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1043 /� . - )/ ,.. , '' ' )� /G'�� -� _ - « L� � 1 'r� coT:�o. -- ----- rro. srkrr:r --- .s . .- ;..�,�-^�,gPPLICATION FOR BUILDING PERMIT , ° ;s ,� ,`�` CITY �F CUPERTINO ��'{+ � ,� q . Date---� �1J4L -�-�-- j�� --,� Peunit No.--��/�� Application is hereby tnade��e�' it to �--�'-�'-D y�u'-`Lct-� __ �t ' '' ' F� �} I a--- --- / ____stctt�,Type` .• �!� B ilding at - --- � �� 4'� , _ I � to be occupied only as,�Q-f'-��:____..�_�-' / in accordance with Plans, Specifications and Plot-Plra,n�led herewith. _ ��G �stimated Value of Improvements,�_�=1S/_c.%- ___. Fee$ '�� __�—___—. a � lt is hereby agreed that the requirements of the Cupertino Buildin� and ZoninR Ordinances and � all other laws applicable to the consttuction, location, and use of buildin;Gs within the City of , ;,a Cnpertino will e colnplied with. i � " I � Owner .•�-�f-�,cc-�_ Address `'�' ��l S�� i-�-�Cc�,.,:.�cr._ �i��+, y —— v� � / - -- By_ C�� *� i��.-- — Address � � c� CONTRACTOR� AGENT � '�Z-1'Phone Approve ' ' ,_� � -� c_- , BUILDING INSI'ECTOR RECORD OF INSPEC�ION APPROVALS FOLTNDATION - --- -- � _ DATfi INSPECTOR FRAME � � __ ArS INSPECTOR ��ATH nd PLASTER �' �"� � ' � � A'I'H _-� INSPbCTOR I�INAL BLDG. � r L' � ' I ,�j � (��.-r'-;�C-t_- Tfi ' � � INSPF.CTOR PINAL ELEC. _ � DATE INSPECTOR . f�INAL PLBG. ____ � _ DATB INSPECTOR PINAL GAS _ _____J_—___ DATE IIvSPPCTOR � / G a �� - _ ' ' �v /Crr�,.�_�,,��.�.t' ,�—�, LOT NO. A70. STREET • - ' SJ..."^�t' ��Lb. .... �` ��1� �;FDR PLUMBING PERMIT � �,� � �� j �;� , ..��ITl';,?OF CUPERTINO ` r � i��;, "! � �.`�i��J : . ,� :a�:.; t1 � Date R 9,�_ Permit No. ��'�-� / r.} ��'� �„Ii i C� �..� � l. r�_b��+�--.�� 1'��'� • ;_ i ��( �s Fee $ �a �' Application is hereby made to the City of Cupertino for a permit to install plumbing pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices and/or fixtures in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. - � f � , . ; u Use of Premises - � � ' �' r-� a - �, Owner� - - _ Address � l �l � �y�2�---�� 't By� ` '�--� =i- - - Address � � CONTRACTOR� AGENT � `.G ApProv -� ',-,-. "'� -- �hone _/ .L . �- �MBING INSPECTOR �,L• r I�IXTliRLS j NU�iBER ; MAIN DRAIN � UNITS I FEES II IUNI'ISI FEE9 Warer Heater � � �I SiZe i I Water Closets I � �1�; �,�� Material � � Bath Tubs � � I� To Curb � � Showers I I �i To Prop. Line I I , La��atories I I � �,�� To Existing � I I� Dish eW shers � � �� Not Conn. � I � � i� � � � Waste Disposals I I I� � I Wash Trays � � �� STORM DRAINAGE Washing Machines I � II Size � � Water Softeners � � �� Material � I Bar Sinks � I �� To Main Drain � � Comh Sink &Trays� � �� To Curb ; � Dental Units � � �� Drin,Ling Fountainsl I II Floor Drains � I �� WATER SYST'..,1t Hoppers I � I� Size � I Restaurant Sinks I I �� '�4aterial � I Sand Traps � � �� TOTAL FEES Urinals I I I� Fixture Fee I = �- <', Area Drains I I �I Main Drain Fee I Water Leaders I � �� Storm Drai❑ Fee I Sprinkler Va�ves I I II Watet Sys. Fee I / C ' � � �� Permit Fee I , k � TOTAL I I II TOTAL �EE L , ,; R CO D ECTION Partial Rough Rough Com lete � _i ,: Final ��'�� -� � /.