NO PERMIT NUMBERLot No. CCO I
No. Street 9bs—
APPLICATION FOR BUILDING
CITY OF CUPERTINO
Dore 196—
Application is hereby ma a for f ermlt to
to be occupied only as
PERMIT
Sanitary No. / 3,2112
File No.1/D 3z
story, Type .6-27 'T
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements
j __ 3,6,'9O0•
FEE$
Plan Check $ —S•
��
Owner
Gl.�% .,....o •,s•
l
Address p0. 6
Contr.
Address
Phone
``
�a DSO/�d
State License ////��2
4}I
Approved �• & •
C/C
qVII0111t.
APPLICATION FOR ELECTRICAL PERMIT
Date /j1962 •t
Contr.?�
Phone �e 9l — e5 0 7/
FEES4090-"S�
Address aV2,5— C AX � -le
State License L C sr/ 9/6
Approved
J
APPLICATION FOR PLUMBING & GAS P RMIT
Date _ 196 % GAS FEE $
PLUMBING FEE $
Contr. _ �/Hq—w���y O--" %1 Address
Phone .3% / a / i State License L-3 cl ic# 7
APP (CATION FOR
Date ��%% 0 196/�� a.7 /[
,
C ontr. JL /[3AY.an ,Y/v//Lp f
Phone —J // - 1tl' 0.4— ' v'
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
Approved
APPLIANCE PERMIT
FEES
Address l0./) 62u'r4
State License'' ++ ,Hilo("�
Approved _ W. tom' /�YtNrw•*C.Q
J
RECORD OF INSPE�SION APPROVALS
PAD FINAL_
FOUNDATION
UNDERFLOOR _
WQ
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG.-
UNDERGROUND ROU
ROUGH WIRING_
FINISHED WIRING _
FIXTURES
MOTORS
FINAL
BUILDING
INSPECTOR
h
St
ELECTRICAL
DATE INSPECTOR
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH `
ROUGH COMPLET 4 'i
MAIN DRAIN S pq ' 9 6
FINAL PLBG. 6
FINAL GAS
FINAL APPLIANCE
nATP INSPECTOR
MISC
MISC
MISC
CITY OF CUPERTINO
10306'Torr; Ave.
CORRECTION NOTICE
Department
Job Located at ------ M m-4 ...
------4c T-J-6-/ ----------------- ---------------------------- ------- -
----------------- -- ------------------------------------------------------ ------------
oN
7c-U& -- ---------- -W -- ------ 7Z --- HCP71 r,
e'w 41 "1 CD ------------------------------ — --- --------------- ------------------------
------------------------------ -- ------------------------------------------------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date:
City Telephone Inspector: ------- ----------
CITY &'60PERTINO
10300 Torre Ave.
0 RRECTION NOTICE
X---------------- ----------
Department
Job Located at 5ftpm ------ rw-.�PA ........
---- J-w --------------------------------------------- ----------------
--- !?w ------ WA12-f,
22 ...... R� ;S - - - ! 94
3 ------ 174�7-- - ---
51 .... 1-N --- 73- A-UL, 177,
... KIP-1K0
DM --.V$44 ... OFF-SVP
CAI -Cccxa- -UJ-4-tt
.. T-4-S-W-NQFQft
----------------------------
�E�-rp cr Y w (;. P .4
- ----------------------- - j
N------------------ —
--------------------------------------------------- 7-: ------------ - ---------------------
You are hereby notified that n ' 0' rnore work shall be
done until the above violations are corrected. When
corrections have been made call the. inspector. .
252-4505 Date: -------- ---
City Telephone Inspector: ---------- -------------
CITY OF CUPERTINO
10300 Torn Avo.
CORRECTION NOTICE
-------------
Job Located at 4. A 0.7 .-1 ...................... ------- -----------
-----------
-- --------
--------------
----------
-------_--- ------- --------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
2524505 Date:
City Telephone Inspector:%_-- ------- ..........
_. 1 1,
CITY' OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
Un2- i --------. .
Department
Job Located at LoT_--/-IS./
2 AP -%LL `I STUDS ..
C-------------
------------- ------------ ------ ------------
4L-------------------------------- ----------------------------------
-------------------
------------------------ --------------------------------------------------------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252.4505 Date: (5- -5 �.6.p-9....... ......
