NO PERMIT NUMBERL
a A 761) - C4� Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to _iT 196-7--
Application is hereby made for a permit to
to be occupied only as �/' -,Pi-
in accordance with
Estimated Value of Improvements
FEES D
Owner
Contr.
Phone
Sanitary No.-y ,; b, v`'
File NosrZd 9!F, /
story, Type J
Plans and Specification filed herewith,
Plan Check $
Address eecw-
/ a.91!_
�~
Address
-i ro 4917
State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data / 196 5" FEE$
� c�
Contr. =�'�-� 2ZL--c CL, Address
Phone _ -1 J - C L 2"� State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dora ,� h 196 (� GAS FEE $ (-k
�� PLUMBING FEE /$
Contr. r /ems--C� Address /%o
]Phone State License
Approved
�+ ✓ APPLICATION FOR APPLIANCE PERMIT
Date /�-Z7'�r 19/6 FEE$ 02 1: 7 S
Cantr. __!/- Address 1-5
Phone -. 73- f -a S-i 6
State License
^�lj 3/�7 P-d"3
` --
Approved (/�/d-6r
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
I �
I
RECORD OF INSPECTION APPROVAL,
BUILDII
DAT INSP
PAD FINAL
FOUNDATION
UNDERFLOOR o,
FRAME '
1
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
UNDER
ROUGE
FINISH
FIXTU
MOT OF
FINAL
O_
WIRING
ED WIRING
IES
PLUMBING, GAS & APPLIANCE
SANITARY NO.
UNDERGROUND ROU
PARTIAL ROUGH_
ROUGH COMPLETE_
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE _
DATE INSPE(
MISC
MISC
MISC'
R
CERTIFICATE
BUILDING
CITY
OF COMPLETION
INSPECTOR'S OFFICE
OF CUPERTINO
Date ...
L:�Y ...........
.. ..... ............. 19.- Building Permit No . .......
The Building Located
.... ..........................8.�..........
Owned b......."..L�...-...-.-r ....( .....-...,...............(..:.�..2....,..
................................ Has Been (Completed) For Use ...........
As..................................
...............................................
.............................................................. --- ---
............................................................... ... ..................................... ....
......................................................................... ............. ....... ......................
...—!7=7r�
..... . . ................
BUILDING INSPECTOR
} .
CITY"OF -:CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
1.
.B gM It.i...cr..-..---------------•---.
wp.nmre
Job Located at Z-.Q.e.7--&-i....m
----------------------------•
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.
oev-Acna Date: �..... G.i.1..'...7D
ROUTE SLIP
File No.
Date /— 36-70
Location
Subject_
Notes
App:roved_�� 0 -inspector
Date
Lo jGAS SERVICE .NOTICE COPYOFFICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPEERTINO
..... /.'_ _.,J. .......... 76...................... 196......
To
You are hereby authorized
toconnectthe GAS service for
Owner or Tenant ...... .L..6..IY��../.1....�........_---...::.N.J.l..l........................................
At ..._ Z272........n'1.E.v..�N�..... .4/9/gc—....—.......................
New Service .....: . .
No. of Meters ........�..... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. ove Meter .. ...................
............................................................
PLUMBING INSPECTOR
Loi 17
bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
X. Sewer Connection Sanitary Permit No. 4� -----------
1C.71 Plumbing Final Plumbing Permit Nq501
/
DAce-rcow pewil-, Lot No . ...... J.1 ..................
Owner or Tenant F 1.7ut - ----------------------------------------------------
At --- ZZ-7.2-1 ------- M.-CoVoq ------ 641v_�--------- ------------_---- - ----------- -
Tract 5-anj ...... AA-)_ A—)_- a. P!��Q ....... Rol /V C 14 0 .........................................
........ ...................
Date Connected
19 ............
Date Final ------ ... .. ------ ......... /,-"% ......... a ............... A . 19............
PLUMBING INSPECTOR
^ ' ' OFFICE COPY
{L�J) CITY OF CUPERTINO
./ ELECTRIC SERVICE NOTICE
You are here auto ,d t, ct elect ' aI lervice for
hh /
Owner or Tenant:-_t2..rslc•,::mQ. .... .r.... ......'.........-........_.
