-s
Notes
Approved 9-/Q59-
Date Inspector
1o� CO:�?hpdo Wes!
3
NJO.�/STREET LOT NO. .--
VL I FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
0CT ?9 1969 _
Date 19 _ Permit No. tie,
CITY OF CUP, TII�O FCe S
Application is here y ma e to the City of Cupertino for a permit to instafFelectrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with rile provisions of the Electrical Code of the
City of CupertiffR'—mQall other laws applicable thereto.
of
BY Addr
ENT APP16v G
[ CONTRACTOR, AGENT
Phone: 31-1i4o a I — EELLECTRIEjL rNSPECrM
�1 State License: yd/ 6() \
ITEM I NEW JRPL EPEES
Number
Number of
Size of
/0 3J '] Co (//'� LOT NO. 3-3
NO. STREET
Pki� 9N FOR APPLIANCE PERMIT
a CITY OF CUPERTINO
Y 0
0 <lvates 0' '�' 196.� Permit No. S i ev
t1n(�,�(� Fee $ 0 p V LI12� ° ��{� I y IrmT}e to the Cityof Cupertino for a permit to
°o .c C� \ s ga pliances as listed on the reverse side hereof, and agrees to
iN Install said appliances in accordance with the provisions of the Plumbing
= Code of the City of upertino, and all other laws applicable thereto.
Use of Premises
00 lYYJ
> I OwnerC2 � . ( �'.n ,._ ✓" Address ; +e a eL(�
04
z By— r Address Z04�.-V'��
° CONTRACTOR, AGENT
— m Phone
uz
a qI State License i3 7 ?° 3 Approved /
�— PLUMBING INSPECTOR 1/
Type of Appliance
Units Fees
Remarks (Check V)
New
Replace
Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
ao
✓
Cas Fired Boilers
Warming Ovens
Percolators
Gnadle
Steam Tables
Gravi • Furnaces
_
Suspended Unit
Floor Furnace
Miscellaneous
(NAME TYPE)
Lf
L tl.�
eu
'
L
w
Appliance Fees
Z✓'
LOT NO, 0-3
NO. S
1 FO LUMBING PERMIT
N'
,Z z OF CUPFRTINO
r o 30 69 11144411A11111���EE&"' Sanitary No.
MLL .1
3 a Date 19647 Permit No 5099�j
LL y �UpERTINO .Fee.pl��m
LL w AI.DIIt on ' `here y made to the City of Cupertino for a Permit to install plumbing
o a Pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i m` and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other applicable thereto.
a ~ Use of Prem' J 4
i- 3 Owner E,2>� �! _�E w Addres�Z:G0,
i J C /J i d n _ //
rw rd Address
o Byl
3 F ,C�ONT �OR, �AGENT
— m Phone
w z
W W K a State License, 9�
Approveda o
- L) PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
_
Fees
Water Heater
-XOZ
Size
Water Closet .r
Materral
Bath Tub
To Curb
Shower Z
To Pro . Line
Lavatories
770
To Existin
'tchen 2
.OU
of Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
.OA
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
I Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
700
Area Drain
Main Drain Fee
Water Leader
tom Drain Fee
Sprinkler System
Water Sys. Fee
,
Relief VnIve
Gas Fec(JZ&i
od
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
•�
Total
Total Fee
" LOT NO.
NO. 0 T
N Q
f N FOR BUILDING PERMIT
D ..
LL g 9 �TI, OF CUPF.RTINO J�Bp
9 C D a ISEP 1 6 5.,mtar, rrn. C
3U
W Date 196_ Permit No. 9i. /
CIT* pl ��[[ ion ' (���rp[ e or a permit to
a
i N a story, Type Building
to be occupied only as in accordance with
0 o Plans, Specifications and Plot -Plan fileeKerewith. P1 Ok Fee
i- 3t Estimated Value of Improvements, $ 4 10 066 dJ . Fee S 10 r Sa
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City,of
2 o Cupertino w II be complied with. /p� � 1
a C 1%ZLO4r Addres's'Z Z S CG S — y Owner
T
a a By ! ",/'�9� Address
<� PhoneT�� CF 7 Approved
f�j State LicensezG e BtyL.DING INSPECT