NO PERMIT NUMBER (4) CA✓ z,
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File Nd23
Sanitary No.
Date 196
Application is hereby made for a permit to
to be occupied only as a story, Type
in accordance with plot plan, plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ _ Plan Check $
Owner Address
Cant, Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
� - I D, PLUMBING FEE $ � T
Contr. 'I � Acdress a�.�/.�'
Phone -�S o� -a3 3 G State Licensee s3 �/ SGZ
Approved &/&d •
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Conte Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws ofthe
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Date Inspector
FINAL
Date Insoector
ELECTRICAL
OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Dote Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE LhLATERIAL
WATER SYSTEM SIZE 4TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE Ila— PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do to Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE I GAS PIPING
P / Date
GAS PIPING FEE FINAL
Date Ins pact r
PERMIT FEE MISC
ate Inspector
TOTAL FEE - MISC
Date Inspector
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
Data Inspector
10311 I S . Saratoga-Sunnyvale Rd Lot No.
No. street .
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 100,023
Sanitary No.
Date Oct . 20 196 5
Application is hereby made for a permit to
Remodel a 1 story, Type 5
to be occupied only as Medical B ]i lding
in accordance with plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 4 r 500• 00
FEE$ 18.00 Plan Check $
Owner Dante Salera Address
Cont,. __ Howard Haldeman Address12841 Foothill Ln.
Phone 867-4024Saratoga
Sta,e License 150-351 B-1
Approved W.D. B .nyi .h/h
APPLICATION FOR ELECTRICAL PERMIT
Date / 196
i C �7 FEE$
Contr. Address /06 O
U'
Phone _ 0�76--,2 U State License 7�Z,2w 4
Approved E 2L: , /
APPLICATION FOR PLUMBING & GAS PERMIT /
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address ,
Phone State License
Approved
Applicants agree not to violate any of de
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
^e / for
FINAL 5 i
Date Ins as ctor
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
a ab Date Inspector
H.P. CHAR FIXTURES
Date Inspector
PERMIT FEE 0 Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LemaTERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do to Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Dote Inspector
GAS PIPING FEE FINAL
Data Inspector
'PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Date Inspector
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
--4
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector
1,pjy 1,rAwnyo IAT NO.
NO. STREET
ION FOR BUILDING PERMIT
a 7
° OF CUPERTINO
aLL
o a � Sanitary No.
3PermitLDo 0�3
I 4 Uate 0 No.
0
o
aApplication is hereby made for a permit to
177 st g` }P�R�
<N y �Building
to be occupied only as ->—21Q–�✓' ic04ice with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, $ .:��i2 Fee$
i J T
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.a z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino wl4e complie withcomplie with
3'P
– m Owner�� Address
W Z
By
01
a 0 Phon �� Approv d
State Licens a n.tnrvc wsvecTOR