NO PERMIT NUMBER Lot No.
No. Street
r
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
� File No
/00 a
^, Sanitary No.
•Doty 196
Application is here by made for a permit to
G
to be occupied only as
7
in accordance with Plot Plan, Pl and Specification filed herewith,
Estimated Value of Improvements s
FEES _ Plan Check b
Owr,ern � Address
Conitr, T V1 //... L/i t Address _
Phone `�` State License
'.i, .. Approved
3.
APPLICATION FOR ELECTRICAL PERMIT
Date 1196 J' n ® FEES
Contr. D �/J� (ie-le _l:-t.c..ci CA `f/ 1"dress �L a a ' y �t`-Q''�L
Phone / r2 S State License / L 133 O ,
` Approved L.L���✓�_`'�'='t-jJ j�
i
A�TION FOR PLUMBING & GAS PERMIT s^t1
Data 196 4 GAS FEE b
'JPLUMBING FEE b
C oner. / V/47 Addres9-Q
u 1
Lic
Phone Approved
ns�i,��3�°t ✓/ /��
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Centr, Address
Phone State License '
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California i '
PAD FINAL
(TRADING FINAL'
RE RD F I ECi.ION APPROVALS
7,/X-�- .f _ _ DING
U D TION
Data Inspector
UNDERFLOOR
Date . Inspector
FRAME
Date Inspector
LATH & PLASTER
Data Ins pe c for
FINAL
Date Insoactor
ELECTRICAL
,OUTLETS / O
SERVICE SIZE
SWITCHES / UNDERGROUND
/ Date Inspector
RECEPTACLES �0 ROUGH WIRING
FIXTURES � 0 FINISH WIRING Date Inspector
w Date Inspector
H.P. CHARGE STFIXTURES
PERMIT FEE MotorsDate Inspector'
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I L66TERIAL
WATER SYSTEM SIZE 11TE RIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE MAIN DRAIN Date Inspector
Dote or
'WATER SYSTEM FEE GAS PIPING
nspector
GAS PIPING FEE � � FINAL Dote
PERMIT FEE �'17 Date Inspector
MISC
Ins
Date pastor
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 t
t
GAS DRYER PERMIT FEE
FLOOR FURNACE I TOTAL FEE
INSPECTED
Dora Ins pe c for
/OG 7/ 21 z.
LOT NO,
Aft TRE T
W AFP I FOR BUILDING PERMIT
0 ,i OF CUPERTINO
MAR 26 1965 Sanitary No.
�
5 l 6040Q 6.1
_ Date �96_ Permit No.
° COalT•
a F I cah n is here y ma a or a permit to
oa
a In a story,Type �t 9e"" Building
w I to be occupied only as
20 in accordance with Plans, Specifications and Plot-Plan filed herewith.
.� �.Otl
F3 Estimated Value of Improvements, $ �'' Fee$�
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, locatioq, and use of buildings within the City of
o Cupertino wil a com h d with.
3 m Owner N WA),T974� Ad
— 0 ��� �y
rc a By Address .�s
a Phon �3�� Approved
BUILDING INSPECTOR
I� State Lice & INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATF. INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATF. INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
jo6 7/ 1 6,(1A _
NO. sTRE ET LOT NO.
N Q
C OR ELECTRICAL PERMIT
3 a ®
OF CUPERTINO
APR 2 7 1965 19
/00
° Date 195— Permit No. ��
4 W
° ` CITY OF CUPERTMO Fee Z
a App JY
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
0 o wiring a6d/or fixtures in accordance with the provisions of the Electrical Code of the
a City of Cupertino, and all other laws applicable thereto.
0 J Use of Premises
J 0 /
3 a Owner dk Address
N
W w By` - _ Address
ao / wNrxACT , ACE Approved
—0 Phone: YC�"7 S-1 ELECTRICAL INSPgCTM
State License: 34
NEW RPL FEES
Size Service Conduit......................Number of Outlets..i.......1,;...... ....�... ---------- �.�a,...
Size Service Wires..........................Number of Switches................. -----i .: .......... ..'.�.41--
Size Service Switch........................Number of Receptacles............ .... •/O..__
Size Sub Feed Conduit..................Number of Fixtures------:........... ----
�.... .......... .•..�.E�....
Size Sub Feed Wires--------------------Ranges................ KW......--------- --------- --------- ------------
Number of Circuits-----------_----- Oven .............. KW.-------_-- ---------- ---------- --------------
Num o eters........................Signs ..... Transformers--- - - ..._
Misc.----....ayA1Q.�„[....'---......-----Dryers................... ----...... .�. 00
Motors.t!r- -IIZAWP._.............._. Phase..-.......-------- Permit Fee $1.00
Motors..........---...... HP-------------------- Phase................--
Motors-------------------- HP.:.-'-------........ Phase-------------------- HP Charge---.....----....L...ZIr
-
TOTAL FEESZ
RECORD OF INSPECTION APPROVALS
Rough Wiring----------------I----------------- .......... Fixtures
DATE INSPECTOR 01TE INSPECTOR
Finish Wiring ...----.. ... Motors
INSPECTOR
DATE ..........I....................
DATE INSPECTOR
Final .......... .............�.
DATE INSPECTOR