NO PERMIT NUMBER (2)Lot No
No. Street 1
APPLICATION FOR BUILDING PERMIT N
CITY, OF CUPERTINO — e
File No.y /J�7�pJ�
Sanitary No. '� :& f
Date 6 L
/ Application is hereby made for a permit to
to be occupied only as
a story, Type S—L J
in accordonl3huith Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements
FEES ---��• O O
Owrmr
In
Contr. p
Phone 1.
sndd_ed
Plan Check $
Address _-dZ04
Address
State License !����Z//?)�2 C
Approved L/— — a A
APPLICATION FOR ELECTRICAL PERMIT
G
Date 3 l+ 196 a FEE$ --- /a t- / ,f
Contr. Address // 7 0 / !�'�/ x-
Phone —._/� %y State License a`n 0 6 o
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
—a
Data Z �� 196 GAS FEE $ S� )
3 �7
Contr. _ �/ �'oe4
Phone oZ S — a2 3 1-3
PLUMBING FEE $
Address 3
State License 1° 72�
Approved
APPLICATION FOR APPLIANCE PERMIT ]/,yS�
Date 196 ii FEES
Contr, v
Phone s7� y — �Z L j State License
Approved GZ/ i
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATEp INSP OR
UNDERFLOOR � iO
7'O¢T INSPECTO
FRAME E k
DATE INSPECTOR
LATH & PLASTER
or I? ATE IN SPFf.T R
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT.
UNDER,
ROUGH
FINISH
FIXTUR
MOTOR!
FINAL
SERVICE
DATE
V INSPECTOR
;ROUND
INSPECTOR
WIRING
jV(
OIyTE
INSPECTOR
WIRING
- ^Y,IT'-
INSPECTOR
ES
'
,DATE
INSPECTOR
DA E
INSPECTOR
DATE INSPECTOR
A:o � PLUMBING & GAS
UNDI
PAR'
ROU(
MAIN
GAS
FINA
MISC
MISC
:RGROUND
DATE
la CTOR
'IAL ROUGH .. 9'16t
U
—'A
SPECTOR
VH COMPLETE --`�
D/ATE
INSP OR
DRAIN 2 6
— DAT
APING (/(r"/
NSPECTOR
� ATE
L
PECTOR
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED
DATE
DATE
I
DATE
APPLIANCE
r
INSPECTOR
INSPECTOR
9PECTOR
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... J................................... Building Permit No�4zl.....
The Building Located at . .Q., ..... ............... :r/c t i..........:.......
Owned by 5:..1v!.'.....1=•4...................J..1�± ......—+�_�.�.......__.....
Has Been (Completed) For Use As:....: ... .L'!".'.......... ................. .... ...._-------
............ ............................................................. ......... ,............................. ........................
............. ................................................
BUILDING BUILDING INSPECTOR
102 12166-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
.91 BUILDING INSPECTOR'S OFFICE
CITY. 01CU ' TINO
PL ...... . .... ...... 1962.
To /
You are her&4 �0,zed to connect el&tijcA service for
Owner or Tenant ...
At ... U.1 .. ........
No. of Wires ....... ...... size of Wires . ...... Size of Switch ... 0-.............0-A.-
Motor Load ...... ................... Voltage ................................ Phase . .........
HeatingLoad ........................ K. W . . .............. ...... .......... Voltage ........... ........... .....
No. of Meters ...... Light.....
ig hr�:: r�.. I 10 .... c� New Service--.-.�.. Reconnect.._ .. ..........
I . ........ 220...... ,�j ree W' Move Service...........
No. of Add. Metefs��:�:--:-: He.
Power ............... e- .. ..... Move Meter..............
.......... ....... ......... . .. ........... ......
ELECMCAL INSPECT
GAS -SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.......... .... . . ......... ............... 196f.1
To
You are hereby, authorized to connect the GAS -service for
. . .. .. . ..... ....... .. . . .
Owner or Tenant
......... ........ .................
New Service ..............
No. of Meters ............. Reconnect ... .........................
Move Service .......................
No. of Add; Meters .............. Move Meter .......... ............
......................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r-1 Sewer Connection Sanitary Permit No.
9--flumbing Final Plumbing Permit No..-3—//"....79
.......
Lot No. W -------------
Owner or Tenant ..... .......... .
. ........................................
At ...
Tract .............
Date Connected ............................. .
...........................
DateFinal .................................. ...................................................
........................... ............................................
PLUMBING INSPECTOR
111 12/66-IM
Approved L
Date
Inspector
IJ� 10318 Cold Harbor Avenue LOT NO. 31 Sid
0 NO., ;J, A,STRE'T Plan 2694
zi
F"APPLICATIONS FOR BUILDING PERMIT
�S ?JAN 9 �g6E CITY OF CUPERTINO
o -! Sanitary, No 5359
W a Date DeCenter 26 196 Permit No.
If// 7 9
�'iTv1 I?i 1l�
o Application is hereby made for a'permit to bui ld
a
a m a one story, Type V — I.J. Building
aI to be occupied only as S.F. Dwl.
ii o in accordance with Plans, Specifications and Plot -Plan filed herewith.-
> "; Estimated Value of Improvements, $ 23, 000.00 Fee $ 72.00
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
d o Cupertino will be 'complied with.
