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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