51175 torea4
t w, 001 c Q Lot No.33
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File NAI t `�]
.0
Sanitary No.
Date _ _196 _
Application
q^y —
is�hereby made for a permit to
X a story,
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estim t Value of Improvements $
FEES e A PVn Check $
Owner s Q.=+
Contr. Address
Phone Stu to Lica s
Approved '
APPLICATION FOR ELECTRICAL PERMIT '
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Do to 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
......... , ...,e .
Date Inspector .. .
UNDERFLOOR
Date '( Inspector '
FRAME
Date Inspector
LATH & PLASTER
FINAL Dote Inspector
Date Ins De ctar
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
Date Inspector
FIXTURES FINISH WIRING
H.P. CHARGE F IXTURES Date Inspector
PERMIT FEE Motors Date Inspector
TOTAL FEES FINAL Date Inspector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN SIZE I MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE MAIN DRAIN Dote Inspector
WATER SYSTEM FEE GAS PIPING Date Inspector
GAS PIPING FEE FINAL Date Inspector
Date Inspector
PERMIT FEE MISC
Date Inspector
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 TOTAL FEE
INSPECTED
Data Inspector
NEW RPL FEES
Size Service Conduit......................Number of"Outlets.................. .......... .......... ......... ....
Size Service Wires..........................Number of Switches-.............. .......... .
Size Service Switch........................Number of Receptacles............ .......... .......... ._............
Size Sub Feed Conduit..................Number of Fixtures.................. .......... .
SizeSub Feed Wires...................Ranges.-----........ KW.......------ ---------- --------- -------------
Number of Circuits................... Oven .............. KW............ . ..... ._....... ... ..........
Number of Meters........................Signs.......... Transformers........ .......... .......... ...............
Misc............................................_..Dryers.---..........._-------...._...------ --------- .......... ............--
Motors.................... HP.................... Phase.................... Permit Fee $1.00
Motors.................... HP.................... Phase .........
Motors.................... HP.................... Phase.................... H P Charge................
..........- --
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring................ ............................ Fixtures ----------------- --I-. -----.._.... ...........
.ITE INSPLCTORD1TE INBYECTOR
Finish Wiring ................�........................ Motors ...............------..I...
------..............----
DATE INEr[CTOR .1T[ INSEECTOR
Final ...........................I............................
OLT[ INERECTOR
NO. STREET
N LOT NO-�7
Q
2 Z
p o APPLICATION FOR ELECTRICAL PERMIT
G l v of cuPExrlrao
AAa WW Sti67 �
= 0
� Date
4 - I Permit No.
oQ –
Fce 5
a w Application is hereby made to the City of Cupertino for a permit to install electrical
,_,
wiring engs/Yr OfureCjjKUreverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> W City of Cupertino, and all other !aws a licablc th re/to.
o a � � !lL Q
z
Use of Premises' .....
L /
3 a
Owner G`' Address"ELECTRIIAL
3
N
W Z
a By Address
< O CONTRACTOR, AGENT
– e- 3— f 0 ApprovePhone: SPECTOI
State License Z467
i OFFI E COPY •� -
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
II, To
You are hereby thonzed t ac. electrical service for �•-�,�
Owner or Tenant .__ .� ` ..- -CSN ..V4.. ....
No. of Wires ........:............... Size of Wires .......... .......... Size of Switch ... -
Motor Load Voltage ..........__.................. Phase _._..................._._. ...
Heating Load ........................ K. W. ....... ........ .............. _ Voltage ....._...__.._..............
�I
I
No. of Meters...........ILigh................ IIU............ ew Sew¢e... ..._._. Keconnect......_.........
.......
' Heat................. 220 .......... hr ire).... ......... Move Service............
No.of Add. Meters............ Power..... / Kase..... .. Move Meter..............
..... ' . ..
