1678LOT
I
Tf_p� ICJQTR�U�TDIo G PERMIT -
Date
IT
Permit No.
App (cation is ereby ma a or !tfni> to
a story, Type Building
at
to be occupied only as
in accordance with Plans, Specifications and Plot -Plan filed herewith.
a Estimated Value of Improvements, $ U D U Fee $
v It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
aall other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
In wrier l' Address
Address
CO 'TRACTOR, AGENT H
Phone �� i '�� Approve
BUILDING INSP
ECORD OF INSPECTJON APPROVALS
�v-&,7 •c1
FOUNDATION E
DATPECTOR
FRAME ?_
D TF NSPF.CTOR
620�
LATH a PLASTER J/
DATE INSPECTOR
FINAL BLDG. (10— 2a -
DATE INSPECTOR
FINAL ELEC. .0 ` 1
DATE
FINAL PLBG. tO' - )
C' �- 3
FINAL GAS
INSPECTOR
INSPECTOR
DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPEICTOR'S OFFICE
CITY OF CUPERTINO
.G3 tf
----------
Date .............................. U.;; -------------- .. ........
The Building Located.3t)-•-• ..........
Owned by ............. ...... 4 ............. T�t
........................
(Complete
Has Been red) For Use Rs`::.............. . ..... .
...... ....................
(Alte
......................................................................... ............. . ...... .. .....................................
Y //
................................................................................... 4 ................. ..............
............. .... -, . .......................
BUILDING INspnCirOlt
102 1/63-500
Ei
160 G!/G.aAx�,ea, LOT NO
NO. E
An
D 1 FOR GAS PERMIT
JUN 21 1962 CI F CUPERTINO
Date d 9i_L Permit No.
U I Y WFUTINd
Lb
Fee $ 1�1
_
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 APARTMWr ��y I cP_- I\0 i'►'`L
PHILIP RAFALOW, INC
Ownerq`l A Address �Un tibl�u.—
_
By 3 W. l mlin .in Address
ZOO CriStICI (JM eACTOR, AGENT
Phorfem.Aell. Californi Approve
3 i-566() PLUMBING INSPECTOR
Type of Appliano
Gas Ranges
wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
�Sus�ded Unit
Floor Furnace
Miscellaneous
(NAME TYPE)
Inspected and Approved ----- ----------=---------- ------------------------ -------
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets I % I Size of Main
Gas Piping Fees J '
Tested and Approve -d. ... ...........
D E INSPECTOR
LOT NO.TRE
NO. A:ga �_.i
N FOR GAS PERMIT
1 fftOF CUPERTINO
'1136
UN 21 1962
Dat t 19k2d,-- Permit No._lie-lo
CITY CUPEPTINO Fee $ c -Z C b
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.
APARTMENT
Use of Premises
PHILIP RAFACOW, INC.
Owner_
By 3. & (/l/. P[umd in r A
200 unst4dNWACTOR, AGENT
PhonPmpbell, California
Address
Address
Approved
PLUMBING INSPECTOR
of Appliance I Units Fees 11 New
Wall Heaters
Gas Plates
Circe lating Heater
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellane-Qus
NAME TYPE)
Inspected and Approved ....... .............. ..................... .................
DATE INSPECTOR
HOUSE GAS PIPING
n
Gas Piping Fees
Tested and Approved.-. ..... ft �..... _..........................
e a INSPECTOR
' LOT NO. �3�
NO.
nl�&
p N FAIR GAS PERMIT
JUN 21 1962 OF CUPERTINO
Date - < X-� 4, Permit No.
cI uU
Fee $_ ��
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
PHILIP RAFALOW, INC.
Owne
NU UNSTI pr-I[um�in �
ACTOR, AGE
N'1�
PhonCampbell, California
Phone
t_' -
1 a1
Address Ja, a"
Address
Approved
PLUMBING INSPECTOR
of Appliance j Units Fees jj New
Wall Heaters
Gas Plates
Blower Furnaces
Gas Fired Boilers j j jj j j
Warming Ovens j j jj j j
Percolators
Griddles
Steam Tables j j jj j j
Gravity Furnaces j j jj j j
Suspended Unit j
Floor Furnace j j jj j
II
Miscellaneous
NAME TYPET-11 I
j j jj j
II I j
II I j
Appliance Fees
Inspected and Approved ..............:...----.............
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Tj Size 9f Main j
Gas Piping Fees j / j
—�— —
Tested and Approved ... .......1..... j
D E INSPECTOR
IA&- I �az _ LOT NO. 3
NO. STREET
D TFGR GAS PERMIT
f JUN 21 196f' it
CUPERTINO
Dates 190 Permit No.
`o Ci Y OF CUPERTINO Fee
Application is hereby made to the City of Cupertino for a permit to install gas pipes
Go 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.
v
Use of Premises APARTMENT
e PHILIP RAFALOW, INC.
&n Owner Address
By um�inAddress
TOR, AGEN
Phone Campbell, California Approved
One PLUMBING INSPECTOR
of Avvliance I Units Fees 11 New
Wall Heaters
Gas Plates
Circulatine Heaters I
Percolators
Griddles
Steam Tables
Gravity Furnac
Suspended IJn.
Floor Furnace
Miscellaneous
(NAME TYPE
Appuance rees I 1 II I I
Inspected and Approved .............:............
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main01
—
Gas Piping Fees 00-1
Tested and Approved . �.. ... .................................