�, ��,� �� t-' r •i ��' _��;. �;� ��- [ LOT NO. DtO. STREET �--- � ' - ► y:, =��P�L�/�T10N FOR PLUMBING PERMIT .� , �; w" �""� ~ t �' � ,:,CIT'Y OF CUPERTINO �' � =DEC 2 9 1560 � Da e , 195_ Permit No. �� '�' -� `iJ r '� ��a ��a�Y L:� t.;�lQC.RT!1�!!� Fee $ y- - ... � Application is hereby made to the City of Cupertino for a permit to install plumbing � pipes and/or fixtures listed on the reverse side her , and agrees to install said prices and/or fixtures in accordance with the provision of the Plum 'qg Code of t ity of . Cupertino, and all other�l'aws applicable theret . ��'�� C. �,,,� ' � °��' Use of Premises �; '� � Q � �l �U � �' Owner � � �� i� �iJ`�``; Address I�`�� %N`��''= � � �, �� _ I� / By " 1''. c ��i2?� �.'r .-. Address ='�'' titC�Vt�( �.�N` . CONTRA�TpIt`AGEN � , � Phone��. � � ':. � ' 1 � i j �1Pproved - ' in�3 V '� PLUMBING INSPECTO �- t !i � � `, 1'IXTliRI`.S 'i NU:�ZBER �, MAIN DRAIN � UNITS I FEES �� I UNITS� FEES Water Heater � I �) S�Ze I I Water Closets � I �� Material � � Bath Tubs � � I� To Curb � � Showers � I �� To Prop. Line � � Lavatories ( � �� To Existing � � Kitchen Sinks � � �� Not Conn. � � Dish Washers � � i� SEWER soXes��C} Waste Disposals I I �� I I ��/ash Trays � � �� STORM DRAINAGE V(fashing Machines I � �I Size I I Watec Softeners I � �� Material � I Bar Sinks I I �� To Main Drain � � Co�mh Sink &Trays� � �� To Curb _ ' � Dentll Units � I �� Drinking Fountainsl I !� __II_� Floor�Drains � � II WATER SYSTEM Hoppers I I � Size � I Restaurant Sinks � � �� '�4aterial � � Sand Traps I � �� TOTAL FEES Urinals I I I� Fixture Fee I ' � `_`' Area Drains I I II Main Drain Fee � Water Leaders � � �� Storm Drain Fee I S,�r;nkler Vaives � � �� Water Sys. Fee I .:_�7 M;�,�� C ( Rt�� r !- �� Permit Fee � � - TOTAL, � � II TOTAL �EE - RECORD OF INSPECTION Partial Rough Rough Compl e Final �� — � d ��.� �� r��/ ��J ��!��L��- --3 LOT NO. NO. STREF.T APPLICAT�ON FOR GAS PERMIT N a CITY OF CUPERTINO z - t, :� F � � y �� Y � � � LL � � g.� � 1! 1 �". -; , _ . 3 ¢ Date_ - t�i' �`� �'''�" ` � , �196� Permit No. �� U W � Fee $ �'S� � p i4'� 4 ` 'r n;'�p�`� ' A��i�at�onirs;herela�;�'`i��i�t�=t�kie City of Cupertino for a permrt to install gas ��ipes o Q a�d/or gas appliances as listed on the reverse side heieof, and agrees to install said pipes > � and/or appliances in accordance with the provisions of the Plumbin� Code of the City� Q w of Cupertino, and all other la s applicable thereto. W = � � � ,� Use of Premises 00 > m 1 � 3 Owner .