No. of Wires ............. Size of Wires ...__.............. Size of Switch 1.._..Af.�.
MotorLoad .......................... Voltage ..... ............ .......... _.. Phase _.. ................
Heating Load ........._............. K. W.. ................... .........._.. Voltage ................._..........
...
'� Light .....110.... New Sen'ice•... � Reconnect .................
No. of Meters .................... /
Heat ................. 2?0......,,r hrcc W.ire............. Sen,icr........
....
No. of Add. Meters ............
. Power ..... :......... 'I'hn Phasc. .. ........... \fuec Dlrtrr_......
......................ELECTRICAL INSPF.0 o4-)
CITY -OF CUPERTINO
10300 Tore Ave.
CORRECTION NOTICE
. �JJ -------------------
Departmefit
Job Located at .�7.-..-
----------------------------------------------------------- ----- ---------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call t e inspector.
252.4505
Date: --- ---je 76,......... .
City Telephone Inspector:
ROUTE SLIP
File No.-5_1,M /
- Date
Location
Locations-R*�'
Subject `•�
Notes A
Approved 4 /6—�Cl. gii
Date ' Inspector
I
LOT NO. Z
NO, 5
I FOR PLUMBING PERMIT
M
OF CUPERTINO
IS P �D 1969 sanitary No.
Date 196g Permit No,
CIT OF CUPERTMO Fee yp :2Od
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 Premises�w ��✓i��
Owner' -��' �'///�p`�/ Address a
By y/ Address d
T TOR,AGENT
Phone `3�
State License a....7���-�
Approved
PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Healer 2
.00
Size
Water Closet 4
. d
Material
Bath Tub Z—
.0
To Curb
Shower 2
To Pro . Line
Lavatories
,. 0
To Existin
itch . k Z
00
Not C nn
Dish Washer
Waste Dis oral
Wash Tra
STORM DRAINAGE
Washin Machine
..00
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TO AL FEES
Urinal
Fixture Fee
, 20
Area Drain
Main Drain Fee
pp
Water Leader
Stoim Drain Fee
Sprinkler System
Water Sys. Fee
,200
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
.OD
Total
, (�
Total Fee
2 7 A / I /L^1L LOT NO. %
NO. STREET
L FOR APPLIANCE PERMIT
Z ® CI1 Y OF CUPERTINO
F �
Y �
LL
o a �e 2 196 Permit No.
u T1 '2j:-74'
0 v �R Ihk mttde to the City -of Cupertino for a permit to
o a CI 1 jnst gas appliances as listed on the reverse side hereof, and agrees to
Z N install said appliances in accordance with the provisions of the Plumbing
W Code of the City of Cupertino, and all other laws applicable thereto.
Use of Premises
LL n
> v Owner 0 �C i t�°' Address
/'� /J -2.3 y
J z By Address
=!•O CONTRACTOR, AGENT
3 z Phone
�z
W. 7 Y o 3
W
02 State Licens Approved
U \� PLUMBING INSPECTOR L /
Type of Appliance
Units Fees
Remarks (Check V)
New
Replace
Relocate
GaRan
WallHeates
Gas Plates
Circulating Heaters
Blower Furnaces
o 0
Gas Fired Boilers
Warrning Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
6liscellaneous
( AML TYPE)
00
✓
4/
00
✓
_
0 0
✓
Od
Appliance Fees
���%1
LOT NO. 17
No. STREET
z ON FOR BUILDING PERMIT
r o OF CUPERTINO
® U S,nirar% No. G 6.39 dF
3u Uat ,SEP 9 1969 r 196_ Permit No. SioIt9.
.. A �licati n l r b made for a permit to
° < CITE 0�TINO
i N a 5 Building
to be occupied only as� in accordance with
ii o Plans, Specifications and plotPlanfiled erewnh. Pl Ck Fee
F 3 Estimated Value of Improvements, S34•OD,y Fee3
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws applicable to the construction, location, and use of buildings within the City of
j o Cupertini 11 be complied %vi
3 Owner�/ten �- � — Address -22-5 LDS ,a[Ta S'
w w By�_�[f/_? Addres 00-
rc a
OF /G r7
<U Phone`9 Approved
State License 43 /--16, 0 9 7 emt. Nc INSPF.C:p W
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