NO PERMIT NUMBER (3)10495 I S.. SA`RATOGA-SUNNYVALE RD. r -Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51078
Sanitary No. 45706
Date 7-�5- 196 5
Application is hereby made for a permit to
construct a 1 story, Type 4-F
to he occupied only as Humble Oil ( Service Station)
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
28,000.00
FEE$ 85.50 Plan Check $ 42 • 75
Owner Humble Oil Co. Address
contr.Brunner. Horne Address P.O. Box 521, Mt.Vernon
b��7!
2,,14Cranson,D8j�4 Longford w �{ ( Wash.
Phone ('— in State License G�590
Approved W.D. Benevich/hm
� p
APPLICATION FOR ELECTRICAL PERMIT
Date 196
95a
FEES
/–'Z'`
Contr. C'l�t�ci =ni– � 7 �� J
�`/
Address ^"t" yD S—'C
Phone
State License - C`f/�0 /
Approved
APPLICATION FOR PLUMBING
& GAS PERMIT
Date 196
GAS FEE $
PLUMBING FEE $ f
Contr. _/ /+''�c✓+'>�G-r�d1
Address
phone
State License
Dote
Contr.
Phone
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEES
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
Address
State License
Approved
R
D e
INSPECTION APPROVALS
OUTLETS /
cCORPOF
Du BUILDING
-
Date
Inspector
UNDERFLOOR
RECEPTACLES
Date
Inspector
FRAME
v
D ate
Inspector
LATH 8 PLASTER
P -a
PERMIT FEE
Date
FINAL
TOTAL FEES
Dare
Ins oe c for
R
D e
Inspector
OUTLETS /
UNITS
FEE
SWITCHES y
Date
Zo
RECEPTACLES
�
FIXTURES z3
v
30
H. .CHARGE
P -a
PERMIT FEE
Date
Inspector
TOTAL FEES
FIXTURE FEE
5
R
MAIN DRAIN
D e
Inspector
ROUGH WIRING
UNITS
FEE
STORM DRAIN
Date
Inspector
FINISH WIRING
WATER SYSTEM SIZE
to
Inspector
FIXTURES
TOTAL FIXTURES
SUSPENDED UNIT
Date
Inspector
Motors
FIXTURE FEE
—
�
for
FINAL
(s
D t
n or
Date
Inspector
PLUMBING & GAS
�jDaJJd
" .J't;,s�
MAIN DRAIN
I SIZE
I
I MATERIAL
UNITS
FEE
STORM DRAIN
I SIZE
I
lmw4TERIAL
WATER SYSTEM SIZE
JATERIAL
COMBUSTION VENT
TOTAL FIXTURES
SUSPENDED UNIT
UNDERGROUND
MISC
FIXTURE FEE
—
�}
PARTIAL ROUGH
MAIN DRAIN FEE
�-�
ROUGH COMPLETE
D t
n or
STORM DRAIN FEE
MAIN DRAIN
�jDaJJd
" .J't;,s�
WATER SYSTEM FEE
U -p
�—
GAS PIPING
Date
Inspector
GAS PIPING FEE
FINAL
/ Date
/'S
LWEw
PERMIT FEE
MISC
DataSpector
TOTAL FEE -
'zp,p
�T �
MISC
Date
Inspector
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 I Inspector
ROUTE SLIP
File No.
Date Out 2 y__ 3
Date In-
Location
y---
Subjeat
Notes _
Approved /1-��(� S/ Qt3 _
Date /Insp )ctor
1
_ � ' _
C-EATIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUP13RTING
Date ....... l.az ................ Ig.- Building Permit No. 2;0,7p.
The Building Located at . ........... ;;-OW.-V9
..................................
Owned by ..... 7
go"'
...•.......................................................
Has Been '(Comp'etiSd)> For Use As: .......
(AI&Wd)
102 7/63-500
............. . ........................
BUILDING INSPECTOR
ROUTE SLIP
File No. S 7
Date Out
Date In
Locati
M
Subject.
Notes
Approved__
Date Inspector
Bldg. Dept
Office COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO �j�
❑ Sewer Connection Sanitary Permit No. ..... ?`:� �-4 ............
Plumbing Final Plumbing Permit No.��d/...CG....--------
Owner or Tenant
At ..../U;
'Tract ......._.
Lot No ................
_ar.....'-------'..............
Date Connected .....................................:1�----------------------------------....._ 19..,6�±--�cf�r
Date Final..............._.........----..�a..7/��.........----- .-------------- ---- -------------- 19. roJ....
------------ --.........
..
,.. PLUMBING . INSPECTOR
III 7/63 -IM
TEMPORARY ELECTRICAL. SE'RVIC•E
The
until
City
INSPECTOR
416 1/63-500
REASON: ................ CITY Or CUPERTINO _.....__.....
undersigned agrees to be responsible for the electrical service at the above location,
the building is ready for occupancy, and is released by the Building Department,
of Cupert
R- Q- - 3 ("'2- el'
Phone .....-.........._.....
/�
"1'L'NANT OR WNE
•
OFFICE COPY
ELECTRIC
SERVICE NOTICE
BUILDING
INSPECTOR'S OFFICE
CITY
OF CUPERTINO
_......��. ..........._...._........_., 196......
You are hereby
hori ed to co
electl_se ice
Owneror Tenaqt ....................._....................._..._........._.._..._...
'
No. of Wires ........................
Size
ires ...................... Size of Switch ....................
Motor Load ..........................
Voltage
................................ Phase..................................
HeatingLoad ........................
K. W........._........_.....---------
Voltage ... .... ......... ......... _...
No. of Meters....
(Light............
110......... Service ...........
No. of Add. Meters............
</l Heat.................
220............ Three Wire............... Move Service............
Power ...............
T e......... ...... Move Meter.............,
......._
.. ....................._......:.._....._..._..................
ELECTRICAL INSPECTOR
OFFICE COPY
C RIC SERVICE NOTICE
VXLTDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
. ...... - ....... .. V................, 196S'
TO
You are hereby au*o(ized to (
Owner or
At....... I
No. of Wires ---
Ar - Ci Qha
........................
Size of Wires
Motor Load .......................... Voltage ....................... ...... . Phase ...
Heating Load .... . ............... K. W. ...- .. .. ... ....... Volta e . .................
No. of Meters................... Light --- 110_.......... Servic ...... Reconnect........,._......
He'
No. of Add. Meters............at.............../220.........._
.: -220.... T ee Wi . ... ........ Move Service........._.
Power .... P e .. Move M r.
......... ....... .....
A.E�ECTRICAL I SPE 0
/&$/ 9sS SdRWIrVQ> $�LBWLOT
NO. STREET
CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
cU?c t1Ap J�
����y p? Permit No.
Date /71J�"!/ L'TJ�1 192 Fee$ �% s0
Ap"plica%li h2eeby ma�de to the City of Cupertino for a permit to install electrical
wiring and/or fixtuk�es Ills Rsfed on the reverse side hereof, and agrees to install said
wiring and/or `f7xtuFes in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use off Work To Be
Premises Cr Performed //VS% 441, S" �C•JIJ
Owner Sr e&7 -CAI bL- 5665-t Address���f�iJ
By AD"A,e-! —Lour- Address 0 V
Contractor, Agent 5.
Phone Z—,;--7—Z—,;--7—to
" p 2y2 AA
State License 2-2 ZA // Approved �,hL
Ele icol In cf r
j V I AGREE I WILL NOT VIOLATE ANY OF THE WORKMENS
I COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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