18446 1 a4:�Z�
o-', LOT NO. `�
NO.' - o�-O Y 74
4_
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APPLICATION -FOR BUILDING PERMIT
JUL ry �p i11r01` CUPERTINO Ca 7a (o)
Date 1 / •7 , 195_- Permit No. _
Apptj df Is ceb3�h"F t
a ___ story, Type Building
at _
to be occupied only as
in accordance with Plans, S ifications and Plot -Plan filed herewith. 0 0
\ 00 —
Estimated Value of Improvements, $ A 10 Fee $ Q
v
q 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
�j Cupertino will be complied with.
v
Owner `'-, ddress
j$y Address
—�- ONTRACTOR, A ENT
Phone f- P-' O / t I
Approved
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS '
FOUNDATION
FRAME
LAT�i and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE
/
INSPECTOR
DA E
INSPECTOR
e l
2-
INSPECTOR
Y
PI 1 112—
D B
INSPECTOR
DAPM
SPECTOR
DA B
INSPECTOR
lvl�-
DA 6
INSPECTOR
I
V I '0'?/i1e- LOT NO. / S
EE
v � i F
C" Oi OR PLUMBING PERMIT
JUL .3,96G CI F CUPERTINO /
Date r 414 Y 2G7 193('2— Permit No.
CITY r UPERTINC Fee $ /'7.0 d
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 AS-1yewc2
Owner T�✓ome5 ro�r.ss.4��ztion/
CONTRACTOR, AGENT
--..Q1//
Address > >
Address
Appro e
PLUMBING 1NSPE1 TOR /�[
I UNITS I FEES II 1 UNITS I FEES
Water, Heater I I I Jtze }y 11
Water Closets I Material L /
Line
Lavatories I !�/ �� To Existing.
Kitchen Sinks / II Not o .
Waste Disposals r-� �� I I
Wash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners I 1 II Material i I
S To Main Drain
Ink & Trays To Curb
snits
Fountains ;I
rains I 1 II WATER SYSTF
Restaurant Jinks
I Material 64,/11.
Sand Traps
TOTAL FEES
Urinals
Fixture Fee
Area Drains
Water Leaders
Main Drain Fee 0 p
Storm Drain Fee
Sprir..kler Vaives I
I II Water Sys. Fee
Permit Fee I p
TOTAL
TOTAL FEE / 7, a G
R COD qfjN ECTION
Partial Rough d
Rough Comple D
Final Z
p�Go. I AUBuna Dl:.11i r
NO. STREET
LOT NO. . / C- L
P N FOR GAS PERMIT
r.wa — I F CUPERTINO
DateJ_(JUL 7 Permit No.
Fee $
rIT 0r QUP TINO -
A a Lori I here y ma a 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
V of Cupertino, and all other laws applicable thereto.
v
N
Use of Premises /671,44iyCA'
a
V
Owner %WO/YJAS fDititrk&rTior✓
By
CONTRACTOR, AGENT
Phone 3
Address C A1PB�L�
Address �—
Approved
dla-
PLUMBING INSPEC R
Type of Appliance I Units Fees II
Remarks (Check J)
New Replace Relocate
Gas Ranges
WAIF le-a—ters
Gas Plates
Circulating Heaters
Blower Furnaces
�� f
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables (
��
Gravity Furnaces
Suspended Unit
II
Floor Furnace
Inspected and Approved ..... ...........!----------------------------------------------
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets I Size XMa�njTested and A roved ----•-......-----•...
Gas Piping Fees
DATETOR
LOT NOl
82
PNB Tract 2660
CAT�CViOF
R APPLIANCE PERMIT
v 1 1 196? CUPERTINO
Dat 6 196----- Permit No.
.
Fee $ — --
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.
v
Vl
Ci
Use of Premises+
v
( :.fat i:crxtt�
SAN CARLORSeSHEETIAt WeRiCS, Address
B 9 OLD COUNTY ROAD Address
—& -01 IL
SAN CARLOS, C,*MA SJN1
Phone ' ' "�` Approved QQ
PLUMBING INSPECTOR
of Appliance I Units Fees II New
Wall Heaters
Gas Plates
Circulating H
Blower Furnaces S I z ► , K- 11
j I I
Gas Fired Boilers
Warming Ovens I
��
Percolators
n
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace I
Miscellaneous
NAME TYPE
ialo ba+-
r,'" S1*LtT I L•
is Alot I r
Appliance rees� T p i
Inspected and Approved .. .� ..Z'
DATE INSPECTOR
M
� d O I �rJ,byrn
NO. STREET
LOT NO.
LECTRICAL PERMIT
PERTINO
Date ,�}� v Permit No. I `�-�
Uri Y' 'v 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 Premis-
• . 006
,. r
CONTRACTOR, AGENT
Phone:
ss
. �Il'IIlI_hIf, WON
a .. ,
Size Service Conduit_//.�_ if ---------- Number of Outlets ..................
Size Service Wires_3!__�z_...__...._Number of Switches ................
Size Service Switch___,/4�0---------- Number of Receptacles _.___-._____
Size Sub Feed Conduit ------------------ Number of Fixtures_._-..___-________
Size Sub Feed Wires ___________________Ranges.......... _... KW___.__________
Number of Circuits------__---------- Oven ------- _-__ KW ..............
NEW APL FEES
1...
.........
---/-f-ve
/ ?
/, '70
a g--
----------
-a -�
l_- a -
----------
( --� ,
7.�_
Z%7
Number of Meters ........................ Signs ---------- Transformers ........ I----------
---------- I----------
I------- �
Misc------------------------------------------------ Dryers ----------------------------------------
Motors
•-•----------------••-•----•-•------•-Motors-------------------- HP ........ -•------_ Phase -------------------
Motors -------------------- HP -------------------- Phase -------------------- Permit Fee $1.00
Motors --------4(-------- HP _7-2,r c°J'-_ Phase -------------------- H P Charge----------------
/ _v...
Rough Wiring
Finish Wiringr
DATC
TOTAL FEES L_
APPROVALS
-------------------- fixtures ----------------------------
----_ ECT --- I -----_
--
INSPECTOR
__.... Motors ._.._____._ .._.._
INSPECTOR
61� : I R
Final _. _O __.-- --- -- - --•_-----
DATE INSPECTOR
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
,❑ Sewer Connection
Plumbing Final
Owner or Tenant -----k-1
At ... 62 ---
Bldg. Dept.
Office Copy
Sanitary Permit No. ------ .......
Plumbing Permit No. -./ *. ........
Lot No. ------/0....A.-
---- --- - -- -- - - -----
O
-------------------------
Tract--------- ---------------------------------------
Date Connected
- ------------- - ------------------------------------- 19 ------
------ -------------
Date Final -------------- --------------------
---------- ----------- ----------------------
---------------- PLUM ING INSPECTOR
-------------
111 7/61-500
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date = 1 19- - -: _Building Permit No,
ft' .... -...
The Building Located at.-<..--�-- ---- x >c! s??a -----•
...-----.....
IV ............
Owned by - _ ....,c,.:...«17.= i%' �•t `�,`/.% ... /!:!.- ...
(p�,'mpleteil) „>
Has Been` _- For Use As: �.u.: ;� ''✓'----------------------------------------
(Altered) _ , f
............................................................... ............................................................ ....-----------------•.
-------------------------------------------------••--------•••--•-------•--------------•---•--•-----------------------------------....
------------------------------------------------------------------ --- Y: =••------ r ...---„
iA
'.W.6...:_' .......................
BUILDING INSPECTOR
102 4/61-500