2666NO. STREET /
W 1FOR BUILDING PERMIT
Y ° D �•i"�"'� C OF CUPERTINO
o n Sanitary No. /
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o a °tc�h or ajpermit t
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to be*opcuYied &I 4
0 o in accordance with Plans, Specifications an t-Pll%filed herewith.
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F 3 Estimated Value of Improvements, $ Fee $ /C
OJ 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 Cupertin will be complied th, pp
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BUILDIN
7�$tate License BUILDING INSPECTOR
REC'�F. WSPECTION' APPROVALS
DAT INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE. INSPECTOR
LATH and PLASTER
DAT INSPECTOR
FINAL BLDG. Z
D E INSPECTOR
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
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D C OR PLUMBING PERMIT
C F CUPERTINO
OCT 3 1963 . sanitary No.
Date 196— Permit No
PL X0n her9PR% QFh kb `hFee $
Ap t th'e City of Cupertino for 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 alll�o er laws applicable ereto.
Use of Premises
Owner L'
By P 0 c
C NTRACTOR, AGENT
Phone L 3 6
date License
Address Sa4`12-
Address l� S
y
Approved
PLUMBING INSPECTOR
UNITS I FEES 11 1UNITS I FEES
Water Heater
/06 Size
Water Closets
Material
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRAINAGE
Water Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Dental Units
Water Sys. Fee
Drinking Fountains
;m
Floor Drains
WATER SYSTEM
annals
Fixture Fee aO
Area Drains
p p Main Drain Fee
Water Leaders
Storm Drain Fee
Sptinkler V:uves
Water Sys. Fee
Permit Fee (�
TOTAL
TOTAL .FEE
RECORD OF INSPECT
Underground Rough../,6 --3
.Partial Rough..
Rough. Complete..
Y1ain Drain
Final...
/ A-3 I /,�- `� LOT NO.
NO. STREET
ATION FOR GAS PERMIT
z a D G•C OF CUPERTINO
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Y° ! OCT 3 1963 S-A
°a Date 196_ Permit No.
3� �
wLL° . Fee,
WivatiD[s hG111PUTt.o,the $
City of Cupertino for a permit to install gas pipes
LL a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
r and/or appliances in actor ante with th pr sions of the Plumb' Cle of t e city
Wof Cupertino, and all nth ws a pli let reto.
w t
1 Use of Premises /tip
00
F- 3 " Uwner �' ' J t 1�_ Address
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z hgy�ae Q AddressqVQ c .—
° CO CTOR, A ENT
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— < t Phon _
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o- State License Approved
,A PLUMBING INSPECTOR
of Appliance I Units Fees II New
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
NAME T
HOUSE GAS PIPING
Number of Outlets / I Size of
Gas Piping Fees
Tested and Approved....� ...�.,�.
DA INSPEC OR
10 463 Nn R I aneV Ave
NO. STREET LOT NO
vICAMN FOR ELECTRICAL PERMIT
OF CUPERTINO
CT 10 1963 LL
Date [[ 10-28- , 195LI Permit No.
ttTT��(( Di
REV -'Fee $
Ap�lic'at�on is herade 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 (pool wiring)
Owner Richard Alt _ Address
By s^ , 11 1-1— Tti (\ n _ Address
SUN N)MAT9 CTQXJ-)%C YMN1A h` pproved �
Phone: PHONE 730-5421 Addlhk ELECTRICAL INSPECTOR
State License: 12422
RECORD OF INSPECTION APPROVALS
RoughWiring •------•-------------•--•------------------- Fixtures ------------------ -----------------------•
DATEINSPECTOR DATE SPECTOR
Finish Wiring ---•- Motors ----- ----------
DATE INSPECTOR / 'A I 1 ECTO
Final ( �► 1�►....-
DATE INSPECTOR
NEW
RPL FEES
Size Service Conduit......................Number
of Outlets ..................
....I....
1
'
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 ................... ----------•------
---------
----------
--------------
Motors---------- I........ HP -314 ............
Phase ....................
Motors -------------------- HP ------••------------
Motors
Permit
Phase ----------------- —
Fee $1.00
--------•----------- HP ---•-------
-------- Phase .................... H P Charge----------------
- ---'--------
TOTAL FEES 7�
RECORD OF INSPECTION APPROVALS
RoughWiring •------•-------------•--•------------------- Fixtures ------------------ -----------------------•
DATEINSPECTOR DATE SPECTOR
Finish Wiring ---•- Motors ----- ----------
DATE INSPECTOR / 'A I 1 ECTO
Final ( �► 1�►....-
DATE INSPECTOR