NO PERMIT NUMBERr Lot No. /
No. Street
APPLICATION FOR BUILDING.PERMIT
CITY'OF CUPERTINO C
File No.
p Sanitary No.
Data y 196 a
lion is hereby made for a permit to
a y story, Type "'r L J
to be necupied only as
in acc(rdanc0,ith Plot Plan, Plans and Specification filed herewith.
Estimated Valae of Improvements s a 6. Odd 0'—°
FEES Plan Check S
Owner _ Ow Address
Contr. Address
Phone -2 If -A State License Z4-1-7 1
Approved !Lj /
APPLICATION FOR ELECTRICAL PERMIT
3�/
7
C2, .__ _
Date 196
FEE$
1 t- n
�� �', - h J-r'1-42\\ V
Contr.
Address
G
Phone-/ o cl
State License
Approved
APPLICATION FOR PLUMBING
& GAS PERMIT
Date 'i/Z/ 196
GAS FEE $
t/✓n�iJ
PLUMBING FEE $ a'z '
/vn �i
�`' 0 n % r --'4- a✓ •r C
Contr.
Address '
Phone
State License a)3 D`15 e2,
Approved
APP1y(CATION FOR
Z
APPLIANCE PERMIT
Date ZQ� 196 °
FEEE
Contr. 2—Z '=
Address
Phone `j / "P - 0 s'
State License
Approved
Applicants agree not to violate any of the
r /C-4
Workman's Compensation Laws of the
/
State of California
'
RECORD OF INSPECTION APPROVALS
1-)3-A ( �pA� BUILDING
FOUNDATION
DATE
UNDERFLOOR —
FRAME
DATE
LATH LAST ER `'�'g 6
DATE
FINAL
DATE
^/�
ELECT,
UNDERI
ROUGH
FINISH
FIXTUR
MOTOR'
FINAL
ELECTRICAL
INSPE
-,L*,j
INSPE
TOR
SERVICE
fl
DATE
INSPECTOR
;ROUND
O ATE
INSPECTOR
WIRING
i
I DATE
INSPECTOR
WIRING -
C�
_ OATE
INSPECTOR
ES
��-
INSPECTOR
QDATE
INSPECTOR
DATE / INSPECTOR
PLUMBING & GAS
UND
PAR
ROU
MAIN
GAS
FINA
MISC
MISC
GH
ERGROUND
DATE
7-4 ry
TIAL ROUGH
o2- a-^^-^'-�'�
DATE,
a
N CTOR
COMPLETE
cf (o/
p ATE
INSPE
DRAIN
ATE
ECTOR
PIPING
DATE
SPECTOR
L
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED
+^�� INI,,C TOR
APPLIANCE
DATE
INSPECTOR
MISC
MISC
DATE
INSPECTOR
ItgB RECTOR
DATE INSPECTOR
v 10s*,e
/ Q NO. STRFT LOT NO.
ZZ
r ° APPL I FOR ELECTRICAL PERMIT
o
5 < T CUPERTINO
U
o
LL a
�eimiNo. Jc //e/
Date
OF —
A >lic t'ggJs I City of Cupertino fora permit to install electrical
a w PE d( OF Yls ���cikbl p
w I wiring a fia t es evcrse side hereof, and agrees to install said
r�
0 o wiring and/or Fixtures in accordance. with the provisions of the Electrical Code of the
5 m City of Cupertino, a ' other laws applicable there
o < Use of cmises ��'z
J L O
3 < Owndress 5
— z
w w By � ..hz! Address SL
rc n CONTRACTOR, AGENT
a o / 3 Approved
— U Phone: CO 9 tR�11AIPBCroi
State License / �/ 2�7
ITEM I NEW JRPL IFEES
Number of Outlets I I I a d0�'
Number of
of
of
Power
OV
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... ....................... 19.�l ---- Building Permit No.S.I.M./
The Building Located at -c211M ------- ALq4;�d ..... 4J ----------
Y ---
Owned by ---- aowcc� ----------------------------- J-: ..... )
...............
Has Been (Completed) .FAlterla) For Use As:.----- ............................ ............
----------6� ........ Z- L* ---------------------------
. . ......... * --- ------ -- * ... ..... ---- BUILDING INSPECTOR
102 12/66-IM
GAS SERVICE NOTICE OFFIC:
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO /
.................. 196.
You are hereby autho ized to connect the GAS service for
Owner or Tenant .....g........... '' ................
pl
At. ...... ... . .. I ...... ...... . - ...... — .......... — ........ . .....
New Service
No. of Meters ..... Reconnect ... ...........................
Move Service ........................
No. of Add. Meters ... ........... Move Meter ..........................
