2728�01
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LOT NO. 4040
No., STREET • 1, -Q 112�_ 7
nCFOR BUILDING PERMIT37aDF UPERTINO Date ' '_ Permit
Application i�ohereb made for a
a O
at
._ -Building
to be occupied only as
in accordance with Plans, cifications and Plot -Plan filed herewith.
oa
Estimated Value of Improvements, $ 16 000 Fee $ r457�
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
g t3lifli RECORD OF INSPECTION APPROVALS
FOUNDATION
DAT INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE
FINAL BLDG. —
FINAL ELEC.�-
PATE ,
FINAL PLBG.
FINAL GAS
INSPECTOR
INSPECTOR
DAVE INSPECTOR
LOT NO. ��O_—,_.,,
NO. STREET I"r "o yl� ',2860
60
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date___ � t ______—___, 196____ Permit No.—/ y, 79
74
Fee $
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 rode of the City
of Cupertino, and all other laws applicable thereto.
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Use of Premises_
`" Ci t nerti _no prop • Address_�� �;ltet St •
SA I C E� c ,-_[NX l"' X00 — —
B179 OLD COUNTY ROAD Address
SAN CARLOS,cQTA IA
Phone LY "J Approve
PLUMBING INSPE
i
1 11 Remarks (Check J) _
Type of Appliance Units Fees
New J Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces ��
f
Gas Fired Boilers
Warming Ovens
Percolators
_Griddles
Steam Tables
Gravity. Furnaces
Suspended Unit II
Floor Furnace I �I
Miscellaneous
NAME TYPE)
12
0 I I .II
os'
I
_
Appliance Fees
Inspected and Approved/% �...... �'— ..................
DATE INSPECTOR
1 9 73 S' I
NO. STREET
D �I FOR GAS
cI CUPERTINO
LOT NO.
PERMIT
I Jul- :31 W
Date yTv� r A7 1�.Z- Permit No.__,L C 0
CITY OF CUPERTINO pee $ �, so _
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises /.i�Lt•G�
Owner 7110,00 rdr- e 0AtlMi-4-71 d A/
By 00WRZ.Cv
CONTRACTOR, AGEN1�
Phone
AddressC/%N, d L
Address L
c
Approve
PLUMBING INSPECOR
of Appliance I Units Fees II New
wall Heaters
Gas -Plates I ��
Circulating Heaters I I�
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables ( ��
Gravity Furnaces I I�
Suspended Unit II
Floor Furnace I�
Miscellaneous
(NAME TYPE) I I II I
Inspected and Approved ........ ..........I.
--- - ------------------------- - ----------------
DATE_ INSPECTOR
HOUSE GAS PIPING
Number of OutletsSize of Main 1 y
Gass_Piping Fees
Tested and A roved
DATE INSPECTOR
AvG lly LOT NO.
�o ® As�PLUMBING PERMIT
fJ j
U L II 1C] CUPERTINO t/
Date L 7x � Permit No.
-ems
Fee $ 10 p
a
.•� Application is hereby made to the City of Cupertino for a permit to install plumbing
W pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
Mand/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
v
Owner TZD/Vkr CtavrT/?.yCii ate✓ Address G
By .,&IAA / AZ PM gJ�lf- Address
CONTRACTOR, AGENT :f�
Phone — / Approved
PLUMBING INSPECTO
SURES NUMBER MAIN DRAIN
UNITS I
FEES II
I UNITS I FEES
Water Heater
/ I
II
Size Jill
Water Closets
Material C
Bath Tubs I
/ I
II
To Curb
Showers I
% I
II
To Prop. Line
Lavatories I
Kitchen Sinks
I
I
II
II
To E
No Conn. I Fpj-,
Dish Washers
I
II
Waste Disposals
I
II
Wash Trays I
t I
II
STORM DRAINAGE
Washing Machines I
I
II
Size
Water Softeners
Material I I
Bar Sinks I
I
II
To Main Drain
Comb. Sink & Trays l
I
II
To Curb
Dental Units ' I
I
II
I
dim
Drinking. Fountains
I
II
Floor Drains I
I
II
WATER SYSTEM
Hoppers I
I
(I
Size y
Restaurant Sinks Material
Urinals Fixture Fee 1-11,00
Area Drains Main Draih Fee I ,Z o U
Water Leaders I I II Storm Drain Fee
Sprinkler Vaives I I II Water Sys. Fee I OU
Permit Fee
Rough
/3—
OF
iP
i 9 7 3 5 I .4 UauRN � �R
NO. �aA ; EEs
AUG
LOT NO.
ELECTRICAL PERMIT
CUPERTINO
Date t+hV- (l ��� {p c 2 Permit No. /6/3
Fee $ 97.5 -
Application
7.5 -
Application is hereby made 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.
v Use of Prer
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a Owner —
.8
By
CONTRACTOR, AGENT
✓ cY Z- U 3 5
Phone:
Address
Address
Approved
E ICAL IMPECrm
Size Service Conduit_...._.... .......... Number of Outlets__________________
0 r
Size Service Wires........... z........_Number of Switches________________
Size Service Switch ___•_ ----. D__________Number of Receptacles .._.-____-__
Size Sub Feed Conduit ------------------ Number of Fixtures-. ----------------
Size Sub Feed Wires --- _______________ Ranges ................ KW_____ -____-_--
Number of Circuits----------__.---. Oven -------------- KW --------------
NEW RPL FEES
0t>-----
- ---
------
-
/. a o-
-
/ '7
0 • '76
----------
1_ F
----------
--------------
2, r0
/ p
----------
----------
HP --•----------------- Phase -------------------
/, 0.0
..............
----------
----------
HP .................... Phase ....................
75'
--------------
Motors -------------------
hS
Number of Meters ........................ Signs ..........
Transformers ........ .......... 1 ----------
Misc------------------------------------------------Dryers---•-•-------•--------------------------
I----------
---------75
Motors ....................
HP --•----------------- Phase -------------------
Permit Fee
$1.00
Motors --------------------
HP .................... Phase ....................
Motors -------------------
HP----6tn.! Vit_- Phase ----•-------
------- H P Charge.
---------------
------
I
TOTAL FEES
i
RECORD OF INSPECTION APPROVALS
RoughWiring
................ ----------------------------
Fixtures ----------------------
----------------------------
DATE INSPECTOR
DATE
INSPECTOR
Finish Wiring
................ .........................
DATE INSPECTOR
otors _._.._.. _.. .
DATT
Final
R
- - --�--L-•---�-
ATE
- ---------••----•
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ----/-•-w ----------------------- 119-6� Building Permit No
Th B •1d• d
T�
e u1 1ng e f f ---------------
Owned by -- -------------- -- -- ----..............................
i.�
I
iete
Has Been ( or Use As: •---- ..._'.c..,.. ------------ --------- ----
ere
.............................. ----------------- ----------------------- ----------- . ..... ............... ------ ..........
......... ....................
!i' BUILDING INSPECTOR
102 4/61-500
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
`7�Z ........
Sewer Connection Sanitary Permit No- ----- �?S -- ------ ---
[a,,-Plumbing Final Plumbing Permit No. —16.71 .....
ot No. —1 'D -------------
o
Owner
D -------------
Owner or Tenant ------- ----------
At------- ------ . ... ... .........................................
00,
Tract -------------------
......................... --------------------------
Date Connected ------------------------------ e 19..4/,
Date Final ----------------------------------19.65-
---------------------------------------------------- . .........
...... - - - -- --------------------- -------------------
PLUMBING INSPECTOR
111 7/61-500