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W z p APPLICATION FOR BUILDING PERMIT
ir
r0 ITY OF CUPERTINO
o FEB 21 53
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Sanitary No.
DateX1� (� :1/i �� l � G L�`, 196_ Permit No.
('
't Tl catiMl is permit to
a story, Type — L L%�S C' uilding
to be occupied only as O
0 o in accordance with Plans, Specifications and Plot -Plan filed here
F3 Estimated Value of Improvements, $ � '- Fee
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, aA use of buildings within the City of
2 0 Cupertino will be complied with _
3 a Owner /q N �A VT Address
-U)
W z
W W
a y - Address
�
a U Ph°n //// 7r Approved
State License (�.?C�-%%C�S� BUIi ING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE.
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DANE/
INSPECTOR
FINAL BLDG.?
`sw�
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
ti
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATE.
INSPECTOR
NO. ST T LOT NO.
AM
V POR ELECTRICAL PERMIT
T11FEB 21 19 1 of CUPERTINO
Permit No. /9//
Fee S'—?,
aq
Dat ), 195—
Ujjj E
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, Aad all other laws applicable thereto.
_ � � � •.. - fir. � r
.,
' NEW r.PL FEES
Size Service Gonduit.--------------------- umber 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- — ---1-=-`- ---------- ---------- --------------
4
Number of Circuits -------- --------- Oven - ------------------------------------------------
Number of Meters --------------------Signs /-..-. Transformers---/- ---------- ---------- �!-0v
Misc.--------------------- --------------- ------- Dryers ---------------------------------------- I ---------- I ---------- I --------------
Motors --------------- ---- HP ----------- -------- Phase -------------------- Permit Fee $1.00
Motors--------------- ---- HP -------------------Phase -------------------
Motors-------- - - HP -------------------- Phase -------------------- H P Charge ---------------
_
TOTAL FEES '
RECORD OF INSPECTION APPROVALS
RoughWig - ------------------------------ Fixtures ---------------------- ------------------
DATE INSPECTOR DATE INSPECTOR
FinishWiring --- — - -------------- Motors ------------- ---------- ----------------------------
DATE MWECTOR DATE INSPECTOR
Final-------------------------- ------------ --------------
DATE INSPECTOR
LOT NO.
NO.
U � . 1 � AOR 'GAS PERMIT
JUN 7 196
'. CUPERTINO
Date_/ 1 Permit No.
CITY OF CUPERTINO 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 Prem' es-Z—au'PA
��
Owner Address
By Jqe w Address
CONTRACTOR, AGENT
Phone C4111— Approved
PLU ING INSPECTOR
Type of Appliance
I Units Fees II
Remarks (Check 0
New Replace Relocate
Gas Ranges
Wall Heaters
—Gas,- Plates l 1 11
Circulating Heaters I ��
Blower Furnaces
Gas Fired Bgilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
II
F16& Furn ce
Miscellaneous
NAME TYPE) I I
II
Appliance Fees
Inspected and Approved ............. :.:!....................
DATE. INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main
Gam Piping Fees
Tested and Approved .. _. A�- .-- - -- •- - - . . ••---
AT INSPECTO
�a
v
�.T LOT NO.
NO. srREET
,*"Ll TION FOR PLUMBING PERMIT
c OF CUPERTINO
if
DatZINW111 %2 ,' I Permit No. A�T"----7
AVIT��YY FF ��� T(NO Fee $ ��
CytioPF he ; e 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
jOwner a J��e"j '0 -4t
B �d d
CONTRACTOR, AGENT
hone
Address
Address
Approved
PLUMBING INSPECTOR
I UNITS I FEES II 1 UNITS I FEES
ater Heater
ater Close
Hath 1 ubs I I II t o l.urb I 1
Showers To Prop. Line
Lavatories I I II To Existing
Dish -Washers �� g�wrEB.�oICES
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners 11 1 II Material I i
nar JmKs I I II i o main uram I I
Comb. Sink & Trays To Curb
Dental Units I 1 II Imo_
Drinking Fountains
Floor Drains
WATER SYSTEM
Hoppers
Size
Restaurant Sinks
Material
Sand Traps
Uiinals
TOTAL FEES
Fixture Fee
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
Sprinkler Vaives I
I II Water Sys. Fee
Permit Fee
TOTAL
Cy311 TOTAL FEE 62, t Q0
RECORD OF INSPECTION
Partial Rough
Rough Complete
Final
NO. STREET LOT NO.
APPLI ELECTRICAL PERMIT
�IIPERTINO
Date
Nov 7 1962
off
wiring
licat and fixtures as listed Ler
wiring and/or fixtures in accordance with the�i
City of Cupertino�d all other laws applic
Use of
Cuper
se si
pro
able
Permit No. '
f i �►
Fee
tino for a permit to install electrical
Sid
hereof, and agrees to install said
visions of the Electrical Code of the
thereto.P"'." - -� —rj
�
Owner
Address
By Address
NTRACTOR, AGENT
Approv ~
Phone: // ELECTRICAL INSPEaM
NAW RPL fEU,$-
4 _! - I , 1 7
Size Service Conduit ......................Number of Outlets-.-..____------__ ------------ - ;.L ---- ---------- I
7'()
Size Service Wires_______ ------ Number of Switches ...... : --------- ---- 7 -- ---------- -------------
% 8o
Size Service Switch ......................... Number of Receptacles------__-_------------- ---------- -----!-----
Size
--- t ----
Size Sub Feed Conduit ------------------ Number of Fixtures_._-..-___-_--.-__ -------- - ---------- _-_-__________
Size Sub Feed Wires ... . ............... Ranges ................ KW_-------_..------------- ---------- -----------_
Number of Circuits................... Oven .............. KW -------------- ------
Number of Meters ........................ Signs ---------- Transformers ........ -------- _1 ---------- ------------
Misc------------------------------------------------Dryers--------------•----------------------------------- ---------- --------------
Motors _._.:_,/_•_-------- HP --_---------------- Phase -•----=-----------
Permit Fee $t.00
Motors -----------------_- HP -------------------- Phase --------------------
Motors -------------------- HP -------------------- Phase -------------------- HP Charge--------------- - I- i_�,
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring ................ ...... -------------------- Fixtures
NSPECTOR E NSPECTOR
Finish Wiring sa-, otors�& .......... ........
DATE INSPECTOR Final wftE ..... CTOR
tFinal ZS .... DAT! INSPECTOR .......