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51043.1, Bldg 520975 I VALLEY GREEN DRIVE of Ng• 5 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Date April 20 1966 Application is hereby made for a permit to to be occupied only as FEES Owner Contr. Phone File No. S104'� • l Sanitary story, Type in accordance with Plot plan, Plans and Specification filed herewith, Estimated Value of Improvements $ Plan Check $ Address Address State License Approved _ APPLICATION FOR ELECTRICAL PERMIT J Data ' 196 � FEEE 3 a'�—�(p,�y Cantr. _ <.2-¢-i ^-c-ci Address O?-/ 7'�""�_- r. -s•" „t'`'S^i O y Phone State License -,;2 Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 196 GAS FEE $ - T PLUMBING FEE $ / Contr. z � �a""�`'�H /"-s'>�/ Address //or u v Phone 3`21,3 State License - ��` zl.2 'Z• Date Contr Approved ����� APPLICATION FOR APPLIANCE`PERMIT 196 FEES Phone Jw , Applicants agree not to violate any of the' Workman's Compensation Laws Ithe State of California Address State License Approved Inspector spe ctor s pector j pector Insoecfor E�L\ECTRIC L ���7 �jC.I1 ; SERVICE SIZE UNDERGROUND D f Spector ROUGH WIRING Data Spector FINISH WIRING q_ Da g A FIXTURES i� Y _ V pector Date Inspector Motors Dpi� FINAL —y // Spector Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM I SIZE�,/ ,OUTLETS Z u RECORD OF INSPECTION APPROVALS . l f� BUILDING FOUNDATION .:.4 H. P. &X G E Date PERMIT FEE o0 UNDERFLOOR PARTIAL ROUGH / FRAME Date G LATH PLASTER " ROUGH COMPLET Gt! GAS RANGE FINAL STORM DRAIN FEE Date Inspector spe ctor s pector j pector Insoecfor E�L\ECTRIC L ���7 �jC.I1 ; SERVICE SIZE UNDERGROUND D f Spector ROUGH WIRING Data Spector FINISH WIRING q_ Da g A FIXTURES i� Y _ V pector Date Inspector Motors Dpi� FINAL —y // Spector Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM I SIZE�,/ ,OUTLETS Z u SWITCHES 2 RECEPTACLES l f� G ^*,- FIXTURES H. P. &X G E as PERMIT FEE o0 TOTAL FEES Inspector spe ctor s pector j pector Insoecfor E�L\ECTRIC L ���7 �jC.I1 ; SERVICE SIZE UNDERGROUND D f Spector ROUGH WIRING Data Spector FINISH WIRING q_ Da g A FIXTURES i� Y _ V pector Date Inspector Motors Dpi� FINAL —y // Spector Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM I SIZE�,/ TERIAL TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS. TOTAL FIXTURES REGISTERS / UNDERGROUND. - 6 FIXTURE FEE PARTIAL ROUGH COMBUSTION VENT Data/ MAIN DRAIN FEE MISC ROUGH COMPLET Gt! GAS RANGE r STORM DRAIN FEE MAIN DRAIN "Pfd d"' FLOOR FURNACE WATER SYSTEM FEE / GAS PIPING ' ote r GAS PIPING FEE FINAL Date Inspector PERMIT FEE MISC VO Date- Inspector TOTAL FEE � / MISC uare 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 j ---N FLOOR FURNACE TOTAL FEE i INSPECTED- Date Inspector 4 w° �1 BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Sewer Connection Sanitary Permit No. ETI�Plumbing Final Plumbing Permit N Owner or Tenant --- At Tract Date Connected ....... Date Final --------------- 60fel,- .41 III 7/63 -IM I 59 PLUMBING INSPECTOR Bldg. Dept Office Copy 194"x'"-- PLUMBING 94C-- ROUTE SLIP ► r, File No. Date Out _— Date In Location � Sub'j'ect Notes Approved ctor GAS SERVICE NOTICE OI:HC!: COPY BUILDING INSPECTOR'S OPPICE CITY OF CUPERTIIINO ........ .......... -%.?....:........._......_...-., 196..(0 To You are hereby authorized to connect the GAS, service for Owner or Tenant ... ....�i At ...._........... ..._.... ..... 1 New Service _� .. No. of Meters ..........Reconnect .............................. Move Service ........................ No. of Add. Meters .............. Move Meter .... _.'...... _.......... PLUM ING' INSPECTOR ,JCE COPY ELECTRIC SERVICE NOTICE Q 1 BUILDING INSPECTOR'S OFFICE, CITY OI' CUPERTINO /.�( ' ......__........_..... .......... ......." V ., 196(*. To //–� You are hereby uthoriz to connect el cc trtfcal-seri e to Owner or Tenant ...... ... At No. of Wires ----------- Size of Wires ...... ... ..M-114 of Switch b ...... Motor Load.......................... Voltage ..._............... .._._..... Ph,lsc T ........._.........._...... Heating Load ......................_ K. W. _............... Voltage (/ Light .... /.... I ltl... - New Senice./.....�.. Reconnect.._.... _........ No. of Meters....... Q....... No, of Add. MetrHeat ......y/.....220./�IJ Move Service.......... Power ... ......... Move met er.... ....... . ELEC F CAL 1 / S I /"��-�--n-� go LOT NO. NO. STIFF ' nL1�4TION FOR PLUMBING PERMIT i/" :ITY OF CUPERTINO r o / YSanitary No. LL 1 / 3 a / � 1965 Permit No p 2 U Or Pee $ J7 0 ° Application e to the City of Cupertino for a permit to install plumbing o < pipes and/or fixtures s © the reverse side hereof, and agrees to install said rices > I and/or fixtures in accordance with the provisions of the Plumbing Code of the City of wCupertino, and ill other laws applicable thereto. ''// �� Use of Premises 3k& A 1 .(� -�o99J //.�.�QtI 'gel w/ iL>`il o ° 50 Owner 0-4—A,& Qx �y l( . Addresso23� or 3 //// z By Address //�� CI �rxen_Gt�� 3 m Phone 7.30 5/1l nGBxr w z w w c 2a /.J/o''teZ Approved a o State License / U PLUMBING INSPECTOR / FIXTURES UNITS FEES UNITS FEES Eitchen eate /yQ Size d" losets (p Material a s To Cur To Prop. Line s To Existing .i Sinks Not Conn. ashers $ewer Boxes isposa says STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Com . Sinks Trays To Curb Dental Units Drin ing Fountains Floor Drains WATER SY EM Hoppers Size Restaurant Sinks Materialq Sand Traps TOTAL FEES Urinals Fixture Fee rea rains Main Drain Fee later Leaders Storm Drain Fee Jprinkler Valves Water Sys. Fee e-'O Permit Fee TOTAL TOTAL FEE pp RECORD OF INSPECTION Underground Rough Partial Rough Rough Complete Main Drain Final