FILE 51126a�
No.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 9 �S 196 7
Application is hereby made for
to be occupied only as
in accordance with plot Plan,
to
Lot No.
File No..�
Sanitary No.
story, Type
and Specification filed herewith,
APPLICATION FOR ELECTRICAL PERMIT
Estimated Value of Improvements $
FEE$
Pion Check $
n
Ower —
n• -
�.%.�c Address
Contr.
Address
Phone
State License
'
Approved
Lot No.
File No..�
Sanitary No.
story, Type
and Specification filed herewith,
APPLICATION FOR ELECTRICAL PERMIT
r f--
Date 196 1�
FEES 6
Contr. �� Q� - • K g=o'�_
Address 0115�V ./
s
Phone 200 — G
State License oZ 3 U.
r
Approved
APPLICATION FOR PLUMBING
& GAS PERMIT
Date 196 -
GAS FEE $
PLUMBING FEE $
Contr:
Address
Phone
State License -
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 196
FEE$
Contr. •
Address
Phone
State License
Approved
Applicants agree not to violate any of the
,.
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
Inspector
Inspector
Inspector
Inspector
Spector
Inspector
WATER SYSTEM
SERVICE SIZE
BUILDING
FOUNDATION
UNDERGROUND
Date
FEE
UNDERGROUND
Date
Inspector
UNDERFLOOR
PARTIAL ROUGH
BLOWER FURNACES
Date
Inspector
FRAME
H.P. CHARGE
ROUGH COMPLETE
PERMIT FEE
M rs
l�t
Data
Date
TOTAL FEES
Inspector
LATH A PLASTER
MISC
Inspector
Date
WATER SYSTEM FEE
FINAL
GAS PIPING
FLOOR FURNACE
Date
Inspector
GAS PIPING FEE
Do to
I ns De.for
ELECTRICAL
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
Inspector
Inspector
Inspector
Inspector
Spector
Inspector
WATER SYSTEM
SERVICE SIZE
IWITERIAL
SWITCHES
UNDERGROUND
Date
FEE
UNDERGROUND
RECEPTACLES
ROUGH WIRING
D e
PARTIAL ROUGH
BLOWER FURNACES
FIXTURES,
FINISH RIN
FI R S
a
Inspector
H.P. CHARGE
ROUGH COMPLETE
PERMIT FEE
M rs
l�t
Data
Inspector
TOTAL FEES
FINAL
MAIN DRAIN
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
Inspector
Inspector
Inspector
Inspector
Spector
Inspector
WATER SYSTEM
SIZE
IWITERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
REGISTERS
PARTIAL ROUGH
BLOWER FURNACES
Date
Inspector
MAIN DRAIN FEE
ROUGH COMPLETE
MISC
Data
Inspector
STORM DRAIN FEE
MAIN DRAIN
MISC
Date
Inspector
WATER SYSTEM FEE
PERMIT FEE
GAS PIPING
FLOOR FURNACE
Date
Inspector
GAS PIPING FEE
FINAL
Date
Inspector
PERMIT FEE
MISC
Dote
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 FEE
FLOOR FURNACE
'TOTAL FEE
INSPECTED
Date
Inspector
NO. STREET LOT NO.
APPLICATION FOR 'ELECTRICAL PERMIT
fJ 1ITY,, OF CUPERTINO
G�
N
1957 e.
Date
I Permit No.
� nn pTT � � Fce ti m�
Ap(�Tcatioi i"l-i ebyCmatl'e'tolth'elCity of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install slid
wiring and/or fixtu es in accordance with t revisions of the Electrical Code of the
City of Cuper ' o d . 1 'aws a licabl teto� �A
Use of Prerr \ ....1- [j�i7/ _ A 1 .✓�f�
l] F CONTRACTOR, AGENT
Q 0
U Phone: YoZ3
State License! —�0 epU(�
CD
Address
Addr
A pproved
LECTRI J1L INSPECT=
iV,
NPN PPT. Prvq
Size Service Conduit Number o[ Outlets
4
Size Service Wires Number of Switches
Size Service Switch Number of Receptacles
Size Sub Feed Conduit Number of Fixtures
Size Sub Feed Wires Ranges KW
Number of Circuits Oven KW
Number of Meters Panels Trans a
J. &
Signs
Misc. Dryers
_
Motors HP Phase
2.00
Motors HP Phase
Motors HP Phase
Permit Fee
HP Charge
Total Fees
. O
M
O
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO q-
Tt ........ ... . ...... 1967.
