2572 20609,, ,,-f S11he,1 \ Cve- °,'N°• 79
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W �APIPLICATION FOR BUILDING PERMIT
°- 1 JUL 24 1963 - CITY OF CUPERTINO '`9
3 G Sanitary NO.n�'i��`— r
iy Dat .,� ,M44U y^t7 1963' Permit No. ;5
"�°rIT't Ur Lvr LI% I ,
W , Application is hereby made for a permit to <'YOCt
a
i m a 1 story,Type Frame Building
a
to be occupied only as single family residence
a
o `o in accordance with Plans, Specifications and Plot-Pla filed herewith.
"; Estimated Value of Improvements, $ �� w Fee$ 54.00
iJ 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
d o Cupertino will be complied with.
3a Inland De 1prs .InRddresP60 Camden Av.Campbell
_ N Owner
WZ
Addres I 960 Caen Av.Cb 1.
a By ialr amP
° E379-2280 �- � .
a U • Phon er.Approved —ei LC.'C.
Q StaLC L.ICCnSe 1H47H4 4°ICDING WSVEC101 (rf"�y��•
-RECORD OF INSPECTION -AP VALS
1'OUNDATI6N
t,DATE, ,'} INSPECTOR .i
UNDERFLOOR 7�3
DA'Z'E - INSPECTOR T. '
FRAME �_� �/ .
PATH INSPECTOR
LATH and PLASTER "-
1" ...._. - DATE INSPF.'CTOR
> " .. .. .. l.'
---FINAL BLDG.
TE ' _ INSPECTOR;. -
FINAL CLEC:
DATEaE,; INSPECTOR
FINA'L PLBG.. ',`$
+' DATE L INSPECTOR - W
SVH'eft j � -
: 'FINAL GASv . ^
'DATE- INSPECTOR'S y •'I
NO. STREET LOT NO. �Z
APPLICATION !FOR�ELECTRICAL PERMIT
t ,
CITY OFoJCUPERTINO
' JUL 26 1353 c'2))
Date 1 t ' 196a Permit No.
C! I 1 OF CUPFRT' lee S ,2
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side 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 all other laws applicable thereto.
Use of Premises'
a Owner G �,A ." '4w1 Arp Address n
m By r3:.:. Address -QU Sv.
cn OR,
CONTRACSAGENIT"' `
r t 5 Approve
Qf) Phone: G C']`:�0 O ELECTRICAL INSPECTOR
NEW RPL FEES
Size Service Conduit------ Number of Outlets.................. .1--6. .......... ..
Size Service Wires........ .....Number of Switches................
_-P-- ..............
Size Service Switch._.J.42-0-042-Number of Receptacles............ 5.0--- ---------- -13...
Size Sub Feed Conduit......--------Number of Fixtures..._------------- -- ---------- ---
Size Sub Feed Wires---------I........Ranges------ ----- KW------------ ....e---- ---------- -----------
Number of Circuits.,----------------- Oven ....-/---- KW-------------- ----- -- ---------- --- ..........
Number of Meters........................Signs.........: Transformers........ ..-..(../.... .......... -------- -
25�
Misc-------------- -----.-.Dryers..---..
--------Dryers........./ -- -- ------- -------------
-------------------
Motors-------- ........ HP.... ------ - Phase......... Permit Fee $1.00
Motors._.........._...... HP-'- ----------------- Phase..: ...tf..... .......
Motors:. .1*............ HP-------------------- Phase------x-= H P Charge---------------- ----------75
TOTAL I
SPECTION APPROVALS
Rough Wiring/")--/,1-Y11 --------------**...... Fixtures ....... .... .........
DATE. INSPECTOR DATE INSPECTOR
-------------------- ...
Wir' .,:.. I N
- Ing otors . ........
Finish' _.DATE E INSPECTOR ..........
TIE
Final
I AGREE I WILL NOT VIOLATE ANY OF THE VVORKMEN*S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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FIXTURES NU, BER MAIN DRAIN
UNITS FEES UNITS FEES
-
Water Heater Size
Size ! �'
Water Closets Material
Materia;
Bath Tubs To Curb
Showers I To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn. _
Dish Washers I Sewer Boxes
Waste Disposals I ��
'Wash Trays STORM DRAINAGE
Washing Machines Size
'%Vater Softeners Material. . _
Bar Sinks To Main Drain
Comb. Sink c Trays To Curb,
Dental Units
Drinking Fountains AM
Floor Drains WATER SYSTEM
Hoppers Size 7. -`7
Restaurant Sinks Material ,,(
San Traps TOTAL FEES
Urinals Fixture .Fee
Area, Drains Main DT in Fee`
Water Leaders Storm Drain Fee
Sprinkler Valves Water Sys. Fee .;.
