661 (2)LOT NO.
i '40
A PLI N'F UIL ING .PERMIT
y1� y/1'J • C, ITY'4P CUP NO ,
' Date , 195_ Permit No. _
Application is hereby made for a permit to_P2� P
t� a % story, Type 5' — Building
at /T ./t ,o- U� / q v
\,t to be occupied only as
in accordance with Plans, • pecifir;ttions/and Plot -Plan filed herewith. {�
Estimated Value of Improvements, roe $
N
WIt 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
u Cupertino will be complied with.
Owner /.�� _' J.:. J Address
BY < Address _ <
• �' CONTRACTOA, AGRNT
Phone / �—L % �/ Approved.
�9GILXHNG INSPECTOR
RECORD OF INSPECTlOy4°PPRALS.
•ti �r. bey' v�,�.,N:�:�.-%:
FOUNDATION-
DA INSPECTOR
J
FRAME J z 3 C v
DATE __ INSPECTOR
T.ATWand PLASTER
- �� —
INSPECTOR
�
DAT
,
FINAL BLDG.
INSPECTOR
FINAL ELEC.
�
DATE INSPECTOR
FINAL PLBG.
I • �- _
' DATE •` INSPECTOR
FINAL GAS
INSPECTOR
C
C'E'RTIFI-CATE OF 60MPLEv;1CW`-,�-%X-
BUILDING INSPECTOR'S OFFICE -7, -i:
CITY OF CUPERTINO
Date ....... ........................ 119.4.0 .... Building Permit' No. .........
The Building Located at
Owned by .............
Has Been — Altered) ' For Use As:
................ ...............
(' f3TjmDnvG jmspirrOR
102 7/59-500 t
LOT NO.
�. �. APPLICATION FOR PLUMBING PERMIT .
?4j CITY OF CUPERTINO
195_ Permit No.
Fee $ '—
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. "I '
Use of
r{i v
Owner S. z Lr-,+ Address
By G1/ _ Address
CONTRACTOR, AGENT �� le I /
Phone Approved
PLUMBING INSPECTOR
r.
r, FITI UR NUM
BE
j) MAIN DRAIN
UNITS
I FEES
II
I UNITS I FEES
1Water Heater I
j
Ij Size
j
'Water Closets
I
j
q Material
Bath Tubs
j
j
jj ; To Curb
j j
S wah ers
j
j
jj To Prop. Line
Lavatories
j
j
jj To Existing
Kitchen Sinks
j
j
jj Not. Conn.
Dish Washers
j
j
jj SEWER BOXES
Waste Disposals
Wash Trays
j
j
jj STORM DRAINAGE
Washing Machines
j
j
jl Size
Water Softeners
j
j
p Material
I� Bar Sinks
j
j
jj To Main Drain
11 Comb. Sink a Trays]
j
ji To Curb
jDental Units
Drinking Fountains]
jI—
j
jl j_
Floor Drains
j j
p WATER SYSTEM
Hoppers
j j
j
Size ( j
Restaurant Sinks j
j
jj
Material
Sand Traps
j
jj
TOTAL FEES
Urinals
j
jj
Fixture Fee , j / , G C.
Area Drains j
j
jj
Main Drain• Fee j
Water Leaders j.
j
j[.
Storm Drain Fee j -
Sprinkler waives j
j
;GGjj
ater Sys.• -Feel
jj
Permit Fee j /, p p
TOTAL j
j
jj
TOTAL FEE . ejy
RECORD OF INSPECTION
Pajtial Rough
Rough Com let
Finat
• — I
1
✓, I, the undersigned do hereby certify that I am
the ormer an occupant of the s%nE:le family d,,,elling at
for which I am making
application to do0 , f!. work as a home owner.
I also?Icertify that I trill i:ot,.hire any non licensed
4 v>
or ccntra.ctor, but wiil cto this work myself.
LOT No. C
!yam APPLICATION FOR PLUMBING PERMIT�y%
'J CITY OF CUP.ERTINO
v Date -3/ 1 19}iz4+ Permit No. /
PI CJ
Fee $ t
Application is hereby made to the City of'Cupertino far a permit to install -plumbing
t\ 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 CiInof
Cupertino, and all other laws applicable thereto.
