51179Lot No. �o
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 5��7
Sanitary No.
Application is hereby made for a permit to
to be occupied only ns
a 2- story, Type ` - -.7 .T
in ac.corddnce&�A Plot Plan, Plans and .Specification filed herewith„
Estimated Value of Improvements s 3i, C) G d
FEE$ 7.f-r
/�S-V %/'
Owner ��'/'+�C-s•rLl./ !r t-t_g,
Contr.
Plan Check $
Address
Address
/s 0 o Lc4�� 3
W15
Phone 2 State License 7-Z/�2-',.22' A
Approved Z6026t-2�/�-eJ�-/�
APPLICATION FOR ELECTRICAL PERMIT
Date l/L� 196 -2 FEE$ .2
Contr. ke-(' _[`, Address /;7j
1.
Phone O 7 Y C State License' O e 1'
Approved `-
APPLICATION FOR PLUMBING & GAS PERMIT
Date A ."'/ 6: 196
Contr. Q-
l� Q-� n LG r
Phone r2 'V i-- ) ?
GAS FEE $
PLUMBING FEE $ -.J ri, U a
Address %- 3
State License ]�,�ny�-�? y
Approved - /-- N
APPLICATION FOR APPLIANCE PERMIT
Data 196 .Z FEE$ / 3, 3Z
Contr. Address r-/ P"C-! / Ll�
Phone r;z Z L 3 State License 7 ` �'3
Approved
Applicants agree not to violate any of the moo;'
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
)M4, I f -2 -G % ,,p BUILDING
FOUNDATION
DATE
INSPECTO
UNDERFLOOR
INSPEt
FRAME
DATE ��
SPECT'O
LAT &PLASTER
INS R
DATE � �
FINAL
DATE
INSPECTOR
ELECTRICAL
ELECT.
UNDERI
ROUGH
FINISH
FI%TUR
MOTOR!
FINAL
DATE ( INSPECTOR
UNDI
PAR'
ROUT
MAIN
GAS
FINA
MISC
MISC
SERVICE
17
DATE
INSPECTOR
:ROUND
gATEI�
IBC
INSPECTOR
WIRING
� _ Cyi'
DATE
INSPECTOR
WIRING
'
DATE
INSPECTOR
ES
-ate
INSPECTOR ,
- / V IIJITEj
INSPECTOR
PLUMBING & GAS
�1�5)
?RGROUND /-
'IAL ROUGH
DATE
-
INSPECTOR
;H COMPLETE
DRAIN
DATE
ic
D E
INSPECTOR
S ECTOR
PIPING
TE
INSPECTOR
^�
L
DATE
INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED
DATE INSPECTOR
APPLIANCE
FOR
DATE I INSPECTOR
DATE INSPECTOR
MISC
DATE INSPECTOR
/3 s�
1Q r10204 Portal Avenue, Cupertino LOT NO. 48
NO. 3Tk EET, _2
W ¢ eAFPLICClATIOW FOR BUILDING PERMIT !3� f o CITY Or CUPERTINO
`LL m CO— l I Sanitary' No, s
f e , 13 1967 UV
i ,U, Date , 196_ Permit No. S /
� o r�r^v. fe mr�--' t^ Build
a Appl. caho�ishe`eby made fora permit to
oa
'z U7 a two story, Type V I T Building
a
m I to be occupied only assingle. Family -
ii o in accordance with Plans, Specifications and Plot -Plan filed herewith.
F; Estimated Value of Improvements, $3? -000.O0_. Fee $ 95.50
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
J o Cupertino will be complied with.
3 m Owne"222326
OMEGA BUILDERS INCAddress 15700 Idincheeter Blvd.
Los Gatos
w w gfAddress
a a
a U PhonApprove
State BUILDING INSPECTOR /
RECORD OF INSPECT16N APPROVALS
FOUNDATION
DATE
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATE.
INSPECTOR
NO. STREET LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
WEDEG
MrY OF CUPERTINO
2819 S 11 i%_
�j9
Date n( / - pT n! , 19,11. Permit NO,
CIT\/ 8rr 7 @'Dy�h�l1J' b� Fce
Apphca n is xb t fhe 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 !arcs applicable thereto.
Use of Premises
r±GMAR-70zMm
A
CONTRACTOR, AGENT A
Z36 -o /�11d
State License:ZZ O ��
RPL FEES
Size Service Conduit 211 Number of Outlets
V-)
Size Service Wires -70�-L Number of Switches
3
Size Service SH1tch /Ot 4 Number of Receptacles -3%
Size Sub Feed Conduit — Number of Fixtures /10
Size Sub Feed Wires '1 Ranges KW
Number of Circuits �_ Oven KW
Number of Meters Panels Transformers
Signs
Misc. 21yers
Motors �[ FIP O - Z' Phase /
Motors EIP Phase
2.00
Motors EIP Phase
Permit Fee
HP Charge
Total Fees
o). G'v
9-1.3 5-
• /D��7 �/ I/L(Jt,•JZL�_ LOT NO.
