994 (2)1.
ATION
CITY OF
: ,IWAY 11.1960
�.. Date 5 /�- -U 195
ITY OF CUPEIRTINO
FOR GAS PERMIT
CUPERTINO
Permit No.
�
Fee $�
Application is (hereby made to the City of Cupertino fora permit to install gas pipes
and/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.
Use of Premises��[
in Owner
By .%
CONTRACTOR, AGENT
Phone /l : % ' i;I ji i y
j I
Address
Address x9-74 1""7 1I ec,
Approved /•
PLUMBING INSPECTOR L
Type of Appliance I
Units Fees I
Remarks (Check ✓) -
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates I
I•
II
Circulating Heaters
I
^, ..
II , I
I
Blower Furnaces:
I
II I
I
Gas Fjred Boilers(
-
Warming Ovens
-Percolators'
I"
Gridd es
II
'I
Steam Tables
I
Gravity Furnaces
Suspended Unit
II
Floor Furnace
I
I
I
II
I
Miscellaneous
NAME TYPE)
I
I
I I
I
I
II
I
I
I
I
II
I
I �—
I
I
II
I
I
I
I
II
I
I
Appliance Fees.
Inspected and Approved .....
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Ma±n I �•
Gas•Piping Fees I � ! I fFt�1—�j
Tested and Approved ._..-/.F�(-.L.... ........ t"3 1-
7A E nJSPECTOR� 1 /\ -
v LJ
t ejA
NO. STA8IST
I
APPLICATION, FOR APPLIANCE
,a ITY OF CUPERTINO
17fl„Iii
Da, , 196...: Permit No.
,'V Fee =s
C1 '�kypl(afion(lkl� 2@t_b'RTAIN0 the City of Cupertino for a permit to install
gas appliances az is edon tFfile reverse side hereof• and agrees to install said,
appliances in' accordance with the Provisions of the Plumbing lode of the City
of Cupertino, and alhother laws applicable there
Use of Premises_ Q S�� b "— OS��� a§+rat
u�q I
r7i Owner]6yL=2q" L'YLI�%— Addre sx
By Addres
CONTRACTOR, AGENT
Phone ,, /� 21 APP`O )
PLUMBING
Type of Appliance I
Units Fees `II
.Remarks )(Check '0
Neiv r{', Replace*R locate
Gas Ranges
%vall Heaters
Oas Plates
Circulating Heaters
��
�'
,•��e
Blow_q Furnaces
Gas Fired Boilers
Warming Ovens
��
1
Percotators
- '�r
'•
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
I
` r
Flqor Furnace.
Miscellaneous
I J !1v
(NAME TYPE)
pp ante Fees
Inspected and Approved
DATF Y^. INSPECTOR
:1
L- -the.. undersigned. do.'hereb'y corti£y..'that°I
the owner an ccupa.nt of the single family'dcrel'iirig.'at
zR I egA- 5� �.fer wi:ich I am malting '
r
applia2tion to do a.o work as i home
I a so cer
tify that I trill not hire any noialicensed
uM���JGPr, coilbut will do this vrori< myself,
TEi MDHOIt i?UMBER SIGiV9TURE
OFFICE
COPY
1"S SERVICE NOTICE,
31p rvILt)ING INSPECTOR'S OFFICE
A� CITY OF CUPERTINO
60�� ............ . .... .... . .............
TO
You are hereby authorized to connect the GAS service for
Owner or Tenant ........ Va.
�5- V - ---- R ......................
lZ
At ....... ZAQ a.6....... .. \
-9. ................... ..... ...
New Service ........ ......
No. of Meters ..........
.............. 17 ('—_-,Reconnect ..............................
/) "0 service -----------.--------
No. of Add. Meters ............... Move eter -----------
.. ..............
p UMB INS CTO
1.
MAY 11�gpyICI N FOR PLUMBING PERMIT
OQ CITY OF CUPERTINO
C (�FHFl��jdj�}Q 195_ Permit No. a J
Fee $ /22
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.
