105LOT NO
NO. STREET Il
W z APPLICATION FOR BUILDING PERMIT
�Ir
Y ° CITY OF CUPERTINO
cr
o a t Sanitary No.
W
_ LL Date 196_ hermit No
r °
LL W
oQ
Applicat'on is hereby mad �Permit t-
Y) V 11 �`YPCSMlB 'ding
W ! /
W
to be occupied only as
ii o in accordance with Plans, Specifications and Plan filed herewith.
>(n3 0
F 3 Estimated Value of Improvements, S -_ Fee,
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, IocatioQ, and use of buildings within the City of
o Cupertin complie wi�li�
3 a Owner
-S Address , U 7 Sym
(L By XAddress 41716O
of
0 X Phone c 70 o APP roved
9
State License �` �� BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
UNDERFLOOR
DATE INSPECTOR
DATE INSPECTOR
FRAME
DATE:
INSPECTOR
LATH and PLASTER
D E
/
�
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
-NO. STREET LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
CITY jOF CUPERTINO
t
Date DEC IS 11966 195 Permit No. OQ
Fee $ 0 0
Application 6s herci1 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 Premises ` kl,
Own i
-lBy CO`CT a,�.A_GENT ^ '
l— f ,°pax �llA
Phone: G 704 .
'XState License!
Address— `� a' 2"" t-r—C
'\Address
Approved —_
ELECTRICAL INSPECTOR
Y NEW RPL FEES
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 -------- ../-...---------- --------
Misc------------------------------------------------Dryers ------------------- --- 1 •.3Z�
Motors------•------------- HP-------------------- Phase--------------- ----_ Permit Fee $1.00
Motors.................... HP-------------------- Phase -------------------
Motors .................... HP--••---------------- Phase ------------- H P Charge ---------------- --------------
TOTAL FE A N3`0()
RECORD OF INSPECTION APPR ALS
Rough Wiring---------------- I---------------------------- Fixtures
- --------------------
DATE INSPECTOR DATE INSPECTOR
Finish Wiring----------- I------------------------- Motor -- j....................
DAT! INSPECTOR / ... ..R -
Final ------------ 111---../(i/...I.
DATE INSPECTOR
a
14
ME
LOT NO.-
N&
/^ T f
APPLICATION FOR GAS PERMIT
AUG � 1 1951ITY OF CUPERTINO
Date`�'� - M 0 A�96 L� Permit No. � O 0 2-jVill r�
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
�i
Owner.
By 119VV14
CONTRACTOR, AGENT
Phone X / E 3
Address y'ZL1afiey .I`ve
Addre9��
C'
Approved T J : �-:,r
PLUMBING INSPECTOR
Type of Appliance
I Units Fees II
Remarks ( Check I)
New Replace Relocate
Gas Ranges
\} O Heaters
Gas Plates
Circulating Heaters I ��
Blower Furnaces ��
f
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
�)
Gravity Furnaces
Suspended Unit
II
Floor Furnace
Miscellaneous
i
NAME TYPE) I I
II
Appliance Fees
Inspected and Approved ...............
DATE. INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main I , .t -
Gas -,Piping Fees
Tested and Approved ....................... I...............................................
DATE INSPECTOR
�(/'� /, ✓ i^ /�//eV LOT NO.
Q S E
D
APPLICAFOR PLUMBING PERMIT
IMAR 2 8 1963 TY OF CUPERTINO
a
v
14
It
l , 19$—�-1 Permit No. Q q
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 Premises
By.
Ph
r11— A1701,-ii4
CONTRACTOR,
V
FIXTURES NUMBER
MAIN DRAIN
UNITS I FEES
UNITS I FEES
NVater Heater I
Size
Water Closets
Material
Bath Tubs
To Curb
Showers I ��
To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Waste Disposals
Wash Trays
STOR ' DRAINAGE
Washing Machines I . I II
Size I I
ater
Comb. Sink &
Dental Units
ns
0
VATER
Size
Material
Urinals I
111 Fixture Fee
Area Drains
I 11 . Main Drain Fee
Water Leaders
Storm Drain Fee
Sprinkler Valves
11 Water Sys. Fee
_ RECORD OF INSPECTION
Partial Rough
Rough Complete
Final