FILE 51182to be occupied only as
to
/Y. S- I Lot No. J' J
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO n
Sanitary No. (9d1dry
a File No.
Do to _ 3 - G 196 .9
Application is hereby me a it
s/r 1 affL story, Type X/ rr
in accordance with Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements
FEE$ /%o•J V
Owner
Cont, /� r
Phone �- 9.2-35
$ .3 r 000.
Plan Check $
Address
Address
State Lio
Approved
i, APPLICATION FOR ELECTRICAL PERMIT xl0 j
7�
Date �J 196 -` FEE$ - `C) n p
Contr. Ll'x� ❑�t-ky�\q'C O Address
Phone State License
Approved'y'LWANI D. BF -NEVI
APPLICATION FOR PLUMBING & GAS PERMIT
e Dat196 9 GAS FEE $ -` /• 5 ��
PLUMBING
FEES $ �9..5 e9 -n
Contr.�O.Q" � D Address ^-T.�l d ��j �. [ per
Phone 3 9 3 state Lice /7� 9 9
Approved N/. 1
Date y APPL CATION FOR APPLIANCE PERMIT / v
,yj' 915 FEE$ �-7/2S'
Contr, plc?i ``7��i/iX.l77YO// Address
-License
1 /• / (%�d !/(�iU
Phone SL7l (1`(OG'� State LicensejJ ���/S-2Qd 9
Approved
Applicants agree not to violate any of the
Workman's Compea.cation Laws of the
State of Califomin
RECORD OF INSPECTION APPROVALS
Y -p - G Y BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
Y %
UNDERFLOOR
y
I t
FRAME
% f/(
Q �
AT PLASTER
GRADING FINAL
FINAL BLDG.
UNDER
ROUGh
FINISH
FIXTU
MOT OF
FINAL
ELECTRICAL
nnTP INSPECTOR MISC.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
eL
`LI'
i
m Q NO. 1'riniGT LOT No.
o ° APTLICATION FOR ELECTRICAL PERMIT
CITY OF CUPr:RTINO
4 F Date d Z r 19 6y Permit No, _
° < 3 1=-ee s
z m A • lr nnti� i70� by made to the City of Cupertino for a permit to install electrical
w �
in an I or lXtures as listed on the reverse side hereof, and agrees to install said
00 wiring, and/or fixtures in accordance with the provisions of the Electrical Code of the
> m City of Cupertino, and all other laws : )1icabic thereto.
o Use of Premis
J 0
3 m Owner �Lt41- • Addres
w w By O LECTRIC CO. Address
u s n I T
`0 San Jose, Calif. 95112 APp`O
L O]ffiEL INSPE
ae00
iQ State License 7 3 Y
ITEM V-v.3
NEW
RPL
FEES
Number of Outlets
At
/-/ 0
� o O
Number of Switches
S
Number of Receptacles
.�
Number of Fixtures
Ranges or Ovens K.W.
Size of Main ServiceNumber
pit
of Meters
Number of Panels
Signs - Transformers
Dryers
(
(O U
Motors:
H.P. Phase
H.P. Phase -
Power Poles
Permit Fee
2.00
H.P. Charges
Total Fees6
eL�
N
LOT Ni
NO. STREET v/
/I CITY OF CUPERTINO
,APPLICATION FOR ELECTRICAL PERMIT
Date �� V� r , 19_
Applicagbn is hereby made to the City of Cupertino for
wiring and/or fixtures as listed on the reverse side hereof,
wiring and/or fixtures in accordance with the provisions of
City of Cupertino, and all other laws applicable thereto.
Permit No.7.
Fee E-t
a permit to install electrical
and agrees to install said
the Electrical Code of the
Use of Work To Be
Premises �J // KPerformed
Owneri( 2A/96e-S
Phoneme
BY Address
Contractor, Agent
Phone //�/_�' o ,
State License Approved � Q
Electrical Inspector
I AGREE 1 WILL NOT VIOLATE ANY THE WORKMEN'S
/L COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
e Le
ITEM NEW I RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Opens K W
Size of Main Service
Number of Meters
Number of Panels
MPoles
c>
Permit Fee
Lw
H.P. Charges
Total Fees
G CI3
M l•
c
0
51
No. Street Lot No.
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO �y
Sanitary No.
Date /D , 1961 Permit No..-//�,2
Fee s,29,sv
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 �O�iCA(!, 91Q77Lt�/ ,,tZa ifE (7'e,'
!' U �' /Sc
Owner Address / /[Q
By "C G • Address��� ,%o,�Ind :&/ r�ly"
Contractor, Ag
Phone O/ - g/L
State License /
V
WILLIAM D. EL-NEVICI
Plumbing Inspector
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
t+.rt+
Size
Water Closet
Material
Bath Tub
To Curb
Shower
/Sb
To Prop. Line
Lavatories
1 Ah
To Existing
Kitchen Sink
Z 5111
Not Conn.
Dish Washer
Waste Dis osal
Wash Tray
STORM DRAINAGE
Washing Machine
,SO
Size
Water Softener
Material
Bar Sink11
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
I Size '
Restaurant Sink
Material Q/d
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
i If -so
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
/,.5-0
s-0
Vac Breaker
Skimmer
Filter
Permit Fee
Total
/
/ ,S
Total Fee
.SO
NO, "
OR PLUMBING PERMIT
z ` ® C OF CIJPIiR'rINO
w Z r1
x o fSEP 1 1969 Sanitary No.
p LL (�
0 a Date 196L Permit No //e,7,
_ U CITY OF �UPF�RTINO Fee•v� O
0 App icahon Qs here y nm e to the City of Cupertino for a Permit to install plumbing
o a pipes and/or fixtures listed on the reverse 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
w Cupertino, and al o er laws al i le thereto.
