NO PERMIT NUMBER-/oa/31 p�
No. Street
Lot No.���
c,Z9 -7
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Dote /0 196
to be occupied only as
File No. a-1/ 79
Sanitary No. 'r'et0
is hereby made for a permit to
a story, Type 'S 1 J
in accordaneedvfth plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements
FEE$ '�RrS'b
C ontr.
Phone
Plan Check $
Address 0
04
Address
State License 2a 13 a:? —
Approved
r
APPLICATION FOR ELECTRICAL PERMIT
Date / Z/Z1 196 7 FEE$ c"� �' 'j
c p
Cont,. r c.(�C_ �Q'—t;L,,.._,� Address
Phone %-%� �' State License
Approved C
/
APPLICATION FOR PLUMBING & GAS PERMIT
Date / 1" 196 7 GAS FEE $
(/,/� PLUMBING FEE $ 3. -�
Contr. _(/ A—C l Address / �- 3 �L
Phone,) 3 Sea to License/ 1j
Approved
APPLICATION FOR APPLIANCE PERMIT
Date r� 196 �\\ TT FEEE n
Contr, /nnAddress X1 fi
Phone =7 -� $tote License
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION -� 7 o -�
DATE IN9P OR
UNDERFLOOR �r g �6
/ AT l�l P CTOR
FRAME `
DATE INSPECTOR
LATH & PLASTER
^DqTE IN SPE
FINAL
DATE
(O//p
INSPECTOR
ELECTRICAL
ELECT
UNDER
ROUGH
FINISH
FIXTUF
MOTOR,
FINAL
UND
PAR'
ROUI
MAIN
GAS
FINA
MISC
MISC
SERVICE
DATE
INSPECTOR
;ROUND
DATE
INSPECTOR
WIRING
D A TL
INSPECTOR
WIRING
DAT
INSPECTOR
ES
DATE
INSPECTOR
DD AT�
INSPECTOR
DATE INSPECTOR
PLUMBING & GAS
:RGROUND
DATE
PECTOR
'IAL ROUGH
_ .S
DATE
CTOR
1
iH COMPLETE
DATE
S ECTOR
DRAIN
-`
PIPING
DA TE
_�p
SPECTOR
DATE
NSPECTOR
L
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED
DATE ifaaY IMX
APPLIANCE
DATE INSPEC
CTOR
INSPECTOR
INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prom Line
Lavatories
o Existin
Kitchen Sink
Dish Washer
knt Conn.
Waste Dis oral
Wash Tra -
STORM DRAINAGE
Washin Machine
Size
Water Softener
Material
Bar Sink V
AM
To am Drain
Comb.Sink & Tra
Curb
Dental Unit
Drinking Fountain
_
Floor Drain
I WATER SYSTEM
Hopper
I Size
Restaurant Sink
Material
Sand I rap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
-
Permit Fee
Total -
Total Fee
143_ls_ G re A 1,�_ s LOT
NO. S"EEI'
PL FOR PLUMBING PERMIT
z d r CC ��� TY OF CUPERTINO
w � ...
s o Sanitary No.
pLL cc
o a Uat 196— Permit No N
3 U V /�C [p nI(� v0
4 �{ T@Af y4r+ltll��lYlM Pee $
o 00T ati is I e 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
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and a I r ws applicable theret
w=���
Use of Premises f 1 Al l�� pot i
o_o
> N
0 3 Owner
oa
zJ
J z By
O CONTRACTOR, AGENT y
3 Q
— m Phone
wz
awwg
State Licens M= V W N QR.
Address AS A&ve-
Add
Approved
PLUMBING INSPECTOR
ROUTE SLIP
File
Date
Location ,.9 ys'
Subject �x G^
Note
Approved— Try P�.tor
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .V?
jq/.jK... Building Permit No. ................
The Building Located at r -------- --- ................... f .....................
. ....... . P
Owned by .... 0 ...... -------------------------------------------------------
Ir.... I .............
Has Been (Completed ) For Use As: ..... vv�-CJOV4 .................................................
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFIC
E
You are hereby authorized to connect the GAS service for
Owneror. Tenant ... /%. .. ..............._......._.........r............_...,..........:.........
At..,ldd/.,..- ................................................. :........... ............
New Service .....:.�............
No. of Meters ./............:.. Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........ :................
.:............. .. ..........................................
PLUMBING INSPECTOR
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection
&-"Plumbing Final
Owner
At ...
Tract
bldg. Dept.
