NO PERMIT NUMBER (2)71s Lot No.
No.
TION FOR BUILDING PERMIT
CITY OF CUPERTINO
Data 196
Application is hereby made for a permit to
File No. '.f
Sanitary No.:. �� z
Type
1 (DEC 2 ingLrO�dan&th Plot Plan, Plans and Specification filed herewith.,
Estimated Value f"improve menis f
Us
FEES CIT j1�P'' UPE T '1C Plan Check $
Owner L13w� ��ddress
/JD- .&� &/
Contr. --POG4,400 Address ^� �i
PhoneqPqaS License oz/ / 1Z /
DEC giS4
3-,,Iv CITY OF Cl1PER
APPLICATION FOR ELECTRICAL PERMIT
Date q G1966 �� FEES /,z o
Contr, IA L. ! Address ZL p
Phone/r�•�^� _/
3 77�' �T State License � �� � �
G � Approved
, FOR A�BING & GAS PERMIT I A a
Dote --; f neA
�6�011= GAS FEE $
.PLUMBING FEE $
Contr. 1. prU'r l i Address �S l C> -<.t.� j /O 0
Phone a �i SS y�eP� State License 1 71S-3 7
/�s.�/ Approved AZk3 /G
2 APPLIP_-L_ ICT000 APPLIANCE PERMIT \
Date (461 FEES
Contr.
Phone 14—gJ17 wwT s..s's161
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California,
Address/-:Z0• I'd, / 0z-,Z, " siLr"p1�.+
State License
- :Z �Z "
Approved
F NSP
REC AP ROVALS
BUILDING
FOUNDATION
Dat =
G
spa trot
UNDERFLOOR
nspector
_ .S_
FRAME
Daty"
Inspector
AT PLASTER
Inspector
at
_
FINAL
Date
Insoector
ELECTRICAL
,OUTLETS
/
o
SWITCHES /
`I°
RECEPTACLES1
3
FIXTURES /
-o
H.P. CHARGE
F
PERMIT FEE
/
PO
TOTAL FEES
�0
SERVICE
SIZE
UNDERGROUND
trot
ROUGH WIRING
at /
� J
Inspector
to
FINISH WIRING
Inspector
Date
FIXTURES-
Inspector
Data
Motors
for
Let`
FINAL
Inspector
.0-.0 Alv" Date
& GAS
MAIN DRAIN
I SIZE
I
I MATERIAL
STORM DRAIN
I SIZE
I
LIMTERIAL
WATER SYSTEM
SIZE
ITERIAL
TOTAL FIXTURES
O
ac
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH
s
MAIN DRAIN FEE'
ROUGH COMPLET
Dote
---!�--Ci
or
STORM DRAIN FEE
MAIN DRAIN
Doe
-G.�
trot
WATER SYSTEM FEE
N
GAS PIPING
at
r
GAS PIPING FEE
/
FINAL
PERMIT FEE
MISC
Date
nspector
TOTAL FEE �
_
S �
MISC
ate
nspector
were inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE Of APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
c4
REGISTERS
l
ate? ss
BLOWER FURNACES
/,�
COMBUSTION VENT.
SUSPENDED UNIT
MISC
GAS RANGE
MISC
GAS DRYER .r
PERMIT FEE
FLOOR FURNACE
TOTA
/ f
INSPECTED
Inspector ,.
"a
Q
37 7LOT NO.��
NO. STR
APPL CATION FOR BUILDING PERMIT
CITY OF CUPERTINO 412,4 Z
Sanitary No.
Date Z 196le Permit No. .5/yd Se
Application is hereby made for a permit to T
a _oe_ story, Type Building
to be occupied only as
in accordance with Plans, Specifics ns and Plot -Plan filed her It .
M
Estimated Value of Improvements, Fee i 7 % A
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, locatiop, and use of buildings w the City of
Cupertino will be complied with.
Address Ra. X, %/1
Address
Approved
BUILDING INSPECTo
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATF.
