359LOT NO. —
NO. STREET
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 195_ Permit No. --!-7 7 __
Ap 1' oi m�f rmit to
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or,
a pe
Building
at iAy 9
to be occupied only as 1Ct
in accoreIfeywii® Plar>'fRjj%d Plot -Plan filed herewith. �7
Estimated Value of Improvements, $ �1�. AL1 Fee $ �/ • L)
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 ,'J� -r>. o� %� o r 1 Address dl y /y c AkA N vW YQI
By 1 Address a9/i'r- 19 ✓
CONTRACTOR, AGENT / �'�y //
Phone Approved ( zit Q t -ee `.'
BUILDING INSPECTOR ; L�
RECORD OF
FOUNDATION
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FRAME
LATH and PLASTER
FINAL BLDG.
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FINAL ELEC.
FINAL PLBG.
FINAL GAS
INSPECTION APPROVALS ,
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/ INSPECTOR
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FOR BUILDING PERMIT
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SE` t7 low ISanitary No.
Date 196_ Permit No. a �
plicn is her�birta'tie f permit t
a Stere, Type Building
only as—
with
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to be occupied
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Estimated Value of Improvements, D 0O Fee $ z
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
Cupertinowit compl' w
Owner—:r_ C� L2jogl Addres'
By � ry / :> t,A ddressa-P- 36
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Phon Approved L11 3"- - k ek
State License
BUILDING INSPECTOR
RECORD 'OF' INSPECTION APPROVALS
FOUNDATION
UNDERFLOOR
DATE INSPECTOR
DA"I'E INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
— t�
FINAL BLDG.
""
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL -GAS
DATE
INSPECTOR
_ l - LOT NO.
NO. KTREET
W Z �"'� TION R BUILDING PERMIT
t'i..'.�► CITY OF CUPERTINO
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Sanitary No.
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aA� u 196 196_ Permi No.—
ourlp
mad r a permit ta story, y Building
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ato be occupied only as
0 o in accordance with Plan dyP - la ,8led herewith. ae
F 3 Estimated Value of Impr ` Fee $_
z J It is hereby agreed that th quirements of the Cupertino Building and Zoning Ordinances and
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O Cupertino will be compli c� wi
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— m Owner , /7` Address `S�`"�
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tate
B ILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
UNDERFLOOR
DATE INSPECTOR
DATE INSPECTOR
FRAME
DATE.
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
> i ry
`
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
1 FINAL GAS
DATE.
INSPECTOR
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NO.STR FT
D s:: 1` OR PLUMBING PERMIT
OF CUPERTINO
/SEP 3 '1963 Sanitary No. //
Date , 196— Permit No -- � ) 0
CITY OF CI�PEI�T' Fee $ �' L/)a
Application is here y ma e 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
By
CONTRACTOR,
Phon
State Licens 26
Addres-'121�L4— --
Address
MRFA
1 —1—
UNITS I FEES 11 1UNITS] FEES
Water Heater
Water Close
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink s Trays
To Curb
Dental Units
Permit Fee
Drinkmi! Fountains
TOTAL FEE
I to or Drains
I WATER SYSTEM
Hoppers
Size
Restaurant Sinks
Material
Sand Traps
TOTAL FEES
Urinals
Fixture Fee
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
�prinkler vauves
Water Sys. Fee
Permit Fee
TOTAL
TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough__
Rough Complete..
Hain Drain
Final._.
/ a KJ �9 I - ` 1 LOT NO.
NO. STREET'
APPLICATION FOR PLUMBING PERMIT
z a CITY OF CUPERTINO
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Y o TSanitary No.
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0 a ate 196_ Permit No
1U. AUG2 1963
w Fee
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~ Application is hereby made to the City of Cuper ' fora permit to install plumbing
o s /oris l6ti the reverses e and agrees to install said prices
'z WC`ai/o xtuke dance with th vt on Plumbing Code of the City of
w Cupertino, and all oth law e
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3 CONTRACTOR, AGENT
—Phone
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a oX State License '7,/G „�_' Approve t
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✓`/v'/ PLUMBING INSPECTOR
UNITS FEES
UNITS FEES
Water Heater
Size
Water Closets
Mat.:ria'_
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
Size
W, ater Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Dental Units
Drinking Fountains
Floor Drains
WATER SYSTEM
Hoppers
Size
Restaurant Sinks
Material
Saad Traps
TOTAL FEES
Urinals
Fixture Fee /,470
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
Sprinkler Valves
Water Sys. Fee
Permit Fee
TOTAL
TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
.Partial Rough --
Rough Complete..
'Iain Drain
Final._ L14Lt t� _L
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LOT NO.
APPLICAt(O;N FOR GAS PERMIT
JE tSEP CI 'OF CUPERTINO
Date,L46_ Permit No.��
Fee- $ S�
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 ws applicable thereto.
