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NO PERMIT NUMBER (4)/ds o2 S No. Street / v APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Date '3A1r 196 Application is hereby made for a permit to to he occupied only as Estimated Value of Improvements FEES Owner Con tr. Phone a File No. Sanitary No. 3/.3 A in, accordance with Plot Plan, Plans and Specificatid filed herewiQ_Z s e�SOTl'>d Plan Check $ —a t/pV Address i Address �- State License Approved W ` APPLICATION FOR ELECTRICAL PERMIT ."/.� p Z_ y Date � 196 FEE$ .l Cz� Cont,. u Address vz Phone .C4 %_ State License '0 G Approved J' APPLICATION FOR PLUMBING & GAS PE MIT #0 7 Date-2— 196 AC GAS FEE $ ._ . PLUMBING/FEE x/_ Contr. _ �7'�We-ilk Lie Address _✓ Phone —4'7/f ���� State License �Ojd/jserbs.Itar —�7� - Approved APPLICATION FOR APPLIANCE PERMIT Date 1% FEE$ Contr. Address Phone - State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California e RECORD OF INSPECTIbW APPROVALS' FOUNDATION r���p'�.5� BUILDING Date UNDERFLOOR FRAME LAT g pL S E /_—ice 9aL— ,OUTLETS SWITCHES c, RECEPTACLES FIXTURES �27a� 7 H.P. CHARGE i r0 PERMIT FEE a� ECTRICAL ISM, GGRQUI�D ROUGH WIR!NGNG•G FINISH WIRING_ FIXTURES__ Motors PAD -FINAL GRADING FINAL // Inspector Inspector SERVICE SIZE actor 1 AM 04m o actor -49to Ins Doctor Ins actor TOTAL FEES FINAL � � � Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN I SIZE I L.JLATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE a �i� PARTIAL ROUGH " —/ MAIN DRAIN FEE ia^' ROUGH COMPLETE ata r STORM DRAIN FEE MAIN DRAIN -52" 99tA to Data 7 Inspector WATER SYSTEM FEE ��' GAS PIPING GAS PIPING FEE FINAL -S• D actor Date Inspector PERMIT FEE MISC ♦sr � Date Inspeator TOTAL FEE � MISC Wate Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Do to Inspect W02 N LUMBING PERMIT 'z FE OF CUPERTINO w r o Sanitary No 3 < DateFi JWPERTIN�6-5 4i_rrliit No., $ o �� oa i Fee Application is hereby made to the City of Cupertino for a permit to install plumbing o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices i m and/or fixtures in accordance with the provisions of the Plumbing Code of the City of a w Cupertino, and all other laws applicable thereto. w x ' .. Use of Premises f 00 3 Owner /%al 0a ZJ sy�o�ST Gov 7 i<s ��BG 3 r- CONTRACTOR,AGENT - 0 Phone. S y J C w z W w o2 o3 o // � a a o ,State License u \d1l Address Address 3 6 6~ q7�1 ZvA / N N < Approved ,�W�� 61 PLUMBING INSPECTOR ix I URES NUI%f UNITS FEES UNITS FEES Water Heate Size Water Closets Material Bath Tubs To Curb Showers To Prop. Line Lavatories 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 Comb. Sink s Trays To Curb Dental Units Drinking Fountains Floor Drains to WATER SYSTEM Hoppers Size / 1 Restaurant Sinks I Material cvlA San raps TOTAL FEES Urinals Fixture Fee O° Area Drains Main Drain Fee vo "ater Leaders Storm Drain Fee Sprinkler Valves Water Sys. Fee ' 0'a Permit Fee TOTAL TOTAL FEE p 0 RECORD OF INSPECTION Underground Rough... Partial Rough.. Rough. Complete.. Alain Drain Final... CERTIFICATE - OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ----- ........................ 19-� Builldin ermit o. S46. The Building Located at Owned by --- e-f ----40 �.................. Has Bee (ComFor Use As L: ----------------- ............. : ............................ ............ - ------ -- ----- ---- ----------------------------------- ------------ 102 7/63-500 ILDING INSPECTOR Bldg. Dept Oitite Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Sewer Connection Sanitary P;rmi No. ----- 4&/9 ......... umbing Final Plurnb��Wmlt No -------- LotNo . ................................ 0 Owner or Tenant .... a[.-------....._.-------------------------- ................... Tract-------------- -- --------- --- -- ---- - ---- --------------------------------- ..... Date Connected ----------------------- Date Final ............................. -196 . -------------- -- -------- ------ - ------------ Ri 4" ,UMBP 111 7/63-IM PL NG INSPECTOR ROUTE SLIP File No. Date Out p Date In J T3 Location G�. y Sut'4ect Lryrye s ( �aey'; Approved I_ Date Inspegtor t � ELECTRIC SERVICE NOTICE. ' BUILDING INSPECTOR'S OFFICE ��,' �� �I-TY OF CUPERTINO You . ') for Own or Tenant .-------. .. .. - - �---------- A4..........i..�s- .,--- ------------'------------------ ---- ... No. of Wires —J --------------- Size of Wires ..... ..GL Size of Motor Load .......................... Voltage ............................... Phase---------...._..-----------...V HeatingLoad .........