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51043.1, Bldg 4Bldg. 4 20975 I VALLEY GREEN DRIVE Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Date April 20 196 6 Application is hereby made for a permit to to be occupied only as FEE$ File No. 51043.1 t Sanitary No. a story, Type in accordance with plot plan, Plans and Specification filed herewith. Estimated Value of Improvements $ Plan Check $ Owner Address Contr. Phone �ZIA Address State License Approved _ APPLICATION FOR ELECTRICAL PERMIT Data S 196-.b FEE$ 3 �' Contr. -�I Address. 02e 7 S �S' -X1 Phone 16 = 7 6 State License 545191/1 , Approved L272r,.^ APPLICATION FOR PLUMBING & GAS PERMIT Date S S� 196 N GAS FEE $' �O PLUMBING FEF x c Contr, Address/2g eo-J Phone 73G — x9 9' State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ Contr. Address Phone State License .t 'r Approved _ Applicants agree not to violate any of the Workman's Compensation Laws of, the State of California Si ' RECORD OF INSPECTION APPROVALS' FOUNDATION —`6 BUILDING Date L UNDERFLOOR Da FRAME f, - LATH PLASTERDa17'`r FINAL 22 DLytl-a.,�— 1 ELECTRI iJG 9� RGROUND ata ROUGH WIRING {p � Do to FINISH WIRING Data FIXTURES Date Motors FINAL Inspector ?rrs pact or Inspector Ins Doctor ZER ?U DEVI ESIZI /SCG' Inspector Ins pe c for Inspector Date C Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN I SIZE MATERIAL WATER SYSTEM SIZE .OUTLETS Z 3 SWITCHES 4e FEE RECEPTACLES y J'a FIXTU S dap H.P. CHARGE 5� PERMIT FEE FIXTURE FEE TOTAL FEES-. a 70 ELECTRI iJG 9� RGROUND ata ROUGH WIRING {p � Do to FINISH WIRING Data FIXTURES Date Motors FINAL Inspector ?rrs pact or Inspector Ins Doctor ZER ?U DEVI ESIZI /SCG' Inspector Ins pe c for Inspector Date C Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN I SIZE MATERIAL WATER SYSTEM SIZE FEE TERIAL UNITS FEE CIRCULATING HEATERS TOTAL FIXTURES REGISTERS UNDERGROUN - -G BLOWER FURNACES FIXTURE FEE COMBUSTION VENT PARTIAL ROUGH SUSPENDED UNIT MISC D to r MAIN DRAIN FEE MISC ROUGH COMPLETE GAS DRYER PERMIT FEE D tar . STORM DRAIN FEE T MAIN DRAIN -G C• WATER SYSTEM FEE GAS [PING GAS PIPING FEE " ora FINAL I r PERMIT FEE o2 'S- MISC Data Inspector Date Inspector TOTAL FEE � /p �r MISC Date 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 T INSPECTED Data Il ns pe ctor _. CERTIFICATE OF COMPLETION -d'BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ........... . ................ M 7. Buildiniz Permit No.!: The Building Located at Owned by Has Been 102 1/63-500 ........................................................................... Use As: ...... BUILDING INSPECTOR gidg. Dept Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO E] Sewer Connection Sanitary Permit No. .-T�700 ............. [rTlumbing Final Plumbing Permit Noc.rl ................. Owner or Tenant ............... .................. At ... 0�-t917 .............. Tract ........... --- ---------------------------------- ----- ------- Date Connected ---- e�7 ----------- v. -.--0..........f Date Final --------------------------- ------------------------------------ PLUMBING INSPECTOR ---- 111 7/63 -IM ROUTE SLIP File No. Date Out Date In _ Location"'e - 15 -�-•J xL.2!' Notes -- Approved /Dat6 spect G li / GAS SERVICE NOTICE torr BUILDING INSPECTOR'S OFFICE CITY OF CUPERTIN�O/// 1.7. 196.0, 'r� You are hereby authorized to connect the GAS service for Owner or Tenant At.?7,5...l..�. :..c�cJ..CY-.�.:..... New Service ... ........_. No. of Meters........__..... - Reconnect Move Service .._................... No. of Add. Meters ............. Move Meter .......................... PLUM ING INSPECTOR Oinu COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUP17RTINO `p _......._....._._.._..... ....�..�1-^., 196.0 To You are hereby a o ze o nect elec rical service o Owner or nant ......... . _..... .. .._.. ........ ..... _.... No. of Wires ....d ............... Size of Wires .. ....N.CMe of Switch... Motor Load .......................... Voltage ._...._..__.._...-...-...... Phase _....................._..... _. Heating Load ........------------- - K. W. ... .... .....__........... .... Voltage Light.._. No. of Meters..... IIU../... ew Service...... ./._. Keconnea... _............. ..... Heat ... No. of Add. Meters ...---- ..... 220......... Three ire ...... ......... Move Service.._...-.. Power.._.._ ....... hr ......._....... Move Meter .............. CLECTRIUL IN PE TON ELECTRIC tERVfCE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO .. . ... 1947 OFFICE copy ,you are hereby authized to on el;ri I Z -- t Owner or Tenant ......................... ... At ..... No. of Wires ....5? ............. Size of Wires Motor Load .......................... Voltage .............. .......... Heating Load ........................ K. W.........._................. ,tv a for Size of Switch .... Phase ..... ........... .... VoltaLe ..... ... . It 0 rew Service...... Reconnect.................. Lig' No. of Meters.... MoveService........... e'. Heat t`"� 0�: Throe if ............ No. of Add. Meters............ - Power ............. m ....... Move Meter.............. ozo 9 7,5- 12 6� /`�'�—(,ill xy, LOT NO. g"4vv NO. STREET N a ® �1�PPLICATION FOR PLUMBING PERMIT .z i CITY OF CUPERTINO w I p Af Sanitary No. rc � o IJ� Date 196� Permit No _ w Fee S d9? To A scat ereby ma e to the City of Cupertino for a permit to install plumbing o : pipes and t ed on the reverse side hereof, and agrees to install said rites and/or fixtures in'dtt I : ie with the provisions of the Plumbing Code of the City of a City and all other aws applicable thereto. Ju,�ri LL Use of Premises p,�ce -a0 Y .d/ivr �.td �2r O O >o a Ownera1/ Address -1.3 Y"0'0-0e G . y', r / O z By 2�.�dt> t� Ale le Address /0,;r rifox�rEed�� C/ONTRA TOR, AGENT 3 am rc a State License �� Approved O F ao PLUMBING INSPECTOR FIXTURES UNITS FEES UNrrsj FEES Water Heate / /0-011 Size'411 Water Closets G Material 14f Bath Tubs To Curb Showers (o To Prop. Line Lavatories To Existing Kitchen Sinks Not Conn. Dish Washers Sewer Boxes Waste Disposals as'h Trays STORM DRAINAGE Washing Machines Size Water Softeners / Material Bar Sinks To Main Drain Comb. Sinks Trays To Curb Dental Units Drin ing Fountains I ax Drains WATERS TEM uppers Size Restaurant Sinks Material Goy San raps TOTAL FEES Urinals Fixture Fee rca rains Main Drain Pee Z�ater Leaders Storm Drain Fee Sprinkler ValvesWater Sys. Fee A e—Q Permit Fee �9 TOTAL TOTAL FEE o2 ,GD RECORD OF INSPECTION Underground Rough Partial Rough Rough Complete Main Drain Final