NO PERMIT NUMBER/o��z I64/-�
i No. Street
Lot No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO File No, 4_/ C) J,/a
q Sanitary No. Jy
Do to 196
Application is hereby made for a permit to
n story,
to be occupied only as
in accord a with Plat P(arz, Plans d Spe
s I Fz
filed
Estimated Value of Improvements S Jo, 064
0-0
FEES e) S� Plan Check $ 04v5_
Owrmr ` ✓ �""'Xddt6ss
Contr. \ CG�l.i _ _• �^.`-:�� Address 02-9 ew
Phone ft" K7 44 p
/ G State License 7- 2. `
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data ��{�Y���t�� 1�j96�
FEES
t/l/�C.C'i-c�v
// % 0
Contr. /"-,'iy.-L�V
Address
Phone tL .1J 0 7 '710
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Z-
/
Date 196 �—
GAS FEE $
PLUMBING FEE 't S'r J d
Contr, 1,e'� `�
Address 12-
Phone 6 s a 3 a
State License �1Os y
Approved t
iL
APPLICATION FOR APPLIANC ERMIT c
4
Data 196 �/JnFEES
�0
Contr. '^-/
�""�''"Xddress
r/c�^-'-..�
3
Phone �73 - S<:7 21
State License/
/r'`
Approved
Applicants agree not to violate any of the. v�
Worhman's Compensation Laws of the
State of California
RECORD OP INSPECTION APPROVALS
FOUNDATION - BUILDING
Date Inspector
UNDERFLOOR
Da a for
FRAME -�
Dote ctor
TH LASTER
FINAL 1713D_trj17 l5awc /.
.OUTLETS
SWITCHES
RECEPTACLES
FIXTURES
M.P. CHARGE
PERMIT FEE
TOTAL FEES
ELECTRICAL
SERVICE SIZE
UNDERGROUND
to
ctor
ROUGH WIRING
-
I Dyte
((�/
Inspector
FINISH WIRING
D to
Inspector
FIXTURES—
�cM^
Inspector
Motors
�/ 1�
Inspector
FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
MATERIAL
STORM DRAIN
SIZE
MATERIAL
WATER SYSTEM SIZE
ITERIAL
TOTAL FIXTURES
UNDERGROUND
/
FIXTURE FEE
PARTIAL ROUGH
Date
or
MAIN DRAIN FEE
ROUGH COMPLETE - 7
Data
r
STORM DRAIN FEE
MAIN DRAIN
p �aH
act
WATER SYSTEM FEE
GAS PIPING O
Data
GAS PIPING FEE
FINAL
Date
nspec ,
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
MISC
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 FEA
FLOOR FURNACE
TO L E
INSPECTED ��a�/7 p -4 -=
Date I actor
ROUTE SLIP
File No. S- z
Date Out
Date In /ten
Notes
Approved'
Date Inspector
BUILDING .DEPARTMENT .
CITY OF CUPERTINO
Correction Notice
Job Located at- �j.
I have this day inspected this structure4,tnth,,e/,remises
and1have found the following violations of City and/or State
0
....................................................... _-----_--------_. _...
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 ..../-CI (p....d(��r
Inspector for dding Dept.
DO NOT REMOVE THIS TAG
101 12/63-tM
BUILDING DEPARTMENT
CITY OF CUPE RTIN 0
Correction 'Notice
-V
Job Located a� �-- ......
I have this day inspected this structure and these premises
and have found the following violitions of City and/or State
W... until the 'aXve violation re corrected.
,.r r "t have been made call the or.
Date -,,..7--
.... :OP
............
Inspector fWBuilding Dept.
DO NOT REMOVE THIS TAG
101 t2/63-INf
Bldg. Dept,
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. 4?0.?_q -------------
Plumbing Final Plumbing Permit No. 474031 .......
Lot No.'.--------------------------
Owneror Tenant ...... ...............................................
4 .................................. .................................
Tract_------------------ ----- ----------------------------------------------- --------- * . ................. ** -------- * - -----
DateConnected ...... ......... ......................................................... 19............