INSPECTOR '
LATH and PLASTER
I
DATE
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
I
DATE
INSPECTOR
FINAL GAS
DATE JJJU
INSPECTOR
?o377 I CL-4Y Sj LOT
NO. STREET
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
Sanit 3 No. /
Date L / '/ , 196 Gy Wrrait No ✓ 11 C'
Fee $ !S o0
Application is hereby made to the City of Cupertino for a permit -to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto. er
Use of Premises R c S t D c/(/Ct
Owner F R oNr-kL r'J w I N n c u r?
gy Cc T-517� SEk VreE Co
CONTRACTOR, AGENT
Phone 29 Ff- O.<SrG '
State License/
Address P0.6KOX 9// CnrnPgFt
Address N.t/ 6jt/EEN S 1. h ar Sp V
�Cy ez
Approved aye�-
6-1
PLI7M13ING INSPECTOR
FIX-1 UR11b
NUN BER
MAIN DRAIN
UNITS
FEES
UNITS
FEFS
Water Hcater
f
(, o v
Size
L7 "
2-22
Water Cosets
Z,a�
Material
Bath Tubs
!. E V
To Curb
Showers
1,0 u
To Prop. Line
y "
Lavatories
3
Aou
To Existing
{itc en Sinks
C b
Not Conn.
dish Washers
Sewer Boxes
Waste Disposals
_
Wash Trays
STORM DRAINAGE
sNashing Machines
tl
Size
Water Softeners
Material
Bar Sinks
To Main Drain
=omb. Sinks Trays
To Curb
Dehtal Units
grin ing Fountains
Floor Drains
WATER SYSTEM
Hoppers
Size
rl
Restaurant Sinks
Material
�pl
Sa`an Traps
TOTAL FEES
nnals
Fixture Fee
10 ou
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
sprinkler Vauves
Water Sys. Fee
l)
Permit Fee
pra
DOTAL1
10 AY
TOTAL FEE P t< 0 0
RECORD OF INSPECTION
Underground Rough...
Parting Rough..
Rough, Complete..
Hain Drain
Final.--
NO. I STREE LOT NO. A4
N �
r o APPLICATION FOR ELECTRICAL PERMIT
o j CITY OF CUPERTINO
3�
0 Date le 195— Permit No.
y � Fee S
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 i rdanre with the pro of the Electrical Code of the
00
50 City of Cuperti a other laws applic a th
�3
0<
z _j Use of Premises
O
3 Owner �/QA.t/E%////iyOS6x Address
- N
W W By SAfice Address
R 1 COM ACTOR�,AGEMr
<U Phone: /269-3.Z7`f Approv
�{ EL INS►YCSm
State License:
NEW RPL FEES
Size Service Conduit ---------------------Number of
Outlets..--------------- ---------- ---------- ---- ---- .._-
Size Service Wires.................._.....Number
of
Switches.-------------- -------- ---------- ----------.--
Size Service Switch- -----------------------
of
Receptacles---------- ---------- --- _----- --------------
Size Sub Feed Conduit -----------------Number
of
Fixtures--------------.--- ---------- -------- ------....•
Size Sub Feed Wires....
.............. Ranges ................
K-W -------------- -------- --------- -------------
Number of Circuits -----------
-...... Oven ---------
:.... KW- ............. .......... .
Number of Meters -----------
Signs
------------S
..__
Transformers-...........-- ..--.._ -----------
Misc----------------------------- `-----------------
Dryers -------------------
------------------------------------ --------------
Motors -------------------- -HP
--------------------- Phase --------------------
Permit Fee $1.00
Motors -------------------- HP
_.--------------- Phase ------------------
Motors-------------------- HP'
------------------ Phase-------------------
HP Charge ---- --'--------- I --------------
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring-------------
----------------------------
Fixtures ..-------...-------- ----------- --------------
OAT[
INSPECTOR
OAT[ INSPECTOR
Finish Wiring -------- .....
........
Motors .......... ...------�------------'--'-------
O1T[
IN--"----'---
IISPECTOL
OAi[ INSPECTOR
Final--.......... -............ ...- ................
DATE INSPECTOR
03 LOT NO. ll�
No. aer
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date DEC 17 1964 196..... Permit No. -
Fee $ (0 2�
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 r'.ode of the City
of Cupertino, and all other laws applicable thereto.
R
u Use of Premises A�
� in Owner Address
PLOG r.
130 S. G%gmn Ava`°V'�1D"9 Approv
on
CCnl oaL C , tY drnia Uaarxc msre
Type of Appliance
Units Fees
Remarks (Check ✓)
New I Replan I Relocate
Gas Ranges
Wall Heaters
I
T
Gas Plates
Circulating Heaters
Blower Furnaces I
1
1.00
II ✓
I
Gas Fired Boilers I
II
I
I
Warming Ovens
Percolators
Griddles
I
I
II
I
Steam Tables
I
I
Gravity Furnaces
Suspended Unit
II
I
Floor Furnace
I
Miscellaneous
NAME TYPE)
C)
I
II
I
I
l.rr�l
I
.Doll
I
_
pp lance Fees
45
Inspected and Approved ................ ..!................. ..........................
