51163 4923 7g2 7'he � � Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. 5'00 7
Date s 196
Application is hereby made for a permit to T
a story, Type
s u
to be occupied only as
in accordance wit lot plan, Plans
and Specification filed herewith,
Estimated Value of Improvements S �Q+ d 0
FEES Plan Chock E n ^
Owner dress
Com Address
Phone 3141--02.0la 14 State License/, ,
Approved fer./
APPLICATION FOR ELECTRICAL PERMIT
Dote v'� 196 FEES /°2 7 )
Carat. ,vt/ 'r`^'v-/"� � Address t✓ �9 Lc
Phone 3`rT ' 2-0 State License �1ra/�`S/JZ�—�'- - '
Approved /���/'—_""'�
APPLICATION FOR PLUMBING & GAS PERMIT
Date fO f 196 7;Z — GAS FEEE
PLUMBING-FEE E ZZ "—
Contr. ` p ,.c/7'x-�-�.+ �/ Address
Phone /3 ro 77 State License
Approved
APPLICATION FOR APPLIANCEERMIT,!�/ a S
Do to nn 19^^6 � FEEE
Contr. �-
S9i— 082 JC_
Phone State License /
Approved
Applicants agree not to violate any of the t
Workman's Compensation Laws of the
State of California
r _
RECORD OF IN,SPEC�710!! AP�PRQVA.LS
{�a+�azW�c�(S/�5�7BUILDING
FOUNDATION
^Do, Inspector
UNDERFLOOR
Data �
Irep or
FRAME
Date Ins pe t�
LATH & PLASTER
FINAL
Date Insoec r-
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES, UNDERGROUND
D9 to ector
RECEPTACLES ROUGH WIRING
qI
FIXTURES FINISH WIRING Q�� 1 te- nspector
Inspector
M.P. CHARGE FIXTURES
-Date-- Inspector
PERMIT PEE Motors
Inspector
TOTAL FEES FINAL
Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
t
WATER SYSTEM SIZE ITERIAL�
S7-
TOTAL FIXTURES rf UNDERGROUND ff
FIXTURE FEE PARTIAL ROUGH .'.0� ��
o -Date r
MAIN DRAIN FEE a ROUGH COMPLETO'-31;,12
e
r] Da Us it pector
STORM DRAIN FEE MAIN DRAIN
/S pp Ilos t r
WATER SYSTEM FEE / GAS PIPING (� � .Dl tP
Date "pe L-
GAS PIPING FEE `w FINAL '� I
Date Inspector
PERMIT FEE o2 x MISC
Date Inspector
TOTAL FEE � / � MISC '
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS ••FEE
CIRCULATING HEATERS REGISTERS 9
BLOWER FURNACES COMBUSTION VENT a-w
SUSPENDED UNIT MISC
GAS RANGE MISC (
GAS DRYER ERMIT FEE
FLOOR FURNACE ` r - r TAL FEE
INSPECTED
Date Inspector
I
ROUTE' SLIP
File No . S 163 '
Date Out
Date In
Location Z`Z3 tole 1\I�C- C,�@ 1 �A►��� +
Sub,jeat �A� �JS'DQC 1 u►�
Notes
Approved —
Date Insp:ctoT
CITY OF (U PERTINO
Correction Notice
;f?oc,ted 'at e,,VO
I have this day inspected, this an,
a
ln
and have found the followin vi City1hese premi'se,
d�or Ste te
La verning same,
----------
.......... ..................... .......... -------
........................ ....... ................. ....... ................. ...... ...-
......................-...... ... -- -- - ---- ----
.......... ....... ................................... --- -----
........... ..........
.. ..
... .............. .. ..
............ ...... ----------------- ........
------------ ........ --------------I----- .......... .......... ------- ----------
You are hereby notified that no more work shall be done
upon these premises until the above violations are corrected.
When corrections have been made call the inspector.
Date ........
n,pet orolewllding Dept.
DO NOT REMOVE THIS TAG
101 12/634M
nidi;. Dept
ofiicc Copy
BUILDING INSPECTOR'S OFFICE
Ci ' Or CUPERTINO
0 Sewer ConnectLi Sanitary Permit No. -----------
0 Plumbing Plumbing Permit No. f-L�-----
LotNo. ------------------------------
--A
Owner or Tenant ... ... ....... ...... ....... ... ------- ----- . ..... .
