NO PERMIT NUMBER/0 f 3
No.
Lot No. P
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to. _196 76
Application is hereby made for a permit to
to be occupied only as
Sonitary No. %
. .. .!/a ChZN
File No.J I Z Jz LZ
a O'k story, Type = J
in accordantewith Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
i
0�
FEEE, �' Plan Check E
Owner ti'�'.7Address
Contr
�/
Address
Phone %a�`E 3 u�`3 State License
. ✓�+� _.6 7 Approved
S(C v
APPLICATION FOR ELECTRICAL PERMIT
Date /�'6 196 U
Contr.
Phone ? 3 ' -
FEE$
Address G%.1-f fly
State License%-1--
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 3 '�'{° 196 ,7o GAS FEE $ 02
�j' Q p 'fit qq PLUMBING FEE E
Contr. Address
Phone 77 State Licensed
Approved
.� APPLICATION FOR APPLIANCE PERMIT
Date SP$/�� 196 70 FEE$ ��tON �0G-"
Contr.
rt<fR C/.�/1 ✓1G_ p��. Address /07 V LA1_/F (yc
Phone 20�-Z State License L
e-VAIr2. M, 6Gwzt. l 97iE�i 1
M E7XI L f W-CA A)6- /A)(-, Approved
Applicants agree not to violate any of the
WorkmaWs Cnntpensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MI
A
FOUNDATION
�!3
UNDERFLOORorwro
FRAME -
GRADING FINAL
FINAL BLDG.—,
/� m/ � ELECTRICAL
TE INSPECTOR MISC � Arib
UN ERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
%�1P'
70
FIXTURES
-2
MOTORS
FINAL
7-?
70
SANITARY NO. —
UNDERGROUND ROU
PARTIAL ROUGH_
ROUGH COMPLETES
MAIN DRAIN 7
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE _
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
DATE INSPECTOR L MISC.
MISCLukm
JG
VIM
MISC
IV
i
MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......... 19 7e) -Building Permit No.
............... . .........
The Building L ed at ...... . . .... Z),,& ....... D-,L .................
Owned by ..... ....
... . ....... . -- --- -T --- -......................................................
------- . .....................
Has Been (Completed For Use As: ................ D
E ..YL�.... -................................
(Altered)
.................................................................................................................................
.............................. q .......................................... .............................................. . .........
......................... ......................
BUILDING INSPECTOR
GAS SERVICE NOTICE
OFFICE
BUILDING
INSPECTOR'S OFFICE
COPY
CITY
OF CUPERTINO�
......._
..................._�G. ... .....tL�...............,
c��1
19bSC...
To
You are hereby
authorized to connne9ectt the GAS sere ce for
Owner or Tenant .........
P .._ &....
�t�'°'����.....Q ._ .................
kk
At
New Service .........
No. of Meters
... ....... /...... ...
Reconnect ._...........................
Move Service ........................
No, of Add. Meters .............. Move M�eter� ..................
.......................... �G`cT^�J"-'�--........ _.........
PLUMBING INSPECTOR
•
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE N OTICE
.
, 59.
........
You are hereby
authorized to conne--
at service for
wa,cy,4--
P;�e
1-3- .
.........
Owner or Tenant . ....
. 'Ze�mm—.r
...... ---
..................
At . � 37
......
-01�; .................................................
.....
No. of Wires .... ......
... - ........ size of Wires
Size of
Switch lllytlil,�.fAllldl
Motor Load .._..........................................
Voltage
Phase ............
Heating Load .........
.......... K. W. ...
... Voltage .
.... —.7 ........
III
Light............
New Semce-- ........
1(ccollnect ...........
No. of Meters ......... .
V
...... 220 ..........
Three wire .... ..........
M;,kc Servic,.. .......
No. of Add. Meters............
Power ...........
I'hree Phase._.............
.............. ....
M Meter
ELECTRICAL INSPECTOR
Fi7.e No.
Dat
�Q
Loca�Z��
Subject p
Notes
Approved 3!%7�
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
-------- ---------
Department
Job Located at .)-0T---- -$-------------------------------
SHo�-S"-- -------------
----- ---- ----- ------------- --- ----------------- -...
_.�.o.cf3 1d.�✓.. ----- -----_ ....
-----------------
--------------------- ---- ---- - - -------------...---------- ---- -----
--�, cR"---Fb>'z---- WfP_ Zran/---------
---------------------------------------- ...---------------------- --
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
959_aSn; Date: ---- 7--Y--?�----------
---
RiJUTE"SLIP
File No. S/1i2-2--1
Date/�/_ 7
Location vGoi�Fs-2
v
Subject_
Notes_
Approved, 3%__ --?'
