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NO PERMIT NUMBER
C. Lot No. I Date Street APPLICATION F09 8 ILDING PERMIT CITY OF CUPERTINO _196 Application is to be occupied only as \-" 21 in accordance with Plot File No. Sanitary a permit to _ a seory, Typc LX/U Plans and Specification filed herewith. Estimated Value of Improvements S FEES plan Check E Owner Address Contr. Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT 196 FEES Address State License Approved APPLICATION FOR PLUMBING & GAS PERMIT 196 GAS FEE $ PLUMBING FEE $ Address State License Approved APPLICATION FOR APPLIANCE PERMIT 1% FEES Address State License Approved Applicants agree not to violate any of the , Workmen's Compensation Laws of the .. v State of California RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION UNDERFLOOR FRAME LATH & PLASTER FINAL ELEC UNDE ROUC FINI! FIXT MOT( FINA UNDI PAR' ROU( MAIN GAS FINA MISC MISC DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DATE INSPECTOR ELECTRICAL T. SERVICE DATE INSPECTOR RGROUND DATE INSPECTOR H WIRING DATE INSPECTOR H WIRING DATE INSPECTOR JRES GATE INSPECTOR RS DATE INSPECTOR L DATE INSPECTOR PLUMBING & GAS :RGROUND DATE INSPECTOR AAL ROUGH DATE INSPECTOR ;H COMPLETE ' DATE INSPECTOR DRAIN DATE INSPECTOR 1IPING DATE INSPECTOR L DATE INSPECTOR DATE INSPECTOR INSPECTED MISC MISC MISC OATS IN.I YGCTVN APPLIANCE DATE DATE DATE INSPECTOR ywi .INSPECTOR DATE J INSPECTOR OFFICE COPY 7Y 01� CdERTIN& CTIR1C SERVICE NOTICE .......... - ........ You are hereby therized(to connect elect service for Owner or Tenant At- ...... ... ...... ..... ...... ...... . - No. of Wires ........................ Size of Wires — ........... 1 of Switch .................... Motor Load .......................... Voltage ................. ....... Phase ... - ...... --- ...... - ...... Heating Load ........................ K. W. ....... Voltage ................................ No. of Meters ............... Light m Ser, ic,-... 1<e,otinect. ..... . L t 11 'at No. of Add. Meters............ H --1,- 2 .... . -hree ir , ........ Mmu Sm-4,..... ...... Power............... hi-cf, ffh.,,'. j_ ... _.. Molt Meter....... ............... rLECTR!CAL INSPECTOR / o NO. STREET LOT NO. APPLICATION, FORIEI,ECCTRICAL PERMIT Date .' i ] 9j "eQt NNo S // © 0 IJ � --9969 caw - Fee .$ e Application is hereby made to the City of Cupertino for a permit to install electrical wiring and/or fixtures aslfystedlonCt' ryUiseLde�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 at ier laws applcl thereto. Use of Premise.U-t-�--�J � Owner '� _ Address By 4 Address 44 CONTRACTOR, AGENT G� �// Approved t�hOnc: � 7�a � S O % ELECTRICAL INSPC X,�1 State License. 6-3 2 S411 ITEM- - NEW RP.L° FEES !� nber of Outlets . - - nber of Switches ri6cr of Receptacles ntiei of Fixtures - es or Ovens-K.W - of Main Service - nber.6f Meters - - - nbei of Panels. is:'Transfotmm ors: = `: P-.,Phase- P7Thase ei Poles:. PerinitFee - - 2.00' H.P.Charges. . - • - To[al Fees - " m A': 4 o-^ T'��.'Y �"TM."g+^ a,nvr. i ?"'narv-�". " ,..,*✓S'.41 r /T.. x}Ui Q 77 NO.: ` s'fRrrT 'iT Lot NO. j iZ Z APP CATIIGN F''�OyR" ELECTRICAL .PERMIT xo 011T!Yi01' C:UPLRTINO - w Date / � —„L9, `��_ < F ermit No. _ -im R!TV AI Elf Ta1� - Fee :S 2, a w Application is4herebyjmade�to,theCity of .Cupertino for a permittoinstall electrical wiring and/or fixtures as listed -oil tlie.reverse side hereof, and agrees to install said p�o -wiring, and/or fixtures in accordai,rc with the provisions of -the Electrical Code of,the ` cFl;-'city'of Cuptrtmo,� and a her I ws aj�d lifab lfiereto. w` use of pre ices j Z J p .. Y Owner Address m rw. Z p'a By`Address*CONTRACTORAGENT Approve CTM " ,0: State License, 22 714 z 3 "NEW:..RPL- FEES-.:. Number of Outlets Number of.Switches 77 Number of Receptacles ,3 Number of Fixtures Ranges or Ovens K.W. Size of Main Service 400 Number of Meters Number of Panels VDU Si ns - S Transformers C zC ., i • Co Dryers Motors: 7 Eb ,j H.P. Phase 3 ero b_ _ 4VP. Phase In7 Power Poles — n -- Permit Fee_ 2.00 H.P. Chaz es . - Total Fees ITEM Lot No. TI:fJ J � '-APPLICATIOIJ 0R PLUMBING PERMIT CITY OF CUPERTINO eE. - ;> 196'9 Sanitary No. 6�OQ Date T _ . 