51043.1, Bldg 8VALLEY.GREEN DRIVE
Street,
APPLICATION FOR BUILDING PERMIT
ii CITY OF CUPERTINO
Date -April 20 1966
Application is hereby made for a permit to
a
Sanitary No.
story, Type
to be occupied only as
in accordance with P1ot,,Plan, Plans and Specification filed herewith,
FEE$
Ow r,e r
Contr.
Phone
.jr'.
Estimated Value of Improvementi $
Plan Check $ —
Address
Address
State license
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data � � 196
FEE$ G
�t�
Contr. � Cit-°–t..-cn..,✓
Address 752/7S =-C p4 -a
�+{
Phone 91 �o `ems 7
State License
Approved
.
APPLICATION'FOR'PLUMBING
& GAS PERMIT
Date 196 �.
GAS FEE $
PLUMBING FEE $ -
y/
Conor. _2er d -am(/ '; - /I,—
Address i 9d s
Phone 73-6 _ !ZF'3f
State License 9� `�-�✓�,
/��
Approved
APPLICATION FOR
APPLIANCE(/ERMIT'
Data 196
FEES
Contr.
Address
Phone •''��'"-
State License
�+{
Approved
Applicants agree not to violate'any nf'the
Workman's Compensation Laws,oftthe '.
State of California
RE ORD pFIN$EECTIqN A
OUNDA ON �` _
Date
UNDERFLOOR /y�r
FRAME - 2L%/'4jr
LATH•& -PLASTER 2 —e
a
FINAL ?y�--X/ _ye?
Date
Inspector
Inspector
Ins oector
ELECTRICAV
ll qsl
SERVICE SIZE
R DER
e
11WWATER
TERIAL
,OUTLETS
'F
JZZI
SWITCHES/f•
4
-'lo
/ 5w
RECEPTAe ES
/y
Inspector
FIXTURE
H.P. CH GE
E
77
o0
PERMIT FEE
Inspector
FIXTURES
TOTAL FEES
H66
Inspector
Inspector
Ins oector
ELECTRICAV
ll qsl
SERVICE SIZE
R DER
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
SYSTEM
e
11WWATER
TERIAL
s actor
ROUGH WIRING7.
sa
UNDERGROUN
FIXTURE FEE
1O _Da�_��
67,
Inspector
FINISH WIRING
cfor
MAIN DRAIN FEE
ROUGH COMPLETE
Inspector
FIXTURES
STORM DRAIN FEE
Do to
MAIN DRAIN aJ' AM
Inspector
Motors
/ O`
GAS PIPING - 8 — D e.
r
pp
10 - 6c
D to
spa<tor
FINAL
FINAL CJ ^ O —iel
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
SYSTEM
SIZE
11WWATER
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES J-10
sa
UNDERGROUN
FIXTURE FEE
REGISTERS
PARTIAL ROUGH
'P{e
cfor
MAIN DRAIN FEE
ROUGH COMPLETE
MISC
for.
STORM DRAIN FEE
MAIN DRAIN aJ' AM
I
WATER SYSTEM FEE
/ O`
GAS PIPING - 8 — D e.
r
=,PERMIT FEE
D to
r
GAS PIPING FEE
FINAL CJ ^ O —iel
Data
ns pector
PERMIT FEE
o2�
MISC
-'
-
Date
Inspector
TOTAL FEE -
r�3�
MISC
Wore 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 !d ebb , —: �l
Data Inspector
-. -
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
,�
Date,.......'.:c..........................._...... '.'.. .. Buildine Permit Nn✓�7Y i
The Building Located 3t
Owned by
Has Been �pleted o r Use As:.!-..��%/r (..1.s"�'....................
'(A7fEie3} y
.......................... ... ..........................................._f�..................:..........................
....................
102 1/63-500 "'`� BUILDING INSPECTOR
ROUTE SLIP
File No. \J—/d S/3
Date Out_/o —�
Date In
Location y4x-eR y, �A�n -4
Subjeat
Notes
Approved
D to Ins :c i or
Vn"
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No...............
e --plumbing Final Plumbing Permit No. 1
jy
.................
Owner or Tenant
MW�,M �-,Wlo�rM A
At
BUILDING DEPARTMENT
CITY OF CUPERTINO
Correction Notice
Job Located atf.7.`.�....---- - .r ............................`.------
I have this day i ected this structure and these premises
and have found the following violations of City and/or State
L.1"governinIz same.
_----- .
....... .....
..........
os2 'G/a u.. .
------------------------ ----------.........------------------------------- ------------- -------
--
You are hereby notified that no more work shall be done
upon these premises until the above violations are corrected.
When corrections have been made call the inspector.
Date .........
.....
------------- ----------- ----- -
Inspector Building Dept.
DO NOT REMOVE THIS TAG
101 12/63-1M
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............ . . .... 196...
You are hereby authorized to connect the GAS service for
Owner or Tenant ...
At
New Service ... � .........
ll
No. of Meters .... ....... Reconnect .... .......... .
Move Service . ... ...................
No. of Add. Meters ............. Move Meter ........
LUMBI G INSPECTOR
4
ELECTRIC SW06E NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........................................................
To
You are hereby a t o i d to nnect e ical
Owner,Aqr Tenant ....... . .... . .. .. .. . ..... ........... .... ..
I
At C .. .. .....
No. of Wires ......... ........ Size of Wi
Motor Load .......................... . Voltage ........................
Heating Load .... Ki,w . ......................
No. of Meters—
Hear ..... 0.
No. of Add. Meters............Power... ............
Nu LA
Switch
.... Phase ... ........
.... Voltage ................................
......... .. Reconnect ... — ............
A........._.
........— Move Seryice
Mfe Meter .............
U / / I // "'v /�'"^^L/ /ori - LOT NO. Of '11
NO.
APPLICATION FOR PLUMBING PERMIT
a ® �m �tY OF CUPF.RTINO
z z
W
x p O Sanitary \n.
LL
o � Uate �' ho,
Permit No
3a
U 66 il Fee $ 'ry a
2 LL J
' 0 Appq►ff is[jyereb 6 made to the City of Cupertino for a permit to install plumbing
`o < pipes an or fix es i� Q[�yhet reverse side hereof, and agrees to install said prices
i I and/or fixtures in actor afui f, provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws ❑ppbc Ie thereto.
LL Use of PremisesY//�Aey. --26$Azr I (W�ri16) !�
00 ,p
3 Owner-4x't OCeff 61 Address
O J
o By Address � yis LtiC -
3 F CQNTR OR, AGENT'
— W Phone—Z94 /r
wz
ww
0 LL Stale License Approvedo
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UPLUMBING INSPECTOR
`{73�i �
HXTURES NUN BER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heart Size a
Water C osets y, Material C'A.
Bath Tubs To Cur
Showers To Prop. Line
Lavatories a„ To Existing ✓
Kitchen Sinks y Not Conn.
ish Washers Sewer Boxes
Waste Disposals
ash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Bar Sinks To Main Drain
-Com . SinksTrays To Curb
Dental Units
Drin ing Fountains
Max Drains WATER SYSTEM
Hoppers Size
NTa—nE�Fra-p—s
inks Material (o q/
TOTAL FEES
Fixture Fees Main•Drain Fee
ers Storm Drain Fee
lvesWater Sys. Fee �. e-0
Permit Fee � DO
y� TOTAL FEE S'3, OO
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final