,.. 4 -2-
11p..... ---:?�t-:-V'------ I - ... ..J,...........
At ..*ZZ3
Tract ----------------- ----- --- -------- ----- --- ---- ----------------------------------------------------------------------------
---------- ------ ................................. 1�67......
Date Connected --------------------------- .....
............. ....
Date Final ..... ...... .................8---- --
PLUMBING PF-CTO
III 7/63-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING 'INSPECTOR'S OFFICE
CITY OF ..C.U..............P E R I IN.............N 1967
0 You are hereby a thorized to con,)nb, -c rical )ervice for I
Owner or Tenant .............. .......- ...J-45 91 ..�..... ........ ......
Z .............
At ... . ..... ...... . ...... ............ .
No. of Wires ------ -------------- Size of Wires .......... Size of SwitcZ... ( WA
MotorLoad ............. ----------.- Voltage .......................... Phase ......- --....... -
Heating Load ........................ K. W.. ................__..._......... Voltage ....- ...... .
Light--- I I0../New Service..... Reconnect...._._......_.
No. of Meters....._- Himt................. 2-0... ,—TW .y* ... ..... Move Service..._....
W
No. of Add. Meters............ Power........... e L IN P ase..... ..... ... Move MrIer.......--
PLECTRICA sp
ECT
GAS SERVICE NOTICE OFFIG
Coll)"BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN
'Co
Y u are hereb ,authorized to conn t`the
` GAS service for
Owner or Tcnan
C � �
-�7 New Service __.._.
No. of Meters .._.v .... Reconnect .._.._......................
ve Service ........---..........
No. of Add, Meters ........ ve Meter ....._...................
I �
PLUMBING INSPECT
CERTIFICATE- 00 COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.... ..... . Building Permit No.
Date ... ... .... ... ... ...
The Building Located at ------------------ ------ -----.......----------------------------
-----
Owned by ----- ni--------- .................. .........
------- ..... ------------ I-----------------------
Com( Y—*......
pleted)
For Use As: .. ..
Has Been ...............
...............---------------
......................................................
............................................ -----------------------------------------------
................................................... ...........................................................................................
.........................................i-
------------------------------------------------------- ... --------------------------
........... ---------------------------------------------------------
BUILDING INSPECTOR
102 12/66-1M
ROUTE .SLIP
File No. J 6 3
Date Out g- /-
Date In r- 3
Location 3 70 2-2-
Sub-; ect _/ ,: �"a 6"�Ik —
Notes
Approved 31-6
Date Inspector
44 I ` /1k LOT NO.
NO. STREET
APPLICATION, FOR PLUMBING PERMIT
" d yiT Qr CUPFRTINO
w Z ?,j&
d,�,oSanitary No. .�/(.1?
o ' Date9 Permit No
a
w a Fee $���0 O
Applit q,iscbyr+ �d• tIo ��' 0f Cupertino for a permit to install plumbing
Fcf lfF lJf� fid Ed
`o a pipes adj,cr ixt s L 0 . rev• se side hereof, and agrees to install said prices
> I and or fixtures in accordance with the provisions of the Plumbing Code of the City of
wCupertino, and all Tither laws applicable thereto.
w x
w Use of Premises —
00
> m
3 Owner_ Address T
00 6y X— :�t.� .a /-- Addressysk 44/ loW
3 o CONTRACTOR, AGENT
a Phone7 7
0
a a .f
0
State Liccnse2"✓3 $ 9 3 A Approved
a o /
-U' PLUMBING INSPECTOR V
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STREET LOT NO.
��311T�
W Z11PLFCyAT N FOR BUILDING PERMIT
¢.o 7ytw,,; j Or CUPERTINO
pSanitary No.
5 CY 967 19
Uatj6_ per
w
o �AA{p{[plliication inhere erm1 Ef2ee�
i in a. d.&Fsto _ �' TDVp I ex Building
au
m be occupied only as I Q int�acc�osnce with
0 o plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee
2 0 OO
F ; Estimated Value of Improvements, $Z g, oCo Fee$ SO-S
oa
z J 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
0 Cupertino
3 a wJ jennn plied with.
Address Owner-%j
'/
W a By Addres 4�' �D AJF wMAI!
a Phon Y�'�i'J�'• 3 y
Appr"'
State Licens Bt111.DIN0 INSYF.cTOR