NO. STREET
a APPLICATION FOR APPLIANCE PERMIT
i = CITY OF CUPERTINO
W ,^
o 6 Permit No.
o a Date
3 U .f ry1 19s�Dlbe
Pec° APPlication is hereby made City of Cupertino for a permit to
o a install gas appliances as �listed on the reverse side hereof, and agrees to
iN install 0i 1c ' by(Itce a)Eaj'Iw with the provisions of the Plumbing
i Co of the City of uper-m-, and all other laws applicable thereto.
J LL Use of Premises / s-
00
��
Owner _;✓ Address
81 Pioneer Way.
_
J = By
MERCURY SHEET METAL & HEATING INC AddressA°nnntAin WW, California 9404a
JO CONTRACTOR, AGENT
— Phone
m=
a o State License Approved
PLUMBING INSPECTOR
V.
0
Type of Appliance
Units Fees
Remarks (Check ✓,
II New I
Replace I Relocate
Gas Ranges
I
I
II
I I
Wall Heaters
I
I
I
I I
Gas Plates
I
Circulating Heaters
I
I
11
Blower Furnaces
I
I led
II
I I
Gas Fired Boilers
I
I
II
I I
Warming (hens
I
I
II
I I
Percolators
I
I
I I
Griddles
I
I
II
I
Steam Tables
I
I
II
I I
Gravity Furnaces
I
I
I
I I
Suspended Unit
Floor Furnace
I
I
II
I
Miscellaneous
I I
II
NAME TYPE
I I
II
I
I
yI
.roll
I
_
I
I
.od.11
I
I
I
ad 11
I
I
I
IF
I
_
io?.OD
II
I
� _
Appliance Fees
Inspected and Approved ............_...!.................................---------- •-
DATe wcvcrriu
..s,
ROUTE SLIP
File No.
Date Out /� _L
Date In /o ii —
Locat'ion
Sub' ec't
Notes
Approved /o b1z 7 '
Date Inspector
ROUTE SLIP
File No.S0
Date 3-.2,E-6P
Location��
Subject Zr�4wC s
Notes
Approved
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY. OF CUPERTINO
Date .... . . 7..--: ........ Z.-O .... : ........... 1 19-498... Building Permit
The Building Located at ... .........
4 . .......................... fW
Owned by --------
(Completed
Has Been For Use Ss: --------- ................
. . BUILDING INSPECTOR
102 12/66-IM
Bldg. -Dept.
Office Copy
BUILDING- INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No- ---- --------
[ Plumbing Final Plumbing Permit No. --------
T v, XT�
Own
At
Trac
Date Connected ........................ ...............
.......
Date Final .............................
111 12/66-IM
OFFICE COPY
To
You are,herebi
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO ^-
1 .....__... �_: �Ot.. v..._........' 196!J
to connect
for
Owner or Tenant ..... .(,ti................_..._-....--
No. of Wires Z_............... Size of Wires . ..: ... Size of Switcl
Motor Load .......................... Voltage ................................ Phase ........ ......._.....
.._. _ ...
Heating Load :........................ K.W. .......................... Voltage
/........... ........ ...........
+ Light....._f... IIU... /...�i Service...,. He ect.....
:...........
No. of Meters........._L......
fHear....._...._.... 220...... hr Wire/ .... ove Service.._....:..
No. of Add. Meters............
Power... .......... r h ............. M e Meter...........
.......................... .. ....... _....:.. '..l
N. ELECTRICAL INSPECTOR
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
IV TO
You are hereby authorized to connect the
,GGAS service for
Owner or Tenant .. .. .. _.aeoT ,......:....._,_.::_.....................
At I. V .....--......_.......
New Service ------- _.......
No. of Meters ......:......:.. Reconnect .............................
M6ve Service .......................
No. of Add. Meters .......... Move Meter ........................
..............
PLUMBING
BING INSPECTOR
/0r201Y 12rf /l I//d. .
LOT NO-
IONfiTION FOR PLUMBING PERMIT
w10CQ . CITY OF CUPERTINO
Y �,) .JUL `1 V 'v-- ' Sanitary No.
° a )ate /—_, 196-7 Permit No.
3
OF
_ITY CUP Pee $s3. 3-v
Application is hereby, made 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
'zm and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
w I '
�r
LL Use of Premises
00
>0 /��� /
o a Ownel('Eo/eC^E A•A/�/�'A10 Address /0 20
z J
o By �`� Address
3 r NTRACTOR, AGENT'' ///
—m Phone o;?
w z r
ao , I State License Approved
Uu PLUMBING INSPECTOR //*
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen in
of Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Wagiing Machine
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
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Valve
Gas Fee
5�
Vac Breaker
Skimmer
Filter
Pool Sweeper
Pemut Fee
• �~'
Total
11 Total Fee
�Z