1049�d0 -A I L if /i .� I
_.. _*---- -�- -.__.._ LOS
NO. STREET
/ V-
ON FOR BUILDING PERMIT
ClF CUPERTINO
Date Permit No.
gApplicatio4nisntwmitto oc C 7 --
--IQ a ryBuilding
M 1 1. V 1.
P ,__6 ez
at C)
to be occupied only as i ' a
in accordance with Plans, Speci cations and Plot -Plan filed herewith.
Estimated Value of Improvements, $ O Gc,
c 01 Fee $
v
C It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances an
all other laws applicable to the construction, location, and use of buildings within the City of
j Cupertind will be complied with. ` \
Owner 6lZ 1/�� L S !J �N i Addres
rD
By Address
ONTRACTOR, AGEJ�
1 1 Phone 1 NT Approv
I �v flUllItING111PI T R
RE¢�
FOUNDATION
FRAME / 3
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
LOT NO. ` --- -
NO. STR54LI'CATibN
EET
V2
FOR GAS PERMIT
V CITY OF CUPERTINO
AN 6.w
Date -"' , 19 / Permit No. l
CIT! OF CUPL- R { ikr -j Fee $
Application is hereby made to the City of Cupertino fora 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
By
M
-J�-"
, AGENT
Address
Address
Approve
PLUMBING INSPEC
Type of Appliance I Units Fees II
Remarks (Check J)
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters I ��
Blowet Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Gravity Furnaces
Unit
Suspended Unit
II
Floor FurnaceMPd
Inspected and Approved - -------------...........
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main�y�^
Gas Piping Fees
,7
— s— —
Tested and Approved .
ATE INSPECTOR
f 001 o I az A � 2 1
LOT NO.
NO. 'I'
D `-APPLICATION FOR GAS PERMIT
� J
AN 6 y,pCITY OF CUPERTINO
Date '/ - "i` , 191 � Permit No.
CITY OF CUr`k wiw Fee $ o0
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
Owner
Dy v _
CON ACTOA, AGEN7�
/ Phone 64""
Address
Address
Approved
PLUMBING INSP$C R
of ADDliance I Units Fees II New
Wall fieaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces I ��
Suspended Unit II
Floor Furnace
Miscellaneous it
NAME TYPE)
Inspected and Approved ..................!------
-----------------------------
_ DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size ofXINSPECTOR
GasPiping Fees
Tested and Approved .-��...........................
DATE
K
I�
LOT NO.
NOS . 1 PT
►SON FOR APPLIANCE PERMIT
JAN 24 1j -U --i c F, OF CUPERTINO
Date �� '2'{ 96./. 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.
Use of Premises-
��i�t� pp
Owner (J — _ Addressj ---
Phor9gy Address
CONTRACTOR, AG Approve
T
&
— d
e
PLUM IN , INSPE R
Type of Appliance
Units Fees II
Remarks (Checky1)
New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces I ��
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
II
Floor Furnace
Miscellaneous
NAME TYPE)
I I
II
II
Appliance Fees s
.�»r««.. d.�....Yr..,.".. �E..,.�.......................
DATE INSPECTOR
II Cizz A LOT NO. /
O. STREET
T R PLUMBING PERMIT
CI OF CUPERTINO
MAY 17 1962 -1 %
Date 195_ Permit No. /
eo
CITY OF CUPERTINO Fee$ Ex
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
0' and/or fixtures inco ance with the provisi s of the Plumbing Code of e City of
Cupertino, and all the laws applicable the to.