City Telephone Inspector:—J.4!l`5-�.,e�/
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTIO-N NOTICE
-----------
Department
Job Located at ------ ---��/- 4, ---
--- hK-
--a-�.�------
----------------------------------- - - - - -- - -- -- -- --
--------------
-- --------------------------------------- ---------------------------------- -
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252.4505 Date: -- -- - ------ .6-�--
City Telephone Inspector: --------_-------__-_------
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
- - -- -----------------
Depa�rtment
Job Located at / 7(u---
-ll --- - --- ----- ----- - --------
- -------- ---- --.- "--- ---------- s�
�.Q,Q
d6
-
7------ ------ -----------
- - -
----
------------ --- --
-, .------------ ----- -.
q --- -
Yob are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the/1 pe"ct�ojr.
252.4505 Date: D�lL/
City Telephone Inspector: _.. ---- - ---
\t CITY OF CUPERTINO
10300 Torre Ave.
CORK CT O, NOTICE
at (Y-4 �&f
------------------------------------------------------------------ ---- -------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made cajl the i pector.
252-4505 Date:
-',�
City Telephone Inspector: v ....- ....
------ ..-.
ROUTE SLIP
File No.
Date
Location
j�
Subject /(z�
Notes —74L� �o h
Approved _9=2 .5i;-9
Date Inspector
Z L04 / i t
G/ 9/ I SiKr��sy E�Fr � LOT NO. NO. STREET e+�1 Pei S'
APPLICATION�FOR=BUILD, ING PERMIT
CITY] OFAUPERTIP /S�
n - 7 19 sanitars�a 3�z
6g ®,, f
Date— Permit No! S % J 7
t
Application is hereby made for a perrnitto
astory, Type .s--,''J" y�l �{J!-/!1 ' Building
it, be occupied only as in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee �5�. 7 J—
Estimated Value of Improvements, & ' C'7l"d' `Z Fee S /d <Sy
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 111 be4oij;plied with., 1� n
Approved
State License zec E / tnING INSPECTOR
kFICE ,COPY � • � '
ELECTRIC URVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
ti
are hereby, thorized n ect electrical service tor -
Owner or Tenant ..._
At..-........E..r..�...Cj..i.....Lt
No. of Wires Size of Wires Size of Switch
........
Motor Load ---------------------- Voltage ....... Phase
Heating Load ------.--- _---------- K. W. _.......... ............:....... Voltage .............................. .
No. of Meters ...... :...'...... ... Light ............... 11U...... _.... New Service. ..... Reconnect._......... _
No. of Add. Meters............ Heat ................. 220... ee Wi ....
--.. Move Service....__..
Power./ e.... ......... Move Me ........
r
.. ELECTRICAL INSPECTOR
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
............. 19 .
You are hereby authorized
ooc connect electrical service for
Owner or Tenant ...�... ^GUa "v �r�"f� r''" u
! I f 1 l olGat,r n X-&4 0" , ,r
At........................................N........._......................................................
No. of Wires . Size of Wires ................ Size of S �tch ft UCL�bu�
...................
Motor Load Voltage .... --- ...... .... ...._..... Phase .....�.,.<....—`............
HeatingLoad ........................ K. W.................. ................. Voltage ...._......... ...............
.
/ No. of Meters.......Light ....... 110... New Senice....i,.. Reconnect. ... ........
No. of Add. Meters.. ....
!.......... V
Heat........_._ ... ._..... 220............ Three WireXfoce semcc............
............
,Power ............... 'Chree P set. ._.. \fu•:r Meter........
✓l J�f�. _..._.
.......... CE EEC !CAL INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
-CITY OF CUPERTINO
Date --------4;37 ............. ...... 19a---
04
The Building Located at
Owned by ...... gW4
Has Been Cmple-
---------------- ........
I/
102 12/66-IM
Anildi..
NJI�Xfo'7_
................................
- -----UIL-- - ----- * . .............................................