P.LECTM AL IP ECTO J '
fo7o o C -� V. +✓ Lot No.-Ij
No. Street ( a,eo�q
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. S3 a"
Date 196
�Application its hereby made for a permit to
!/1.fi6/ n / .story, Type s r J
to he occupied only as
in ac,corda�t Plan, Plans and Specification filed herewith,
Estimated Value of Improvements §
FEE§ ��5� Plan Check § n .�
Owner 1,d406'04 Address 6.—r, C. `tom
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT/ y
Date yQ '�3 �119 /�6 �O FEE§ 310' 0
Contr. Address •--r
Phone State License
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Date 196 GAS FEE § r J
PLUMBING FEE § //!/. °' 0
Contr. `'"'•'"`^"'" �•�"'K� Address 0 -2 v
Phone �'—'� �9/ State License '2'3 d }CO
WILLIAM D. pEMle�/errs
Approved
APPLICATION FOR APPLIANCE PERMIT
Date �y/Z 196 7 FEES / '7' S
Contr. ^G�
Ad ess
Phone S-/ /— .26 0 6 State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION 2
DATE INSPEC O
UNDERFLOOR
ATE INSPE
FRAME
DATE INSPECTOR
LATH PLASTER 3 —1
ff
` DATE IN SPECTO
FINAL ` ��^(7
r // ATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
INSPECTOR
FINISH WIRING vo
I 1 DA INSPECTOR
FIXTURES
DATE INSPECTOR
l�
MOTORS
I Dt T INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS .
UNDERGROUND
D TE TOR
PARTIAL ROUGH
DAT Ry, ECTOR
ROUGH COMPLETE c2_1Z7_0
DATE RECTOR
MAIN DRAIN _
DATE RECTOR
GAS PIPING
FINAL
DATE ' NSPECTOR
L
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED \
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE
D� I EC TOR
MISC I
DATE INSPECTOR
itUVTIS SL1Y
File No .
Date Out
Date In T
Location
Subject . P"4 k - 3�
Notes
Approved
Date Inspector
c
-Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. .. �—;
8/Plumbing Final Plumbing Permit No. .
/ Lot No. ----`�•"% ------------
--
Owner or Tenant -----------------------------------------------------
At
Tract ....r- a---,.✓ L .'_� �/�2 .........---------------------"-------�--'f-
Date Connected ............(./...._...... ...../I'Z ...............----------- ----------------- 19' 3/-
Date Final ................._......_....... o % --------------------------
fy.' ... - ---
�LUMBING INSPECTOR
111 12/66-1M
GAS SERVICE NOTICE OFFICF
COPY
yyyn BUILDING INSPECTOR'S OFFICE
` CITY OF CUPERTIN
_ _............ 196. P..
To
You are hereby authorized to connect the GAS service for
Owner or Tenant . 7............—............ .......
At ....... I... ....... .......... ..........
New Service
No. of Meters ... Reconnect .............................
Move Service ....... ............
No. of Add. Meters .............. Move Meter ........................
PLUMBING INSPECTOR
CERTIFICATE OF - COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....`/ .....1 ................... ...... 19.6-d.... Building ldingNo.
-----...---- '
1
The Building Located at .. .---..... . Cl 08 a `?-.. ..:..._ ..................
/Q67s�... L...z. Iq.... • .
Owned by ....f 41 do _.._ t u+"1 �---------------------- - -- .. .....---...._------ - --'..f
Has Been (Completed) For Use As: ....._.... ..._.. "'^"
l I
y ---.....-------------------------------------------------
...... ........
t BUILDING INSPECTOR
102 12/66-1M
...... TO`S OF I Ivy
BUILDING INSPECTOR'S OFFICE,
CITY Oh CUPERTINO
To
You are hereby auf hQorizeedd,to� n ect ctrical service for
Owner or Tenant -...._ ..�.M)4_T.. I.. .. .t....t7�.JC_JLl..........._. ....
At .....t_OSaq-7$ ►tJ-�_oD
No. of Wires ...
T - ........ Size of Wires ..7/...... Size of Switch
Motor Load ....._................... Voltage ...--- _ ........._.__... Phase ..................
HeatingLoad ............. K. \Y/. .........._......._............. Voltage ....._.. . _...__. _. ..
LighL......101.... I to o.. ew Service.✓ Krconnect.__.._........
No. of Meters.__...,,,/..
Heat.._..._.___. 220.._./.. hrm ..._ .. ...-. Move Serv¢e..._.._..
No.of Add. Meters.._........
Power.............. P se...... .....- Move Meter.............
ELECTRICAL INSPEC R