Use of Premises
:7
a,
ti OwnerAl ll i7
F S. /hc
CONTRACTOR AGENT
Phone �'7 y
Address /
Address P3.rl &fh4 S'0 i(?,l'
Approved
PLUMBING INSPECTOR J ,�
FIXTURES NUMBER -
MAIN DRAIN
UNITS
I FEES
I 'I
UNITS
I FEES
Water Heater
II
Size
Water Closets -.
11
Material
1 ,!,
Bath Tubs
II
To Curlij
,
Showers
II
To Prop.Line
Lavatories
To Existing
Kitchen Sinks
Not Conn. --
Dish - Washers
SEWER.,aOXEB
Waste Disposals I
1 11
Wash Trays
II
STORMe,DRWI
AGE
Washing Machines
.
jI
Size a: a ;19 1..
Water Softeners
Material = I ox, j•
Bar Sinks
To Main Drain 111%' I
Comb. Sink s Trays
To Curb ,
Dental Units
I
_
WATER SYSTEM.
Drinking Fountains
III
Floor Drains
I �I
Hoppers
I 11
Size J/tl 1/ - 1
Restaurant Sinks
j II
Material CXr .�.
Sand Traps
TOo L REEs�
Urinals
Fixture Fee
Area Drains
Main Drain Fee•• _
Water Leaders
Storm Drain Fee_ ;
Sprinkler Valves
Water Sys. Fee
Permit Fee
TOTAL
11,
TOTAL FEE
R .COD OF INSP CTION T
Partial Rough
Rough Comp to
Final — C (r(71A AA
—
�;:A:ayVAIeA7;�:.gR is
NO. STREET SAU
LOT NO.
�. I o 2 �1e .. ,.
®,SP ,FOR ELECTRICAL PERMIT
Y OF CUPERTINO
Woj a
Date 11 , 195— t Permit No.
CITY OF UPERTINO Fee
Applicationis hereby made to the City of Cupertino for a permit toiinstall 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 E[eec ncal Code of the
City of Cupertino, . and all other laws applicable thereto.-
r.
u Use of -Pe i
V
a Owner
BY,
Phone _
At
Address /
�� ,., � _.. �� . ��rAddress -�- • -tom s�4 .l
EIeCrRICAI INsrecroa V
NEW RPL
FEES
'Size Service Con4uit ....... -------------
Number'of Outlets..................
Size Service Wires ..........................Number
of .Switches..:.............
Size Service Switch ........................Number
4
:Receptacles.__.......
.........
Size Sub Feed Conduit ..................
Number of Fixtures......_......._.
Size Sub Feed Wires ..................... Ranges ................ KW
Number of Circuits...---......_..... Oven -------------- KW--.--------- ---------- ---------- ------......
Number of Meters....._ ........ ........ Signs ---------- Transformers -------- ----- ---
Misc: ................................. ......... .... Dryers ------------------ --------- ---------- ------- * ...... -- ---------------- -- - Motors ----------- ------- :.-HP ...................... Phase ----------------- l..
Motors ............ ....... HP -------------------- Phase ................... _—_Perrnit Fee $1.00',___
Motors --------- HP...._.........---- Phase-----------...._ HP Charge-------------- ---- -------
TOTAL'FEES 7o
E
I DATK
Final _-JA7i'
OAT[
ELECTRIC SERVICE NOTICE, V OFFICE
(� BUILDING INSPECTOR'S OFFICE ' COPY
CITY OF CUPERTINO
To
You are hereby an ized to connect the ECTRIC service for
�%i
Owner or Tenant ---...... --`.....
At .---_1....Q.. C..C1. �.. �........_C ----- -a,f44-- it f e: C.r
No. of Wires ......�?.............
Size of Wires :r.;i
::b-Size.of'Switch.%..CiC.f�1
Motor Load ......................
Voltage .......... `
-----------: ,.....:. Phase..::.' ------------- ....::
Heating Load ........................
K. W. ----------------------------------
`.
.•Voltage'-....v ,
Light
- _
No. of Meters ....................
No. of Add. Meters ..........
......✓....110 ........_New
Heat ..............220 ................
