1126L 7—�-i b � LOT NO.- _ / • l
APPLICATION FOR BUILDING PERMIj1
1rrr� t CITY OF CUPERTINO ((
Date` w 19Permit No.
Clp li4f rt i a permit t01-1 o L
a 0- -n_Q story, Type �� �` �� P 17 �� �' C Building
at
to be occupied on as F '�'' °-�-�-�•
in accordance with Plans, Specifications and Plot -Plan file erewith.
Estimated Value of Improvements, $I , C' CT ' C Fee $ s�
v
q 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.
u
i OwneAddress
,By ����,1���•�� Address
CONTRACTOR, ACNT
Phone d Approve
aILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
��wATE INSPECTOR
FRAME �
DATE INSPECTOR
LATH nd PLASTER
DATE �.INSPECTOR
FINAL BLDG.
DA/TE SPECTOR
FINAL ELEC. �` l I Ts
?—
FINAL PLBG. 31,e
�y DA
FINAL GAS
TE
t b cl! l LOT NO. /
NO. •5 E
FOR GAS - PERMIT
O �n CI F CUPERTINO
APR 5 J
Date—�194L� Permit No. oZ s —
CITY OF CUPERTINO 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 / - /'
Owner Address
$y Address
CONTRACTOR, AGEN'I�
' hone - ` Approv d
PLUMBING INSPECTOk- U
T,
Gas
Wa.
Gas
Circ
Steam
of Appliance I Units Fees II New
Miscellaneous
NAME TYPE)
Inspected and Approved ..............:
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets I 2 Size of
,Gas Piping Fees
Tested and Approved �- �/... Ztjg....... ...........
D TE INSPECTOR
NO. STfEEt LOT NO. :�- -
D A& OR ELECTRICAL PERMIT
OF CUPERTINO
SMA 8 i
Date 4 r , 199�L Permit No.
CITY F CUPERTINO Fee $
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 Premise,
Ownerdvlti1ZA 2!4/z Address
14 By Address
CONTRACTOR, AGENT
Approve �
e:.,41 ' Z — O U % ELECTRICAL INS YG1OK
NEW RPL FEES • .-
Size Service Conduit----------------------Number of Qutlets................-- 7 ....-.--....-I__-! 7 C.-
Size Service Wires--------------------------Number of Switches-.--------..-----!-7... ......... _)-.r'.-74
Size Service Switch------------------------Number of Receptacles ------------ �.`------------- -----
Size
----Size Sub Feed Conduit..................Number of Fixtures .................. .�_7--_ .......... _-_ _7LI).
Size Sub Feed Wires --- _--------------- Ranges .... 1......... KW.............. .......... .......... .......
Number of Circuits------------------- Oven-1 .......... KW .............. ---...-............. ....... 2..'
Number of Meters........................ Signs .......... Transformers--_---.- .......... .......... ..............
Misc------------------------------------------------ Dryers .... /---------------------------------- ---------- ---------- -•_--- - 5
Motors _t/--------------- HP------•------------- Phase -------------------
Motors-------------------- HP----------.--....--. Phase-------------------- Permit Fee $1.00
Motors-------------------- HP-------------------- Phase-------------------- H P Charge---------------
TOTAL FEES
g C INSPECTION APP OVA
wtRough Wirin _ Fixtures' r' `'.r I•-•- ---•- -Y
DAT I P OR DA [ INSPECTOR
Finish Wiring
_! f _ _. .` Motors P
DAT[ INS OR FinalATI DATt INSPECTOR
2 t S LOT NO.
NO. s
FOR PLUMBING PERMIT
OF CUPERTINO
� APR 5 19b"t
Date j 195_ Permit No.
CITY OF CUPERTIR
Fee $ ' L
r 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
1^
Cupertino, and all other laws applicable thereto.
Use of Premises
Owner--- . m'�, .%`—?�/-''`F`� Address
By, *-: V) Address
CONTRACTOR, AGHNT
? 17Approve
Phoner% �— _Z _
PLUMBING INSPEC R
---7TVRES
NUMBER
MAIN DR IN
UNITS I
FEES
II UNITS I FEES
_�
Wgtr Heater
/1
Size L
Water Closets I
3.
Material C'
Bath Tubs
�� To Curb
Showers
To Prop. Line
��
Lavatories
Kitchen Sinks
J
�� To Existin
11 N onn
Dish Washers
/
i . r ` 05
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
II Size Jr
Water Softeners
Material I
Bar Sinks
To Main Drain
Cemb. Sink & Trays
To Curb
Dental Units
Drinking Fountains)
I
II I
Floor Drains I
I
II WATER SYSTEM
Hoppers I
I
II
Size
Restaurant Sinks I
I
I�
Material ,,' : ,
Sand Traps I
I
II
TOTAL FEES
Urinals I
I
I�
Fixture Fee
Area Drains I
I
II
Main Drain Fee
Storm Drain Fee
Water Leaders I I
II
Sprinkler Valves I I II Water Sys. Fee
II Permit Fee
TOTAL TOTAL FEE r
R COP O S TION
Partial Rough
Rough Cor&let
Final
LOT NO.
NO.
R APPLIA6�.E PERMIT
OF CUPERTINO
Date R —196 ..... Permit No._ .
CITY OF CUPERTINO Fee s,/, -,*O —
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 thereto.
Use of Premises f
qu
Owned /`--'M Zl Address. _ --
gy Address
R, AGENT
o I ATiNG & SHEET iMETAL CO Appro
"� . " ''�FLL, ;;AUF. PLUMBING INSP C' R
Type of Appliance Units Fees II
Remarks (Check d)
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates I ��
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam 'cables
Gravity~ Furnaces
Suspended Unit
II _
Floor Furnace
Miscellaneous
NAME TYPE i I
II
Appliance Fees �j�11
74 --
Inspected and ApprovedYAVA!;...41.1 ..............
DATE I
CERTIFICATE' OF* COMPLETION
BUILDING INSPECTOR'S OFFICF
r'T'rV CITZ CTTPFRTTNO
Date......... . -----------
The Building Lopa ed at ...
Owned by .....
Has Been (Altered-) For Use As: ...
Building Permit N Jl/-Z42.
. . . ..........
......................................................................... ......... I ............................................................
................................................. ........ ......... t ....... --- --- - - -------------
�
.. .............. ... ....................
I L DING INSPECTOR
102 7/59-500
4 -
,r
Cupertino Sanitary
Office Copy
1 BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO fj
Sewer Connection Sanitary Permit No..L----Y------
xPlumbing Final Plumbing Permit No. -�. .�� ..........
Lot o...C§"/.............
�2
Owner or Tenant -- -------- ---
At------� p ----------- -- -- . - --
Tract.. -- --------- ---- - _.......- ----- .....................
Date Connected --- ------------ --- -I--�---------------------- ------ 194
Date Final ---------- _.. a 7V------------- ---- ------------------- ---- ...............
19. -�?-/
PL MBING INSPECTOR
111 1/60-500