File Number 100236.,2 2.z 2Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
Data , � � 196 ZZ
/ pplication is hereby made for a permit to
n story, Types "C
to be occupied only as 7 � 9 / �
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
O:O
FEES nn� Plan Check $
Owner C%C.4�...�_/�L�a..L.LM� Address
Contr. Address
Phone J�.3 ".5—Ur 7 State License �Q�G
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
i
Dote !T 196 71 GAS FEE $
-7/` �y �� PLUMBING FEE c
Contr. 2),,,L. Y .tom `moi' 'Address
Phone 33 C State License
Approved ��'ty"` J
off'
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to vinlate any of the
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO. 11
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.
No. Street .
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO JJA�II//�//////� ���� ��JJ
File No..ZOO- L22
{� Sanitary No. TT
Do(e 196 —G7_
Application isis hereby made fat a pe !At
story, Type
to he occupied only as
in ac eLn(i\,d�aa�nac eery fiIPlot Plan, Plans and Specification filed herewith.•
Estimated Valve of Improvements $ �� 000 l�
FEES IA. Plan Check $
Owner / Address
Cont,. Address
Phoma A LS -s3, ? State License
Approved WILLIAM D. B[:Nr=VIC:H
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
. . .. . Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Cont, Address
Phone - State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the.
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION /1- '/-6 BUILDING
UNDERFLOOR Date Inspector
FRAME Date Inspector
Date Inspector
LATH 8 PLASTER
Date Inspector
FINAL
Date Ins Dector
C RIC /1—��f• 11 1 LvO 7
,OUTLETS i�•�f.�►Of
SWITCHES UNDERGROUND SERVICE SIZE
Dote Inspector
RECEPTACLES ROUGH WIRING
FIXTURES FINISH WIRING Date Inspector'
H,P. CHARGE FIXTURES Date Inspector
PERMIT FEE Motors Date Inspector
TOTAL FEES FINAL Date Inspector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE I- T ERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date 'Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE MAIN DRAIN Date Inspector
Date, Inspector
WATER SYSTEM FEE GAS PIPING
GAS PIPING FEE FINAL Date Inspector
PERMIT FEE MISC Date Inspector
D
TOTAL FEE MISC ate Inspector
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITSf -FEE /
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector
aa.z z.21 enc Lot No.
No. Street 14.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO �y
File No. /o go,
Sanitary No.
Do to 196
Application is hereby made for a permit to T
a story, Type
to be, occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Volue'of Improvements §14 00,00V
a2 M
FEE§ Plan Check §
Owner Address a-a
Contr. Address f
Phone a , aZ _ O CFO State License
Approved
/ APPLICATION FOR ELECTRICAL PERMIT
Date 3/ 196"7 FEES
ContAddress /0 ,2 ti/
dsa - ,-S-v y State License Z- L�/ ��
Phone
Approved
L �L �
APPLICATION FOR PLUMBING & GAS PERMIT
Date �/' 196 GAS FEE E3
o� PLUMBING FEE §
Contr. 6F66&") Address
Phone ^?S3—JIZo 6-0 State License
Approved
APPLICATION FOR APPLIANCE AERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION -�-�'-C BUILDINGaa
a Inspector
UNDERFLOOR '
_ 6' nspector
FRAME �o
ate spe c for
LATH LASTER -4 �
Date Inspector
FINAL
Date Inspector
ELECTRICAL
,OUTLETS SERVICE S17
SWITCHES o UNDERGROUND
FOU
ctor
RECEPTACLES ROUGH WIRINGK-D jctor
FIXTURES FINISH WIRINGDa ctor
H.P. CHARGE FIXTURES - �'Datector'
PERMIT FEE c-' Motors
InspecTOTAL FEES 3 FINAL -I " O ('.b for
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES j0 UNDERGROUND y
FIXTURE FEE PARTIAL ROUGH '
�n ,�p tor
MAIN DRAIN FEE d — ROUGH COMPLETE
d�ll
Datector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE /SV GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
�� Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE � 35` � 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
GAS DRYER PERMIT FEE
FLOOR FURNACE - TOTAL FEE
INSPECTED '
Data Inspector
P.OUTff °LIP
File No . cl
Date out 3
Date In
Location
Suvjec't
Notes
Approved 3
Da e Inspector
i
OFFICE COPY
ELECTRIC SERVICE NOTICE
S BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
1 6 ....
.............. 97
To
You are hereby au ori ed to nPect e ectr service for
Owner or Tenant ...... .
At ............................................................................................ .... .......................
,
No. of Wires ;;�................ Size of Wireslk ............ Size of S itchl-0.0...
MotorLoad .......................... Voltage ....... ..... ..... . ........ Phase ..................................
HeatingLoad ........................ K. W. ......................... ........ Volt-age .............. ... .. ........
10............ New SeN ..........
ic .. .. Reconnect..................
No. of Meters.................... LigIt L
No.of Add. 2206 T'rve� Wi e............... Move Service............
Power............... T ............... Move Meter..............
........... ........:.............. ............
... ............. ..........
...... .
-11LEMUCAL INSPA/cr R
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ---C7.. .
../r..................... Iqkt- Building Permit No/OA ...
The Building Located at C ........,2 ............ ....................
...................................... ..............
... ..
Owned by ------- .... ...................
(Completed) For Use As: .--............................ ---------------....... ....... ....... ---
Has Been (Altered)
................................................. .....lS.................................I..................................
.................................................................................................................................................
..................
..............................I...._................... ...... ........
............................................. .....................
BUILDING INSPECTOR
102 12/66-IM
of A/ZAW /fir P E�CLLCyrr// /[�• (/L.GI_ /LGIO LOT NO.
NO STREET
CITY O'r a*t.: '40 "
CITY OF CUPERTINO
,Jul. 12 19AYPLICATIION FOR PLUMBING PERMIT
4 P 9 D Sanitary No.
Date , 19z Permit No.
Fee$
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 Work To Be
Premises
Owner
Address�srtn
Phone
By Address
Contractor,Agent
Phone
Stole License Approved
' Plum ng ector
' I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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OFFICE
CITY QF CUPERTINO COPY
GAS SERVICE NOTICE
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At
New Service
No. of Meters
f Reconnecty
No. of Add. Meters Move Service
Move Meter
PLUMBING INSPECTOR.
�O ^ I21k e V 9 LOT NO.
/ NO. STREET
WAPPI:ICAThONt� FOR BUILDING PERMIT
Y ° (�
?VNOV
C�I�T�Y�� OF CUPERTINO
° 2 9 1968 rccrJ Sanitary No.
50
4 Date 196_ Permit No. _ /tea,
10
�. CAPplication•is hereby made fora permit to
o •
am a story,Typet--s• Building
W �
to be occupied only as l-
worda'nce with
00 plans, Specifications and Plot-Plan filed h with. PI Ck Fee
"; Estimated Value of Improvements,43;0 Q 16 Fee$ POO,to
iJ It is hereby agreed that the requirements 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
O Cupertino will be com�,pli d with. Q
3 < LX.t G 62: -�-r�Address 94222 L L�c(�r-t'i,..-
_ W Owner
Wz
W W By l 07
re
R a
Phone /9�. 2 - s3 s APProve
State License ' uu.ptNc INSY.