Use of Premises S t
Owner I �� /� T 1 A*, r i 2V Address
By So 1�.,:I...iG lc _ Address/:/,i°1'-%���;(-�r9 CT
CONTAACTOR� AGENT 1 r
Phone AL i. ' Z,, �' Approve 4"re
PLUMBING INSPECTOR
lx R UMBE
MAIN DR N
UNITS
IUNITSI
FEES
Water NCater %/.CO
`FEES
Size
Water Closets
Material�
Bath
/
�/ nO
To Curb
_
Showers
To Prop. Lmet-I'
Savatories
,�
z, np
�� To Existing
Kitchen Sinks
P;(R Coon:,/• �t
Dish Washers I
/
I/,OO
SEWER ebXECS
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
/
�/ Gz->
Size
1
Water Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink s Trays
r
�� To Curb
Dental Units;Fl
Drinking Fountains)Floor
Drains
�� WATEHoppers
Size
Restaurant Sinks
�� MateriSand
Traps
EES
Urinals
�� Fixture //. GC
Area Drains
II Main Drain Fee 1 /,, 00
Water Leaders
Storm Drain Fee
Sprinkler Valves
Water Sys. Fee /: 00
Permit Fee /.00
TOTAL
TOTAL FEE /q� 00_
_ RECORD OF INSPECTION
Paftial Rough _ -D. K r
Rough,Complete p „?3
Final • / ;,j �'---
... �� Cupertin) Sanitary
roir�e,-a ,r}
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
• Sewer Connection
Plumbing Final.
Owner or
At ---
_f
Tract _..-......... i
Date Connected
Date Final .... ....
._.
I 1 i 7/59-50n
Sanitary Permit No......&.
..... _-
Plumbing Permit No. ......
!/�.l.T .........
/� Lot No .
177..v/z....r..._.........___.._....._........._.
........
v....=-i...i....................... _...........
.......... ........
.NO. ZATREET LOT NO. N
.L r •z; /T
APPLICATION FOR ELECTRICAL PERMIT
CITYI OF CUPERTINO
Date [L — / 9 , 196�--
Application is hereby made to the City of
wiring and/or fixtures as listed on the rev
wiring and/or fixtures in accordance with
City of Cupertino, and all other laws app
Use of
Owner
By I-L:4 /
U CONTRACTOR, AGENT
Phone: 191-
Permit No. " "z
I -cc S / L'. /S
Cupertino for a permit to install electrical
verse side hereof, and agrees to install said
the provisions of the Electrical Code of the
licable thereto. -
Address
Address
Approved
ELECTRICAL INSPECTOl
NEW RPL FEFrS
Size Service Conduit ----------------------
Number of Outlets------------------
------ 7 -- --- - _
Size Service Wires --------------------------
Number of Switches-.. -------------
---- /-S------- ---------...
.?I
Size Service Switch.. ......................Number
of Receptacles.
----------- -- - ------ ----------
----
S `Sub Feed Conduit ..................Number
iz6
of Fixtures ..................
...... ----------
-----
"-*,91ze dub. Feed Woes-----
--- Ranges ........ --- KW----------
---------- ----------
----------- --
Numbpi of Circuits ...................
Oven ------- J ..... KW------------
-------- ----------
--- ------
Number of Meters ----_------_---------
Signs ---------- Transformed ---
rs ... 7 .. ......
K,
Misc------------------------------------------------
Dryers.... ---------- / -------------------------
... ......
......
Motors ........ !!t( --------- HP----------------.
Phase---..---.._-----
Permit F . ee
$ 1.00
Motors-------------------- HP --------------------
Phase --------------------
Motors-_----------------- HP ------------
.... . Phase -------- -----------
H P Charge_--------------
------------
TOTAL FEES -
/ 0. I-r
C MON APPROVALS
Fixtures
Rough Wiring4q;A.N
..............
