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NO. STREET '
APPLICATION.- FOR .BUILDING PERMIT
CITY OF CUPERTINO o 0
Sanitary No.
Date /aZ 1963 Permit No. 2 Z U
Application is hereby made for a permit to «E -C 7
a / Z story, Type _ S " " a Building
to be occupied only as ✓n r��vrti.�: �i mei ��
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 10• WE Fee $ 6'
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
Owner 2172' Coet4rVd Address 6-6-6 OX
State
3 -
Address
Approved
BUILDINGINSPECT
RECORD OF INSPECTI PROVALS
��-
POUNDATION
DATE INSPECTOR
UNDERFLOOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
CERTIFICATE OF COMPLETION
BUILDING I&SPECTOR'S OFFICE
CITY OF CUPERTINO
7?
Date--- I--
........................................... 1 10.—,
.......BuI!ding Permit No.. - ...= ::
The Building Located at .... ................ ................. ........
.......... . ..........................................
Owned by ...............
(Completed)
Has Been For Use As: ..... .............................. ......................
(Altered)
............................................................................... ........ ............ ..........................................
.4 ....................
................................... .......................... ..... .... .................
------------- �
...................................................................
BUILDING INSPECTOR
102 1/63-500
10413 I Blaney Ave.
NO. STREET LOT NO. 2
Plan 30
APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
Date
51963 r 4
'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
t( City of Cupertino, and all other laws applicable thereto.
J Use of Premises residence
N
C
Owner Di tz—Crane Address n Jose
v
;d By Address
olt
CONTRACTOR, AGENT
Approved
Phone: ELECTRICAL INSTBCI
NEW -RPL EES
Size Service Conduit ---- l..`�_-------- Numbe: of Outlets__________________ __A._ --_..._.-_ ...
I
Size Service Wires ___.__v_..._Numtier of Switches________________ _ !- ...........
..//
�Size Service Switch ----- ZM...... Number of Receptacles ------------ �X____________ _`
Size Sub Feed Conduit ------------------ Number of Fixtures .................. ... .!.........._.__ ...l:....J
Size Sub Feed Wires --- ---------------- Ranges ........ -----. KW .............. ..... I.... .......... .....7...
Number of Circuits ...... Oven ------ l....... KW .............. ..... t... .......... .....--
Number of Meters ..... ................Signs__.._..-__ Transformers --------
+---------_ --------------------
--------------
Misc---------------------------------- Dryers ........................................ I---------- ---------- --------------
i
Motors ................ HP.;t -;t ----------- Phase -------------------- Permit Fee $1.00
Motors.................... HP -------------------- Phase --------------------
Motors---•---------------- HP --•----------------- Phase ----- - -------------- H P Charge -
TOTAL FES —
RECORD OF INSPECTION l
Rough Wiring -----•---- Fixtures(
ATE CT
D 5 ECTt ----- OR -
Finish Wiring .� _ _�. _._ otorsu.CT
DAT INSPECTOR D S EOTOR
Final ......... ........
D E INSPECTOR
ELECTRIC SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITE` OF CUPERTINO
To------•-•--•---------- ---••-- 7 1---7- ---• 19E�.
You are hereby auth 'ze to n ct ELECTRIC service foi-
Owner or Tenant /
:---- ---------------------------------------------------- ------
At ....... -- "r ....... _ - --- --
-- --
No. of Wires cz:�) --.-- ----- Size of Wires .:................ Size of Switch
Motor Load ------------------------- Voltage ................... -------- --- Phase -------------------- ------------Q
Heating Load ---------- ----------- K. W.. Voltage ..../onnect
--------------- ------
rLight ..... --•....... -.-N� ew Sery 'e--------------R
No. of Meters ....._.1---........ Heat .--- .......220 .___....._.Three ire ..... ............ f v Service -------
No. of Add. Meters .--------.`power ... T e ase
- o� et r ----------
4V
` ---, & f
/ ELECTRICAL INSPEQTQR 1
104 7/61-500 v �/
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LOT No. C2
NO. STREET
APPLIC IQN FOR GAS PERMIT
CITY OF CUPERTINO
t T
Date 196— Permit No. 'A� (0- Q
Fee• $ l
Apoitati6d is hereb� &1de 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 Mplicable,;hereto.
Use of
By.
A
Pe
of Aaaliance I Units Fees II New
Furnace
NAME TYPE I 1- II
HOUSE GAS PIPING
Number of Outlets Size of M •n
Gas Piping Fees J 7
Tested and Approved -........ ..... .........
:IATE INSPECTOR
LOT NO.
NO. STREET 3 O /;
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date `3—_ 3 196-3. Permit No.
0�
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.
Use of Premises C
Owner-I.._
By � TT C TRACTOR, A
Phone
Address
Address
Approved
PLUMBING INSPEdOi
of Appliance I Units Fees II New
Gas Ranges
Wall Heaters
Gas Plates
Blower Furnaces
Gas Fired Boiler
warming
Percolators
Steam Tables
CIravity Furnaces
Susoended Unit
Miscellaneous
NAME TYPE
,00
lance
7A
Inspected and Approved ---Z2 .-1., ------- ........ .......................
DAT INSPECTOR
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection
F'j Plumbing Final
Owner or Tenanr
---------------
1v tom.
At----------- ---------------------
Bldg. Dept.
Office Copy
Sanitary Permit No...�-, r
Plumbing Permit No . ..............................
Lot No.. -•------
--------------
1
- ---
Tract ------- -------- -------------------------- \,�-` .?�
DateConnected-----------------------------------------------•---. `.......----------..--..... . ------ ------ 19�.
J . ,--- f------------- --------- ---- ------ 19.
Date Final -------•---------------------------------------- -
PLUMBING INSPE
111 7/61-500
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LOT NO.
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o
&IAPR
PLICA ON FOR PLUMBING PERMIT
TY OF CUPERTINO
10 190 sanitary No.
Date 196- Permit No. C TGA
CITY OF CUPERT11K. Fee $ j7
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 rices
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;-
Addresc.`Z—___�'I�1'
ate License A
UNITS
FEES UNITS FEES
Water Heater
Size C q
Water Closets 3
Material (lam
Bath Tubs
To Curb
Showers
To Prop. Lin
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
I TOTAL FEE 7. wo
Wash Trays
STORM DRAINAGE
Washing Machines
Size
'.Vater Softeners
Material
Bar Sinks
To Main Drain
,Comb. Sink & Trays
To Curb
Dental "Units
Drinking Fountains
IlSor Drains
WATER SYSTEM
ttoppers
Size / 1/
Restaurant Sinks
Material &,
Sand Traps
TOTAL FEES
Urinals
Fixture Fee
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
�Frinkler Vaivcs
Water Sys. Fee
Permit Fee
TOTAL
I TOTAL FEE 7. wo
RECORD OF INSPECTION