T 'TT
BDING INSPECTOR
jG I OfBldg-e GDPY Dept,
fic
BULDNO WSPECTOrS MICE
. CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ..6.3.%zz
Plumbing Final Plumbing Permit Nor.,..
Lot 140 . ..... ------------
Owner or Tenant .... -------- D&.- .........
At---- ....PAR ..... -------- ...... -- -------------
Tract....... 4... ............................................... --------- .................................
Date Connected ------ 5-fn-14 .... . ... 6-7 .. .......................................... -------- - 19 .......
DateFinal ........... :M ... .... . ...... fQ-7- ------------- - ----------- .......... 19 ...........
PLUMBING INSPECTOR
Ill 12/66-IM
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
LOT— CITY ,OF CUPERTINO
...... ........ ....... j....' 196......
To
You are hereby authorized to connect the GAS service for
Owner or Tenant �jl-a.p ........ Cgy.rop ........ tr"7-
. ....... ........
At 11.1.3.1 ....... 3.4v"m ...... Tt-wi�aft .. .........................................
New Service ..A ..................
No. of Meters ......I ............... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. move Me m ........................
( ..............
....... . .... .. ..
PLUMBING INSPECTOR
No. Street Lot No.
0 CRY OF CUPERTINO
EMkR 2 WR APPLICACIN FOR I OTY OF CUPERTNO PERMIT
0
H PAlD _
c
Sanitary No.
Date ..2 19.W�Z— Permit No. J/V
3 Fee $ 3
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
0 in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other
laws applicable thereto.
0 ,(J
A u Use of Premises
0
oOwner Address l// %{.3QIPiilUA1
By Address 20f)7 Sr((JCRRDa q-UC
3 Contracto , genet./
u o Phone
State License-1 V6 '� k 3 Approved
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 Sin c
11
Not Conn.
Dish Washer
11
Waste Disposal
11
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
I I WATER SYSTEM
Hopper
I Size
Restaurant Sink
I Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief j7
Vac Breaker
Skimmer
Filter
ZZ
Permit Fee
Z, G d
Total
Total Fee
LOT
NO ._- %§TREET
e�.. , .
CITY OF CUPERTINO
Sjfj� 5 111APPLICATION FOR PLUMBING PERMIT
Date �� , 19�
Application is hereby made to the City
pipes and/or fixtures listed on the reverse
and/or fixtures in accordance with the pn
Cupertino, and all other laws applicable the
Work To Be
Permit No.
Fee 3 L d
of Cupertino for a permit to install plumbing
side hereof, and agrees to install said pipes
visions of the Plumbing Code of the City of
a)
Approved_ T
Plumbing Inspector /
I AGREE I WILL NOT VIOLATE ANY OF 4E WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0) L1
FIX i RES
NUMBER
MAIN DRAIN
Ir
jUnitsj
Fees
11
Units
I Fees
Water Heater
`, �-
Size
Woter Eloset
Material
Bath— h TT�--
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen
Sink
Not Conn.
Dish Wosher
Waste Diiposal
Wasll4ray
STORM DRAINAGE
WaSl07Vlachine
- Size
Watjt§ohener
Material
Bar'Shnk:f';
To Main Drain
CombS,ink B Troy
Ta Curb
Dent ,uyr ft
Drink rig Fountain
Floor Drain_
WATER SYSTEM
�.
Hopper .
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Uriryol
Fixture Fee
Q—
Ar a rain
Main Drain Fee
Wo er'Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
G�—O
Total Fee
/ '
NO. ST EF.I' -
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
r o Sanitary No.
0 a Date - '� !Oro 196— Permit No ��e 3 J
i w Pee $
o Application is hereby made to the City of Cupertino for a permit to install plumbing
o < pipes and/or 'fixtures listed on the reverse side hereof, and agrees to install said prices
> 1- 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 x
� r
4 Use of Premises
o_o
Y
o a Owner Address +
ZJ
B �D
3 o y CONTR�ACr AGENT Address
— PhoneZ9—d ��
w z
a U State License Gf 7 Approved-
_ CH
+v/ PLUMBING INSPECTOR
FIXTURES
NUMBERjNn'
AIN
Units
FeesUnits
Fees
Water Healer
Water Closet
Bath Tub
Shower
Lavatories
Kitchen k
Dish Washer
Waste Dis osalWash
Tra
RAINAGE
Washi Machine
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
o'er
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
-V
Relief Valve
11
Gas Fee
S�
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
S4/
Total Fee
Ob
1119i I ��,¢ STRT Est O,Qi�� �� j
NO. MEET LOT NO.
