51220.1No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Lot No.
011/->
Sanitary No. Y 4 d 6 BA
�
� Fila No..i��at
Dote �_ 196 ...[
00661 l Application is hereby made for a permit to
C .. -•7
0661 % If V C. 7 a '�45�— story, Type ,rj
to be accupied only as
in accordance with Plot plan, Plans and Specification filed herewith.
Estimated Value of Improvements
FE E$ 9A ON
0wner U7.9041 fl00sfWI'
Contr.
$ 33 eea do
Plan Check $
Address .rl 7 /f/.A% -;r4-1z j d
Sy
Address
Phone 7`i8 – /V -IL State License C2 J–/L tpJ
Approved WILLIAM D. DEIVCVICH
APPLICATION FOR ELECTRICAL PERMIT
Date 1-4 196 70 FEES
Contr. /"t - �• �iit�1�'rtl/��CL`%L- Address
Phone �/ –J lt' Z) State License I z–c( 2 z– �j
Approved '/ /wak am Ila�
APPLICATION FOR PLUMBING & GAS PERMIT
Date %–/4 196 id GAS FEE $
PLUMBING FEE $ .Sa
Contr. (1,P -6j2 J/—
Address AM. ���"y✓
Phone / & -7
State License
/�6In
'%�
J, ' - `^`r'
Approved ^ ^/
APPLICATION FOR
–Z� 'Z6
APPLIANCE PERMIT 6t -
//
Date 196
FEE$
Contr. Q/,r 0,4'eL
Address %'7g /92/i C'O f4AIj:r4k1)–
–' `QS`
Phone
}ate License
Approved
t
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROIVALS
BUILDING
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME•J-
MISC.
7-a9-7o�
LAT PLASTER �~y
GRADING FINAL
FINAL BLDG. - O„
0A E -(J ELECTRICAL
?1 ' DA E" INSPECTOR
MISC.
UNDERGROUND ROUGH
ROUGH WIRING A.
FINISHED WIRING -
FIXTURES -% -
MOTORS
` yrnry�
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
MISC.
ACK FLOW REQ. In
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE - D
MAIN DRAIN o
FINAL PLBG. I` G %O
FINAL GAS %�
FINAL APPLIANCE
DATE INSPECTOR
MISC.
lokrbx Jmv.
MISC
i
MISC
'f f
ROUTE SLIP
File No
Date - 0
Location
/ T
Subject 747�Z�✓d alP
Notes
Approved_ - °-
Date Inector
.^
{{l
Bldg. Dept.
Office Copy
BUILDING
INSPECTOR'S
OFFICE
CITY OF CUPERTINO
� Sewer Connection
�o
Sanitary Permit No. ------ (V- 411. ................
Q Plumbing Final
Plumbing
Permit No.. ../. Ltr...........
13 f
Lot No. --
Tenant.....
%( �
Owner or .....
: . ..................................
.....r
At........... -' r7-------1+
p
_.:J_.:.a. .....( �t---------------
----------------------------------- -------------
�?,.
Tract.----it%.:.--r.=ctt,:.-----2:.-
..xe.i ................................................----....................---...-
DateConnected ........ 7--1...
1.-1t ......... '...........................................................
19 ------------
DateFinal--------,
1�........ -- ..................
...................... . 19............
..................................1.....
4 t4 ---------------
PLUMBING INSPECTOR
GAS SERVICE NOTICE OFFIC:
com"
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
194�,70
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ..........(''".f/......_..__......_...._ ...... ......
.......... ....... . ....... ........ ............ ......
At —a-173 New Service ....
No. of Meters Reconnect ........
,%Io%e Service .... .... -
No. of Add. Meters ..... Move Meter ....... -
PLUMBING INSPECTOR
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
4 .......
........... - ..... 19
You are hereby authorized to connect electrical service for
..
Owner or Tenant ....
......
........... ........ ................................................
' g/
......................
At...... d..!3-73
.................... - ........................... I .........
No. of Wires ........................
Size of Wires ......................
Size of Switch
MotorLoad ..........................
Voltage .... — — .......
............. Phase ..............................
HeatingLoad ........................
K. W . ............. ....................
Voltage . ..... ..............
Meters......./............
LightIO. .(< .....
-
New Svr% ice....,/ .... Itc,minect ...........
No. of
I .........
' e.t 220. i
Three Wire ...... ......... Mo,, Senior............
No. of Add. Meters..
Power...............
Three Phase...._.......... %f ... e Meter........
.....................
. ..... .. ......... .......
