NO PERMIT NUMBER .21 -3 Cr Lot No. s
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.t+('' 0001 .
e Sanitary No. ' `�
Date /- Z9 1969
FApplication is hereby made for a permit to
^' eirr'( * '. I a story, Type `T
to be occupied only as s F h Wi- -
in accordance with Plot Plan, Plans and Specification filed herewith,
1.
Est, ted Value of Improvements s -2O •
�J sV� t•
FEE$ Q Plan Check $
Owner � TL ' C✓4hC Address .22lj- .Aeto LLJt • .7 C.
Contr. �•. a Address t
Phone -2S'-Z ' I/SQ State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date Yl—I 196 tJyFEE$ 3.
Contr. CY"1.-tA-/ Address ^ y S
Phone b- � �'d 7U U State License
r
' Approved VALLWR I'1 norm-.........
AAPPPLIICATION FOR PLUMBING & GAS PERMIT
Date yL 7 196 c GAS FEE $
PLUMBING FEE $ r sZ
Contr. Address ,1'&^ `!'" / Y u' C LJ
Phone �7` o1-d 0 State License d--1� dp S�S -.+ s,
Approved -c/,�/ �
APP CATION FOR APPLIANCE PERMIT/ r.
Uata QrYQ 1196 � !'*'�' F E E$
Contr. k'�`�(t/�h �L�� Address /3 a - llzz '�^-�
Phone - " 7 U 9 3'X, State License 5`"Z(a
Approved WLUANI D. BENE'vtpH
Applicants agree not to violate any of the.
Workman's Compensation,Laws of the '
State of California
4:.
RECORD OF INSPECTION APPROVALS
FOUNDATION 11-4-r BUILDING
o r ry n pact."
UNDERFLOOR "— U' G
FRAME
!-DDl; Ins pecfor
D fa ns pecfor
AT & PLASTER b
' eta Ins e r
FINA6
c=lj4 Do t9 G-6 Ins Doctor Sell
ELECTRICAL
,OUTLETS
SERVICE SI
SWITCHES UNDERGROUND If
fe Spector
RECEPTACLES ROUGH WIRING . r
ate Ins actor
FIXTURES FINISH WIRING
Date Inspector
N.P. CHARGE FIXTURES '
Date Inspector
PERMIT FEE Motors �
ate Ins actor
TOTAL FEES FINAL �
Date Inspector
PLUMBING & GAS
"MAIN DRAIN SIZE MATERIAL
I STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH Do
Dote
MAIN DRAIN FEE ROUGH COMPLET
STORM DRAIN FEE MAIN DRAIN —�JD c or
_;Dot
p r'
WATER SYSTEM FEE GAS PIPING - O
D to or
GAS PIPING FEE FINAL — O
Date Inspector
PERMIT FEE MISC
Date nS paclor
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 /J TOTAL FEE
INSPECTED ^ 1/ —A0 —l<P .r
Dote Inspector
:ROJT2 SLIP
File No.
,Date Out ,2-11—.6P
Date In , ,2yq-6,V
Location Lo-Z
Subject . pad.... .
Notes
Approved
Date Inspector
Ct ' OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
1 �
96. .
To
You are hereby aut rized�t pone electrical
ctrical service for
Owner or nant .
. . .. ----- -- -- - ................ . ..
A ........ .. ........... ---
No. of Wires .......
......... Size of Wires ......... Size of Switch
Motor Load .......................... Voltage ...... ....... ...........- Phase .... ..... ........... ... ...
HeatingLoad ........................ K. W. . .. ....... .................... Voltage ..............................
No. of Meters..... I I ",
.. N7 I ......... econneLl......
Light ove Service..........
No. of Add. Hellt.:."� 220 TJ tre... ..
Power............... �ehas .... .. . . Move Meter..............
ELECTit!.CA....INSPECTOR.. '
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTI�O
jdy . ... . .......--,6 _47............ .............. 196.
You are hereby authorized to connect the GAS service for
Owner or Tenant ...... aew-�
..... . .. . .. ..... . ...
At Cem
New Service ..ems...............
No. of Meters ..../............. Reconnect
..............................
Move Service .....................
No. of Add. Meters .............. i Move Meter ..........................