YY(
ou are hereby t zed t connect electrical service for
Ownwn r
r or Tenant ...... f ...... 4,
At... . ........ ........
...... ...... ...... .
No. of Wires ........................ Size of Wires ......... ..... ...... Size of Switch — ... -
Motor Load
Heating Load --------
Voltage . ... ........
.. Phase ....._........_......._...--
Heating
..............
K. W. � ...... ........ . Voltage ge
se,�
No. of Meters....................(He 220Light ................ It() .... -.... New Service._.. ..... . . Service..........
No. of Add. Mete ..... hree Move
C .. .... Move feter ....
f
ELECTRICAL INSPECT R
No.
Q IC I 6'4� .. Lot No.
Street --
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.`-$—//.,�
Sanitary No.
Date 196 L
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ -_e Plan Check $
Owner v/"/ Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
9 yy S -o
Date 196 7_ GAS FEE E .3
'�e - a /J PLUMBING FEE $
Contr. O�'�''Ww/ 1.t.4rt Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% FEES
Contr. Address
Phone State 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
UNDERFLOOR
FRAME
DATE
DATE
ROUND
DATE
INSPECTOR
IRING
INSPECTOR
LATH & PLASTER
FINAL
DATE
DATE
DATE
INSPECTOR
S
INSPECTOR
INSPECTOR
DATE
INSPECTOR
INSPECTOR
ELECTRICAL
DATE
ELECT.
UNDERG
ROUGH N
FINISH N
FIXTURE
MOTORS
FINAL _
iERVICE
ROUND
DATE
INSPECTOR
IRING
DATE
INSPECTOR
IRING
DATE
INSPECTOR
S
DATE
INSPECTOR
INSPECTOR
DATE
INSPECTOR
DATE
DATE
INSPECTOR
DATE INSPECTOR
PLUMBING &'GAS
RGROUND
'
'IAL ROUGH
DATE
INSPECTOR
H COMPLETE
GATE
INSPECTOR
DRAIN
DATE
INSPECTOR
_
A
'
-O
/PING
DATE
ECTOR
GATE
.INSPECTOR
L'
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED
MISC
MISC
DATE INSPECTOR
DATE
DATE
DATE
DATE
APPLIANCE
NSPEC TOR
NSPEC TOR
INSPECTOR
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GAS SERVICE NOTICE OF IC:
BUILDING INSPECTOR'S OFFICE COP]'
CITY OF CUPERTINO
1..-3 ....................... tu>.J
To
You are hereby authorized to connect the GAS service for
Owner or Tenant . ai", r...
At .e�lcXyl�.ro...—,e=� ` ��lJ.........._..........._....._........................
I New Service . ...........
No. of Meters../ ............. Reconnect ..... _................. .....
Move Service ........................
No. of Add. Meters .............. Move Meter ................... .......
PL MBING INSPECTOR
LOT
z2�d�� S4L�M
NO. STRF.P.T '
`�19&'wAPPLICN POR PLUMBING PERMIT
jgrsa�.(TY OF CUPERTINO
BSEP 28 �tj967 Sanitary No.
196k� Permit No
L'ITV . bF PERT�NO Pee $
Apphc i n i h reby ma c 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
By
CONTRACTOR,AGENT
State License 0"'`r^ -`"'V
Address 2 z392 S 6 Le'
Address
Approved
i
PLUMBING INSPECTOR J
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