FILE 51167.1///c,Z.2- I W `� C . Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. `s /
Date f �� 196
A pl�catp ion is hereby made for a permit to
C/�/te__Ci-Cf//A 02 a / story, Ty jr--7
to he occupied only as !G— _ __ fJ _ �� _ p e _
in accordan2sIrwith Plot Plan, Plans rl/ld 'Jpecification filed heretoeh,
Estimated Value of Improvements
FEE$ - 6U
CID
Ow oar
Cont'.
Phone -2J-7-1110
Plan Check $ h c�0'4L[�/1 Qn
Address OZ-2-9S—OZ-2-9S—a04if,,., •�'G.-.P
Address '}
State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19617
FEE$ %2-3/�-
Contr. �� ^--a1i
Address
Phone r%.3 L "`r`/1-/
State License
Approved
APPLICATION FOR PLUMBING
& GAS PERMIT
7
)
Date 196
GAS FEE $
PLUMBING FEE $
po�
Contr, L.�
Address
Phone —r�2 SILL- 2Z 13
State License-itfGcs7!/
Approved
�ii APPLICATION FOR
APPLIANCE PERMIT / 1
Dara 196 ?
FEE$
/
�/ L°//
�z'4,. d.LL(�..�
9
S, Li
Contr. ,5lt�er-f�
Address /-�'J i�Lc.4,-.c.., c.
Phone ` 7 J - Gt � j �'
State License � jXJ- C' �'/- Z
t-"'/`� r�L•+-+�r�<-� �.
Approved —
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State, of California -
RECORD OF INSPECTION APPROVALS
FOUNDATION
�%2s-� 7 BUILDING UNDERFLOOR _/ q "aie6 7
FRAME % 0 _ Dorg
LATH PLASTER fo_D_yel6 �7
FINAL
, II /)
U_' — 7 �L�6'� Dote
ELECTRICAL
UNDERGROUND 0_ /
I C
ROUGH WIRING
FINISH VIURING
ctor
Ins Dector
Date
Motors
FINAL t ( Ua '("
Date
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
Inspector
Inspector
Inspector
x
Inspector
Inspector
Inspector
SYSTEM
SIZE
11WWATER
TERIAL
,OUTLETS
TOTAL FIXTURES
FEE
SWITCHES
FIXTURE FEE
RECEPTACLES
FIXTURES
MAIN DRAIN FEE
H.P. CHARGE
PERMIT FEE
STORM DRAIN FEE
TOTAL FEES
ELECTRICAL
UNDERGROUND 0_ /
I C
ROUGH WIRING
FINISH VIURING
ctor
Ins Dector
Date
Motors
FINAL t ( Ua '("
Date
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
Inspector
Inspector
Inspector
x
Inspector
Inspector
Inspector
SYSTEM
SIZE
11WWATER
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH 17
ate
MAIN DRAIN FEE
ROUGH COMPLET O-9
r
atexi.-P.t.0,
STORM DRAIN FEE
MAIN DRAIN (0 7
}}ate
WATER SYSTEM FEE
GAS PIPING
Date
GAS PIPING FEE
FINALDote
FLOOR FURNACE
PERMIT FEE
TAL FEE
MISC
Dote Inspector
TOTAL FEE
MISC
vara inspocror
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
TAL FEE
INSPECTED �� 4/Z
4 Dat Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF PER INO
............./....../ ...... ............. ......... ......... 1 19(117
TO
You are hereby authquzed to connect the GAS service for
Owner or Tenant
At ze-
No. of Meters ...../ ...
New Service
.............
Reconnect .............................
Move Service ....
No. of Add, Meters - ............ Move Meter . ........
LUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No . .....
[dumbing Final Plumbing Permit No. -J-14�7,1
Lot No - -------- ///
Owner or Tenant ......
. . ...... ...... --- --- * -------- * ---------------
At
-------------------------------
Tract --------
---------------------------------------------------------------------
Date Connected ------------------------ -7
Date Final
----------------------------- , ------------------ - -
PLUMBING INSPECTOR
111 12/664M
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Il:...... ............... ................. - ...... 19
TO
You are hereby' au rhorizo to cv�ect electrical service for
Owner or Tenant ..... ... ... .
At ......... 1 -11
......... ......
Z
No. of Wires ........................ Size of Wires .......v........ Size of Switch
..........
Motor Load .......................... Voltage ................................ Phase ..................................
Heating Load .: ...................... K../W................... .....
No. of Meters........'.........1
No. of Add. Metej,,:::::::::�-:
Power ............... kx
...............
ELECTECAL
Volt -age ................................
Reconnect ..................
Move Service............
ROUTE SLIP
File No.
Date Out
Date In
Location A 2- Z
Subject.
s
Notes
Approved`/( -2P-6 %
Date
Inspector
ROUTE SLIP
File
No.
7 /
Date
Out
(,
Date
Date
In
s-'
L
Location o
Notes
Approved'
Date
Inspector
�j���� (///
22 I a, //f /N S<, C�I.OT
NO. STREET
'//2n -- Z?
APPLICATION FOR BUILDING PERMIT
/M=T's
CIOF CUPF.RTINO
Sanitan No.
Date _ 1�96� Permit No.71
Applicatrion its hereby made for a permit to
at�ry,I'fiyl t , 1 V Building
tube oc uple on y as VV in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee `-
Estimated Value of Improvements, $�C. � Fee $ U - J O
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 will be compli with. ../
Owner /i 2 - Address
By+<S:r•,•�-EQ��� Address Jam; --'mac C�arL-fi
Phone ;j` S',.///G
Approved
State LicensBmIDING INSPFCTOR
?. I E7eli ���sf,. 6YJ J ///l.�/ LOT NO.
NO. STREET
APPLICATION FOR PLUMBING PERMIT
d CITY OF CUPERTINO '
w� �l,,
I o -� `�4i. San;,aty-t\u.
LL _ <z-
Y 1 1
R _
o a ' ate C l/ }1 -lob Permit No�4—//6 7
3 S E 6 1967 4 %' Fee $ o23 S
w 1i
x o
Application is hereby made to the City of Cupertino for a permit to Install plumbing
'oa pipestznd�l%taor fixturestllisted on, the reverse side hereof, and agrees to install said rices
a 1- hn Or fixttires(ncLrdantev"nh the provisions of the Plumbing Code of the Cay of
< w Cupertino, and all other laws applicable thereto.
w x
~ r Use of Premises
o N �r�
0 3 Owner/('. - -C/�>xGi LO Address
z J O (� 3
z By�Q��t/T/�j���-/ Address
o — C�NTRACYOR, AGE—
m Phone
w
w z
w w
s State License SAG-sem/` Approdedn I IRlna n n^Nv if'nli
a o
- U PLUMBING INSPECTOR /'
FIXTURES
NUMBER
MAIN DRAIN
UNITS FEES
UNITS FEES
Water Heater
/
Size
Water Closet
2
Material
Bath Tub
/
To Curb
Shower
/
To Prop. Line ✓
Lavatories
—'t-
To Existing
Kitchen Sink
/
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washin Machine
/
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tra y
To Curb
Dental Unit
Drinkin Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee ,rte
Area Drain
Main Drain Fee c�I7
Water Leader
- o -
S rinkler Valve
Water Sys. Fee
Relief Valve
I Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee ,[.Q
Total
Total Fee2,5. s0