1773 (2) r.
lo3 6 rl' A e e J LUT NO. 69 �I
,.NO. �R--I �r
OfJUN
A�PPLICAT
t tBUILDING PERMIT
18 ��pi :CUPERTINO Zto-7 4,)
r Date June"12 , H�52= Permit No.___M2
'Apel p�tT Y isOfeb)DjpERTINot to erect
it l story,Type Building
at` above address
to he occupied only as SF Dwlg F-3
in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$ Fee$
v
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
nll other laws applicable to the construction, location, and use of buildings within the City of
,.j Cupertino will be complied with.
wn� Am ie Guild Hot s. Address PO Box 11728
in
B}' AddressUB11t�Mll
L
fApproveR
RECORD OF INSPECTION' APPROVALS'
FOUNDATION I '
DAT INSPECTOR
FRAME
DATE -INSPECTOR
LATH and PLASTER
DATE NSPECTOR
FINAL BLDG.
D T PECTOR
FINAL ELEC. '�7� ^
AT T (� +NSPECTOR
FINAL PLBG. X
DAT INSPECTOR
FINAL GAS 2- � r
DATE INSPECTOR
IN
CERTIFICATE` OF COMPLETION
BUILDING 'INSPECTOR'S OFFICE'
/` CITY OF CUPERTINO
Date ._...,/y -- ------ --- ---- 19. Building Permit o.,..J.7.
- �y/ ,...,— ._. i
The Building Located amt„ Q.-SA.' . ... . t. ,,...` --_...�...,---- ,-..._
Owned b " }
Has Beeneffi pre .. .. or Us As: .....:-.. .��–A "i_ .....- `
:.. .
......_...: F
...---........------...........................
.�4...-------...:...-----...1...-....... ---------- _ _
..............................
t s
I'
MWING 'INSHO OR
102 4/61-500 - _
State
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FIXTURES NUMBER MAIN DRAIN
I UNITS I FEES II 1UNITS I FEES
Water Heater _ II Size 114
Water Closets -Z II Material
Bath Tubs / To Curb
Showers f To Prop. Line
Lavatories ___ _ To Exis '
Kitchen Sinks . / Not Conn2 I"!_`fo2
Dish Washers 16EWER BOXES ^
Waste Disposals
Wash Trays II STORM DRAINAGE
Washing Machines Size
Water Softeners �. Material
Bar Sinks To Main Drain
Comb. Sink s Trays) To Curb
Dental Fountains -
DDrinkingg Fountains) 11
Floor Drains WATER SYSTEM
Hoppers If Size I
Restaurant Sinks Material I G
Sand Traps I II TOTAL FEES
Urinals IFixture Fee �C
.Area D�r-amsj 1II Main Drain Fee 2
Water Leaders Storm Drain Fee
Sprinkler Vaives I Water Sys: Fee I /
I II Permit Fee
TOTAL TOTAL FEE /"7
RE•O D ECTION f
Partial Rough
Rough Complete
Final _ Z
,'.--Bldg. Dept.
` - Office Copy
BUILDING INSPECTOR'S' OFFICE,.
CITY OF CUPERTINO
❑ Sewer Connection•.-,,,�w Sanitary Permit No. ..... fd
'lumbing Final t;> Plumbing Permit No. 7.O . .........
/. Lot No.
IISOwner ;Tc
nant ... ..; .... •�7�E3!iKiiyEEy..«.'...,
----
At -
��y .-
Tract ------ ---------- .�-. -
dl
Date Connected ..............-- ...---�Jl/.C....-------------
QQ ------- ----------------------- 1
Date Final ....................-------._�� `- .- ----:.-.--.....19----
! ------ --------...._--------
.V
PLUMBING INSPECTOR
111 7/61-500
NO'. STREET LOT NO. 42 9
APPLI=OI R ELECTRICAL PERMIT
® c M-
7
PERTINO
Date UG 7 962ZPermit No.J�1�[�pin'[� fcc S b
V Applicat�Tsyer f f' CUP ERTINO 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 accordance with the provisions of the Electrical Code of the
4� City of Cupertino, 'and
all other laws applicable thereto. '
v Use of Premi<rc
:a Owner / Address
r 4"//�-'- Address OCrRICAL
1// CONTRACTOR, AGENTACOVedPhbnc: . ��/ PP ESPE
NEW � NPL FEES
/ .... 'w
SizeService Conduit...../. ... ...Number of Outlets------------------ .L....... .......... ..............