................ -------- --------
DATE
ECIOR
DATE/ I/ INSPECTOR
........I-
Finish Wiring r�
• --- - -- ----- ----------
DATE
* Motors ---
...... ...
INSPECTOR
--- ---- -----------
DATE I.211ECTOR
Final ..........
I-
_. _( -------------------
DA r :;;W"IKSPICTOR
ELECTRIC SERVICE NOTICE OrFicr:
•• BUILDING INSPECTOR'S OFFICE C;.0PY
CITY OF CUPERTINO
,.. .a1�.
.......................... 1
ay 'You
You arerhereby. authorized to conned the ELECTRIC service for ;
... 'y.-�• �y �/� t...
�dELam••i
- v'Z�c�Ait•Tenat •
No. of Wires ..r'............... Size of Wires .....Lt!........... Size of Switch,jtr��.�'''��%',
Motor Load ............................ Voltage ................................ Phase .................
HeatingLoad ........................ K. W................................... Voltage ................................
No. of Meters -... Light ------.------ 110 _✓........Drew Service .... .......
.....Reconnect ................
..._.....__.
Hea
No. of Add. Meters .......... t ..............220 ......✓............ Three Vt,im .................. Move Service..........
Power .............. Thor Phase ..................Mo,•e Meter ............
�l
104 1/60-5oo GELECTRICAL INSPEC17OR
mm■r�.�,
47
6)-0,%4J•C I 1-10 a tj. �«R T LOT NO. �
•r N,wy-O; �S-MKBI:,
APPLIgTION FOR GAS PERMIT
CITY OF CUPERTINO a
A,�'. -
19- -? Permit No.
fy Fees -
'Application is hereby made to the City of Cupertino fora permit to install gas pipes
ts� slid/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
IK
Use of Premises •) I C, t e. y E 5 1) i b f C
h Owner_ /RIl T-rl:" ( 0k C
AGENT
Address
Addre rn*'04', 41.1i-11n L
Approved
PLUMBING INSPECTOR
Type of Appliance I
Units Fees Ir
Remarks (Check ,)-
New Replace Relocate
Gas Rangesall
Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
-
Warming Ovens
Perc0"
t�
Steam -T
Gravity Furn
Suspende
Furnace
—Fllocii
Miscellaneous
I
I I
(Nt.SE TYPE)
I
pp lance Fees
Inspected and Approved ..... .........1 ..... ...... .... _._---- .._..----- ...__.
DATE. INSPECTOR
HOUSE GAS PIPING
Number of Outlets I I Size of Main
Gas Piping Fees
Tested and Approved _r.:..0...................
DATE INSPECTOR
Qa 1 _ SOT NO.
NO. S T
APPLICATI01 W.PlR APPLIANCE PERMIT C
OF CUPERTINO 101//
Date J U N 1 0 196Q 196..... Permit No.��
U
Fee S
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 rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises
u p `
Owner�%l�ft14,+c /J.1 Do , Znu.1 Go _ Address .�
By DIVISION Address
180E SUNNYOA.NS AVE:,'CAM�hdL`, O;ALt, Approve _.;
Phone
PLUMBING INSPBGTOa
Type of Appliance I
Units Fees II
Remarks (Check.✓,
New Replace Relocate
Wall Heaters
^
Gas Plates
Circulating Heaters
LT�I
Blower Furnaces
Gas Fired Boilers
Wa ming Ovens
Percola ,r
Griddl
$tcam abler. .�
ravity Furn es
ded it
r
II
'r Furnace
la
I
ellapeous
.M TYPE)
_
PP M�—
Inspected and Approved -------- --------
�DATF. / INSPECIVR
�GAIS - E -NOT. IE
r.
13UTIM -IN 0( O CE
CITY or C ERT.'.
................... . .... ................... 7
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ............ .......................... :
............. ft ... ............ At ........ tL ......
............................ W .............................
New Service . .................
No. of Meterst, ... ............... Reconnect ..............................
No. of Add. Meters
Move Service
Move Meter
.............
PLUMBING INSPECTOR...''"'...'"'*"'*..........