22let) J o I G 4 ALL`(
Lor No.
ET
'"APPLICATIQN FOR BUILDING PERMIT
Yir
°LL ?fMAR 2 8 1963 Cft OF CUPERTINO
�
O a anit4ry No.
W" cod .
= LL Date ,,� 06� �rmlt 0.
LL o A plication is hereby a or a permit to—/ A1,5 rAL.t~ J%AS j"iC S� GN
oQ
z U) a story, Ty i ding
a1.W
W
to be occupied only as--
_j
s A i� -+ Q
o_ o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> N
- 0
3 Estimated Value of Improvements, $ dC ' Fee $_4A
i J It is hereby agreed that the requirements of the Cupertino Building and Zon g Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3 N wner1J00 t tV(��D LL.C-r4a'GRS Address
W yi,° d 4 D&1Zi-%(TE A) C-Ot4 00017 Address `� /�
Phonea ` 3 0 b
Approve
��� ".LD.NGNSPORState License
RECORD OF INSPECTION APPROVALS
FOUNDATION
[%IF INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
�
r?
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
100 l U r� d `i
NO. STREET LOT NO.
rfik14Q0'1X F64 ELECTRICAL PERMIT
IMAR 2 8 19b` CUPERTINO y
Date pi g—
P
Permit No. -
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.
a, Use of Premise'
N
C
Owner 0 0 0t c -u A P �? C l_ t Ar -r" -. Address /n D Gi / /J 1([ •' j
' •� Address � AAI
CONTRACTOR, AGENT c
Approved
Phone: (� % ELECTRICAL INSPECT
NEW RPL FEES
I
Size Service Conduit ......................Number of Outlets ------------------- ---------- _
Size Service Wires .......................... Number of Switches---------------- ---------- ----------
I... --.----.-_-
Size Service Switch........................Number of Receptacles ............ .......... _...___.................
Size Sub Feed Conduit ------------------Number of Fixtures .................. .......... .......... ..............
SizeSub Feed Wires -------------------- ................ KW .............. .......... .......... ..............
Numberof Circuits ------------------- Oven -------------- KW .............. .......... •-•--••---..............
Number of Meters ........................ Signs .......... Transformers -------- I-.---.---. ---------- --------------
Misc------------------------------------------------ Dryers ---------------------------------------- -••--•-•-----------------------•--
Motors -------------------- HP -------------------- Phase --------------••---
Motors .................... HP -------------------- Phase ---------------.- Permit Fee $1.00
---
Motors-----••------------- HP .................... Phase ----- ......... H P Charge......... ------ --------------
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring --------•-•---------------- Fixtures ---------------------- -- --------------•-------
DATE INSPECTOR DATE INSPECTOR
Finish Wiring ----- •---- ----- ._. Motors
g - ------- -------•-----
DATE INSPECTOR IT_
% PFinal . �....f�- -- -------
INSPECTOR
Cal)Q
NO. STREET LOT NO.
P ELECTRICAL PERMIT
® CUPERTINO
�JAN 3 0 9963 �
Date , 195— Permit No. 8
c bl Q M"AUP'tst Vi Fee
Appli�s h Eby tna i 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. \
v Use of PremisesQ C� Sv4
C
Owne Address
u
y y Address
:a:ACTOR, AGENT
Approved
Phone. ELECIiK�i IIiilfQOR
NEW
RPL FEES
Size Service Conduit ----------_---------- NuTb.er of. Outlets.._.-_-._.-___-_.- -- IV ...
..........
... qQ .....
Size Service Wires ----_-------------------
Size Service Switch .......... ............
Number of Switches--.----.-.--_--_ ---
Number of Receptact es ............ ... :
�
.........
..... q—Qs
Size Sub Feed Conduit ------------------Number
of Fixtures------------------ --- --
----------
----�.
SizeSub Feed Wires --- - -----------
_-Ranges ................ KW .............. ...... ...
...........
..............
Numberof Circuits ...................
Oven .............. KW .............. ..........
..........
..............
Number of Meters ........................Signs_......... Transformers_.._._._ ..........
..........
..............
Misc------------------------------------------------
Dryers ........................................ .. ------- I
----------
---_---------
Motors -------------------- HP -------------------- Phase -------------------- Permit
Motors-------------------- HP -------------------- Phase --------------------
Motors -----------_------ HP -----------_------ Phase ......... ---------• H P Charge ----------------
Fee
$1.00
4\
1 . 4 V-7
TOTAL FEES
OF INSPECTION APPYLAL
W. OV
iring ... ......... Fixture
Rough . ...... - -----Fixtures
Tc
INSPECTOR
..
.................... Motors J.j . ..
. ..........
Finish Wiring. I.
/DAT
---- ------
--------------- ----
PECTOR
........ .............
....... ............
A
INSPECTOR DATE
Final.......................... ----------------------------
INSPECTOR
DATE
INSPECTOR
Lor NO.
NO. STREET
APPLIC tON FOR PLUMBING PERMIT
z a '"1. �. CITY OF CUPERTINO
UJ Z r' / s �-
0
Y 0 Sanitary No.
a Date�� + �:� ,, `7 q6_ Permit No L
U
= LL _ Fee $
LL 0 Appliisb ?trrahe City of Cupertino for a permit to install plumbing
..
LL a pipes an : on the reverse side hereof, and agrees to install said prices
> and/or fixtures in accor nce with the provisions of th Plumbing Code of the City of
Q W Cupertino, and all of er laws licable thereto.
w x
w I
LL Use of Premises
0 0 / I /
oa Owne ` �� '� �/', Address lj�,�y — � ��aL
z J /
J z By a- Address
3 CONTRACTOR, AGENT
U<) Phone F
W
ao State License, �� Approved
—U
PLUMBING INSPECTOR
UNITS
FEES UNITS FEES
Water Heater
Size
lX'ater Closets
Materia!
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Nash Trays
STORM DRAINAGE
Washing Machines
Size
'eater Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Dental Units
Partial Rough -
Rough Complete..
Drinking Fountains
Flour Drains
WATER SYSTEM
Hoppers
11 Size
Kestaurant Sinks
Material
San Traps
TOTAL FEES
Urinals -
Fixture Fee
0-0
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
Sprinkler Vcuves
Water Sys. Fee
Permit Fee
TOTAL
• ,0O TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough -
Rough Complete..
Main Drain
Final..."—
LOT NO.
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date �� 196:x._ Permit No.
Fee $�Z2
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 al other laws a plicable theretci,,e, )Z
r
Use of Premises
u
iX Owner _ Address
By r Adder
�., CONTRACTOR, AGENT
Phone -✓� 1 Approve
PLUMBING INSPECTOR
of Appliance I Units Fees H New
—Will–IR -eaters
Gas
Circulating Heaters
Blower Furnaces I I II f I
Percolators
Ided Unit C
Furnace I I
NAME TYPE
Inspected and Approved ....................
F. INSPECTOR