1 6Permit No.r114000 G! i Y U, Dui- I wd9 - Fee 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 Owner oj7CfV,461rZ) BY Contractor, Agent Phone 282 (O l S State License CC/y 21S%Z�S Address an Ds-/u'0# ya, WILLIAM D. SENEVICH Approved Plumbing Inspector FIXTURES NUMBER MAIN DRAIN Units lPees Units Fees Water Heater Size Water Closet Material Bath Tub r To Curb Shower To Prop. Line Lavatories To Existing Kitchen SmL Not Conn. Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine Size Water Softener Material Bar Sink To Main Drain Comb -Sink & Tray To Curb Dental Unit .. Drinking Fountain Floor Drain WATER SYSTEM flo—p—per Size Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee r 0 a' Main Drain Fee 00 Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee Relief Valve E., Fee Vac Breaker Skimmer Filter Permit Fee Total Total Fee HI is I G:J LOT NO. NO. STREET �qn ,APPLICATION F R BUILDING PERMIT CITY, Ot' CUPERTINO l I ZiCJ3 i:IHY '9 106� 1 Sanitary No. Date �— 196-5? ,Permit No. V r �/ O Application s hereb'y made fora;permit to 3'oe Y'YiO story, Type Building n, be occupied only asC—e%2-L-(;Ilccordance with Plans, Specifications and Plot -Plan filed G herewith. PI Ck Fee Estimated Value of Improvements, S fee, °O Fee E G It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all other laws applicable to the construction, location, and use of buildings within the City of Cupertino will be complied with. OwnerAddress By Lfticssc.<Address_ 41S'Z Phone /f ��-`JJ�y�//p� ApprovedWILLIRP.1 D. D'NEVICH State License BUILDING INSPECTOR 9 No. Street '—a Lot No. ecru ..ran ruff-nuiv,uipy rnttmu ,f/o laNN• V City of Cupertinji 1 1 �G Date 196 �JAIV rr 1969 Sanitary No. n _ Permit No. .r,, G Y Application is hereby made for a permit to?�l�i a s.....T`pe( !'lPER',—PN0 Building to be occupied only in accordance with Plans, Specifications and Plot -Plan filed herewith. PI Cke` '"(tT -% • Z) U� - Estimated Value of Improvements, $ /y���� '0^ Fee $ / % 8. OO It is hereby agreed that the requirements,of. the Cupertino Building and Zoning Ordinances and all other laws applicable to the construction, location, and use of buildings within the City of Cupertino will be complied with. - Owner \%)',4.��, �J ��y` Addres= Phone State License z / o o ( S' I SR i C �. 1./� U" LOT NO. STREET „ t A L- Cift�O -APPLIANCE PERMIT i Z CTI Y UPERTINO W° ,s- DRAY 2919. SI l P 3 a Date 196 Permit No U W � 'o W W o� >� z to � W W I r 3 W Use 00 i„ oa zJ J J_,Q 3 < -Z s� Z �o �� nC n" Wr� Fee tine A1��i�aTiorUiL hctu�$ F e Cityof 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 Citv of Cupertino and all other laws applicable thereto. of Premises 7— �/— �t",' Owner 7- / — �'t/a By // COcc9 RA R, AGENT Phone C0 O'� �i 7 q W W °a o State License —U� Address / 0 o Address ApprovedWILLIAM D. SENEVICH PLUMBING INSPECTOR Type of Appliance Units Fees Remarks (Check V) New Replace Relocate Gas Ranges Wall Heaters Gas Plates Circulating Heaters Blower Furnaces Gas Fired Boilers L<' ing Ovens Percolators Griddles "Steam Tables Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous (NAME TYPE) l Co litg Y'-I „`-za ii Appliance Fees • t � o 4U APPLICATION FOR A City of Cr Date `' '.� �' , 196 2 Application is hereby made to the City of Cup, listed on the reverse side hereof, and agrees to provisions of the Plumbing Code of the City thereto. Use of Premises Owner — /77 Contractor Agent Phone State Licen:.,_�"� C% Lot No. PERMIT Permit No. Fee S er ?p no for a permit to install gas appliances as ,tall said appliances in accordance with the Cupertino, and all other laws applicable Address Address 71 Y ]j C .4&lcK WILLIAM D. GENEWCH Plumbing Inspector APPLIANCE UNITS FEES as op Gas Oven Wall Furnace Gravity Furn. Forced Air Furn. Gas Fired Boilers Warming Ovens Sus . Units Dwelling Kit./Bath Inde end. Vents stem Com., Indust.. Inst.Kit. Hood & Vent System Forced Air Under 4000 CFM Forced Air Over 4000 CFM Ind. Ventilation System without Comfort Cool.) Forced Air. Mech. each Power Gravity System No. of Air Outlets, No. of Flues I Iq ZOO Stacks for Metal Fireplaces Smoke Stacks, Misc. Equip. Under 15' High Over 15' High Comfort Cooling Comp. of 20 HP or less & absorp. units with input 00 of 500,000 BTU or less Comp. over 20 HP & Under 50 HP & Abso . units with input of 500,001 & Under 1,000,000 Permit Fee L 0 0 Total Total Fee , 00