2399dos// I 172:=2��.�." •, _
mom 0 ,LOT NO. 18
NO. STREET
W zFOR BUILDING PERMIT
�0 DY ° OF 'CUPERTINO 3 �/
3a
r JUN 14 1963 sanitary No. 9
U a3�T--
_ ,L Date 196_ Permit No.
�o
LL F
a etfyatiop heVVpE tk11-permit to Erect
°
a U) a 1 story, Type 5 I J Building
W
to be occupied only as SIM
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith.
F 3 Estimated Value of Improvements, $ 19,000.00 Fee $ 60.00
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
2 oCupertino will be complied with.
3� Blossom Valle Homes, Inc.
a Owner Address
ir a By Addres
° Phon 24`-0617 '.�.��^ /to AA_ 1A
_ U ass Approv d
State LicenseBU .DING INSPECTOR
RECORD OF INSPECTIAN APPROVALS
FOUNDATION
UNDERFLOOR
FRAME
ATH acrd PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
ATE INSPECTOR
DATE _.��-y) INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .................... 1 ------- !dding Pe 'i
...........
The BuildingLo a at .. .. .............----- -
.. ...... .............. v- � ......
0 Owned by .....
... ................................... ...... .... .... . . . .....
(Comped) le
(Altertgd�.)
Use As:
Has Been For U .......
....... ..........................................................
.................................................................................................................................................
.................................................................. ( .. ........ . ........ ...............................................
.. ......... . ...........
..................................................................... . �r"L. ......
...............
102 7/63.500
/ a r// 1 431 �_QHM — �—
• t ar' 18 Plan 1420
NO- A5, EE - LOT NO.
I!►R ELECTRICAL PERMIT
VTTKINT31CITY OF CUPERTINO
Date CITY M (IP��63', 195— Permit No. ;L 0-3
Fee � // TS
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.
J Use of Premises residence
N
C
v
a Owner Blossom Valley Homes- inc, Address Sunnyvale
v '
y By -0 Address
`"e
Approved
Phone: SUNNYVALF, G:ALIFORNIA ELECTRICAL INSTECTM
PHONE 7a6 -s421
RPL FEES
---------------------
---------- -------------
.7S .
------ --------------
Number of Meters ........................ Signs .......... Transformers _...._. -I j----------
I----.-------:.
Misc--------------•-----...-----.--Dryers---/.....-----------....----------........%... �. 'S.
Motors -S--------------- HP -.� ------------ Phase ...---------....---
Permit Fee $1.00
Motors-------------------- HP .................... Phase .....---------------
Motors -------------------- HP -------------------- Phase -------------- H P Charge ......
... %.o70�
TOTAL FEE.'--� I /A
J) ffO , SPECTION APPROVALS
Rough Wiringl!_�f'��---•- -•--........ Fixtures 1---7-- - --------------•-•-----------
�}pA .- • OR INSPECTOR
Finish Wiring ... =.. N Motors
DAT[ INSPECTOR Dqr[ . INSP[OTOR
Final ---j �.'..1_�._...... I -•---- --------- --------
-VATS INSPECTOR
NEW
Size Service Conduit ------ 1r1..........
Number of Outlets__________________
--- 3__r_
'02
Size Service Wires ---------
--:--_Number
of Switches_________________
..
Size Service Switch -----
_----
Number of Receptacles ............
Size Sub Feed Conduit ------------------
Number of Fixtures ------------------
_- -.31
Size Sub Feed Wires------------------
Ranges ----_--.1...... KW --------------
-----
Number of Circuits.. ....
Oven ----- !....... KW --------------
---- �__--
i
RPL FEES
---------------------
---------- -------------
.7S .
------ --------------
Number of Meters ........................ Signs .......... Transformers _...._. -I j----------
I----.-------:.
Misc--------------•-----...-----.--Dryers---/.....-----------....----------........%... �. 'S.
Motors -S--------------- HP -.� ------------ Phase ...---------....---
Permit Fee $1.00
Motors-------------------- HP .................... Phase .....---------------
Motors -------------------- HP -------------------- Phase -------------- H P Charge ......
... %.o70�
TOTAL FEE.'--� I /A
J) ffO , SPECTION APPROVALS
Rough Wiringl!_�f'��---•- -•--........ Fixtures 1---7-- - --------------•-•-----------
�}pA .- • OR INSPECTOR
Finish Wiring ... =.. N Motors
DAT[ INSPECTOR Dqr[ . INSP[OTOR
Final ---j �.'..1_�._...... I -•---- --------- --------
-VATS INSPECTOR
r
LOT NO. /
A a6'OF
APPLN FOR GAS PERMITlJUN 1� 196 CUPERTINO
Da- C11A1�, Permit No.
33%
Fee $ O_
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��^i✓'-�.�
Type of Appliance I Units Fees II
Remarks (Check d)
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
v7SuiDend4Unit
' Miscellaneous
NAME TYPE
Inspected and Approved ............:......
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Tested and Approved ............................
TATE i SPECTOR
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CdPERTINO
Sewer Connection Sanitary Permit No. ................
Plumbing Final dumbing Permit ............
Lot No Jl ...................
Owner or Tenant ...... ....... ------
----------
At ...... o ------t
----- - --------- .. .... ..... . ... . ......... ..... ........................
. ............ . ..........
Tract ---- ....................... ... ....
DateConnected --------------- --------------------- --- ----- ...................................... 19.
Date Final .. ..... --------------------------
---------------------------------------------- .. ...
--- --------------- -- ...
PLUMBING I N SdCC R
III 7/63 -IM
LOT NO,
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
196-3 Permit No.
Fee $ 7 ?
�1 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.
v
N
C
Use of Premises
v
C01) Owner (/ _ Address
By Address //✓000
CONTRACTOR, AGB
Phone S`' Approve vein
PLUMBING INSPECTOR/J`
Type of Appliance I Units Fees II
Remarks (Check J)
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
" Suspended Unit
II
Floor Furnace
Miscell eous
NAME TYPE i I
II
pp lance Fees
Inspected and Approved/- .-7- -3.- ...... - --------------................
D TF INSPECTOR
PPLICATION F(DR .PLUMBING PERMIT
W Z UN 13 jj'Mi' OF CUPERTINO
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Sanitary No.
Date Y Cb' 1964 Permit No
LR'
Fee $
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 other laws applicable Ahereto.
Use of Premises
(ON' RACT�R, A W
Phon
State License
Approved
PLUMBING INSPECTOR
UNITS I FEES 11 1 UNITSI FEES
Water Heater
Water Close
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRA
Washing Machines
Size
Water Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Dcntal Uniis '
.Partial Rough..
Drinking Fountains
'1"oor Drains,
WATER SYSTEM
,Hoppers
Size /
Urinals
Fixture Fee
d
Area Drains
Main Drain Fee
P
Water Leaders
Storm Drain Fee
Sprinkler valves
Water Sys. Fee
Permit Fee
►p�
TOTAL TOTAL FEE
RECORD OF INSPECTION
Underground Rough... — s
.Partial Rough..
Alain Drain;'_ tCi'
Final—