1158 ANDE 2645VtI ^6L 9 < 16�o. LOT NO.
NO. STREET
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date zO , 1"6_1 Z mit N
Appl' ation is hereby mad ,fal a permit to
�i n /9 11i
story, Type
at
to be occupied only as9-1d'-2&!441-� � t�-crx�rvtc. s
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, Fee $
Building
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.
Owner w` Address
By '/ AMAddress
Approve '4
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE
LATH and PLASTER
DATE
FINAL BLDG. �J
DATE
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
LOT NO.
NO.
n NFOR BUILDING PERMIT
V Ap TY OF CUPERTINO
i AUG 28 1.76 Sanitary No. _
Dat 1963 mit No.
�J'� pli0jion is" h e ade for a permit to
astory, Type Building
to be occupied only a
in accordance with Pla , Specifications and Plot -Plan filed herewith.
_
Estimated Value of Improvements, $ Oa Fee $�
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other la^ applicable to the construction, location, and use of buildings within the City of
Cur i%C1riJt'be comulied with.
Phone
State License -1-f
Address
Address
Approved
BUILDING INSPECTOR
RECORD OF INSPECTION -APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH d PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
, Z�l, _
DATE INSPECTOR
NO. STREET LOT NO.
D R ELECTRICAL PERMIT
AUG .� �963CI � F CUPERTINO
Date...1.,.195— Permit No.��
f , Fee S
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.
Use of
Own /2''J " 1� �' ddress
CONTRACTOR, AGENT
� Approved
Phone: / I y ELECTRICAL INSPEC M
I
NEW RPL TEES
Size Service Conduit ----------------------Number
of Outlets ..................
.-_ -
---_ .---.I.....
......
Size Service Wires.........................Number
of Switches------------.---
----•___--
.......... -.._....--I
...--•4-O
Size Service Switch ---------------_--•-__Number
of Receptacles_ .........
///___
----------
-./.+_Q
Size Sub Feed Conduit ------------------Number
of Fixtures ------------------
_-60--.-
----------
`�
---- 4... P
Size Sub Feed Wires ... _...............
Ranges ................ KW ----- ........
..........
..........
..............
Numberof Circuits ...................
Oven .............. KW ..............
..........
..........
..............
Number of Meters ........................
Signs ---------- Transformers-..-----
----------
----------
--.--_---..-
Motors----------------•--- HP --------------------
Phase ....................
Permit Fee $1.00
Motors .................... HP --------------------
Phase ....._.__----------
Motors--•--•-••-•--------- HP ---------------
---- Phase ----••-------_---- H P Charge----------------
TOTAL FEES',
-----
C)
j R CO OF INSPECTION APPROVALS
Rough Wiring -�= «! I Fixtures ---------------------- -------
INSPECTOR DATE /INSPECTOR
Finish Wiring ... I Motors '= I - -------------------
DATE INSPECTOR TE SP OTOR
Final J`7I ---------•-------
DAT' INSPECTOR
n
z
W
f
ir LL0
3
w
LL
O
z
¢w
W
x
i-
2
O a
> N
zJ
J Z
J 0
3Q
_Lq
wZ
w w
ir a
o2
III
LOT NO.
NO. TR
e
D I OR PLUMBING PERMIT
a I OF Sanitary NoCUPERTINO =
Z t A� UG 3 1963 �� ��
1
o
a Date , 196— Permit No 3
LL CITY OF CUPER���'r Fee $ %
° 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
N and/or fixtures in accordance with the pro ions of the Plumbing Code of the City of
Cupertino, and all other Xv applirabl ._thereto.
Use of Premises ►'
Owner Address
gq Address
CONTRACTOR,AGENT j
Phon , z
State Licens Approv
PLUMBING Zl�I
UNITS I FEES 11 1UNITS I FEES
er Heater
size
W ter Closets
jW
p p Materia'
Ba Tubs
To Curb
Showers
, 00 To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Rough Complete_ --
Wash Trays
STORM DRAINAGE
Water Softeners
Bar Sinks
wmD. nnK & 1 rays
io l.urD
Dental Units
Main Drain Fee
Drinking Fountains
Storm Drain Fee
Floor Drains
WATER YST
Hoppers
Size
Restaurant Sinks
Materia Xa /
RECORD OF INSPECTION
Urmais
Pixture Pee -rf-O CJ
Area Drains
Main Drain Fee
ater Leaders
Storm Drain Fee
rinkler Vaives
Water Sys. FeeIS
Permit Fee m
TOTAL
TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough.. 16 — d
Rough Complete_ --
Main Drain
Final—
15
`)<
W Z
f K
y O
�LL
oQ
3U
W LL
= O
LL w
o�
a
z cA
<w
eu x
J LL
OO
1 N
i-3
o<
zJ
J Z
J O
3Q
_N
W Z
W w
a: a
<o
0
NO. Q S
Lk I AUG .10 1963
LOT NO
N FOR GAS PERMIT
OF CUPERTINO
Date 196_ Permit No. 2
C
!OF C
TY �1�'E �..,,, 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 otWrAws apNicable thereto.
Use
l n j
CONTRACTOR, AGENT
Phone �CX 1- S SZ_ c1
State License
Address Ir
Approved ,
PLUMBING INSPECTOR
Type of Appliance Units Fees New Replace Relocate
Gas Ranges
Heaters
Gas Fired Boi
Steam Tables
Gravity Furnaces
.Suspended Unit
Floor Furnace
'Miscellaneous
NAME TYPE)
HOUSE GAS PIPING
Number of Outlets §ize c# Main
Gas Piping Fees
Tested and Approved :. .......... ..........I ..............
DAT INSPECTOR
(t-! 2 C ,l U'L - (-e Y=-,---- r LOT NO. ._
NO. S'",RBRT
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date _ 196____ Permit No. a-3
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 othqf laws applicable thereto.
c
Use of PremisesA�4
,
1
-N Own r t,' , (� �'.� r�.. _;� Addresses o 't
Address -11—t—
CONTRACTOR, AGEN
Phone T C�� s Approved Urtu�ca►NG INSPECTOR
Type of Appliance
I Units Fees
Remarks (Check d)
I New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers I
��
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
II _
Floor Furnace
1V1151C11611C0Ub
Inspected and Approvedr.�:'.� ...`.
DAT INSPECTOR