Size Service Wires..:....?�lC:......Number -of Switches---------------- : -. ---------- --------------
Size Service
-----------.Size'Service Switch.... eZF?-e��---Number of Receptacles------------ �23 .....----. J-�..
Size Sub Feed Conduit------x.........Number of Fixtures-.------------- /(-)
Size Sub Feed-Wires --........Ranges--------------- KW-------=------
-
-�---- ------ ---
-
Number of Circuits--------//--...... -Oven ....--...._-- KW......------ ---------- ---------- --T�.....
Number of Meters........1..-._-........Signs...------: Transformers........ ..../.....- --------- --------- --e_ ..
Misc----------------
------- Dryers........................ /------ -'------- ----7
Motors..-.7.............HP_h/At'��--.- Phase-...../ Oe_:7ll�' Permit Fee $1.00
Motors.................... HP-------------------- Phase....................
.Motors-------------------- HP.......... ........ Phase.................... HP Charge.----- --- --�'"5
TOTAL FEES �� +
q/�OTLL�� TION APPROVALS '
Rough Wiring./✓.l -�(./.d.P..
[. .�.- ... ..... Fixtures -- .... -- _
.:...........
DATE IN SIR CTON DATE, INSPECTOR
Finish Wiring ................I......._......... Motors --------- ---
DATE .• INSPECTOR T� +'
----------------
DATE INSPECTOR
ELECTRIC SERVICE NOTICE oeFly
FIC
"'"'- - "-•- BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO '
----------------------�//4 -------------- r.: 196-2-
0,
You are hereby autho ' to ct thee IC service for
Owner or Tenant
"
No. of Wires '......-... � � � .,
........... Size o Wire ....: ....:..."" Size,of Switch'-/v..-
Motor Load'......... ............:.. •Voltage .................
-------- Phase t---------°--`r...------.....-.
Heating Load ........ .......... K. W. -..._:.. .V.oltage '-......--......_...---.....--
ight .............110 .New Service
L � �.-.....Reconnect ..
' / .-...-
No. of Meters ..--f....-....... Hea[ ..............220 .� .....Tine,Wire------_._:...._Move Service
No.,of Add. Meters .......... - :-.,..
. Power ................ h _..----...._D me Meter'... i......
,LECTRICAL, INSPECTOR
too"7/61-500 . :, r } -
u
10366 Prune, Tree Lane._ LOT NO. 69
NO. ® 8
APPLICATI N `FOR GAS PERMIT
; AUG 3 190 OF CUPERTINO
Date 1W632 Permit No.—
Fee
o.Fee $00
'
L` Application is hereby made to the City of Cupertino for a permit to install gas pipes
C- and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
N and/or appliances in accordance with the provisions of the Plumbing Code of the City
r-t
of Cupertino, and all other laws applicable thereto.
v'
. Use of Premises 1 Family
n Owner Amer' an T>i Id Address _
By Wilder & Jon .E Address
(/ Phone `,L"ITR64QRVBN� ApproveAV
UPLR '
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Remarks (Check ✓)
-Type of Appliance Units Fees New I Replace I Relocate
Gas Ranges I I II I
_Wall Heaters I I I
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators I iI I I
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit _
_Floor Furnace
I II I
Miscellaneous
NAME TYPE
I I II I
I I II I
I I II I '
I I II I I
Appliance Fees S" r
Inspected and Approved .�. .9.L..!..._. _ ...............................
` DATP. INSPECTOR
OFFICL
w-. .
GAS SER_' CE NOTICE'`; copy
BUILDING IN ECTOR'S 'OPFICE '
CITY OF�CU ERTINO
-_.....---.... ..
To , .
You are hereby aut n to co ect e GA service for
Owner or Tenant ...... -` -- - --- -- ---- -----.....
At
..... . -
New.Service -......_ ........
No. of Meters ...'Z---------- Reconnects .... -.....
. r Move Service
No. of Add. Meters ------- - ---- Move Meter .
r
PLUMBING INSPECTOR
110 7/61-500 -