2352 (2) _ 'I OT NO.
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W z APPL CA 111 "FICUPERTINO-
0
FOR' BUILDING PERMIT
a ° , MAY 24 3 a M F Sanitary No. 7 _
3 �
i o Date -- 66-d---- Permit No. 4,3' rR.
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a Application is here y ma a for a permit to �-l-e
a N a i story,Type `5 — O� Building
to be occupied only as GIAg
0 o in accordance with Plans, Specifications an�L Plot-PI n filed herewith.
v
F 3 Estimated Value of Improvements,$ 't1000,
— Fee$
oa
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
0 Cupertino will be complied with.
3 gat ct� sszN' ff�r��ss
a Owner} Address
- m B �+•�'d-td?1—r Z_ Address
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`u° °he Approved WILLIAM D. BENEVICH
State License 791. BUILDING INSPECTOR
1 -
RECORD OF INSPECTION PROVALS .
FOUNDATION a
DATE INtiP.CTO
UNDERFLOOR It7
DATE SPECTOR
FRAME
� A' li INSPFCTOR
LATH and PLASTER G -
f _ DATE - INSPECTOR
FINAL BLDG. -" •'rt
/ DATE INSPECTOR
FINALELec.
•.; �yf'A'�,• - ATE• INSPECTOR ,
FINAL PLBG y ' _
.fwy6DATE INSPECTOR
.=Y rN'�xN''fC,Yr��'+M1r .sf• _ 1 reg � -
FINAL GAS -r' R
I N(� •M1` DATIi INSPFfTOR
,
Bldg. Dept.
Office Copy
BUILDING INSP C PE T RIS OFFICE
CITY OF TINO
F1 er Connection Sanitary Permit No. ....._._.... ..._ -----------
'
�Plwmbing Final Plumbing Permit No. ..............................
11 —7
Lot No. ._..... ............
Owner or Tenant ----------
- -- -------- --- ------*-- -----
Tract
- . ..... ..... ..........
At ..........CAO I
Tract ------------- ............................. .... ...
..................................9------- .................... ---------- ---------------
Date Connected ........................... ......
---- ---- -- 19-
Date Final
......... .. ......
.......... •
--- ------- ---- . . . . . .
PLUMBING 1 0
Ill 7/61-500
20153 I Somerset Dr.
NO. STREET LOT NO,
1 1
plan 141
rJn,
WDN-FOR ELECTRICAL PERMIT
C� IOF CUPERTINO
2 , 9963 ) c 6
Date IN 1 R 1963 195— Permit No. C9Z
CITY OF CUPERTWI` 1-ce
C-4 Application is hereby ma e to the City 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 applicable thereto.
vv USebf''PremfSPi ' '`r,-re's•idence.
a Owner sitz—Orane 1AdJress— Sari' Jose
gy _ F. r snrnn+nr_oeo Address - --/2 - -
YN ` ,132 rANTAffOR�J+fGHNT
`q SUNNYVALr-,-CAL1�F;Nl,
Approve 1 '
Phone:. L tF 1L•INSPHe76i,
NEW RPL FEES
Size Service Conduit...... C..:...... Number of Outlets......___...... �C,--- - --- -r_. ----
Size Service Wires-------0 7"
. ........Number of Switches......_........ a�. .......... .
Size Service Switch......Ifte.....Number of Receptacles............ .V-7-- - ------- ✓
-d1p
Size Sub Feed Conduit..................Number of Fixtures......._......... -2U.. ._.......
----------
Size Sub Feed Wires-------------------Ranges............. KW..-------- -....1!..- ---------- ----
Number of Circuits..... Oven ....../..... KW-------------
. ..............
Circuits....._...__.
of Meters....... ------------Signs----- ---- Transformers........ .......... .......... ..............
Mise------------- Dryers-------------------------------------- ---------- -- .. ..............
Motors----- L -om-viv �ij�
V Permit Fee $1.00
M -- --- -- Phase--------------------
Motors�---- --------- HP.................... Phase....................
Motors-------------------- HP-------------------- Phase-------------------- H P Charge._ .l.
TOTAL
harge----------------
TOTAL FEES-� •
SPECYTAP OVALS
Rough Wiring.7?/, -.a Fixture's r - - ---------- --
..........
Finish
Motors ..... --------
.......