3 < Williston Par�C,a Ltd- PartnerSbipAddress P.O.Box 1135
Wi a
¢a By-ddressinct r na,rali 95031
<0 Phon 356-2p146 Approved
` State License_II22 3Z BUILDING INSPECTOR '
Ild u
RECORD OF INSPECTION APPROVALS
FOUNDATION
DAT➢
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
J
DATE
INSPECTOR
LATH and PLASTER
G.
DATE
INSPECTOR
FINAL BLDG.
DAT➢
INSPECTOR
FINAL ELEC.
DAT➢
INSPECTOR
FINAL PLBG.
DAT➢
INSPECTOR
FINAL GAS
PATE
INSPECTOR
LOT' NO. 3/
—"Y v1 Vur1_11IllJU " Fee $ der (is
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 accordanfe with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises
Phone: `� !!�_Ll1� ELECTRICAL
State License:1 �
1
NEW APL FEES
Size Service Conduit oC a Number of Outlets
Size Service Wires -77.2 Number of Switches
Size Service Switch 10(2f% Number of Receptacles
Size Sub Peed Conduit Number of Fixtures Ap
Size Sub Feed Wires Ranges KW
Number of Circuitl�Oven KW
Number of Meters Panels Transformers
Signs
Misc. Viers
Motors HP Q— % Phase
2.00
Motors IIP Phase
Motors HP Phase
Permit Pee
IIP Charge
Total Fees
NO.
LOT NO. 15P /
PLUMBING PERMIT
JPERTINO
A) ]. 6 1968 / SanitaryPermit
No.
Date 1TQ/ /� 196 Pcnnit No ,S—//7i
(;f 1 I OF C� F�T [� Fee $ CL3- S�
ApplicTinn is Il rrby ma'iiPflf"tT' 14Qof Cupertino for a permit to install plumbing
pipes and/or fixtures listed un 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 others laws applicable thereto.
Use of Premises
CONTRACTOR, AGENT
Phone
State License /�6, r717
Address
Address
Approved
— u' y( PLUMBING INSPECTOR
FI)Ctl ES.
,. NUMBE_ R
MAIN -DRAIN
UNITS
FEES
UNITS;:FEESF
'....
Wa:er.Heater. _.-,:,/,,-
Waier'Closet,..-
'Material"-
Beth Tub
To. Curb
'=Sbower
To Pro.Line_
:Lavatories' -
1-
To. Existing
Kitchen Sink
J
Nut Conn.
Aish Washer
Sewer Box
'a
gz, ._teAsposal.--
' Wash Tray
STORM DRAINAGE
s,Washing Machine
/ -
Size
'Water Softener Softener
"Bar Sink
Mn DrainComb.Sink&Tray
riNlatff�ial
Cb
.`-`Dental Unit
--Drinkin Fountain
-
Floor Drain
WATER SYSTEM
Hopper
Size
r Restaurant Sink
Material
`Sand Trap
TOTAL FEES
Urinal
Fixture Fee
'�-Area Drain
Main Drain Fee
Water Leader
nkler Valve
'Relief
Strom Drain Fee
Water s. Fee
_
/f21
�
Valve
Gas Fee
;r.Vac Breaker
E-Skinner
r=Filter
r
r
F
Permit Fee
gzilfe
, Total
Total Fee
Lly
' /U 31J LOT NO �/
NO. STREET
n 4. APPLICATION FOR APPLIANCE PERMIT
z ® OF CUPERTINO
Y o D
o Ap
a Date 19 Permit No.
WU JAN 16 196 Fee•$
W W
O Application is hereby made to the City of Cupertino for a permit to
o a instal]Mr tYpp e ti,j j OnlR�e reverse side hereof, and agrees to
ia install's3id Iappllance'§Vn aW rd9anee with the provisions of the Plumbing
W W Code of the City of Cupertino, and all other laws applicable thereto.
F�
Use of Premises R
00
Uwne -_ ue� Address
ee
ByftW
JMERCUR FETAL• & HEATING, INC. Address — 8I eIt &r Way
'O CONTRACTOR, AGENT
3 P
— Phone 7,?9—
u =
W W Aft
o L State License Approved-
4
U
G PLUMBING INSPECTOR
Type of Appliance I
Units Fees I�
Remarks
(Check J;
New I
Replace I Relocate
Gas Ranges I
I
II
Wall Heaters j
I
II
i
I
Gas Plates j
I
II
I
I
Circulating Heaters
Blower Furnaces I
l
a?i oe 11
1
I
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
j
I
II
Steam Tables
I
I
II
I I
Gravity Furnaces
I
I
II
I 1
Suspended Unit
I
I
it
I
Floor Furnace
I
I
II
I
If
I
Miscellaneous
1
I
I!
(NAME TYPE)
I/.313,As-11_
I
I
I
I
II
I
Appliance Fees
/,)
t
Inspected and Approved ............ ... !...._..----------------------------- ----.._.
DATE INSPECTOR