!A Q
y O
APPLICATION FOR ELECTRICAL PERMIT
p LL
a CITY OF CUPLRTINO
SU
w LL //Jj
o Date ff1�L �/ ,,/
w I ty� Permit No. _
Fee S o0
a w Application is hereby made to the City of Cupertino for a permit to
install
awiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
ii o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> N City of Cupertino, and all other !aws applicable thereto.
o a T,,,..� ✓'
z _j Use of Premises
�z
0
3 m Owner �' Cloddress �O , b✓7Y �o-
a
a BY _ Address
O i CONTRACTO , AGENT
o LLIAnn n --P- OO Approved WIEvfejq
— ,U Ph,,n, � ��/OTJ ELECTRICAL INSPECTOR
�J State License
NEW RPL
Size Service Conduit ......................Number
of
Outlets ..................
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........................Signs..........
Transformers ........
--- I
Misc..---...------.....----
....................
Dryers ._-"-----................-----....
L.................-...........
-----...........................
Motors ....................
HP ....................
Phase ....................
Permit Fee
$1.00
Motors ....................
HP --------------------
Phase ....................
Motors....................
HP ....................
Phase -----------.........
H P Charge..............................
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring...----........
--------------------------
Fixtures __.................. ---- ....--- .------ --- ---
DATE
INSPECTOR DATE IxSPECTOR
Finish Wiring .....
_......�...........
. . ..totors
. ...................----D+rz
IxETEcroR
D ArE IxsrccrDRnal
..........................----------- -----
DATE INSPECTOR
mLOT NO.
APPLICATION FOR ELECTRICAL PERMIT
s CITY OF CUPERTINO
Date ® ! 191 Permit No. _
f JU - 6 1969 Fcc 3ZO
Application is hereby made th he City of Cupertino for a permit to install electrical
wir ��,,,,..��`g�I/[c�� fixtures as listed on the reverse side hereof, and agrees to install said
wi in�;,and/dFi.QJPf RT[PVjgc with the provisions of the Electrical Code of the
City of Cupertino, andd all other 1ws applicable thereto. -
Use of premises .4wz' J1�Ji// �'N���✓ft
Owner ' f ,O c /�Eil/• Address
By AddressPELEC�Ir�L
'
CONTRACTOR, AGENT A pprove
?��J�% INSPECTOR
State License
ITEM
NEW
RPL
FEES
Number of Outlets
A2
/9.
Number of Switches
Number of Receptacles
L�
Number of Fixtures //3
/
Ranges or Ovens K.W.
Size of Main Service
DO
Number of Meters
Number of Panels
%
Signs - Transformers
Dryers
Motors:
24Z SAP
H.P. Phase
H.P. Phase
Power Poles
Permit Fee
2.00
H.P. Charges
Total Fees
/'e
11191 Santa Teresa Dr.
No. Street Lot No. 161
APPLICATION FOR APPLIANCE PERMIT
City of Cupertino
Date Anri 1 2 , 196-(a— Permit No. �� 3 7
Fee $ /,j. d—'E)
Application is hereby made to the City of 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 City of Cupertino, and all other laws applicable
thereto.
Use of Premises R p a .
Owner Ward Crumn DPy. , Tn(-., Address P.O. Box 6311.
a)San Carlos Sh pt Met 1
Contractor, Agent
Phone Kq1 -260K
State License 110828
Address 779 Cl r1 County Rd
WILLIAM D. E=Nr:VICH
Plumbing Inspector
APPLIANCE
UNITS
FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
1
2.00
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
I nde 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
�'&17
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 15' Ilieh
Over 15' Hieh
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
of 500,000 BTU or less
Comp. over 20 HP & Under 50 HP
& Absorp. units with input
of 500,001 & Under 1000,000
ermit Fee
!Total
2 .00
Total
Fee
0