PA4 INS' Tbl�
Final .................
•
DATE I..IZCTOR
Y
_Y
OFFICE COPY
ELECTRIC SERVICE NOTICE
-7 BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN /
......................... ........b..... ........_.., 19Ca�..
To
You are hereby authori to co ect el rical service for
Owner or Tenant ------------------- --
S, . ............... --
At ............. ......... - - -... _....._\_.. -
--
No. of Wires ........................ Size of Wires ----- ....... Size of Switch/LO.
Motor Load .......................... Voltage ... .....................-...... Phase ------------------- .......
Heating Load ------------------------- K. W. ------------- -------------------- Voltage ..... ..... ...................
Light..... .•
110......<New Service_. Reconnect___............
No. of Meters--- .. .
" Heat......./,220'.,*.Three ..... -.._.... Move Service........_..
No.of Add. Meters............ -
Power............... . , hree ase.... .. Mov eter....._.....:.
a
1041/63.500 � ,,�, ELECTRICAL •-
oZD �S� we��'0 (/�Q -4GGr�I . LOT NO. . IL�
RUN
TRE T '
m`� V �
A�PPL-ICA�TION FOR GAS PERMIT
E x 11 1963 tl� OF CUPLRTINO
Y O QaL.
0 - Date 196 Permit No.
w 4
MY OF CUPERT'�-'. Per$ iso
°�y�'r -'Application is�hgr@ y mad"e'to the City,of'Cupertino'fN a permit to install gas pipes
o < and/or.gai.appliances=as'IisteJ•on'ttii ieverse'side'hereof, and.agreesto-install said pipes
T im and/or.appliances.in accordance with the provisions of-the Plumbirig''Code'ofpthe City
w of Cupertino, and all other laws applicable thereto. '
o o Use of Premises {.
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{.
3 Owner�� Lam/ Address • ,.
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z By /� �� .%i/L Address
CONTRACTOR, AGENT•"' p�
3m Phone -!AS- ,I 32'
a'. y I NVILU M D. SENEVICH . . !
n.f' State License/ k�G7 :r Approved ,
,(x�"f/, >�a�• .r ' PLUMBING INSPECTOR
"ro0 rONo O O n N O rt w S O A
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LOT NO.
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MP0eIFNTIG aR h►PPLIAPICE PERIdIITAY 311963 OP CUPERTINO
Date `S— 'z 7III9G.:3 Permit No.-�
l� CITY �UPERTINO Pee 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 bode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises.
—�'
65 Owner .U��rti. Ami —P _ .Address
BYR�� Address
C NTRACTOR�
Phone 7U9— �/,Y�2`3 Approve
LUMBING INSPECTOR
O^ w d G W N w CIO '^
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GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
................. .......... .........
To
You are hereby aut ized t connect the GAS service for
I f
Owner or Tenant ..... .................. .. ...
At ....... ............. ... —.---` ....................
New Service .........
No. of Meters .............................. Reconnect ..............................
Move Service ------ ..........
No. of Add. Meters .......... e Metei
............ UkAe�V
INSPECT
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it
LLJ (\22
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4■ LL— , . 14 �.
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z P. 3 A
*we,e z ma ,waSMV-1 IOIIVSNndAOO
3.Washers
R : Jf E MAI R 1 - -
UNITS FEES UNITS FEES
Heater � %.P'u Size �
Closets , G'-0 Materia!
Bathubs To Curb
rs , pY7 To Prop. Line
Lavatories _ To Existing
en Sinks / Not Conn.
.Washers .� Sewer Boxes Disposals Trays STORM DRAINAGE
ing Machines j (ru Sizer Softeners Material
inks To Main Drain -�
Comb. .Sink w Trays To Curb
Dental units - (app - ,
Drinking Fountains
Fhgor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material r
San Traps •. TOTAL;FEES.;;'
Urinals -Fixture Fee •% a:
Area Drains Main Drain Fee' '10
Water Leaders Storm Drain Fee
Sprinkler Vni,es Water Sys. Fee
Permit Fee
TOTAL ,o-o ,TOTAL FEE u
RECORD OF INSPECTION
Underground Rough...
.Partial Rough..
Rough. Complete_.
Main Drain /
Final...
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CERTIFICATE ,dirt+
PUIWMG . . $ o
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