Use of Premises
�11
W
}° Owner Address 1
AGENT
A
PLUMBING INSPECTOR
I UNITS I FEES II 1 UNITS I FEES
Water Heater I II J1Ze I
Water Closets Material
Bath Tubs I 1 II To Curb I I
Lavatories
P
SEWER
Waste Disposals I 1 11 _ 1 1
Wash Trays I I 11 STORM DRAINAGE
Washing Machines II Size
iter
k.omo. amnx & 1 rays 1 1 II 1 o t -un
Dental Units I I Il
Drinking Fountainsl I II
Floor Drains I I it WATER
Hoppers I I I Size
Restaurant Sinks
I I II Material I I
Sand Traps
Urinals
I I II TOTAL FEES
I I Il Fixture Fee
Area Drains
I I II Main Drain Fee
Water Leaders
I I 11 Storm Drain Fee
Sprinkler Vawes
Water Sys. Fee
II Permit Fee
TOTAL
I I I! TOTAL FEE
RECORD OF L ECTION
Partial Rough
Rough C p
Final
NO. STREET LOT NO.
APP R ELECTRICAL PERMIT
I OQF CUPERTINO
LLJ
Date 'MR I 19 — Permit No.
{� �►��p 'j' �j Fee � O�
\ Applipt1jis itJCl
�by1� e� Ci� of Cupertino for a permit to install electrical
wiring an /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.
J'
U Use of Premise- %
N
U
a Owne.
1414`y' -t
�� Phone:
3-v
CONTRACTOR, AGENT
�Y�-q�-►v
Address
Address
Approved
LECTRICAL INSPE
,4j
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____--------------- anges...3........ KW__'l�Y__
:2
NEW RPL FEES
..
----------
J--------------
----30----
---
--------
--
---' , �.i2..
-
----------
---�Q
33
v..
-----------
----------
--
Number of Circuits------------------- Oven -------- KW........ I-•-•-----. .......... • ............
Number of Meters..::' ................... Signs ---------- Transformers____-_-- .......... ............ r
Mise._.'' _ ..._ ....:•'. �' Dryers--- ----------- -----•------• ••-•---- .
Motors ....... ----•-. P Phase --------- ----------
Motors .................... HP -------------------- Phase -------------------- Permit Fee $1.00
Motors ---•---------------- HP -------------------- Phase ------------------. H P Charge-------� ----- I / --------- - -----
TOTAL FEES
Rough Wiring�_�) �'_l .
E
Finish Wiring
DATE
INSPECTION APPRp��x
Fixfutes ((�Q
..............
INSPECTOR
Final ____ ---I
DATE
•-------------------
INSPECTOR
a
u
r�
v
a
i�
LOT NO.
S70P
p CTION FOR GAS PERMIT
JAN 6 CITY OF CUPERTINO
Da /- , 196�z Permit No. I Q
ITY OF PERTINn
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 Premises S--2-
Owne c/
By- x2irc
CO ACTOR, AGENT
Phone ". a-7
Add ress,406/
Address
Approve
PLUMBING INSPECTOR
Type of Appliance I Units Fees 11 New
Gas
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
NAME TYPE) ,
Inspected and Approved .................. I.
.................................... ......
DATE INSPECTOR
HOUSE GAS PIPING �_ x7u ,
Number of Outlets Size of Main
Gas Piping Fees
Tested and Approved . %%...-.�.. .. .......... ...... .................
SATE INSPECTOR
v
V
F -i
u
i
Q10 70
LOT NO.
Si TT
1 FOR PLUMBING PERMIT
&rlj A
N 6 '( -7 OF CUPERTINO
4'
Permit No. E4 _
lr� l UPEPTi I V V Fee $
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 Premisesy/t << r✓
OwnP"� /�r� rc/ ��✓
By
eel
C NTRACTOR, AGENT
Phone 7—�''J -/ �/
�11
UNITS
FEES UNITS I FEES
Water Heater
%
S12e I T -
Water Closets
2
ji Material
Bath Tubs
/
�� To Curb j
Showers j
Sand Traps
11 To Prop. Line,,j I
Lavatories I
Kitchen Sinks
Dish Washers I
o2 I
II To Existing j
NI.Lon
jl SEWER EiOXES Io�ao�
Waste Disposals
Water Leaders
Storm Drain Fee
Wash Trays
Ij STORM DRAINAGE
Washing Machines
jl Size
Water Softeners
Material j
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb I
Dental Units
j
Drinking Fountains)
j II
Floor Drains
I I I� WATER SYSTEM
Hoppers
I I I( Size
Restaurant Sinks
I I II Material
Sand Traps
I I Ij TQffAL FEES
Urinals
Fixture Fee I /a, p0
Area Drains
I I Ij Main Drain Fee I ,
Water Leaders
Storm Drain Fee
Sprinkler Valves Water Sys. Fee I j . 00
Ij Permit Fee j j, p 0
TOTAL j �j /,moo �� TOTAL ]'EE 17,
RECO D OF P CTION
Partial RougtL
Rough Com _te
Final
V
NO. /.
