NO PERMIT NUMBER (2) i
OSS , ' tA.t.✓ Lot No.
No. Street 67
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. S'/00
Sanitary No.
Date��196
Application is hereby made for a permit to
a s rib v./I'Ype
to be occupied only as
in accordance with Plot plan, Ifogs and Specification filed herewith, •,
Estimated Value o/ Improvements S �"•d d Q
FEES �`s�y - o:: n-P Plan Check $
Owner Address
Contr. ^'�`'� • Address
Phone Ck214S6 d� State License 91ZG
• Approved.
APPLICATION FOR ELECTRICAL PERMIT
Dots 196�� FEES L
Contr: ..// Address � Z y� C
Phone' :g;z Unto State License'
Approved �
APPLICATION FOR PLUMBING & GAS PERMIT
Date• 9/� 196 r� GAS FEE $
/JO PLUMBING FEF c
Contr.- 9td-;rAddress td
-;r
Phone of / S '� ` O State License7iV 9 Z Lo
Approved 61 p"'""n"
9 APP CA�J TION FOR APPLIANCE PERMIT
Dote D 196 �/ FEES /1
Contr. l - r Address ?SA'
Phon13 6 V State License ? 0 9 2-
Approved Approved
Applicants agree not to violate any of the e
Workman's Compensation Laws of the.
State of California -
e
RECORD OF INSPECTION APPROVALS
FOUNDATION0---Z-144UILDING
Date Inspector
UNDERFLOOR
FRAME Date / Inspector
Date /' Inspector
LATH 8 PLA^S'T�EpR7
FINAL "-'--
Date Ins Dector
7R ,
,OUTLETS w--ft _ +.r'
SERVI E SKFlo
SWITCHES
' a �,
RECEPTACLES ROUGH WIRING Inspector
D
FIXTURES FINISH WIRING ��� do Inspector
H.P. CHARGE I I I FIXTURES Uitr Inspector
PERMIT FEE Motors Inspector
TOTAL FEES FINAL 2
r- -G Ins actor
��
.r &K4--w`� 9-24 6 Date Inspector
loose
PLUMBING 8 GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date nspector
MAIN DRAIN FEE ROUGH COMPLETE
"
STORM DRAIN FEE MAIN DRAIN Daten pector
Da I ctor
WATER SYSTEM FEE GAS GJb" Y
` ate nope cto
GAS PIPING FEE - FINAL ( Z-(
PERMIT FEE MISC Data Inspector
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
FLOOR FURNACE TOTAL FEE
INSPECTED
Do to Ins pa c tar
/Qsyy I /( . {M�. Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. O�
�p Sanitary No.
Dote __��L 196
A !!cation is hereby made for a permit to
story, Type
to be, occupied only as 0 //brX a3I
in accordance with Plot Plan, Plans and pecification filed herewtK
Estimated Value of Improvements $ ZQd
r:
FEES sem Plan Cheek $
Ownar '� � Address
Contr. Address /d 9" / d- / 44U 4
Phone 02 so 7 State License 24'e 1 tom_
Approved saw
00010
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 1% FEES
C ontr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California '
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Dote In ctor„
UNDERFLOOR
Dae Ins pe ctor
FRAME
LATH R PLASTER o e specter
O pector
FINAL
ata Ins as ctor
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Dote Inspector
FIXTURES FINISH WIRING
H.P. CHARGE FIXTURES Date Inspector
Date Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Dote Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE IT.ERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE MAIN DRAIN Date Inspector
WATER SYSTEM FEE GAS PIPING Date Inspector
GAS PIPING FEE FINAL Date Inspector
Date Inspector
PERMIT FEE MISC
ofs nspector
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
Date Inspector
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File
Sanitary No.
Do to .4L 196 / `
Application is hereby made for a pe 't � \" ^x 1•/
o�\+ foie(
story, Type •
to be occupied only as
in ac rdalth�Algt plan, plans and Specification filedAerewith.
Xs�aments Estimated Value of S
2,060-
P4
FEES �s � I Plan Check $
Ow rmr Address
Cont dress Q�/f ✓ fj
Phone � �` State License�)daso
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 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 the
Workman's Compensation Laws of the
State of California '
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
DID Inspector
FRAME
to Inspector
LATH 8 PLASTE
Inspector
FINAL
Date ns Doctor
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Dote Inspector
H.P. CHARGE FIXTURES Date Inspector
Date Inspector
PERMIT FEE Motors
Data Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE TERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM GRAIN FEE MAIN DRAIN Data Inspector
e
WATER SYSTEM FEE GASP G Date Inspctor
Date Inspector
GAS PIPING FEE FINAL
PERMIT FEE MISC Date Inspector
nspector
TOTAL FEE � MISC ate
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 ?n�
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector
AS SEW'IC.E ,NOTICE orrlCE
COPT'
ING INSPECTOR'S OPPICE
CITY OF CUPERTINO
....................__...—I.......v................
......., 1907..
T� /
You are here au rized t connect the GAS service for
Owner or Tenant ...._............ ....... ....... 6>L�CDs.�.......... . ................
At ..........L..O..S ......1 --......
tn. ....... . _.... . .��N4.........................
4 Service ..........
..... ..
.. ......._......
/1 of� Reconnnectct ........................
.....
�CJ� Movevice ......._._............
No. of Add. Meters .............. a eter ......... _........... ...
PLUMBIN INSPE O
TRENCHING PERMIT
SIDEWALK PERMIT'
DRIVEWAY APPROACH fERUIT M 266
CITY OF CUPERTIw
Fee DatW. .-q2MF?-T.: - .......7......... 196---I
Permission Is Granted ....757o............4�rArcm-S....... ...............
Location tjPC..S. .A.........t-a...... A.,.xc............ ....................... ..
Purpose ... --- ------ ....NQ
Contractor ...SA�44�-IS07.......� 0.4-�5 .......... j
NOTE: All work shall y
p to a% conditions 1 11 ditions co tained in Ordinance 130.
Issued by \ ..----.J r.
NG INECTOR
W-FCOIRD OF INSPECTION
TIME
M E I N S P E C TOR
TtTi' 8......1967 k l` I
............6.................... .......................... ..... ... ...............................................
ATE TIME INSPECTOR
r ................INSPECTOR...............................
,!Ty.... ------
DATT
................................. -_------_--.--T.,:--........... ....................................
ATE TIME' INSPECTOR
NOTE: Inspector must be given 24 ho'U'rs notice on each Inspection. 115 9/60-500
I � 4k LOT NO.
l NO. STREET
W a rAPP.LICATION FOR BUILDING PERMIT
r ° S ��� IITY�� OF CUPF,RTINO
S /S r 6 196
VIP Sanitary No.
= W Date , 196 ifermitNo. Q!�—/Odpa
� ofor
o �Application'is herebyLmade ,a permit to
zIn a story,Type Bui Ing
to be occupied only as in, rdance with
0 o plans, Specifications and Plot-Plan filedh rewsth. Pl Ck Fee
0 ��
Estimated Value of Improvements,= Fee s �
i J 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 Cupertino wi a complied with. '
; i
— W Owner Andress S
W L
W n B ddress
��
Phone o?'/5 —/.�60
t Approved
11 ,State License '2'0 jP.7.7D BUILDING INSPECTOR