1701LOT NO.
NFMA
T
P c R BUILDING PERM/IT
Y 1 11962CI ;'OF CUPERTINO
Date TT��// 19i�� Permit No. �� r
AQW11KoD a !!%,X
mit to ���- %
a story, Typ1 �T Building
at
to be occupied only as -S..c /7 Avg G
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $. &-11-0 Fee $ NIX
v
[ 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
j Cupertino will be complied with.
ner /piC.0
CONTRACTOR, AGENT
Phone / C6
Address ,Q/06
Address 77Z)
Approved
BUILDING INSPEC R
RECORD OF INSPECTION APPROVALS -
FOUNDATION 9/6— zw
DATE INSPECTOR
FRAME �� 'Ti •.
DA4E INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
C z /2-
DATE SPECTOR
FINAL ELEC.
/
DATE SPECTOR
FINAL PLBG.�
D TE olINSPECTOR
FINAL GASL-
DATE INSPECTOR
I V� �r /�, •\ �/ �� ` 1. LOT NO.,
DSO, STREET '
V
W)
FOR PLUMBING PERMIT
DOF CUPERTINO
Date 195_ Permit No.
CITY OF Cl1PERTINO
Fee $ ! 7' 1
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.
Use of Premises F-4
Owner T� / �/ ��CS
By / L i
CONTRACTOR, AGENT
Phone C �— l CC>q e
Addres
Address 1
Approve
PLUMBING INSPE OR
I UNITS I
FEES 11
I UNITS I FEES
Water -Heater
—Comb. -Sink & Trays
11 Size
141
Water Closets
Drinking Fountains
Material
Floor Drains
Bath Tubs
Hoppers
To Curb
Restaurant Sinks I
Showers
To Prop. Line
,(
Lavatories
To Ex' 'ng
Kitchen Sinks
No Co
Dish Washer
11SEWER BOXES
1SC>
Waste Disposals
11
Wash Trays
11 STORM DRAINAGE
Washing Machines 1
/ I
II Size
1 1 -
Water Softeners
Material
Bar Sinks
To Main
—Comb. -Sink & Trays
To Curb
Dental Units
I �I
Drinking Fountains
III
Floor Drains
WATER
Hoppers
Size
Restaurant Sinks I
1 II Material
Urinals Fixture Fee
Area Drains Main Drain Fee
Water Leaders Storm Drain Fee
Sprinkler Vaives I I II Water Sys. Fee
I I II Permit Fee I / r r,
CORD I SPECTION
Partial Rough
Rough Complete
Final lJ�,2
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No . ..... 6�16.13 --------
Q;,00Plumbing Final Plumbing Permit No.------
94
Lot No. -00- 0% - -- ---- -
.......... ---------------------
Owner or Tenant ---- - ---
At--- - -------- ----------
4.7
Tract................ -- --------- ........ ....... -------------- - -......----
Date..........Date Connected ................................ . ------ ........................ -------- 1. 19.4-7—
DateFinal ..................................... --- ------------------------------------------
-------------------- .. .-- --------- --------------------------
UM I G INSPECTOR
111 7/61-500
NO. STREET LOT NO.
FOR ELECTRICAL PERMIT
OF CUPERTINO
f A G 8 1962 l
Date , 19,��Z Permit No. / d /
CITY 0'' UPERTINO Fee , ro'-�
pplication 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
rt wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
n City of Cupertino, and all other laws applicable thereto.
v Use of Premise.-
N
(
Owner
Address'
V'
BY Address
CONTACTOR, AGENT
Approve
? / D�
Phone: ELECTRICA IN ECPOR
t-
Size Service Conduit ----- 17�........... Number of Outlets ..................
Size Service Wires.#.. Z z L: ..... Number of Switches ----------------
Size Service Switch --- � .....Number of Receptacles............
Size Sub Feed Conduit..................Number of Fixtures.............
Size Sub Feed Wires ... _ ..............Ranges................ KW... -----.-----
Number of Circuits ................... Oven -------------- KW ----..--------
NEW RPL
Number of Meters ........................ Signs ---------- Transformers-------- ----..-.-- ----.._.-- --•--•--------
7S_.
Misc................................................. Dryers ----•---------------------------------• ---- l
Motors .—Ot:te�--.--. HP .......3----------- Phase -------------------- Permit Fee $1.00
Motors .................... HP •------------------ Phase ---------------- ----
Motors --------•--••-•-•--- HP -------------------- Phase ------------- - ------ H P Charge-----------......... S.
TOTAL FEES—
RECORD
EES RECORD OF INSPECTION APPROVALS
RoughWiring -•-••-----•----- --•------------------------- Fixtures ---------------------- ------------------------•---
DATE INSPECTOR DATE INSPECTOR
Finish Wiring ----•--•-------- -•----------------------Motors
DATE INSPECTOR 'f
Final -------••----
DATE INSPECTOR
LOT NO.
NO. STREET
NFOR GAS PERMIT
® JWIT OF CUPERTINO
Dat '/ J = 195_ Permit No. �l
FF DD �' pp'� Fee $
�( C�Ap IicDE 4"RI d`ItJrhe 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
r of Cupertino, and all other laws applicable thereto.
c
Use of Premises
O Addre C.- A I 4 F,
ByfL t — Address T
�
CONTRACTOR, AGENT
Phone C L 0 q C-1 n Approved
PLUMBING INSPECTO
Type of Appliance Units Fees New j Re
Gas Ranges
Wall Heaters
Gas. Plates I I II I
Boilers
Ovens
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
NAME TYPE)
p fiance Fees
Inspected and Approved
1 'L
ATE
....................
INSPECTOR
HOUSE GAS PIPING
Number of Outlets I Size of Main
Gas Piping Fees
Tested and Approved ........................ I...............................................
TATE INSPECTOR
• r' -�Jf J. �.!� �il-,(�- C. C'v....-t__ LOT NO.---
.NO.
O. __NO. Y STRH 'r
APPLICATIO FOR APPLIANCE PERMIT
1962 ITY OF CUPERTINO
D196----- Permit No.
4 - 2
Fee S
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
a� of Cupertino, and all other laws applicable thereto.
VUse of Premises
Owner get �rsw� `,�,�"^"" J'� �'aJ Address,.r —
�`
By Address _
ACTOR AGENT
HITING &SHEET METAL Cb. Approved "
180 E. i PLUMBING I PH 'TOR
Tppe of Appliance
I Units Fees II
Remarks (Check J)
New Replace Relocate
Gas Ranges �)
WAI1 Heaters I ��
Gas' Plates
Circulating Heaters
Blower Furnaces r iso
Gas Fired Boilers
Warming Ovens
(�
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
II
Floor Furnace
Miscellaneous
NAME TYPE J I
II
II
Appliance Fees
Ifispected and Approved/;�A9/?'`---- . ....---*...................
DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... .A--= - 19-�: -'-- Building Permit No..--�---
412,
The Building Located at --- ................ •--- •• -- •.-.....
_ - ----------- ....:---•••--
Owned by
r�r..
----- ... f___. 4
Has Bee •'_'omplete For,, se As: .........---------------------------------
....................... ...... ...
�t�ffered) �' -�
---------------•--------------------------- ------------....---...-------••-•---......--•---•-_....----......-------------•-••-----------
------------------------------------------ ----- --------------------y — ---------•------
.
BUILDING INSPECTOR
102 4/61-500