298i LOT NO.
NO. STREET
2!1' 5 5 APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date X'e� i 195. Permit No.
Application is hereby made for a perm' 0-
a story, Type Building
at
to be occupied only,
in accordance with Plans, Specificati s a d Plot -Plan ed herewith.
C
v Estimated Value of Improvements, $ Fee $ ��-
N
v It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
' all other laws app cable to the const ru� Ion, location, and use buildin within the City of
Cupertin mplied,Nth.
v, Owner Address
By A Address
TRA O A T
% 'N 4 _
Approved /- 1 'Phone �_ c r
BUILDING INSPECTOR �J
RECORD OF INSPECTION APPROVALS
FOUNDATION
FRAME
_
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
A
FINAL PLBG.
INSPECTOR
3.
INSPECTOR
I
TE I ,/ INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
FINAL GAS
DATE INSPECTOR
/ Q 5-,5-Q ILOT NO. T �ivv-c.+
.� 7.Pftfc °ION FOR BUILDING PERMIT
6
1
0 PITY OF CUPERTINO
IMAR �
ate___ /� t4 1 �L Permit N
C' -t ppjilitic,4 4 Wettf��i pry",.for a permit to
a story, Type Building
at
to be occupied only a
in accordance with Plans, Specifications and Plot a8 filed herewith.
Estimated Value of Improvements, $oO�
0 C
Fee $ ��
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, /�� Address /pO
By Address
CONTRACTOR, AGENT
Approv
Phone (V ?/
BUILDING INSPECTOR
y RECORD OF INSPECTION APPROVALS
wAo -
ATE %� INSPECTOR
t
FRAME
DATE INSPECTOR
LATH and PLASTER
D TE
INSPECTOR
FINAL -
D TE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATE
INSPECTOR
N
V
! -16xe LOT
NO. STREET
IC 10N FOR PLUMBING PERMIT
D.
' 'CITY OF CUPERTINO
NAR 16�6o
`
Vr i
ate 19 Pe m t No. �L _ —
400
CITY OF CUP ERTINO 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 thereto.
Use of
Owner
By
CONTRACTOR, AGENT
Phone--'Z� /7 Z
Address Ile S O
Address 97(1
,4
PLUMBING INSPECTOR
I I UNITS I FEES II 1 UNITS I FEES
I Water Heater I 1 II J1Ze I I
I Water. Closets i 1 II Material I I
Lavatories To Existing.
Kitchen Sinks Not Conn.
Dish Washers SEWER soxES
Waste Disaosals I 1 II 1 1
ater
tsar 3inxs I I II io Main ijratn I I
Comb. Sink & TraysTo Curb
Dental Units I I II I
ins
Floor Drains I I II WA
Hoppers
urinals
111 Fixture Fee
Area Drains
I / 1/0011 Main Drain Fee
Water Leaders
I I II Storm Drain Fee
Sprinkler Varves
I I 11 Water Sys. Fee
TOTAL
/ OO I Permit Fee I I. o O
I I II TOTAL REE To O
RECORD OF INSPECTION
Partial Rough
Rough Complete
Finals
_NO.m STREET LOT NO. -
APP ON FOR ELECTRICAL PERMIT
OF CUPERTINO
Datc i.195— Permit No.
Fee
A ��nW�er '��' it of Cupertino fora permit to install electrical
wirig aroivYSxtu Ps I� he reverse side hereof, n d 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
Owner
By
CONTRACTOR, AGk9T
Phone:
Address'
Address
Approved
ELECTRICAL INSPECTOR
NEW RPL FEES
Size Service Conduit ----------------------Number
of Outlets ------------------
-------
._..
------
Size Service Wires..........................Number
Size
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--------
---------
---------- --------------
Misc------------------------------------------------
Dryers ------------------- ------------------•-
----------
------------------------
Motors _.�- -- -•--- HI' --------------------
Motors- '�' ` HP -----------------
Phase --------------...... Permit Fee $1.00
m
Phase .....
H P Charge
Motors...----•--------- HP --------------------
Phase ---•------------•--- ................
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring •------------------------------------------- Fixtures ---------------------- ----------------------------
DATE
INSPECTOR DATE INSPECTOR
FinishWiring ................ ......................... otors ........ ,..... .-• ...... �...... ° -•-•- ----•-•---
DAT[ INSPECTOR L/�`TV NSP�TOR
Final k w_c
.... :.
IN
T[
1-,--IFe undersigned do hereby certify that I
the owner and occupant of the single family dwelling at
for which I am making
,application to do work as a home owner.
I also certify that I will not hire any non licensed
or contractor, but will do this work myself.
TELEPHONE IRMER SIGNATURE— " I
r,EUjKU Or IMPEU11ON APPROVALS
RoughWiring ................ ............................ Fixtures ...................... ............................
DATE DATE INSPECTOR
FinishWiring .......... ---- ....... . ............... ........ ...... .... ...........
DATE INSPECTOR i:rS
.. / - ��. ...................
TIE
I3 OR
NSPZCTOR
/ ✓ U ( LOT NO.'-
S
D A 1fh1TOF
ON FOR GAS PERMIT
(A P R 14 4060 CUPERTINO
I19-0
v
N
C
v
2]
Permit No.
a
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. _ n `
Use of Premises
Owner �r — Address �� �7 �L,�, �•
By Address
CONTRACTOR, AGENT
Phone a Approved
PLUMBING INSPECTOR
Gas
of Appliance I Units Fees 11 New I Replace I Relocate
red Boilers
ng Ovens
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
NAME TYPE)
Inspected and Approved ...........:...:........ ............
DATE. INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Tested and Approved '.............
"ATEINSPECTOR
v . . I
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........................................ 19*1—f-- r-- Building Permit No . ......................
TheBuilding Located at .................. ------ .......................... ........................................
Ownedby .................................................................................................... ..........................
(Completed)
Has Been — (Altered) For Use As: ..................... I- . -- ...........................................
................................................ ...............................................................................................
............................................................... ............. .............................. ........................... .......
........................................................................
BUILDING INSPECTOR
102 7/59-500