TOTAL TOTAL FEE /!/,y
RECORD OF INSPECTION,,-,
Underground Rough..
.Partial Rough_
Rough. Complete..
Main Drain CV !X4 SL
Final....
1 ) -
LOT NO. / /
NO. STREET
APPLICATION FOR GAS PERMIT
w � �—n � CITY Or CLJPLRTINO
. q
x O (� nj
/
� 6 3 ¢ ' ate 196.E Permit No.
LL ! AUG 6 MO Pee S 0
0 Application is hereby made to the City of Cupertino for a permit to install gas pipes
o and/or as aRpliances as lijletd on the reverse side hereof, and agrees to install said-pipes
Z N�I3r"d/� ppliaWstin`�attcordance with the provisions of the Plumbing Code of the City
Q w W& and all other laws applicable thereto.
LL Use of Premises 60 tll�o/l1iQ
00 .
> 0
o a Owner ��[�1.,[(�I[.��/H��� . Add?ess- c
rt n ry
Z
4 "By' Address
d.;
— m ' :Phoria...
Q c2 , State Licensees Approved lel
—4U tf3#UY C %s M n,
� nto r) C) C
> � •.. � � C n C" � n N � b1 � b
n � n
o. 9
w �
:('1�4' !d• j.. ..fir. �.� � + �C \ aL .I
LOT NO.
N / STHHHT..
® PPL�TION cc FOR APPLIANCE PERMIT
�l ,! AUG 27 1963 y OF CUPERTINO
Date �� ' 19 Permit No.—
CITY
o.fCITY OF C<<M •
Fee $
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 f7ode of the City
y sof Cupertino, and all other laws applicable thereto. •
amu' , //(//^/ ' • 5
Use of Premises
Owner _ :Address' - -y/
BY
ACTOR, AGHrvr J ;
Phone � 9— �/� 7 j "``APProded
���•; ,44 PLUMBING INSPHcr
c tz
0
O
— —————--————————————---—
--------------------
01
0 i
CERTIFICATE OF . COM'RLETIrON
BUILDING INSPAECTOR'S OFFICE
CITY F C-ERTINO
-., 19.0/ r
[_ klc
Date -_.................. � . Building Permit No-------------
11 ... .^
The Building L ...t,.et/d� at .....::r.......... .::.--c..-.--
: -�f
Owned by :_........... .. C7..
'� �... ..
(Com leteh
Has Been (Altered) ) For Use As: ........................... �
`N,
-------------^-..................................................:.........:: 3.: (. ..
......................... :.........:...............................
.....---
.-------
....................................:.-------........ .
t 9
-� ....
.......... ...............
BUILDING INSPECIR
„q.- x_102_1/63500
Bldg. Dept
!,ffice Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. 5;Jq-q-q
Plumbing Final Plumbi Permit NSA. . ..----.---
i
Lot No.*-�.-. ...t::...............
Owner or Tenant ---------- ... ---------1--.....---, .�=- „"-z—tC --`---
t _.....- .o_ ..
Tract ..................................
DateConnected .... ------------------------------ -. ....................................................— ---- ---....
Date Final ..............................................
:
. ..........
'� PLUMBING INSPEC OR
III 7/63 IM
O'PICE COPti"
ELECTRIC SERVICE NOTICE
1 Q BUILDING INSPECTOR'S OFFICE
I CITY OF CUPERT`INO
TO
You are hereby authori t line t e ectrie service for
t
Owner or Tenant --------------- -- ------- ---- I----...`--...:.: !
:.. - —
I I
At --- ... ......fQ:s2. �....:...._ ..
- ------------------------
No. of Wires .... Size of Wires....:...:............. Size of Switc`hOo....:.
Motor Load Voltage .... Phase
-----------------
HeatingLoad .................... K. W- ------------------------------------------------------ Voltage
Light......_110---- New Service..—!Reconnect------------------
Heat
.................
No. of Meters..........
Heat........_ /220..._�T ee Wi e.........l._ Move Service............
No. of Add.Meters............
Power............... ree se....... Move Met --------------
---
.ELECTRICAL INSPE OR
104 7/63500
(� GAS SERVICE NOTICE OFFICE
Itorr
LDING INSPECTOR'S OFFICE
I CITTY OF CUPERTINO
........ ......... J......t. ............ 196A
To
You are hereby authorize to connect th As ervice for
Owner or Ten nt .............r .......... ..... .. 'r
` (C1 Q 7 N
A
............ ... ... ' .. ..... ......_e„_. .... .. -j
New. rvice ....
No. of Meters
1 - ... ,.
Reconnect• ......---- ............... .
Move rvice .......................
No. of Add. Meters ..............
t o Meter ..........................
/-
...
PLUMBING INSPE O
IlU 6/63-500