JELECTRTCAL INSPECTOR
CERTIFICATE 0 F COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .............. 14
/1.....Z— ...... ig .... Building Permit No.
F -7
The Building Located at ...... 21a�.l . ........... .
, 'd; ....... ..... - ----------------------------------
Ownedby ------- ........ xxn2��;? ........................ : ----------------------------- ------------------
Has Been (Completed)
(Altered) For Use AS: ............ ..........................................
...........................
........................ ...... ; ...................................................................................................................
...................... .....................
BUILDING INSPECTOR
02/3 77 1
N Q N ^ S R LOT NO.
w
Z 2
p o,0 AGPgkLC N FOR ELECTRICAL PERMIT
0 J
s { i CITY OF CUPERTINO
' o Date 19 _ Permit No,
0 F
0
> r rot 'vt pphcahOn is hereby made to the City of Cupertino for a permit to install electrical
w i wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
F Y
� 4 wiring anti/or fixtures in accordance with the provisions of the Electrical Code of the
00
5 N City of Cupertino, and all other laws applicable the:eto.
o
z Use of Premises
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Owner /�/ �Y�
Address
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W w By
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Address
or LL
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CONTRACTOR, AGENT
Approv
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N State License.' 1.2— 2
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No.eget fj' Lot No.
ar(APR
APPLIC FOR BUILDING PERMIT
16 1970 �yofCupertino
Sanitary No.
-� Date \j . 1 L , 1960 }p{,�q Permit No. Lam' . /
App
s ffb�;CIUP
CITY
3 10a story, Type Building
��. to be occupied only as S t' in accordance with
O
o °: Plans, Specifications and Plot -Plan filed herewith - PI Ck Fee
.Ne Estimated Value of Improvements, $ � L 0 0 Fee $ %!Y
0 o 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
0 n Cupertino will be co lied with. �\ ,,`
3 .° Owne � (�
�,� QM 'S �'1��.• Address�� I \'1
d
By—
d a
tob E Phone Approve 1A 0
Ug Inspector
State License%olv
6Z 7 Z
No. S&bet Lot No.
a[ PI PION FOR APPLIANCE PERMIT
6i City or Cupertino
lae// Illb-30�'-�3P2� J Permit No.
,� Fee $ 11.25
7
A 1}c.a�to¢�-hey��i7� I{� ity of Cupertino for a permit to install gas appliances as
In d i{n thb[-revtrSN�id jjr� d agrees to install said appliances in accordance with the
provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable
thereto.
Use of Premises
Res.
Owner C.T. Lindsay. Tne.
By flan r'a r l o Q
Contractor, Agent
Phone 591-2605
State License 110828
Address 2160 Forest Ave.
San Jose
Address 779 Old Country Rd
San Carlos
7 roved
Appproved , y
'Plum mg Inspector
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21377 kRZIGN /'l - LOT NO.
NO, $. is G 6 WR •
R PLUMBING PERMIT
fieL
CITY 0F.CUPEiRTINO
16 1970 sanitary No. 66
Date19712 Permit No �f—/ 1 2- Oe
OF CUPERTINO Fee $ 29.5
Application is hereby made to the City of Cupertino for a permit to install Plumbing
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.
Use of Premises 44"" ":V �t _ /
Owners 4 "VP'n eo �G Address l �Y //� g
By ��`"*'2 � Address,%"%W1 //�%W/
Q CON—Q TR1 CT� ENT
Phone ,G�� -��,� 0 /)
7-11-70
State License. Approved
PLUMBING INSPECTOR
FIXTURES NUMBER
Units Fees
Water Heater
Water Closet
Bath Tub
Shower
Lavatories
Kitchen Sink
Dish Washer
Waste Disposal
Wash Tray
Washing Machine
Water Softener
Bar Sink
Comb.Sink & Tray.
Dental Unit .. '�
Drinking Fountain
Floor Drain
Hopper
Restaurant Sink
Sand Trap
Urinal
Area Drain
Water Leader
Sprinkler System
Relief Valve
Vac Breaker
Skimmer
Filter
Pool Sweeper
Total
MAIN DRAIN
Units Fees
Size
Material
To Curb
To Prop. Line
To Existing
Not Conn.
STORM DRAINAGE
Size
Material
To Main Drain
To Curb
WATER SYSTEM
Size q
Material ?l
TOTAL FEES
Fixture Fee i
Main Drain Fee -57,00
Storm Drain Fee
Water Sys. Fee
Permit Fee zo0
Total Fee