....
DATP. INSPECTOR
�. 72 I LOT NO. /
NO.
j O 1 N FOR GAS PERMIT
d _ ® OF CUPERTINO
Y 0 ft, R 2 6 1965
3 Date 1 t6_ Permit No.
ILL CI�Y OF CUPERTINO Fee: i =°
o pplicatton is hereby made to the City of Cupertino fora permit to install gas pipes
°o and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
s and/or appliances in accordance with the provisions of the Plumbing Code of the City
i W of Cupertino, and all other laws applicable thereto.
� x
►r
Use of Premises
0030 y�
3 Owner.-,/t2: �i �f ^ �r Address /?25!� 9 Z/ Cat-
i z By p_ w p /1 _ i/��dress a/ o
P CONTRACTOR, AGENT
-a Phone �/ �� S S
r Z
a uState License /s 3 Approved
PLU LXG INSPECTOR
1
1-
of Appliance I Units Fees
mace
HOUSE GAS PIPING
_Number of Outlets , 2 1 Size of Main
Gas Piping Fees / S- ]-
Testedand Approved........................1...............................................
DATE. fNSPECTOR
CERTIFICATE OF COMPLETION
BUILDING mspwrors OFFICE
CITY OF CUPERTINO
Date ....... 4—.// ------------------------ Building Peimit,No.
The Building Located it
Owned by .......
i;
Has Beed- CcDrDpFor Use As: .......... !� ...... .............. I ...............
102 7/63-500
Bldg.,Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
E] Sewer Connection Sanitary Permit No.— -4�4A ----------
L��Iumbing Final Plumbing Permit No. ------
Lot No. fK -------.-------- Owner or Tenant ..... . .....
At
Trac
Date Connected .... --------------- =;p.nr -------------------------------------------------------- 19.11x.....
DateFinal .......... --------------------- 4 ------------------------------------------------------- 194tr
45LUMBING INSPECrOR
ill 7/63-1M
OFFICE COPY ' • -
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIINNO `
- ------------{p ------------ -----------
To -
You are hereby aut ortzed to coneq electrical service for
6 0.
Owner or Tenant `------- ---
-t.�.�"YN ,.._ -----`-----------
At
No. of Wires !!Q......... Size of Wires?!! ........---- Size of Switch/00.21f..
Motor Load ---------- ------------- Voltage ................................ Phase --------------------------------
HeatingLoad ----------------------- K. W . .................................. Voltage ------------------------ -......
.�
Light ........------- 110--..---_.- New Service ---- Reconnect._._...-__
No. of Meters..._......... --
Heat...._....-.---_ 220._ -- Three Wire ..-...._._---- Move Service -....... ..
No. of Add. Meters.---......-.
Power..._.._....-. Tv_ee_Phase------- -------- Move Meter -----..-_--.
f- ELECTRICAL INSPECTOR
104 7/63-500
OFFICE COP -
TO
You are hereby
Owner or Tenney
At
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
--------------- --I ........ 196.
conned electrical service
/.6. _e /.
,t-pie}
No. of Wires ..�.�................... Size of Wires WZ
------ 4p----------- Size of Switch . __... �.._.
Motor Load
Voltage
Phase
HeatingLoad ........................ K. W. ----------------------------... Voltage ....... ................. -------
No. of hfeters..Light_...._....___ 110. v..._ New Service..... Reconnect ___._....+..__.
............
Heat......____..._ 220-------- .--- Three Wire -------------- Move Service ------- _...
No. of Add. Meters_...........
Power .... .......... sm._...._.._.__ Move Meter------- ------
/ --
ELECTRICAL INSPECTOR
104 7/63-500
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
..............
OFFICE
COPY
.. ............. I 196r
To
You are hereby authorized to connect the GAS service for
Owner or Ten arim— Ar4olo.ryKJ.v
At.........
New Service ....
.
No. of Meters Reconnect ..............................
Move Service _.--...___...._...-
No. of Add. Meters — .... .. Move Meter ... .... .. ..._...
PLUMBING INSPECTOR