2674W Z NO. VWET
z 46
OOR BUILDING PERMIT
�0
Y ° Cl �T $ 'OF CUPERTINO
a1110186
Sanitary No.
U
_ Date 196I& -S rmit N
�o �/ (+�
LL
a 1 tioQFhe���; � (oc`'a' t
z N aL� story, Type &14 Building
aW
W
to be occupied only as
0 o in accordance with Plans, Specifications andrevlan fjled herewith.
,, 3 Estimated Value of Improvements, $ v . Fee $
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
-i all other laws applicable to the construction, location and use of buildings within the Cit of
z -- K Y
o i Cupertino will be complied with.
3�
— N%� Owner QTG ��{ Address 6 Df
LU aT By �ti,J F_ Irl1%J C? N /�J u L/ Addresse%
of
a UN Phone _ ^ _ Approved
(� h State License I J * 1z � � ILDING INSPECTOR
-��)LiNECORD OF INSPECTIPROVALS
DATION
DATF. INSPECTOR
UNDERFLOOR
FRAME
DATE INSPECTOR
DATE INSPECTOR
LATH and PLASTER
DATE�J INSPECTOR
FINAL BLDG. - a, _ � ' V kv,
FINAL ELEC.
FINAL PLBG.
FINAL GAS
LOT NO.
NO. EE
&t'04C1T'a8
O -OR PLUMBING PERMIT
I OF CUPERTINO
1963 Sanitary No.
�o
U.Y
o a Date 10— �, 196- Permit No
W, CITY OF CUPER7 � " ' Fee $ V
W
2 LL o Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> and fixtures in accordance with the provisions of the Plumbing Code o the City of
Q W Cupertino, and Aall other laws applicable thee o.
x Use of Premises
o0
� I< OwnerM".-LaLIJ
Address-
0
ddress �(
z Z\, -B � 'Address
3<
-< .- Phon
WW ` v
0 a.
2 State License. J oved
U �` RatsAasrseira$
Water Softeners
UNITS FEES UNITS FEES
Water Heater
Size
Fater Closets
- Materia!
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disuosals
TOTAL
Water Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Dental Units
Drinking Fountains
Floor Drains
WATER SYSTE:
Hoppers
Size
Restaurant Sinks
Material
Sand Traps
TOTAL
Urinals
Fixture Fee
Area ai
Crt/ Main Drain Fee
Water Leaders
Storm Drain Fee
Sprinkler V:uves
Water Sys. Fee
CC) Permit Fee
TOTAL
TOTAL FEE
RECORD OF INSPEC
Underground Rough
.Partial Rough..
Rough. Complete_.
Main Drain
Final... 1
AGE
-d
Wt0 LOT NO.
NO. STREET
LI
D CATIQN FOR GAS PERMIT
_Cl OF CUPFRTINO
ir ° I OCT 8 111
3° a Date 196_ Permit No.CU
�
_PirTxd! t Fee
Wl
A I c do OQ4
he o the City of Cupertino for a permit to install gas pipes
o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
'z and/or appliances in accordance with the provisions of the Plumbing Code of the City
a W of Cupertino, and all other laws applicable thereto.
a�t-�,�•
J LL Use of Premises
OO JJ M
3 Owner �. KeN VF IQ N A f- Address D kiwCEN `
? z% By`�J 1 NA,0F_'iv PC)04I ^Address kr
&-
0 CONTRACTOR, AGENT
3 a l S o
—m %Phone
LU
z ( ..
io %State License , Approved
u PLUMBING INSPECTO '
of Appliance I Units Fees II New
Wall Heaters
Gas Plates
Circulating Heap
Blower Furnace:
Gas Fired Boile
Warming Oven.
Percolators
Griddles
Steam Tables
Gravity Furnace
Suspended Unit
Miscellaneous
NAME TYPE
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Tested and Approved . ... �„ ..�...... ...�,1,,
ATE INSPECTOR
LOT NO.
NO. STREET
:►�. FOR APPLIANCE PERMIT
TY OF CUPERTINO
Date 0— 19631. Permit No.
CITY OF GUPERV Fees J. do
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 PremisesyZ
L
Owner _ Address /9 6 IxV nA
? ByZi4A�h ` )ddress eLa Cm" .
^^� CONTRACTOR AG NT
XPhone S� S 1 3 Approved
PLUMBING INSPECTOR
of Aurliance I Units Fees II New
wi-11Heaters
Gas Plates
Circulating Heat,
Blower Furnaces
Gas Fired Boiler
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
(NAME TYPE
Inspected and Aproved":��.-�' 7+F.1 ' INSPECTOR
/� � �0 ���e Lir • __ - • .
NO. STREET LOT NO
X07
Ur Q
T P!Y&
t"�.
R ELECTRICAL PERMIT
o
Y p �.a CUPERTICIO
s
W uLLl OCT 15 1963
=o
LL W Date rr''T � p , 195— Permit No.
a N pp iQ Y OFF y Q Hie We � " i "City
P pee .
A lI n is eb a e Ci of Cupertino fora permit to insta electrical
wiring and/or fixtures as listed on thereverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable th* eto,
o a _ [/
z _j Use of Premises
J O A-4� a X' Owner/�% Addres4ELECMCIL11
00,
W W T By �GJG�C� Addres
0 a CONTRACTOR, AGENT
a o 2 ` �y Approv
— U Phone: v' '7 '� �?S �� SPE
q, State License- _
Size Service Conduit ---------------------- Number of Outlets .................. ....
Size Service Wires --------------------------Number of Switches........----.... . 3_.-.
Size Service Switch ------------------------Number of Receptacles ............ _. _.._..
Size Sub Feed Conduit ------------------Number of Fixtures .................. __..
Size Sub Feed Wires -------------------- Ranges ................ KW .............. I ----------
RPL FEES
Number of Circuits--•-----•--••_•-_.. Oven -------------- KW -------------- -••------- ------•--- ------•-------
Num er of e ...............tgns-_----..- Transformers....._........._.Mis ------------------•------------------------- ---------- -�.Motors .....- - H .......hase.................... Permit Fee $1.00Motors .......... .......--------hale--------------'-----.%e�!Motors -------------------- HP -------hale ------... --- -- H P Charge--------------- ------- - --..
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring ---------------- ............................ Fixtures ..................... ----•---
DATE INSPECTORDATE INSPECTOR
Finish Wiring •----- --------- ------------------------
Motors ............ --- ---------------•--•----
DAT! INSPECTOR If
NS ECTOR
Final' .. - - - �I--------------J 1>
DAT INSPECTOR