-------------- K. W--------------------------------- Voltage ................................ Light...../...... 110...1.... New Service... Reconnect .................. No. of Meters._.............. //� He at.......�/...... 220---a .. T Wir Move Service............ No. of Add. Meters............ Power ............... T Move met --------------- ELECTRICAL 104 7/63-500 TgMP&RARY, ELECTRICAL DATE: ...... OjjUNER:: ----------------------------------------- -- (y�� tt��' AT: ....... l.Q.- — ...'Z.1- LOT: ! " 2- )-- HAY N., 965 SERVICE Fee: .�---J.��----- .------- REASON.... ....... Z.U2.-s (..'.L. __ YbT,t�I— C RTfNo The undersigned agrees to be respon i e for e electuca service at the above location, until the building is ready for occupancy, and is released by the Building Department, City of,Cuperti o.-01 f Phone .....---!t-'-•..... .... .- / `gyp 1NS2ECTOR / TENANT OR OW 116 1 / 63-500 ROUTE SLIP File No. Date Out — Date In Location /ptrZ S S.��g9 Subjeot :dotes ©� Approved ,Z - /%-65- Date In-p;::tor -CHARGE' NOTICE OF ADDIR t?u � CITY OF CUP 7,E 2 3 1965 BUILDING INSPECTOR'S OFFICE Date ...... C:.� 1.213 19 9LIMPEff1W.,�? To------- ............ ................. ... Ors.....'-.......-------.........._..._._.... Address ..... le(�*,? ..... ............... ........ Reason' ..... ................ ........... ............ ................. — ........................................................... .......... .. - ...................... I ....................... ......... - .................... .......... . ----------- ................................ - ........ �Amount $ Signed ...... (/. / . .......... 106 3/59-300 NO. BUILDING PERMIT t OF CUPERTINO Sanitary No. 196_fermit No. C't}pplic Fn a �j to be occupied only a Ir iMvw �JdtG in accordance with Plans, Specifications and Plot -Plan file,AAW%59.�� Estimated Value of Improvements, $yQQ�_, i Fee $ 7&,O_ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all other laws applicable to the construction, locating, and use of buildings within the City of Cupertino w^,i'll be complied with. Owner—(k.'a'ne—bZNAddress By Addres� Phone U—tee% —i— ss/a� Approved / State Licens ^ f a ING INSPECTOR RECORD OF-INSPECf1ON APPROVALS FOUNDATION 1 DATE - INSPECTOR UNDERFLOOR DATE INSPECTOR FRAME LATH and PLASTER FINAL BLDG. FINAL ELEC. DATE INSPECTOR DATE INSPECTOR DATE INSPECTOR DATE INSPECTOR FINAL PLBG. DATE INSPECTOR FINAL GAS DATE INSPECTOR NCI?- STREET T `LOT NO. ?(FEBQ 1 R ELECTRICAL PERMIT CI F CUPERTINO 2 3 1965 Date 195— Permit No. �IT'�YV OF UPERT N0 Fee S 3_3 ApiiSt,On >P herePy made to t�-e C.ity 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 accordance with the provisions of the Electrical Code of the City of Cupertino, and all other laws applicalAe thereto. Use of Premises < Owner j Address i a By _ Address o CONTRACTOR /�AGENT Approved U Phonc: O/CPP Siate Li nse;ew NEW RPL FEES - 6-' Size Service "Conduitc�e ........... . 'umber of Outlets------------------ .. .......... ,u't Size Service Wires --------------------- ---- Number of Switches........-------- ---------- ------- -- -- ------ Size Service Switch ------------------ ----- Number of Receptacles....--.._.. -- /-"? -------- - Size Sub Feed Conduit ..................Number of Fixtures..---..........--- . —)-7 - 0 ---------- ---- ISize Sub Feed Wires ...............----Ranges........---.... KW -------------- ---------- ---------- - ----- ------ Numberof Circuits----------------- ------- Oven .............. KW -------------- ---------- - -------- --- ---------- Number 0 ers ........................Signs....._--- Transformers..................:--------- .......... . : --------- -------------- L / L1. Misc ------ --------------- ----------- Motors .... / ... .. yr .. HP.! ------------------ Dryers ----------------- Phase--.---.._;-------_ .... ............ ......... Permit .......... .............. Fee $1.00 Motors ..gg ----------- Iq HP --- ;f-'. 2.......... Phase ----------- Z - S Motors .................... HP ..................... , Phase -------- ----------- H P Charge----...---...... - S� �4�f TOTAL FEES— RECORD OF INSPECTION APPROVALS RoughWiring--------------- ---------------------------- Fixtures ------------ --------- --------------------- ...... DATE INSPECTOR djjjkL OATS INSPECTOR FinishWiring ---------------- ................ ... Motors ............. ---------------------------- DATE INSPECTOR T OATE Final ............ - ............. ........ 1451ICT.. . . . . - . - ------- OAT[ I R SP 9 C T 0 R