262022 — QpL C ' LCIT NO.35 . _LP, 3311
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AP�LidATION FOR BUILDING PERMIT
WIG 21 156 CITY OF CUPERTINO
3 a Sanitary No.
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W,L 1) t ." � 196 3 Permit No. C:,,) F'^ � 6
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W W i Application is hereby made for a permit to FRrrCT
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z u) a encs story, Type Building
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to be occupied only as �• F • R .
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
F 3 Estimated Value of Improvements, $ 21 6OU �-� Fee $ 6loq!:2
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will be complied with.
3Q
_N Owner tec�Cc. Address�lO.S M Atli 1t Y+DH S.;►vruYU�t
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a By Address
Approved
State Licence Z\tl to.-Sce t B DING INSPECTOR
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RECORD OF INSPECTIO A ROYALS
FOUNDATION
UNDERFLOOR
FRAME
LATH d PLASTER
DAT
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FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
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INSPECTOR
DATE / INSPECTOR --
DAT
_ NSPECTOR
DATE
INSPECTOR
DATE
/1 INSPECTOR
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INSPECTOR
DATE / INSPECTOR --
NO. sTREFT
'APPLICATION FOR PLUMBING PERMIT
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CITY OF CUPERTINO
N� '!SEP 9
Sanitary No.
Date g 196s:2'Permit No.
tiV1 U.Jj—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 7�d1fi /�c' 1
0 CVJ
State License //�,'S
4 Ga
Address��
Approved'/'
PLUMBING INSPECTOR
I UNITS I FEES II IUNITS I FEES
Water Heater I / I II Size 6f L
Sewer Boxes
Waste
Wash Trays I I II STORM DRAINAGE
Washine Machines I / 1 11 Size I I
Water Softeners
Mat
Bar Sinks
To
Comb. Sink & Trays
To
Dental Units
r=ing Fountains
Floor Drains
WA'
Hoppers
Size
aana i raps I VIAL V t,')
Urinals Fixture Fee
Are- Drains Main Drain Fee
Water Leaders Storm Drain Fee
Sprinkler Vaives Water Sys. Fee
RECORD OF INSPECTION
Underground Rough... , - X
n Drain
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-2_7Z LOT NO, ----
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C N FOR GAS PERMIT
BSEP 9 1963`1 OF CUPERTINO
Da 196 3 Permit No.
C Fee• $ d
Applica 'on 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
State Li
N7�--,r..\�-k 1 srcawcry
CONTRACTOR, AGENT
X I --- C? (r,
P
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At --(Address —V)Q 6&A SO
Approve/ -L dl2 L,7 X�
PLUMBING INSPECTOR
Type of Appliance Units Fees New Replace Relocate
Gas Ranges
Wall Heaters
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
'NAME TYPE)
-s
HOUSE GAS PIPING
Number of Outlets Size of in 3
Gas Piping Fees
Tested and Approved ....
�—
'� DA E INSPECTOR
22422 Balustrol Ct.-
NO. STR LOT NO. 3 5 Plan C
a Wh LK
LICA R ELECTRICAL PERMIT
&Ile16 1963 OF CUPERTINO
Dat,V,11V-PO� �, 195— 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.
Use of Premises residence
Owner
Deep Cliffe Dev. Co.
By E 1.
E6t4T Ae-T'OR:, AGENT
Phone:
L �
Address Sunnyvale
Address
Approved
ELECTRICAL INSPECTOR
NEW RPL FEES
Size Service Conduit _____--_ `___...___-Number of Outlets------------------
--1`� _
Size Service Wires ------ ... _______-_Number of Switches________________
--
-Size
Size Service Switch.._.? ........ Number of Receptacles___________________
_
Size Sub Feed Conduit a .__!3`N__Number of Fixtures ___________________V�
:-_
Size Sub Feed Wires//_�.-.--__.__Ranges-------- 1------- KW --------------
____�____
Number of Circuits ... /------------- Oven ------ ...... KW --------------
---j-----
Number of Meters --- /.................. Signs ---------- Transformers__._.___ __________l______________-____-_-:-
,S
Misc---------- ----------�J1..---Dryers ------ J--------------------------- ----I --
-----------
Motors -•--- HP -----/9--------- Phase -------•-----------
Motors -------------------- HP -------------------- Phase --------------------
Permit Fee $1.00
Motors-------------------- HP -------------------- Phase ---------- --------- H P Charge- ------
, /TOTAL FE7
-s
OF
INSPECTION APPROVALS
Rough Wiri4�-•----------------- Fixtures ------------------ I ....................
D TE --••INSPECTOR D/At
INSPECTOR
Finish Wiring +- I --- Motors
DATE INSPECTOR /- -2
DAE7Fi - -`--- ................_•---.�......
D INSPECTOR
•� �� LOT NO. �3`5—
No. y'S BT E
i 1 PLICATIO14 OOR APPLIANCE PERMIT
- CITY OF CUPERTINO
Date ' ` `� r 196...._ Permit No. ��
Fee $ 7• G
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
n/ of Cupertino, and all other laws applicable thereto.
v
Use of Premises
v
05 Owner _ Address ,p
ByAddressG b
CONTRACTOR, T /
rr% Phone 6-� J G Approved 14
PLUMBING INSPECTOR
Type of Appliance
I Units Fees II New
Gas Ranges
Wall Heaters
I I II
I I II
Gas Plates
I I II
Circulating Heaters
I I II
Blower Furnaces
I I Uri II _
Gas Fired Boilers
I I II
Warming Livens
I I II
Percolators
Griddles
I I II
Steam Tables
I I II
Gravity Furnaces
�'uspended Unit
Floor Furnace
I II
it
Miscellaneous
NAME TYPE)
i I II
,�
I la�we II
i. Xe, -Aa,A
1 I -7.s011
Inspected and Approved.f-----------------------------
/ DA,F INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING *INSPECT'OR'S OFFICE
CITY OF CUPERTINO
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Date .......------- .__.:.,............. , 19 Building Permit No. ,'._...
The Building Located at J.,_. r �+ :.-,-----
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Ownedby .. �w rk ........ •i ,...f .....................................
Completed).F�
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Has Been` (-(Altered) r Use As:. .................. F. ...........I................
----------•-----------------------------------------------•------....._.........................................................
-----•-•...........................•-......._........__._._......._.._.
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................. ...................................... ;._..._ .._.
BUILDING INSOFCt'OR
102 7/63-500
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connectionz V -
Sanitary Permit No. ------------------ L -----------
C9lambing Final Plumbing Permit No_ .................. - J ---------
LQt Kcq.
------------- I ------------- * ------------- A .........
Owner or Tenant ...................... . .......
..................
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Tract........................................... ------------------------ --------
Date Connected .............................................. .........
..................
DateFinal -------------------------- - ------------------ 17: . ....... --------f - - - -----------
.............. POO
............ . ........ - �x
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PLUMBING INSPECTOR
111 7/63-1M