Loading...
2443 X12 I yaj ✓/J1/�,(�. C� 7- .. 'l tOT NO. �I 0 NO. 0 Sv'r,R�EE - ..0 FI CA .J 91'EP 1 Ail I��FOR B 1LDING PERMIT ° aUN 2 96 ;^ OF CUP, TINO' 6 f Sanitary No. ` ? '33 U = a Uate 196 3 Permit No.� ro �/ o a rpp d[atis h�ebp�n�r, Tfor permit to iN a / story,Type � a P y %/lYPS Building ato be occu ied only as 0 o in accordance with Pl, 11 , e ficition as nyd Plot-Plan filed herewith. F3 Estimated Value of,Improvements, x L10. 0 Fee$_ �• Q �'�--. i J It is hereby agreed that the requilements 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 j 0 Cupertino will be co m lied with. 3a _ W Owner. Address 6-r ku /r PT'r Iw z /�n `w w '��r/tFl Address —� a By O O R a ° Phon 3—JIDJ - u Approved StaW,Licens �r�7 / �' BUILDING INSPECTOR N c G s ec x z z 0 o u' o f O z z z z z z Z z .d a � Z LU �l f,z:_ i M � 6 V W 4G ILL F O ' iFi � o `J ; �� oN�i a o ` i cc O x . � Z o w _ V ,. 4 State License. 3 01 y ^ p T m t_p c .w".. w n •? 7 IFmA � BE r- P S n j c CL"I .m ' q 2 n oO 2z Q ° w n rt WN a A T T n Y a n. dao o n ,O c o z m o m � w _�. �► 1*1 m \ � l o Remarks (Check';✓I) Type of Appliance Units Fees New,, I Replace_11IRelotite Gas Ranges Wall Heaters Gas Plates II i I Circulating Heaters I I II I I Blower Furnaces Gas Fired Boilers Warming Ovens I II I Percolators Griddles Steam Tables Gravity Furnaces I I _ Suspended Unit I II I Floor Furnace I I Miscellaneous I I ii (NAME TYPE I II I I II pp lance Fees i t- J �r Inspected and Approved DATr. INSPECTOR >O \ % &S' / T;THE OF N "too � � ��) — ; � ~ \ { 7 CA) no � / { } \(Wim. a ( {§ c- -0 . c" i ( ) § \� \ \ 9 °z OL. . . ;±- , z / \ ( \§ } ® /E 9 ` Q 0 yam ® & • /\\_ « � _ . » ° E FIXTURES NUMBER MAIN DRAIN UNITS FEES UNITS FEES Vater Heater / /.UU Size Water Closets ,i,O O Material G 9-0O 3ath Tubs J 00 To Curb a r;: ihowers J .p 0 To Prop.;Sine Lavatories O To Existing— {itchen Sinks / /,Op Not Conn. Dish Washers 11 Sewer Boxes Waste Disposals I ,- Wash Trays STORM DRAINAGE- Washing Machines Machines 160 Size Water Softeners Material Liar Sinks To Main Drain -omb. Sink c Trays To Curb Dental Units Drinking Fountains Floor Drains WATER SYSTEM Hoppers Size " Restaurant Sinks Material .00 Fan Traps TOTAL FEES Urinals Fixture Fee I / ti rhea Drains Main Drain Fee ivy Water Leaders Storm Drain Fee sprinkler Vaives Water Sys. Fee Permit Fee TOTAL IlleVil TOTAL FEE 16 RECORD F I PE ON Underground Rough._ Partial Rough.. Rough. Complete.. Z Main Drain Final... v i I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S ,i COMPENSATION LAWS OF THE STATE.OF CALIFORNIA. 0 7 O ova C) yy �\ c 6N 0 _a in' � QI a n � a N a �� • a10 b o TG i 3 z o "s 0 �N13 ='I2Ly IC Remarks (Check J) Type of Appliance Units Fees II New I Replace I Relocate Gas es Rang Wall Heaters Gas Plates Circulating Heaters Blower Furnaces Gas Fired Boilers Warming Ovens Percolators Griddles Steam Tables Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous ,(NAME TYPE, HOUSE GAS PIPING Number of Outlets Size of Main ,3 Gas Piping Fees Tested and Approved ....f..q.'3.�.r�.... .. . ...:......... DATE INSPECTOR State License ,as 7 / 0 Z \ ~ \\\ � C— / / . . \ Cn z -,� � — . � V - ,. m< C�41 \ ] rm � > � \ A ` M : ® § . ) rmz g / o § ! § ® e » § / & � 2 0 . \ ( / � IL4 0 CIO z > E , : \ \ \ 0114 �4 0 P4 0 0 0 �o ® : � : ; � \ 4T cs Q -t CII 4 0 iZ 0 0 boo —0 N i7i C3 i7) ;4 � ❑ n rt '1j trJ � �$ C 4�1 '71 � � , r i1 \-,? i \ o. O O O Iz \ ® � � � j ) ; � § 02 { a C) tTj � ( \ ` ` ~ � � z 0 � : e . / ) o c !. � fo ; �» W o = ! 9 = ■ ƒ � $ E � J � \ ; ! « i . ) 00 0 . \ � cu� ) \ \\ § ; m oiZ / 4 m