51029 Sol / /e/{/yV.+v Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Do to 196 7
Applic on 's hereby made for a permit to
a story, Type
to be occupied only as
in accorVance with Plot Plan, Plans and Specifiration filed herewith.
Estimated Valae of Improvements $
FEE$ Plan Check $
Owner Address
Contr, Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT tt
Data ' 196 FEE$ 3 `
OerW. Address
Phone m2X 3 - 9/ sO State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr, Address
Phone State License
t Approved .
Applicants agree not to violate any of the
Workman's Compensation Latus of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Data Inspector
UNDERFLOOR
Date - Inspector
FRAME
Data Inspector
LATH & PLASTER
Data Inspector
FINAL
Date Ins MOM
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
REC TACLES ROUGH WIRING Date Inspector
Xru� / �„r Date Inspector
FIXTUR i FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
PERMIT FEE
Ow MDate nspector'
otorsit
actor
TOTAL FEES � FINAL
e4
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE MAIN DRAIN Date Inspector
WATER SYSTEM FEE GAS PIPING Date Inspector
GAS PIPING FEE FINAL Date Inspector
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE 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 /
Date Inspector
LOT NO.
NO� STREET
CIA' C! CUPcP,TINO CITY OF CUPERTINO
NOV
4AP�}�CATION FOR ELECTRICAL PERMIT
11 // Permit No.
Date \N—M I n ,19�S- Fee E,27 Sn
Application is hereby made to the City of Cupertino for a 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 accordance with the provisions of the Electrical Code of the
City of Cupertino,and all other laws applicable thereto.
' [ Work To Be ..._.{{,�---- n� Q(1
use mu`n- A— 3.M rLR,O Performed L/1/�Q`L�D-L �} c��'��C J
Owner C��YY�a�u+ Addressl`�ba-� >e
Phone raj � �— U��e \41
BY �__("_A_.�n'�hGLO Address
Phone
CantrQactor]A`gent 11'�
� G`
State License��� Approved '
Electrical In pector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKME S
COMPENSATION LAWS OF THE STATE OF CALI�FOR IA.
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NO. STREET • .. LOT NO.
0 PAP CA IONsFOR ELECTRICAL PERMIT
z0 g CITY OF CUPERTINO
U AN 23 19-07'1 '
0
` a Date; �0 , 1Permit No.
o j
1�
Pee 5 ��
a Application is hereby made to'th�e City of Cupertino, for a permit to install electrical
w = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
� r
.Qi LL wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
5 m City of Cupertino, and all other !arcs applicable thereto.
0 3 ' 9 �
z �_j Use of Premises�..... W IA�z
10
3 a Owner, 411210// J d� , � �� � Address �a`� �/F'�/ "
W By f/�J' ,X. Address T �C/
COMRA OA, AGF, IN
PP
U t�h., sj'.S3 - 97a( Approved ELECTAI[AL INSPECT= ✓�
State License 40
NEW RPL FEES
Size Service Conduit......................Numl5er of Outlets.................. .......... .......... ....... 5
Size Service Wires..........................Number of Switches....... ........ ........
.. ._....._ ..........---
Size Service Switch........................Number of Receptacles..... ...... ..........
Size Sub Feed Conduit..................Number of Fixtures................. .......... ..............
Size Sub Feed Wires.---------..:-:... anges................ KW-------------- --------- --------- ---- -----
Number of Circuits--.-- E----........ � ------.....- KW------... .......... --------- �.O.O
Number of Meters........................Signs.......... Transformers........ .......... .......... ..............
Misc. --------------------Dryers.._ ---------------` ------- ------- ------------
Motors-------------------- HP._..............--- Phase-----------------... Permit Fee $ .00
Motors------------------ HP---........._..... Phase....----.........--
Motors............ .. HP............ ..— Phase.................... HP Charge._.......... ...----/
TOTAL FEES -
.
RECORD OF INSPECTION APPROVALS
Rough Wiring. ...... .I............................ Fixtures .....................
OAT[ INSPECTOR
OAT --.....INSPECTOR .....
Finish Wiring: �........................?Final
Motors ......_..... ..........
L....'--.......CTOR.•-�--
DATE INSPECTOR DAT[ IXII[OTOq
................ .........
DATIIX91[[TOR
LOT NO.
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
d 4 CM OF CUPERnNO CITY OF CUPERTINO
s0
O <Date �M ``A14 1975 19�S Permit No.
i LLp n n Fee S .\1, 13t�
0 Application is hereby mtrde to the City of Cupertino for a permit to
o a install gas appliances as listed on the reverse side hereof, and agrees to
i a install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
u Use of Premises
00
0 Owner C-�a V Addressxl� "ar
j Z Byn�iyv� 3 �1�!/r1L�� Address`l 01-1C71�A� Rie�
O CONTRACTOR,
3 TOR , AGENT
0 Phone—�
W z
a 0 t State License���� Approved --
U PLUMBING INSPECTOR
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�l ELECTRIC SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S NOTICE
CITY OF CUPERTINO
( 1977
To
You are hereby authonzed,to_ Connect electri. cal ser(vice for
Owner or Tenant ///]tl�"A�'A` f`/n��n/-1*�✓/Cpl
At
No.of Wires Size of Wires Size of Switcht
Motor Load Voltage Phase
Heating Load K.W. Voltage
�.
Light �' ��
�- 0�dew Service -� Reconnect
No.of Meters 1) Meot , Y�120�' •Three W,e More Service__
No,of Add.Meters
power three Phase -Move Meter__
RA ^.
ECTRIC INSP TOR y