� !j ��- d� `7 G�Y Address� 1 l J(, l,�etv<<_ yT�.y v (,Z� �J `' J o By �-l� i,�r�1. r'C� �� Address ��(�� +� ��r_� �f� 3 � Phone ✓l- �-- �. — j7 g G•Co � WZ � � a State License N �" � a Approved a l c� � aU T C' R � Remarks (Check J) Type of Appliance Units Fees New � Replace � Relocate Gas Ranges ��1a11 Heaters Gas Plates Circulating Heaters Blower Furnaces Gas Fired Boilers Warming Ovens Percolators Griddles Steam Tables Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous �NAME TYPE� HOUSE GAS PIPING Number of Outlets � � Si e of Ma' � Gas Piping Fees I � Tested and Approved . . � .�... ... .. . . . ...�-..-.-.-••• DAT IN PECTOR 7_�"�,a�".�;��-e � �_�1!� >.i' l G-.;, G,:(_f' �2`�� _ --• _N _ STREET 4~ , LOT NO. • � „ � � -� ,_..- . . � APP�I��TIC�N:, F�R �LE�TR,I�AL PERk11T ��`� ��,`��.,�IT� {� CUPERTINO �A� � �� 3� �� ' �`,��`` °�1�9�� Permit Na �� +,� � � Date � Fee �fi' ��, ,� � s 3'� tt� � �x��'�� : �'9° a Applieat�on,1s l�ex�eby ma��'fo;t�e g�tysof Cupertino for a permit to install electrical 4, � •�,;; 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 la�s applicable thereto. �n� � Use of PremisP.s °`��'�'�'`'�`'.��,.�ti--� �'_--� �i Jf v Owner ,```�j �"`%;?��'�' �= ;i.�- Address � By ��- l�..�• �� ,�� C`' '-�•�:� Address 1 f � 6.r9—� �� ,� . � Y CONTRACTOR, AGENT �`" / � �r C� } / Approve� ' � -� - � �f.�"•- � Y�%' :./' EE.E ICAL INSPECi�R �-- ,,�'hone: �~ _ l'�'� NEW RPL FEES • - � •�-- - . . . y . Size Service Conduit._._j._`�.______Number of O�atlets_________5_____ __________i___._____I_..__,�!_�. Size Service Wires____��_�.___.______Number of Switches_._____.s�___ __________!__________I_____�-.C�_ �7 I I Size Service Switch____./�r`�>..______Number of Receptacles.....l_____ __________ _ �..� --------- ------ Size Sub Feed Conduit__________________Number of Fixtures__________.�__ ___.....__ ___._.____ __�_L_`_`�' Size Sub Feed Wires-------------------Ranges.._.------------ KW-------------- ---------- ---------- -------------- Number of Circuits-----------•------- Oven -----------•-- KW-------------- ---------- ---------- -------------- Number of Meters________________________Signs__.___..._ Transformers_.______ ____._____I_______.__I____,___..____ � � Misc------------------------------------------------D ers----------- -------------- -- - . ry _ -------I----------I-------------- �- -- -------- Motors-----�'----------- HP----1------------- Phase-------- ---------- Permit Fee $1.00 Motors-------------------- HP-----------------... Phase-------------------- � Motors-------------------- HP-------------------- Phase-------------------- H P Charge----------------I--��"-�- TOTAL FEES � e�€�.� ��j��CQ NSPECTION APPROVALS Rbugh Wiringf/--='-}-'-�I•--• --=-�------•----- Fixtures ----------------- -----�---------------------------- DATE [NSPECTOR DATE SP O Finish Wiring ----------------� ----------------------- Motors ------ ----- ---------�------ �----•-------- DATE INSPECTOR DATE SP FinaI l r_!.'.�--�i�---�------- -- - -- TE INSPECTOR .