PLUM
**
LUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. -�C-54 ---------
54&mbing Final Plumbing Permit No.,.6716PI -------
Lot No. --- ------- --------
Owneror Tenant- ----��----- ;..rC....... f.�.--....--- ---------------------------------------------------
- - --- ------ -
-le�l - -------------------------------
At ---
z
Tract-------------- 3hLE?r--4 -- - ------ ------------------------------------------ ------
Date Connected�----
---------------------- Z_r --------------------- ----------------------------------
DateFinal ---------------------------------- :t�p ------------------------ - -- -------------------
INSPECTOR
111 12/66-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY 017 CUPE RTINO
............ 191-
To
You are hereby a t r Ed. _ .-conne electrical service for
Owner or Tenan ----- ... ............... ......................
At............................................................... ...... ...... .......... . .... ... . ..... .
No. of Wires ..7�4 ............ Size of Wires ................. V. Size of Swit1hu, ---- k .....
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W . ............................... — Voltage ....... ........................
11 L' h N rvice.
No. of Meters .......
to, i
No. of Add. Meter:
Power ............... ..Move. Meters............
ELECTRICAL INSPECTOR L1 ,
ROUTE SLIP
File No.
Date Out
Date In J --7 C/ 6
Location / ✓/ �/
Subiec_t.
�3o.y
Notes
Approved'`
Date Inspector
0?/11I OT NO. No, STRF.'
z ` P JION FOR BUILDING PERMIT
I a
1 0 ® OF CUPERTINO
LL Sanitary No.
O <
3U
LL D .IMAM 1996— Permit No. _nzdl
° CAulr,�t�r�
�. w Application is hereby made for a pennrt to
_U) CITY OF AREA Building
to be occupied only as in
with
0 0 Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
" Estimated Value of Improvements, $ e0o Fee $
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within thr City of
jO Cupertino1 'll be omplie rh. �/
(i
3 a Owner Address � C7 IA,
,�G+/�%!'[ �'; a G Address / J / w W By , v
ao Phones/ 67 - 3 3 Approved
License BmIDING INSV 1
�Strtte
mac
LOT IiO.
STREET
Z J
W Z Y APPLICATION FOR BUILDING PERMIT
r o, `,'P " ;�sc CITY OP CUPf:RTINO
p LL
>O J Sanitary No.
> ¢
I "" % 196 Q Permit No. � II 0
w Date/
xo
Application is hereby made For a permit to FeeC 7�' /� lu btu -
story, Type P'lPO Co V-EV — Building
to be occupied only
in accordance with
Plans, Specifications and Plot -Plan filed herewt4h._ G PI Ck Fee ;` 0.0_
"7 .�
Estimated Value of Improvements, $�.0—• Peel
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 the City of
Cupertino III be camp�ied with. _ //
State License ! FlT V/
INSPFCI'OH
z
z
w�
fo
/ ea LOT
NO. STR .F.T'
CLIMBING PERMIT
PGRTINO
w I Mgl�� 8/{1970 sanitary No.
3Date [—� ' f Per
mit No U
w w r�T�'L1F Itd�IGSS�TLN0 Pee 3 9 •�
To
� A>> GUY, i cre � t t of Cu erhno for crmrt to install plumbing
II n I P P
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.
S rate
License / :�K' 7 e 7
PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Pro . Line
Lavatories
To Existin
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
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
Material
Sand TrapTOTAL
FEES
Urinal
Fixture Fet
Area Drain
Main DraiWater
Leader
Storm DraSprinkler
System
Water Sys.
Relief Valve
Vac Breaker
/
Skimmer
Filter
/
Pool Sweeper
Permit Fee
�.
Total
Total Fee
r I lleDe [ v ew"' LOT NO,
NO. s'nuivr
APN FOR APPLIANCE PERMIT
m _ ® OF CUPEATINO
'0
o r Dare ' `� a i '9 V Permit No. J�l /8
LL Fee $ 3_0^
= IT �f r��-r-7�-
0o h5' to 0 S fi to the CityCupertino fora permit to
C1 o a I dell a don the reverse
side hereof, and agrees to
i N install said appliances in accordance with the provisions of the Plumbing
Code of the Cit Cupertino, and all er l applicable thereto.
Use of P e nises 00
��rt �j��L�/ �dre�ss-��jJi
Ow r
i�
E �Address/ee%;/
ter`zz
'O CONTRACTOR AGEN
a Phones
W. W Approved
01 State License
a O {, PLUMBING INSPECTOR �/
—UIF-
APPLIANCE
UNITS
FEES
Gas I op
Gas Ovcn
Wall Furnace
Gravity Furn.
Forced Air Furn.
.r
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
Inde end. Vent S stem
�-
Corn.. Indust., Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CF%I
Ind. Ventilation System
N'AhOnt Comfort Cool
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets No of Flues
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under I5' High
v 5' 11,
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
Of 500,000 BTU or less
Comp. over 20 HP & Under 50 HP
& Absorp. units with inl2ut
of 500,001 & Under 1,000,000
Permit Fee
Total
Total Fee
,