2531 (2) f t r rte,
0 a NO. //����STREIET LOT NO.
w C��A'PPLICA�T O FOR BUILDING PERMIT
3 ° l Cl -OF CUPERTINO"
' JUL 24 1963 Cu Sanitary No. 3�0
a
a�� �.
w Date �� ]963 Permit No.__
� � v (�G �I�p� �, �„r
a . Cl pplirAtion is hereby made fora permit to E/lEC9
° a
a a a story,Type �- / � T Building
to be occupied only as
0 o in accordance with Plans, Specifications and P1ot,Plan fled herewith.
3 Estimated Value of improvements, $ 520a 06Fee$ 6-3 ' o
OJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the Cit of
o Cupertino will be complied with. y
3 m Owner qkt- n4n'- Address 557 r
E Q a By Address
t a 0 Phon_ S3— 3/03 - A roved
State License ��/7�1� PP .
r - BUILDING INSPECTOR
I
N z x z c s z s s
o-
Q V V W U U U U
6 4 N 6 6 6 6
Q Z Z Z Z Z G
CL
d'
e
V -
W
� O
' W W
C9
G
O a w
State G ,&2
! '
7 f / 2 . C) c
/
OD/ ] a@ ( « ° %
� ((
Cg
7\ � —
\\ �ƒ § (? C
0 §� CD 0 \ ) ( f0 \
» a = � n
\ 2 - X ° ] \ : ƒ ; �� z +
50a
§ - \ § \ / @r .
(0 : ; z
\ o q
/ 2 > ;
)
\ ;
M ® � M .
! }§ zz
) \ \ p Q
0 .
� �� : \ \ / : : �/ � \ \ ( \ �
%: \ \ \ } \ °
W4 '.4
, - j � \ { ( ( \ � : \ # \ a ,
~ \ } / \ / / \ / : : : \ � , /
\ \
tz \ / ~ .
17) us 0 0
0 0
z z az —
%\ �& &S'3 E THE VVORKMEN*S OF CALIFORNIA.
® 7 GO 7 ^ >
:
\ \ \i 2 �
/ \ ) ( ( 9\ / §
�
\\0 \ 2 k
znO� \
llo
-0r
�
� gc
\ m ( / §
/ '71 /
§ } � ` ■
/ ^® a x
OA
$ &( %
�,2 �
FIXTURES NUMBER MAIN DRAIN_,>
UNITS FEES II UNITS FEES
Water Hcater Size
Water Closets Material L
Bath Tubs / To Curb
Showers To Prop. Line
Lavatories Z To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
(Wash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Bar Sinks To Main Drain •, ;i-
Comb. Sink c Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER S STEM
'Hoppers Size
Restaurant Sinks Materia
Sand Traps TOTAL FEES
Urinals . Fixture Fee
Arca Drains Main Drain Fee
Water Leaders Storm Drain Fee
Sprinkler Valves Water Sys. Fee /
Permit Fee
TOTAL TOTAL FEE Rrt
RECORD OF INSPECTION
'underground Rough...
.Partial Rough.. ' -3
,Rough. Complete. - �-
Main Drain �.-
Final._
.: at
' AQREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
m-O
L
r o o yn G
n1 b wryo \v1 O b
�4o nono
g
! '0.S ry rpp zO O
0 Z
EF
a OL ° � s�
a n y a
o
71 3 O
M r
C ;-G'W rbe n O X
z ' =
n
Z�
-r
.7.
,Remarks (Check V
Type of Appliance Units Fees'..... ......
I Replace,.Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired—Boilers
Warming Ovens
Percolators
Griddles I
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
(NAME TYPE)
jj.
HOUSE GAS PIPING
Number of Outlets—j SizqOf 5 in
Gas Piping Fees
Tested and Approved ...........
DATE INSPECTOR
k'P
State License
tr
>
z
O
N
3> -0
C) V
0
0 at —nNm A
z
DO
rr-I
0
Z.
z
0
> > >
z 3 b z0 z
0
z
0
0
V ,4
Remarks"Check,v.
Type of Appliance I Units Fees II 'New ( RepC.e'JolR;e ocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters I h
Blower Furnaces
Gas Fired Boilers I F d
Warming Ovens
Percolators �)
Griddles3I
Steam Tables
Gravity Furnaces
Suspended Unit II
Floor Furnace
-Miscellaneous
NAME TYPE)
I it
I IA 6v II
64911
App lance Fees I ro, _
Inspected and Approvedl-C...
--- .. ._..'..
DATE INSPECTOR
yE /
h/
. j
/ m
\ � . \ 7 'z
i ` \ o
\ . . . 00o
z ,
� ��
! : : § i ^\
--- �\ I ƒ � » y @ °
tz
G -4
/ \ ) 00
\ \ \ \ :± : . ( : } ) R '
Rweze
z 0
0
40
an
o
OQ:
EA
UTI o
Z
00
r) m
o to
90
0 2 e & y 2
La v
z
� � \ n ■
\ E on
# 0 n
� \