NO. STREET,, / 11iJ
FOR PLUMBING PERMIT
I OF CUPERTINO
,JAN 6 10"M
19d Permit No.
CITY- CUPERTINO
d
Fee $ '/0.06
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
ddress
U - Address
CTOR, AGENT 41VW%�%
Approved "
PLUMBING INSPECT R
I UNITS I
FEES II 1 UNITS I FEES
Water Heater I
—11—Size
Water Closets
Material
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories I
II To Existing
Kitchen Sinks
Not Conn.
Dish Washers
11 SEWER BOXES
Waste Disposals
11
Wash Trays
STORM DRAINAGE
Washing Machines I
II Size
Water Softeners
Material I
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Dental Units
Drinking Fountains III
IVM—
Floor Drains
WATER —SYSTEM-
YSTEMHoppers
Hoppers
Size
Restaurant Sinks I I
I Material
Sand Traps
TOTAL FEES
Urinals I
Fee
Area Drains
—11—Fixture
Main Drain Fee
Water Leaders
Storm Drain Fee
Sprinkler Valves
Water Sys. Fee
Permit Fee
TOTAL
TOTAL FEE
Partial Rough
0 FV
v
CU
-D 1z a=te I
/ LOT NO.
No.
V A FOR PLUMBING PERMIT
JAN 6 OF CUPERTINO
Date 1� Permit No. b D
CITY OF CUPER I Fee $ /O • U O
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
—Jr�Or�/ Ao� �� • .�
Address
Address
Approve r j
PLUMBING INOR
I UNITS I
FEES 11 I UNITS I FEES
Water Heater / I
II Size
Water Closets I I
�� Material
Bath Tubs
To Curb
Showers I I
�� To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
SEWER BOXES
Waste Disposals
Wash Trays
�� STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material I
Bar Sinks
To Main Drain
Comb. Sink & Traysl 111
Dental Units I I
Drinking Fountains) I
To Curb
II
II
Floor Drains
WATER SYSTEM
Hoppers
Size
Restaurant Sinks
Material
Sand Traps
TOTAL FEES
Urinals
Fixture Fee 0 0
Area Drains
Water Leaders
Main Drain Fee
Storm Drain Fee
Sprinkler Valves I I
II Water Sys. Fee
I I
11 Permit Fee 1 i. 00
�ECqRD_jQL I>I§PECTION
Partial Rough j
Rough Complete C "
Final
CERTIFICATE O F COMPLETION
BlJllDlNG INSPECTOR'S OFFICE ,
CITY OF (3Jg2IOINO
119Date ---------- z9^....._' Building Permit No —__''�--
T6eBuilding Located at....................................................... ...............................................
Owned br----------- : ........................................... ................................................ ......
-----
Has Been (Completed) For Use Am:___________.______________-
'---............. -------------------------- .................. ------------------------.--'--_--'_---
� ��'_~
�
— _---
/ue 4/e1-500
Cupertino Sanitary
• Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .........
j� Plumbing Final Plumbing Permit No. __.! -�..... /- ........
-ot No. -----/ ................
4.) ✓
Owner or Tenant----._. --- ----
Atv-------------------------- ---------------------------
-"
Tract-------Ped
-=�'...........................--`"""- -- .......--------- --- ..........................
l
DateConn---------------------- //��j•----------------------------- --------------------------- I�/ ...
DateFinal----------------------------------------- - ---•---------•---------------------------------•-------- l j
MING INSPECTOR
111 1/60-500