622APPLICATION FOR BUILDING PERMIT
j& )a TY OF CUPERTINO
, 195__ mit No c_—
ici21on is A ma r a permit to
Building
T
atm 1 O 63��
oo n
to be occupied only as
in accordance with Plans, Specifications and Plot -Plan filed h rewith. 4 00
Estimated Value of Improvements, $ OQ Q-0. Fee $
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.
Own
CONTRACTOR AGE
Pt6�
Address
Approved '�
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
INSPECTOR
,.�INSPECTOR
i
INSPECTOR
INSPECTOR
.r No. STREET LOT NO.
KION FOR ELECTRICAL PERMIT
OF CUPERTINO
DIP F D -8 AM', lea -c Permit No.
Fee $ �d
MIT I� Is�ti >RaTf e City of Cupertino for a permit to install electrical
wiring an,
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
Owner
By
CONTRACTOR, AGENT(
Phone:
Address Z /+`�10'
Address
Approve '�
ELECTRICAL INSPECTOR
1
Size Service Conduit ---- ly__.___.__Number of Outlets__________________
Size Service Wires . --* &---------- Number of Switches________________
Size Service Switch..../ ..Z5c__Number of Receptacles ______---_-_
Size Sub Feed Conduit __________________Number of Fixtures-. ----------------
Size Sub Feed Wires ___________________Ranges---------------- KW__. ---___.----
Number of Circuits------------------- Oven -------------- KW --- .----------
Number of Meters ........................ Signs ---------- Transformers_-._.-__
NEW_ RPL- . FEES.
7- ........ --- -----
2__ I r✓
-- ------------ -------------
G C►
---------------------------------
----------------------------------
----------------------------------
Misc------------------------------------------------ Dryers -- - ------- --------------
I ---------- I ---------- I --------------
114 Motors ---------•---------- HP ----•-Z---- -- Phase ----------
Permit Fee $1.00
Motors---•---------------- HP -------------------- Phase ----------------- _ Sj
Motors ------------------- HP -------------------- Phase ---_-------------- H P Charge---------------- IJe
TOTAL FEES i
CO /F ION APPROVALS
Rough Wiring'��//-/T�l. "�� - _z.:'PEGT Fixtures -- -- ----- -
DATE INSPECTOR DATE INSPECTOR
FinishWiring-•-•---- -•-•• •----•------------------
tFinal
otors
•---• % -----
.........
__.. . .....� R_____.DATC INSPECTORITt INSPECTOR
NO. STREET
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
D '� '' 19� 4% Permit N
I /
'FEB. ' '
Fee $ �_��, 4TH
pplication s here�yinade e 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
aIV'f'r)Clx ,es in�iccordihq l � the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of
/ Address f ?
Address
CONTRACTOR, AGENT
e q f Approve
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN I
UNITS FEES
UNITS FEES
Water Heater
Size
Water Closets
Material
Bath Tubs I I II
To Curb
Showers I I II
To Prop. Line
Lavatories I I II
To Existing
Kitchen Sinks I I II
Not Conn.
Dish Washers I I it
SEWER BOXES
Waste Disposals I I II
Wash Trays I I II
STORM DRAINAGE
Washing Machines I I II
Size
Water Softeners I I ��
Material I I
Bar Sinks I I II
To Main Drain
Comb. -Sink & Traysl I II
To Curb
Dental Units
Drinking Fountains) I 11
I
Floor Drains I I II
WATER SYSTEM
Hoppers I I Il
Size
Restaurant Sinks I I II
Material
Sand Traps I I II
TOTAL FEES
Urinals
Fixture Fee
Area Drains I I II
Main Drain Fee
Storm Drain Fee
Water Leaders I I II
Sprinkler Vaives I I 11
Water Sys. Fee
..c_ , e -y 11
Permit Fee
TOTAL I I 11
TOTAL FEE
RECORD OF INSPECTION
Partial Rough
Rough Complete
Final 5
i
re
a , I �""�'� + / l J�'I LOT NO. -
NO. STREET
It GAS PERMIT
CITY OF #ERTINO
I EB 2 1960
Date 3 -195 Permit No.
C TY. G` ('"° RT I N 4 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 Premises��?!!:fZ )
Address
Address
Approved,,,4���
PLUMBING INSPECTOR
of Appliance I Units Fees II New
Gas 'Ranges
Wall Heaters
Gas Plates
M
NAME TYPE) I I it I I
Inspected and Approved ....:.-•
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets I I Size of Main
Gas Piping Fees
Tested and Approved . x..x: G ' I t—
.... ... ..... ......... ....
DA E INSPECTOR
NO. STREET LOT N
S APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date , 196 ----- Permit No./O
CITY C"� �> . I r RT!!�; 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
of Cupertino, and all other laws applicable ttleret0.
Use of
Owner
I/ -
_
Address /ins .,�--,.-4<d
By %1 r, - Address ,� <
CONTRACTOR, AGEN: ,. /��✓�
Pl;onep Zr — CS L rxr `< f Appron
PLUMBING INSPECTOR
Tl pe of Appliance
Units Fees II
Remarks (Check �7)
New Replace Relocate
Gas Ranges
Wall Heaters
Gas• Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
misceuaneous
NAME TYPE
Appliance tees I I iS II
Inspected and Approved. ' .w�?._ : t �:.'- ................
D TF i INSPECTOR