LL Use of Premises
00
o a Own AddA
ZJ O
o Addre
CCONTR 'TOR, AGENT
a oo� State Linr / ?Approved
J.L PLUMBING INSPECTOR
FIXTURES
UNITS
FEES
UNITS
FEES
Water Heate
/
Size
Water Closets
Material
Bath Tubs
orTo
Curb
Showers
To Prop. Line
Lavatories
/
To Existing
Kitchen Sinks
Not Conn.
ish Washersr.1
Sewer Boxes
Waste Disposals
�/aslt Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
Bar Sinks
To Main Drain
Comb.ays
To Curb
Dental Units
_
Drinking Fountains
F�ioor Drains
WATER SYSTEM
Hoppers
Size
Restaurant Sinks
Material
San Traps
TOTAL FEES
Urinals
Fixture Fee
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
Sprinkler Valves
Water Sys. Fee
Permit Fee-
.�
TOTAL
TOTAL FEE
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
\-lain Drain
Final
.G
u
x E
3
U
o
o �
T n
m N
d
ro
o `o
o A
F
a o
d
o
.. U
State License 110828
10659 Nathanson Ave.
No. - Street Lot No.,
o ;4
APPLICA'riON FOR APPLIANCE PERMIT
City of Cupertino
Date March 12 1969 Permit No.
Fee$.
Application is hereby made to the City of Cupertino for a permit to install gas appliances as
listed on the reverse side hereof, and agrees to install said appliances in accordance with the
provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable
thereto.
Use of Premises R e s
Owner Kay Building Co.
By San Carlos Sheet Metal
Contractor, Agent
Phone 591-2605
Address P.O. Box 1506
Address 779 Old County Rd.'
WILLIAM D. BcNI✓VIC.Ci,
Approved
PlumbingInspector '_,
APPLIANCE
UNITS
FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
Inde end. Vent System
C om. Indust. I n st. K i t.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without Comfort
Forced Air. Mech. each. Power
Gravity System
No. of Air Outlets, No. of Flues 13 Out
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 15' High
Over 15'Hqgh
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
& Absor . units with input
of 500,001 & Under 1,000,000
Permit Fee
2.00
Total
Total Fee
No. _ Street,
'APPLICATION FOR BUILDING PERMIT
` c r
Lot No. 4 81-5
4o3-A
ity o Cupertino Sanitary ` z/10
Sanitary No. (p
Date / , 196� Permit No. S1/ *'2
Application is hereby made for a permit to construct
two sFI J
story,
Building
to be occupied only as v'd g e camil-11n1a----N accordance with
Plans, Specifications and Plot -Plan filed herewith:' PI Ck Fee Paid
Estimated Value of Improvements, S3 Y Q 0 0 0, V Fee $ // G j—tj
i
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to nstruction, location and use of buildings within the City of
Cupertino will be coed with I---- 1
Owner
By
Phone
State License
Address 880 Hinckley Road
Addr r ingame r Ca orni
Approved( j(�](L.«o i - - (/
Yl g Inspector ��-
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
gDate -------------- .. ..... 19.0149. Bui i g Permit No*/1-0k.
The Building L at ..... - - -- - ------- -- ----------- 4:4� --Gym
------------- o
Ownedby ---- . ........ ....... ..........................................................
m ted
Has Been Building
or Use As:...--- A4ij;f-op
.........................................
-------------------------------
--------------------- ---------------------------------------------------------------------------------------------
---------------------------------------------------- ....... ............ I ----------------------------------------------------------
.. .......
BUILDING INSPECTOR
102 12/66-1M
O T Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO r
Sewer Connection Sanitary Permit No. --------------------------
Plumbing Final Plumbing Permit No. _-5 J1 `3 7
-.....----.....
r— w•_ �-
Owner or
At.........
Tract--------------JPIs..�1�.tQ0�------"------------....------......---------------------...-------
Date Connected ........._-'. Z -- -- 19. - — `/......-`-f ......... .�
Date Final----..........C1..y...._O__^
PLUMBING INSPECTOR
I11 12/66-IM
L-C>T 5
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
2 6 Gj
To
You are hereby authorized to '/cconnefct the GAS
� service for
Owner or Tenant ... ...1 :I.1............ !/�rP-C...•........Go.!..............................................
At ....... I.D.b..?r%........./�LiT_HfI.NSoN......./r/E..........................................
New Service ...x ..............
No. of Meters ................... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Me r ........................
..........................................................
PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To 196.
You are h;e=reb, au, connec ect I s mice for
4 �,t==�
Owner or Tenant ... ... .......
At. .. .....
No. of Wires --------- Size of Wires .... t4b ...... Size of Switchl.W7_
Motor Load .......................... Voltage . ............ Ph.ise ... .. ..............
Heating Load - - - ---------------- K. W. ....... ............ voltage ........... .............
No. of Meters---- Light_ I I0. !!!<New Service.......
No. of Add. Metx�.::b, at 220 ....... hree _...-Move Service__.._..
Power...............ee e-. ........ move b, ter.............
Move
ELECTRICAL INSPEC dOR
ROUTE SLIP
File No
DateVy-
Location
Sub j e
Notes
Approved ate
Da��_ pector
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
Gm. pip-------------------------
Department
Job Located at -Id.b-5g... J)T(yj*Sa1N------------
------- ('tom -!a o-P------------------
-------- -- ---------------------- ------------------------------- --- --------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspect
252.4505 Date: .l .Z. ...-.....
City Telephone Inspector: '..-....'............ .....