Senice,.V_.. :..... .RecotinecN..:........
... . s,�...` :: - . _ . ._
r e. Wiie Mm'e eryice ..._....
_., f ;: " �:;_
Power ...............
Abe
Phase
t�
nr.L'l XAP,AL rLVJFLI:IU '�_1
3 MAY 1P�g N FOR PLUMBING PERMIT
• vITY OF CUPERTINO �J
11 CUT OF MPS d--,"i95_ Permit No.
Fee $
Application -is N-reby made to the-Cii}`'of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
j� and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
'Cupertino, and all, other laws applicable thereto.
Use of Premises_
• y fl (�
n L lti l S� J 0 �1 i Address'
by wl % $Alf t c , d) s, b ii eee%
a..1 a CONTRA OR,.AGBNT-f '
PEfon`SGT 6'. APProved
�-j vv. � � i PLUMBING INSPECTOR
FIXTURES I NUMBER
11 MAIN DRAIN ,
IUNITS
I FEES
II
IUNITS1FEES
Water Heater
Size 6 "
I' f
Water Closets
Z
Material e Z—
Bazh Tubs
To Curb "•>�
•,
Showers
To Prop. Line
Lavatories
^�
To Existin
Kitchen Sinks
N Conn.
Dish Washers
it SEWER
Waste Disposals
Wash Trays
(
STORM DRAINAGE;:
Washing Machines
Size
Water Softeners
Material
Bar Sinks
To Main Drain
Comb. ,Sink & Trays
To Curb I
WATER SYSTEM
Dental Units
Drinking Fountains
Floor Drains
Hoppers
I
Size
Restaurant Sinks
Material Ca I, ,•.
Sand Traps
TO AL FEE.
Urinals, I
I
Fixture Fee m O,
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
Sprinkler' Valves I
II
Water Sys. Fee /'ZO,C
Permit Fee _ /, 010 ,
TOTAL
TOTAL FEE f Q C1
R COD OF INSP CTION
PaARI l9ugh ?' '
Rough Comple
Final t ut
NOTICE, Ibf-.A'DDITIONAL CHARGE'
't ^Y`iTY OP.CUP@RTINO
.Rt.i[LDING INSPECTOR'S OPP[CG
Date .. fd...�...i^:"1��........._.. 19`� V Permit N . _ 7 Zx` .. - ...._.....To
p� .fin C
Reason .......• .
................. .......... ...._........................ ._... -- ............ _.......... _.......
._....._..._........ I
............. ..........._................
G'O__.........
Amount $ +...- Signe ..... .
106
3/59-ion C
MAY 11 19A PIE,�1TI NITY OFFOR GAS o PERMIT
Ct.�FTD'il' 195_ Permit No. �y1
Fee $ /
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/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.
c
v U
Use of Premises_�_ t7
v
i
-rn Owiier�/�-- .i1.�.l0-`�SOnS _
CONTRACTOR, AGENT
Phone .AX 6 / 4 5 4
I 1
Address _
Address'
Approved
1 ' .PLUM RING INSPECTOR
Type of Appliance . I
Units. Fees
Remarks (Check d)j.
I New - I Replace ('.Relocate
Gas Ranges
Wall Heaters
Gas Plates I
I
" -
Ii>-t
Circulating : H6ters
Blower Furnaces I
.
Gaz Fired Boilers
WArniin'g,OSens„- : -
L, � " I•-
L' � : I'-.'�=
-
Steam'Tabks+
Furnaces.`.:-Y'L-
Sus p4ed-Unit.-
Floor FurnaceI-
z
Miscellaneous
it
i
NAME TYPE)
I
I
I
I
I
II
I
I
I
I
II
I
I
r
I
I
II
I
I
I
I
II�
I
I
App I—["ahce Fees
I
Inspected and Approved ........... ...,_.I.-_ ... --... .....................----......�
DATE. INSPECTOR
HOUSE GAS PIPING
Number of Outlets I / I Size:oF Main
Gas Piping Fees •� • -
Tested and Approved ..Ma%(,2....L...., .{�. �.
D E INSPEC OR