Office Copy
Sanitary Permit No. ------
Plumbing Permit No.
Lot No. ..... .............
DateConnected ---------------------- ..................... ................ ----------------
DateFinal ------------------------- --- .......................................................
..............
4�--fLUMBING INSPECTOR
111 12/66-1m
OFF
CO
ELECTRIC SERVICE NOTICE
Ja ,p BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are her Vythoiized� to connect e I S lice for
Owner or Tenant
..
At ....... ...... ...... . ..
No. of Wires .............. Size of Wires .. ............ y.. Size of Switch It
Motor Load .......................... Voltage -------- Phase . . ...... ......
Heating Load .......... . ....... . . K. W . ....... Voltage ..... ........ .
I( Light .......... I New Se Reconnect .....
No. of Meters........ ............
220
No. of Add. Meters............ Heat......_......._ — .,--Xhge Move Servi ce
Hear
Power ......... ... - ee
P Move Meter...........
................ ..
ELECTRICAL INSPECT0,112S,
I
ROUTE SLIP
File No.
Date Out
Date In
Locatlori
c
Approved' /0 n 7 �Lr/iw
Date Inspector
5 a
u
/3r:
10213 1 Portal Av. Cupertino LOT NO. 45
NO. STREET .2 971'
APPLICATION FOR BUILDING PERMIT
%_=;� I
GITYt OF CUPERTINO
1 Sanitat. No. �LL1
fog; 13 1967 UJ s-„
Date 196— Permit No. %
Application is hereby,made fora -permit to Build
t: Application
uOrl-K ( Il"M J
a one story, Type Building
to be occupied only as Single Family
in accordance with Plans, Specifications and Plot -Plan filed herewith
Estimated Value of Improvements, $ 28.000. 04_. Fee $ RS 90
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, locatiop, and use of buildings within the City of
Cupertino will be complied with.
Addres
.Address s Gatos
Approv
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR _
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
i
DATE.
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
j
DATE
INSPECTOR
FINAL GAS
DATE
INSPECTOR
Ys�
NO. STREET
N � LOT NO.
p o P-DLA PLIC TION FOR ELECTRICAL PERMIT
0 ' ((�C[TY OP CUPERTINO
.0EC 28 1967
„ W Date Z , 191-4�1 Permit No. 3"e
zN C:TY Of CUPERTINO , Fee S
a W Application is hereby made to the City of Cupertino for a permit to install electrical
awiring and/or fixtures 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
3 W City of Cupertino, and all other laws applicable thereto.
03
z j Use of Premises��
JZ
W
A
CONTRACTOR, AGENT
Q O
- 7.��-D %i�0 A
ne
tdteLicense -2 QO��
� o r /,` NEW HPL FEkS
Size Service Conduit 7i Number of Outlets 7
02 `^
Size Service Wires Z Number of Switches 71'
Size Service Switch /OO A Number of Receptacles
Size Sub Feed Conduit Number of Fixtures
Size Sub Feed Wires Ranges KW
Number of Circuits 9 Oven KW
Number of Meters Panels Transformers
Signs
Misc. Viers
Motors I1P—%. Phase /
67otora IIP Phase
dy
2.00
Motors Iip Phase
Permit Fee
IIP Charge
Total Fees
�V� °
I(-f_ '�V/TiYLLGL_._ LOT NO. 7�
NO. STREET
,
� PP,� 4Aj0' Q 6 R APPLIANCE PERMIT
OF CUPERTINO
- '�V '7 196.7
Date ��" 196Z Permit No.
TApp�i ti nQPh 1PN'1e to the City of Cupertino for 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 RESIDENCE
Owner Addres81
81 Pioneer Way
By MERCURY SHEET METAL & HEATING. INC. AddresM=ata44Vie�Q404U
CONTRACTOR, AGENT
a
State
PLUMBING INSPECTOR
Type of Appliance
Units Fees II
Remarks (Chuck ✓,
New I Replace I Relocate
Gas Ranges
I
II
I I
Wall Heaters
I
I II
Gas Plates
I
11
I I
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming then
I II
I
I
Percolators
I
I
I I
Griddles
I
I II
Steam Tables
I II
I I
Gravity Furnaces
I
I
I
I I
Suspended Unit
I
I it
Floor Furnace
I
I
I
I II
I
Miscellaneous
I
I
I
NAME TYPE)
131.E
I
I
I II
I
Appliance Fees
Inspected and Approved ......... ........ !.......--------------...... ..-------.._...
DATE INSPECTOR