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1244NO. LOT, NO. 6a f"APPLI,C4AT GI FOR BUILDING PERalT { JUL b 1. OF CUPERTINO O Date 1 �� Permit ca is permit a _C_ story, TYPe Building at to be occupied only as— an�•P in accordance with Plans, Specifications and Plot -Plan filed herewith. Estimated Value of Improvements, $ /,5:0Dd — Fee s 1146—W v [ It is hereby agreed that the requirements of the Cupertino Buildingand Zoning Ordinances and all other laws applicable to the construction, location, and use of uildings within the City of a Cupertino will be complied with. �p �+ ON f� fJ By AGENT I Address - GAO 3 Addres��BUIID /i 3 goo Approv ING INSPECT R RECORD OF INSPECTION APPROVALS FOUNDATION •� �o DA' NSPECTOR FRAME DAT INSPECTOR =LATH d PLASTER DAT INSPECTOR FINAL BLDG. DAT INSPECTOR FINAL ELEC. DATE INSPECTOR FINAL PLBG. DATE INSPECTOR FINAL GAS / 7 Dd(TE INSPECTOR CERTIFICATE OF 'COMPLETION BUILDING INSPECTORS OFFICE CITY OF CUPERTINO Date -- ------------------------- 19 --- ----- Building Permit No. ............. The Building Located at ---------------------------------- --------------- ............... ........... ------------------------------- .............................................................. Owned by ....... .. (Completed) HasBeen (Altered) For Use As: ........................................ I . ........................................ /I .................... .......................................................................................................................... ----------------------------------------------------------------- I ----------------------- . . ............................................ ....................................................................... 102 4/61-500 BUILDING INSPECTOR a ln�z NO. STREET E'y�4"t�FOR GAS !��j' O� CUPERTINO � AUG 2 n1l {.,, � Permit No. LOT NO. %Y PERMIT Date 2-3 / — 6 , 19�_ CITY OF CUPERTINO Fee $ --2 . 00 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 v n Owneree zde� Address yAddress -"'7 CONTRACTOR, AGENP Phone Approved PLUMBING INSPECTOR Type of Appliance I Units Fees 11 New Wa11 Heaters Gas Plates Blower Furnaces Gas Fired Boilers Warming Ovens Percolators Griddles Steam Tables Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous NAME TYPE Appaance tees I 1 11 Inspected and Approved ------------------ ---- ......... ----------- DATE INSPECTOR HOUSE GAS PIPING Number of Outlets ,� Size of Main Gas Piping Fees �. oa Tested and Approved .. ,/ /.?..(P�.. �... ... ........................ DATE INSPECTOR LOT NO. NP � T Milo ATIF �APPLIANCE PERMIT �t7 �I C F CUPERTINO Date 174?- Permit No. � Fee $ S 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. H / Use of Premises ------ En OwnerAddress A— Y DIVISION Address ANG &SddEfii��Mf�tL��Q?�' /1 1. n UNN�YOAKS AYE.,, CAMIPSEL�, CALIF Approv PLUMBING INSPBC Remarks (Ched 0 T ype.of Appliance I Units Fees II New j Replace Relocate Gas Ranges Wall Heaters Gas Pates Circulating Heaters Blower Furnaces Gas Fired Boilers Warming Ovens Percolators Griddles Steam Tables Gravity Furnaces Suspended Unit II Floor Furnace �� / 0✓ �/ I ���./J��%l K LOT NO. NO. STREET 1 I FOR PLUMBING PERMIT' �) r OF CUPERTINO Date �-� v' 9�— Permit No. A�T��(( ((�� I P D N r� Fee $ ic�atio,Q herV0 tna�e tolflieuCity 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 ���( P-4 cu Owner,: �-� 9 �*�� Address By Address a' fCONTRACTOR, AGENT Phone t — 3 Approved PLUMBING INSPECTOR i I UNITS FEES UNITS FEES Water Heuer f II Size Water Closets 1a �� Material C� , Bath Tubs f To Curb Showers 4 f 11 To Prop. Line Lavatories I 1 II To Existing / I / I ti Dish Washers Fixture Fee I ,- Waste Disposals Main Drain Fee Wash Trays STORM DRAINAGE Washing Machines I / �I Size Water Softeners 11 Material I Bar Sinks To Main Drain Comb. Sink & Trays Dental Units Drinking Fountains To Curb Floor Drains Hoppers I I� WATER SYSTEM jl Size / Restaurant Sinks ':Material � I Urinals Fixture Fee I ,- Area Drains Main Drain Fee oma, Water Leaders Storm Drain Fee Sprinkler Varves II Water Sys. Fee / o0 I� Permit Fee TOTAL , TOTAL ]FEE �S RE ORD, OF INSPEVrION Partin' high RoughCfl�lete r Cr• -rtino Sanitary Offi,;:e Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Fj Sewer Connection Sanitary Permit No........... © Plumbing Final Plumbing Permit No. .................. i Lot No- ----- U.'Z....---------- Owner or Tenant--------- v---- Tract...................... G?$1------------------------------------------------------------------------- Date Connected /----•------------------------------------ DateFinal-------------------------------------- /*............................... -................. 19. .... ........ ................................... UMBING INSPECTOR 111 1/60-500 NO. STREET LOT NO. dry ELECTRICAL PERMIT � z C F CUPERTINO Date. Permit No. CITY OF CU PERTIRO Fee S % Z ZJ App ication 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. H Use of PremisPg [ ;a Owner(24,9 ��d Address By 11L Address `d CONTRACTOR, AGENT Approved I ` Cj Phone: %T L d ` (! 0 G Z / ELECTRICAL INSPECIVI 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 .... 4........ KW ---.---------- NEW RPL FEES --1--7- .........I ..-1-/--L� i.7-- ----------I --.-C-7D . . •......... .... D ---------- ----•---•• ........ Number of Meters ------------------------ Signs ---------- Transformers ........ .................... ------------ .. Misc------------------------------------------------Dryers---I------------------------...-•-----••-•-------.......... ....... 7 - Motors ....=�-•----------- HP -------------------- Phase - --•------- ------- Motors -------------------- HP .................... Phase -------------------- Permit Fee $1.00 Motors -------------------- HP -••--•-•----•------- Phase -------------------- H P Charge-----------------�-------�- r TOTAL FEES 112-25 INSPECTION APPROVALS Rough Wiring1V Fixtures I- DATE INSPECTOR DATE INSPECTOR Finish Wiring----------------I.....................•--.otors ..... -- (---------•--- DATE INSPECTOR DATE Final �z �� -.h-I ----- D 9 INSPECTOR