DateFinal ..... IM 7,24-4_2 ..................... ------ - ----------------- -- - ................ .... 19 ... ...... . ............................ .
.........
PLUMBING INSPECTOR.
III 12/66-IM
CERTIFICATE OF COMPLETION
SUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
ry. 1 S/o 3y
Date......G............:.:+.�................... 19..6 .......% ... // Building Permit No............... .
The Building Located at ...f�jvn1......ky..... �.............................
Owned by1It'...'t.p:�±5......P....... /?.„/� YSo_et.......................................................
Has Been (Completed) For Use As: ........ ... .....�.iq! 1.. ...............................
..........................................................................................:..............................................
+`��
...........:..�...... )� '...........................
BUILDING INSPECTOR
102 7/63-500
ROUTE SLIP
'^
,. File
No. 5-1 -9
;Date
Out P z 2--6 7
Date
In , —6 7
Location6_0
Subject
Notes
Approved -.,ZJ
7
Date
Inspector
GAS SERVICE NOTICE OFFICE
COM'
BUILDING INSPECTOR'S OFFICE
CITY OF CUP
TINO
.........z3lgc,7
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ......... ........
At11,7 Pkta At r . ..... ...... ..... ... - ............... ....... ........
New Service ... -- ............. ...
No. of Meters ... . ( Reconnect .... -- ........ - ....... - .
Move Service ........................
No. of Add. Meters . .... .... Move Meter ......
PLUMBING INSPECTOR
E COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICF.
CITY OF CUPERTINO -y
........_...._.._....... ..^..Y ..... 196 ..
To
You are hc by autonze,J71"��/ connect Ictrical se ce for
Owner or Tena....._...---.............{.QS.....
At............. ... .. _....
No. of Wires -1 .............. Size of ... Size of Switch loc
Motor Load .......................... Voltage ........ _...
....
...._.__... Phase _..._........_........__...-
Heating Load ._.....--------------- K. W......................... ._..--... Voltage
Light........ m... ✓_... New Service...:*.n��, Reconneu.................
No. of Meters ........ I .........
Heat ................ 220...... ... hree it ..:f.. ._... Move Service.:....... .
No:,of Add. Meters............ '
Power ............... ...`....... hase.................Move ter
�.......
.,X.�...._�
ELECTRICAL INSPE6T
BUILDING DEPARTMENT
CITY OF -CUPERTINO
Correction Notice
Job Located V ...f.4^... ......'-""'.' .
I have this day inspected this structure at premises
and have found the following violations of City and/or State
L gov ing same.
You are hereby notified that no more work shall be done
upon these premises until the above violations are corrected.
When corrections have been ma call the inspector.
•Date ..?-17- 4 ..........
Inspector f 3uilding Dept.
DO NOT REMOVE THIS TAG
tOt 12/63-INI
OT
NO. STREET
N '
b PG TION FOR BUILDING PERMIT
s�
A5 OF CUPERTINO
a LL Sti e1.e
o a , Sanitary No.
5
i LL Uare r ;xs196_ Permit 4No�_T
~ V
.. Application is hereby made for a permit to
itn aretol,UJiE. "'— ' .Building
a w it r
to be occupied only as , ' � ledas-ce S with
0 o plans, Specifications and Plot-Pla filed herewith. kl Ck Fee �
F"; Estimated Value of Improvements, S.3 q ODD �% Fee $ 720J.9
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
d o Cupertino will be comp
plied with. /� /J
3 N Owners `ir1i4 Address
w Z
a By.��.� Address �gR/ N%�Ji
of / �—
Q u Phone 96 — P C,��_ Approvedlri
/� State Licens BUILDING INSPECTOR
NO. STRr. CT LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
�F CUPERTINO
Date 0 1qA7�� Permit No.
Fee 5 ��
Apltv.isb}[tpttj���� of Cupertino for a permit in-sta[Telectrical
wiringy� f ves Jris%(Sb 1 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, an all other laws applicable thereto.
Use of Premises � B r� --7 `"4;-e
Owner/riili
By 71, c�
CONTRACTOR , 4GF.NT
Phone: -
State L
A
A
lid
NEW RPL,
Size Service Conduit.... ..¢........Number
of
Outlets ..................