DAT INSPECTOR
LOT NO.-�
5
P I ; FOR GAS PERMIT
JUN 2 1 19641 F CUPERTINO
Date L Permit No.
lI� V
Fee $ ,
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
APARTMENT'
PHILIP RAFALOW, INC.
Owner
B um ing, r
y 200 CristiMMYCTOR, AGENT
PhoneCampbell, California
Phone
4-m-.!!lim1
Address_1.._
Address
Approved
PLUMBING INSPECTOR
Type of Appliance Units Fees New
Gas Ranges I I ---
Gas,-
Gas Plates
Circulating Heater
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
NAME TYPE)
Inspected and Approved ---- !.
DATE. INSPECTOR
HOUSE GAS PIPING
Number of Outlets SizS of Main
Gad Piping Fees '
Tested and Approved ..--- ....��, ..- ---•-- --. ..............
ATF INSPECTOR
NO.
MY
&' - `may LOT ND
STREET O■�2/ _ / p�� //
ATION FOR APPLIANCE PERMIT
ppe �i� kk CITY OF CUPERTINO
1964! Permit No. D Z
C" CUPERTINO 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 slid
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises -
Owner' . //
cONTRACTO ,
Phon ' w -o
S�
Addre
Add
Approve
PLUMBING INSPBC R
Type of Appliance
I Units Fees II
Remarks (Check d)
New Replace Relocate
Gas Ranges (�
wa-11 Heaters
Gas Plates
Circulating Heaters ji
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
II
Floor Furnace
Miscellaneous
NAME TYPE) i I
II
II
pp lance Fees
Inspected and Approved................................................................
DATE INSPECTOR
/ LOT NO.T� 7
TRE
KnIN APPLICATI M FOR PLUMBING PERMIT 21 1962 OF CUPERTINO
Dat
Permit No.
'&'t�z
f7 �D
Fee $L
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 APARTMENT
Owner PHILIP RAFALOW INC.
B 5- & U/ Pla—k-a. Al -r-0
200 Cflslich CQWRACTOR, AGENT
PlI&WIPbell. California
Phone 377-5660
a.-1
Address
Address
Approved
PLUMBING INSPECTOR
Water Heater
Water Closets
Bath Tubs
Showers
Lavatories
Kitchen Sinks
Dish Washers
Waste Disposals
Wash Trays
Washing Machines
Water Softeners
Bar Si*,ks
Comb. Sink & Trays
Dental Units
Drinking Fountains
Floor Drains
[NITS FEES 11
o °jl
Size L/
�O—jj
Material
To Curb
�I
To Prop. Line`
c/ s j 0
To Existing
N Conn
o�
UNITS I FEES
STORM DRAINAGE
WATER
ixture
Area Drains Main Drain Fee llFj
Water Leaders Storm Drain Fee
Sprinkler Va,ves I I II Water Sys. Fee I &V
Permit Fee / 0 U
TOTAL �, TOTAL EE I
P
Partial R
Rough Complete
Final r'., -N-&I
NO. STREET , LOT NO.
OR ELECTRICAL PERMIT
OF CUPERTINO
�OCT8 1962
Date 156_ Permit No.
EE R �o.ATISFs urtff d ttitis Fees he e a e to City of Cupertino for a permit to install electrical
wiring acid/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.
Use of P
Owner Address
EARf ELECTRIC Address
SANUjCLOIE;0A'WENT
iii LLL 0ALIF, Approve4
one:
CY 5-3440
7 I
Size Service Conduit_...` . .............Number of Gatlets_-_--__-_-_-__.-_.
Size Service Wires..... �0 .............Number of Switches-. .............
Size Service Switch........................Number of Receptacles ------------
Size Sub Feed Conduit _............... Number of Fixtures__________________
Size Sub Feed Wires_.�2�..... Ranges ________________ KW____-_...__-__
Number of Circuits ......... 30.... Oven ______________ KW ..............
Number of Meters ------ �( .............. Signs ----------
Transformers ...................
Mise -----..
Dryers
I-3--- Uzi
Motors tlC HP -------------------- Phase --------_---------
Motors Phase
Permit
Fee $1.00
ci -HP
gMotors _ .. HP --------------------
Phase -------------------- HP Charge-----------.....---
-- :p�
TOTAL FEES
RECORD OF INSPECTION APPROVALS
-
RoughWiring --•--•-------•-- ----------------------------
Fixtures ---------------------- ----
----.._-...-----------
DATE
INSPECTOR
DATE
INSPECTOR
Finish Wiring ----- ....
DATC
INSPECTOR
otors -- ---
ATE
Fi
--------•--•----------
N3PEGTOR -
-
DAT[
INSPECTOR
7
BUILDING INSPE.CTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection
Plumbing Final
Owner or Tenant N — -------- -
At...............
Tract
Bldg. Dept.
Office Copy
Sanitary Permit No..-..-.--.--------------------------
Plu ing mit No . .....I ...(,., 1 ( .........9
.........
Lot No. ---------- --
7r-4,10
tt-- F..
------ ---- -------------------------- ...... .............
---------------------------- - ------------------- ------- - ------------- - -- - ----------------------------------
DateConnected ------------------------------- ( - ----- ---------------------------............... 19 j
Date Final ------------------------------------------ �4-- 9 ---
- ------------
-- - -----------
--------------- ------- ---- I --------- -------- . .....
PLUMBING - INSPE RZ
111 7/61-500