4;PLUMBING INSPECTOR
• Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-� Sewer Connection Sanitary Permit No.,,:fll,—r.........
['Plumbing Final Plumbing Permit No. ------
It No. .....ti,15......................
Owner or Tenant ..a ../Iz.- ..7..........
At ... ........ .. .. ..............%�
Tract ............
.......................*------------------------- ..........
Date Connected ...................................... -4- 19.
....................... ......................
Date Final ......................................e�- "o, ... 19.
.. ........... ............... ................
.......j2� . .......................
'PLUMBING INSPECTOR
111 12/66-IM
a/-�13 / I �Zm Co� S _
LOT NO.
NO. STREET
P4 APPLICATION FOR APPLIANCE PERMIT
i ¢ CITY OF CUPERTINO
Y 0
; i D 1% Permit No.
Y V'ffU
W 4 Fee $ .Sw
° 1WP;ilioaliot9&•hp er yehiade to the City of Cupertino for a permit to
°o < install gas appliances as listed on the reverse side hereof, and agrees to
i is �+ i{{ all� ��pp [[�� ordance with the provisions of the Plumbing
m t+lCoe tiP.th8+�4� tino, and all other laws applicable thereto.
S �
Use of Premises
00
o ; Owner Address/4i/3�- /fy/
2J
Z By �7 Z4 19 S Address_
f
CONTILACTOA, AGENT
— m
Phone
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o0a WILLIAR7 \CVICFI ,
s State License A7017 9 -G'3-.,� Approved--- V/
4
- -U PLUMBING INSPECTOR
o [Ci y
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A �
77 �
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m
1 z/1- / LOT NO.
NO. STREET
APPLICATION FOR PLUMBING PERMIT
z M a CITY OF CUPERTINO
r o Sanitary No.
3 U D,tt 196 Permit No,...
Fee
w ° q� rq s6 je(e; 49 o- t [ City of Cupertino for a permit to install plumbing
o a pipe �i �fxturA.s l�@� on everse side hereof, and agrees to install said Prices
i and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cup r o a ill 1 Itws a glicable thereto.
I Y 0 .Ij60E TII�� /
w Use of Premises
o a
Owner_r—AXY 6 /u�7'Y7°P Addrese�Z-�-? — F//�7 L 7`•
ZJ l
By Address
CONTRA OA, AGENT
3 r
— 0 Phone
w Z
a State htte License /90���� �"�� ApprovedwlLLIAM D. S=NEVICH
0 s
Qi— PLUMBING INSPECTOR V
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LOT NO.
NO.
NO. STREET
w 2 APPLICATION FOR BUILDING PERMIT
f �
0 °
OF CUPF:RTINO
3 < ® Sanitary No.
U
i LL
Dat e` v 6. tI2 Permit No.�
° J J.�
`o Application is hereby made For a permit to oN r 1 �=
a
QN a Cl+f� nrctoli I'fjD�rPo O ����2uwll Building
w �jTT—Q1`
to be occupied only as in accordance with
a
0 o Plans, Specifications and Plot-Plan filed herewith. Pi Ck Fee
r "; Estimated Value of Improvements, $ —.Vv of 009 Pee$
i J 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
d 0 Cupertino will be mmpl}u 'th.
3Q
_ a Owner Fg Address01
w Z
Wa By - 'SSS
a
o Phone 7 m/ b 3 � {off
{r 1yT^ Approv, Loh
I_ State License TNc rNsveCT°R /
i �//n d-/ s«
LOT NO. 6'
No. STREET
wZ APPLICATION FOR BUILDING PERMIT
F X
° CITY OF CUPERTINO
� LL
° a Sanitary No.
3U
i U. Da — , 196f Permit No. ��/ ll
° /d ,°o a�Jp or a permit to
a flNl
i In ? w s6 'yp Building
aw
w to be occupied only ns �_in accordance with
0 0 ( Spp�[fic b��® n filed herewith. PI Ck Fee
01 UR p0
FsFimated Vsalue of Improvements,$.1:00 — Fee$�%J
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 will be complied with.
a /m
_ Owner /e Addres�?/5/3/- C'/
WW By O Address
< Phone �- �S�s Approved•
State License /��9 - C',�3 BUILDING INSPE