Z................
/09
Size Service Sw tch-.,/--- :`!.......
Number of
Receptacles............
.............
�.�
Size Sub Feed Conduit..................Number
of Fixtures..................
.............
Size Sub Feed Wires..._'.... ....
Ranges ....
..... KW ..............
..........
..........
Number of Circuits ...................
Oven I.........
KW ..............
....................
Number of Meters.....................Signs..........
Tr informers............................
Misc...... .��_J .....?.`. ...........
...Dryers ..... /
...... ........................
....................
Motors .............2--.. HP .............--....
Phase ....................
Permit Fee
Motors .................... HP ....................
Phase ....................
.:
Motors .................... HP ...................:
Phase ....................
H P Charge......----.....
TOTAL FEES
0_o
00
RECORD OF INSPECTION APPROVALS
RoughWiring ................ ............................ Fixtures ............ r........ ............................
VAT% INSPECTOR DATE.
INSPECTOR
FinishWiring..... .......�.................... Motors .................... ............................
DATE INSPECTOR DATE INSPECTOR
Final.......................... I.......---...............ir ...
DATE INSPECTOR
Z.�.�J LOT
h0. STREET �
UatI',- TION „�19F(O�OiP�JCMPERMIT
UP1:RTfN0
-y Nu.J� oZ QSanit:n
Permit No .S
Pee
tY(nli't�ttir hhS�I�sAS 111Vdk City of Cupertino fora permit to install plumbing
pi � I u /n xhi I everse 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.
.9/ OA
Use of Premises
State License, /Xr,✓T �
Addresv��✓C/
A d d res�'�; ZL�LJLT
Approved /
PLUMBING INSPECTOR 41
FIXTURES1
BER
MAIN DRAIN
UNITS
FEES
UN
FEES
Water Heate
Size
Water Closets
Material
bath Tubs
/
To Curb
Showers
/
To Prop. Line
//
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
'%Va4h Trays
STORM DRAINAGE
Washing Machines
Size
Water softeners
Material
Bar Sinks
To Main Drain
Comb. Sink s Trays
To Curb
Dental Units
Drinking Fountains
_
~loot Drains
WATER SYSTEM _
Hoppers
Size
Restaurant Sinks
Material
San Traps
TOTAL FEES
Urinals
Fixture Fee
GJ O
Area Drains
Main Drain Fee
�U� ater Leaders
s--V
Sprinkler Valves
Water Sys. Fee
LrO
Permit Fee
&V
TOTAL
O
TOTAL FEE r—a
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Hain Drain
Final
LE' I (a.r-r: - Z' LOT
NO. STREET, _
APPLICATION FOR A
l zl -ITY OF C
Dat ®I J r 196, .7
v
j�jo
Ownmz'/ c- `:.P�a.c«.c�
MEIW,yURY SHEET METAL & HEATING, INC.
CONTRACTOR, AG NT
Phone J.3 9-- 3
PPLIANCE PERMIT
UPERTINO
Permit No. `S�.
Fee S ZV,
O��vicEN i JREt�he City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install slid
appliances in accordance with the provisions of the Plumbing bode of the City
of Cupertino, and all other laws applicable thereto.
Use of
va y 66p �v* Ctvti
Address _; a _
c-s.a/ a-V-
Address fi U ice✓ j
Approved
PLUMBING INSPECT ��
Type of Appliance
Units Fees II
Remarks (Check ✓)
New I Replace Relota
Gas Ranges
Wall Heaters
I
I
I
Gas Plates
Circulating Heaters
I I
II
I
I
Blower Furnaces
I j l
o?,aD11
I
I
Gas Fired Boilers
I (
II
Warming Ovens
Percolators
Griddles
I
II I
Steam Tables
I
I
II.
I
I
Gravity Furnaces
1
Suspended Unit
Floor Furnace
I
II
I
Miscellaneous
I
ii
I
NAME TYPE)
I G
I -aD
II
I
I
I
II
I
1 �2
I
I
II.
I
Appliance Fees
Inspected and Approved ------- -- ----------------------------------
DATE INSPECTOR