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` APPL CATION FOR ILDING PERMIT
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o CITY OF CUPERTINO
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o < Sanitary No. X77!
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_ LL Date ` 19fa� Permit No.
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U Application is hereby made for a pert
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a / story, Type
Building
to be occupied only as
in accordance with Plans,ecifications and Plot -Plan filed herewith. o
Estimated Value of Improvements, $ ) _) `� Fee $
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, locatiop, and use of buildings within the City of
Cupertino will bt. co lied with.
Owner o Address
By Address
Phone %��,,�� 6 Approved
State License / W / BU USING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE.
INSPECTOR
UNDERFLOOR
3
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
`
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATE
INSPECTOR
NO.
C:
LOT NO. ' 1-0
)WAMSN44 R ELECTRICAL PERMIT
(FEB 1964 jOF CUPERTINO
Date 41 F—A '; 19 Permit No. � +�✓�"
C111 UI 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, andA gyher lawn applicable thereto.
Use of P
Owner I
lEl
By 4 cr,-ti.,�,,.0
CONTRACTOR, AGENT
Phone:
State License- X I `f 4 y I _< <o'
Address
Address w S C
c
Approved
ELECTRICAL INSPECrM
Size Service Conduit.-__ - -'I ....... Number of Outlets ..................
Size Service Wires____ - k.._a.......... Number of Switches-. ..............
Size Service Switch...... U. a -A ---- Number of Receptacles ............
Size Sub Feed Conduit..................Number of Fixtures-.................
Size Sub Feed Wires --- _ ..............Ranges................ KW ..............
Number of Circuits ................... Oven ..........--- KW ..............
NEW RPL FEES
Number of Meters........................Signs.......... Transformers ........ ---
Misc.----------•------------------------------------Dryers---•------------------------------------
Motors ..---... HP -------------------- Phase ........---------
Motors ........ -- - HP -------------------- Phase ..............___..- Permit Fee $1.00
----- :Q
Motors ... HP Phase H P Charge () ----
1 1 TOTAL FEES /10 '
OF INSPECTION APPROVALS
Rough Wi€ `------•---- Fixtures ---------------------- ----------------------------
DA - INSPEC OR DATE INSPECTOR
Finish Wiring ______ Motors _____________ _________. -
DATE INSPECTOR ATE
Final..tw ..........
DATE INSPECTOR
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LOT NO :sc
NO. S T
APPLICATION FOR PLUMBING
CITY OF CUPERTINO
!� 19 111�.-1 �
Date Permit No. c2e
C i Y OF CUPER Fee $
PERMIT
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 othef laws applicable thereto.
I
La
Use of Premises
Address X0 L &0
Address
Approved 'U`L
PLUMBING INSPECTOR 12
SURES
NUMBER
MAIN DRAIN
UNITS I FEES II
I UNITS FEES
Water Heater
levil
Size -7/ l eo
Water Closets I
l oT. en 11
Material, Zj�.GI
Bath Tubs l
l / oall
To Curb l l
-Showers i
f l/ ll
To Prop. Line l l
Lavatories
l ll
To Existing l l
Kitchen Sinks l
l ll
Not Conn. l l
Di -§h Washers l
l Ja ll
l l
Waste Disposals l
l ll
l l
Wash Trays l
l ll
STORM DRAINAGE
Washing Machines l
l ea ll
Size l i
Water Softeners
Material I
Bar Sinks l
l li
To Main Drain i l
Comb. Sink & Trays l
l ll
To Curb l l
Units
-Dental
Drinking Fountains)
l Il
l
Floor Drains
WATER SYSTEM
Hoppers
Size
Restaurant Sinks l
Sand Traps l
l ll
l ll
Material
TOTAL FEES
Urinals Fixture Fee le -a
Area Drains l l ll Main Drain Feel
Water Leaders l l ll Storm Drain Feel
Sprinkler Vaives Water Sys. Fee eo
RECORD OF INSPECTI
Partial Rough
Rough Complete
Final ,
LOT NO.
NO. T
O
T FOR GAS PERMIT
LDEC 19 1963 OF CUPERTINO
Date , 19j-'�.3 Permit No. 6-2
uIrY 5
F WPEj1— 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
GAJ
Address//'L ,y
Address -71
AGENT
> Approved
PLUMBING INSPECTOR
Type of Appliance Units Fees New Replace Relocate
Gas Ranges
Wall Heaters
Qas Plates
Furnaces
:d Boilers
Furnaces
ed Unit
NAME TYPE
Appliance tees I 1 II 1 1
Inspected and Approved ............... ----------------------------------------------
DATE INSPECTOR
HOUSE GAS'PIPING
Number of Outlets I I Size of Xain"
Gam Piping Fees Z. S-0
Tested and Approved. (d .._....`...` .................................
DAT INSPECTOR
2 t73 60 R- _ tvr Ni)
NO. S ET
7 -
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date__ r o J t &Q 196...__ Permit No.
Fee s 5
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 _
I Owner 44"� �J
By- DNISION
NWING &SHEET
oR, AGENT
l80 E. St1i�tRf17R(S QBE CAIdpBELt CRL1►
Address
Address_
Approved
PLUMBING INSPECTOR
Type of Appliance Units Fees
Remarks (Check J)
New Replace Relocate
Gas Ranges I ��
Will Heaters I ��
Gas Plates
Circulating Heaters
Blower Furnaces
'Gas Fired Boilers I�
Warming Ovens
Percolators
Griddles
Steam Tables I ��
Gravity Furnaces
Suspended Unit
Miscellaneous
NAME TYPE
2-2.5
,2-o O
Inspected and Approved --A
DA INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........ ------------------------ 1 19-'..2. --- Building Permit No........
.. ... .......
The Building Located at .........................................................
. ...........................
Owned by .... .............. . .......... - --------- - ----------x ....... .......
............................
Has Been (ComP'etq') For Use As: ..................................... ..........................................
(Alteied)
................ ............................................ ---------------------- .....................................
..............
......................
BUILDING INSPECTOR
102 1/63-500
Bldg. Dept
Office CGI)Y
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F] Sewer Connection Sanitary Permit No. ----...=*
...... =*;77-.? ------
E3o"Plumbing Final Plumbing Permit No. oV--,R7 ----------
Lot No. -------------------
Owner or
ITen-ant -5--�-- 1:7-: -- -------- -----"A;-e------------•-----------
At
----44--- ---------I........................I----------------
Tract---------- .... .. - -- -------------------------------------------------------------------
DateConnected --------- ---------------------------------------------------------------------------------------- 19---........_
Date Final ---------------------------------
----------------------------------------------------- 194(�-1
.......... -----------------------
PL
U BING INSPE
111 7/63-1M