Date Inspector
,of /i
G�</ruVc✓r/7 1LOT NO.
4
r�
NO.
ON FOR BUILDING PERMIT
0a, '&
a�Of�
ITY OP C:UPERTINO
fMAR 11570 Sanitarc No.
19G— Permit No.
��[p���{(}�
• iot{(t��pw;mgr a permit to
Hst`or
a
Y ,T e — aec -��
Building
to be occupied only as
'/
��G���A/1i�LY i�ry
in a �oj cl e with
Plans, Specifications and Plot -Plan filed herewith. API Ck Fee
r
7
Estimated Value of Improvements, $J3�0a Fee $�/
hereby that the requirements of the Cupertino Building and Ze,
o
n7On finances and
It is agreed
all other laws applicable to the construction, location, and use of buildings
within the City of
Cupertino willbe cogiplied with.
State
iNSVFCTOR ��
Jlwd'� 1"I5T.G
No. Street Lot No.
m qI q"AI1ICATION FOR APPLIANCE PERMIT FL tj
fr t5 City of- Cupertino
Permit No.
E c Fee $ Al
0 0 _
w ��7ic�"f�'� idy'h}S •pja � the City of Cupertino for a permit to install gas appliances as
1, 1 d o�5'thc Ye s ld�lt tl', and agrees to install said appliances in accordance: with the
o ° provisions or the Plumbing Code of the City of Cupertino, and all other laws applicable
>, n thereto. y'
z Use of PremisesG VIA
,c
o0wncr__!i _c%/7L♦�G L ��/'SQL Address_ Poneer Way
c c M f IJ' ^ I'f n' OAA�i1
o BVFRCIIRY SHFF7 MFTAI & H AF TINf INC Address
3 51 Contractor, Agent
E Phone 968. 2082 ^ ,-W",-M1+,",,,...
166835 6-roved
State License Approved .JL
� / Plumbing Inspector
L /I % 9'- /'/A�
APPLIANCE
UNITS
FEES
as op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
r
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit.I G 'p
Inde end. Vent System
Com.. Indust., lnst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFbI
Ind. Ventilation System
without Comfort CgQl
Forced Air. Mech. each Power
�l /-' t
No. of Air Outlets, :emu s 16
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 15' Hiph
Over 15'Lli2h
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 input
of 500,001 & Under 1,000,000
Permit Fee
09
Total
Total Fee
.�
p{ ii � . 0,1 . LOT NO.
NO. — I STREET
AP LCATION FOR PLUMBING PERMIT
AM It T ' OF CUPERTINO
Sanitary No.
Date Permit No rJ ) 2 2 2 '
Fee $ 2 9. So
AppfiratdgP i rPrebyt City of Cupertino fora Permit to install plumbing
pipes antl/tor fi oiFes �R Q'fl ccjg�rse, 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 ofPremisesat, 7!�
Owne/T Address 2,209o%lMp��/�*/�-
By V Address e! act {/fi0lo
p.� �CONTRAC R, AGENT (� Q
Phone n t� i' i �% % \\ Q _ _
a�Zl%�/-a Approved :IJ�fS �`^'v ,/
Y PLUMBING INSPECTOR `�
State License
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater /
/
1--SO
Size // "
, cx�
Water Closet tl(
3
.jU
Material
Bath Tub 1
U
To Curb
Shower I:
2
- 0
To Pro . Line
X
Lavatories IH
To Existin
Kitchen Sink 1
. SO
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine I
0
Size
Water Softener
Material
Bar Sink 1
/. 0
To Main Drain
Comb.Sink &Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FE
Urinal
Fixture Fee
Area Drain
Main Drain Fee
.DO
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Cias Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
2. O O
Total
Total Fee
.,�0
IOR37 Linda Vista nr 8
No. SIR[ El LOT NO.
Plan 204
API)L'ICATIO,NFOR't-ELECTRICAL PERMIT
(� p r�. C(IIT7Y O I(; PERTINO
Date H R/1 Tt btD1JI 19 lj�J 1'crmit No. .i`/ 2 2-
IT rF 0ItWtF CTyRO l:r t
AppliClti�n'IS' hereby made t t e CIt Cupertino fora permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordanrc with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises - I -
Owner Pacific Shore Prop., Inc.
By 925 KIFER ROAD
B U N ky)yh4A,TA? 4.IFARNLA
PHONZ 796-n421
Phone:
State License 12422
Address y
Address
A pproved
eA
cr.ecr UrAL
l
tino,Ca.
ITEM I NEW IRPL IFEES '
Number of Outlets 13.3 U 1 _
Number of Receptacles I Oi3 V .I
n7, --
of