Use of Prem es t/
11 w A
By
CONTRACTOR, AGFNT
Phone C>Z�z
State License ,�
Approved ,
PLUMBING INSPECTOR
of Appliance I Units Fees II New
Gas
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
NAME TYPE)
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Testedand Approved --------------------- I............. ......... .................
DATE INSPECTOR
S �-/ &" LOT NO. -
NO. STREET
PPLICATION FOR GAS PERMIT
m a
W0
CITY OF CUPERTINO
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3 a
aJ 2196—
Permit No. O
Fee. $
'�r► T�/
4PP�wnde to the City of
Cupertino for a permit to install gas pipes
install
o <U�
�InH/asted on the reverse Sid
and agrees to said pipes
>
and/or appliances in accordance with the r
the Plumbing Code of the City
istm�!s�Vv�,�f
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of Cupertino, and all oth r laws applic h
LLUse
of Prem' s
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Owner
Address
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By e ex T
Address Z 36: .1"'
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CONTRACTOR, AGENT
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)(Phone I"
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`State License
Approved
PLUMBING INSPECTOR
Type of Appliance I Units Fees 11 New
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
AME TYP
HOUSE GAS PIPING
Number of Outlets I Size of Main
Gas Piping Fees
Tested and Approved...., r--/. .7�1.... ....................................
DATE INSPECTOR
NO. STk EET'LOT NO.
ELECTRICAL PERMIT
CIF CUPERTINO
I SEP 3 U ,,.,L,
Date 1195— Permit No. 3
��► TY� U ER-��A•in Fee � Appllca�tion isqFereby 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
By a)
CONTRACTOR, AGENT
Phone:
Address
Address
Approved
ELECTRICAL INSPECTOR
Size Service Conduit ......................Number of Outlets ____.._.__._._____
Size Service Wires..........................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 --------------
Number of Meters ------------------------ Signs ----------
Transformers ........
----------
i----------
I--------------
Misc------------------
-------------------------------Dryers---------------------
-- -------------
----------I----------
--------------
Motors.................... HP -------------------- Phase -------------------
Permit Fee $1.00
Motors .................... HP ---------------------Phase --------------------
Motors-------------------- HP -------- -------- .-- Phase --------------------
H P Charge---------------- --------------
TOTAL FEES i
RECORD OF INSPECTION APPROVALS
Rough Wiring
---
Fixtures -----------------------------------------
DATE INSPECTOR
DATE INSPECTOR
Finish Wiring
-------••------- -----------•-------------
DATE INSPECTOR
Motors ---- - -------------------
A E /�` tSPE,C OR. ,.
Final -----------
DATE L' INSPECTOR
/abs
NO. STREET LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
Appllic ttiiion is h1963 ma
de
wirin a d or �� -as-G rTny a or $�CrIR
City of Cupertino, and all other
Use of Pre
a
V ,
a <Owner
y lj�y,4 ere
( CONTRACTOR, AGENT
hone: -224 — 2 k 34
P
ee S
i ` r ino for a permit to install electrical
�e reverse side hereof, and agrees to install said
with the provisions of the Electrical Code of the
a pplicable thereto.
:(J-(i.c 21.
Addkss
Approve
LECTR �L [NSPECI
Size Service Conduit. _____________________Number of Outlets _---------------
Size Service Wires _•_______________________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 ..............
Number of Meters ........................ Signs ---------- Transformers__-_____
• NEW RPL FEES
Misc.............................. -ryers------------------------- I ---------- I -------•-- •-•-----------
Motors ....._..f----_.-- HP ._... ._ .. Phase -------------------- Permit Fee $1.00
Motors .................... HP ....... •--•--...--- Phase ---•--•-•---•-------
Motors .................... HP -------------------- Phase .._-------- -_ H P Charge ----------------
I------- %
TOTAL FEES 12--t7,5
7,5
RECORD OF INSPECTION APPROVALS
Rough Wiring ................ --------------••------------ Fixtures --------------------- ---
OATE INSPECTOR ATE 1 PECTOR
Finish Wiring..... ---•------------•----•-•------- Motors
DATE INSPECTOR f / �� �( IN .TOR
Final.-`I/{•---•---•---.-(•.---�---•-�-�-•------�•'....
DATL INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date --------
------------ Building Permit No. ------
The Building Located at ........ .../-- .._........................... ---------•---•-------
Owned
--------------------
Ownedby ------ ------------ -- --------------- -------------------------------- — ........ 1 ......... ................
Has Been (Completed) For Use As:.....-.- ........
...........................................
(-Altered)
................................... ....... .. ........ ............ .......... ................ .................
.................................. ...... .... .................... ................................... ...............
.............................................................. . ... ................................................... ..............
...........................
BUILDING INSPECTOR
102 2/59-250