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51187OT NO. NO. STREET APPLICA NG PERMIT Z:i � N _- �� Sanitary i� o. 3 Date + 96-2 5 1966 P�'t!!No �/i a , u tee $ 3.50 aw Application is hereby made to/thi-Vity BfiGrper�tino,fo a permit to install plumbing o a pipes and/or fixtures listed on the reverse•rside hereof,�lj aii3 agrees -to -install said prices. -r -and/or-fixtures in accordance with the provisions of the Plumbing Code of the City of U) Cupertino, and all other laws applicable thereto. Use of Premises Owner mwao Shintani By Rayne Water Conditioning CONTRACTOR, AGENT Phone 967-4545 State License, C%-165269 It Address 1422 Chisholm Ave - 243—B Moffett BlvdP. PLUMBING INSPECTOR FEES ns klcr Fixture Fee RECORD OF INSPECTION _Underground Rough... Partial Rough.. Rough. Complete.. '.Main Drain LOT NO. !& NO. APPLICATION FOR PLUMBING PERMIT Q�� CITY OF CUPERTINO A y f(" Sanitary No. Dat"e/A ��1`6e Permit No iAPR 9 1968 I Fee $ �� 1 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 a rYfixty��s iq�3c% 1'. 'T IR 0i) the provisions of the Plumbing Code of the City of Cu er mo, and all of u� aws applicable thereto. Use of /Premises CONTRACTOR, AGENT Phone KX o73eZ(� State License '4 G6 !�Z- as Address llcp— 7E/ --Z-67 1-7 Address Approved WILLIAM D. r—,\,—'VICH L/ PLUMBING INSPECrO T FIXTURES NUMBER UNITS FEES Water Heater / Water Closet Bath Tub Shower Lavatories Kitchen Sink Dish Washer Waste Disposal Wash Tray Washing Machine Water Softener Bar Sink Comb.Sink & Tray Dental Unit Drinking Fountain Floor Drain Hopper Restaurant Sink Sand Trap Urinal Area Drain Water Leader Sprinkler Valve Relief Valve Vac Breaker Skinuner Filter Total / MAIN DRAIN UNI S FEES Size Material To Curb To Prop. Line ✓ To Existing Not Conn. Sewer Box STORM DRAINAGE Size Material To Main Drain To Curb WATER SYSTEM Size Material TO'T'AL FEES Fixture Fee /G 6-'V Main Drain Fee Stomp Drain Fee Water Sys. Fee Gas Fee / Permit Fee Total Fee ��j 1. .. , (� QQ ,/G}�2 .Z..I _ Lot No. ,c No. . Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. � / Sanitary No.� Dote 196 di Application is hereby made for a permit to a A ,story, Type Z LT to be occupied only as in accordance h plot Plan, Plans and Specification filed herewith. n Estimated Value of Improvements s Cr27 FEE$ d/I �'�' Plan Check $ Owner A,;— Address OX 1 4 -<— ;O(:ZL Fs Contr. --� ++''4 Address Phone as2sn,2 "'Y. i 3 State License f��yy�� ,,,��r�/ 4� Approved 44)41& 1�s�� A APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ ',�6 'S n Cantr, �E- -✓.�-�'i� Address 9.d j ./ "�a�-✓ KsC. 1 Phone y 3'G s3T� a State License Approved E2ELi-d APPLICATION FOR PLUMBING & GAS PERMIT ✓O� �,,� Sap Date 196 d GAS FEE $ / �C//J� /^✓ D/ PLUMBING FEE $ r,.(-,sy Contr. Address 1 Phone —.c'L�SZ3 Zj State License Approved WIL.1 JeM in e,;;Z'eI1-- APP�ICATION FOR APPLIANCE PERMIT Dote �ee/ 196 FEE$ `S� Contr. - C-M�- Address Phone - c� // O 9ij V State License Approved _ WILLIAM n ! T7NI=) tru Applicants agree not to violate any of the Workman's Compensation Laws of the _ State of California IO ell? a No. Street Lot No. o — d APPLICATION FOR PLUMBING PERMIT CITY OF CUP' O E o � o � H � N x Date C/r-/ / n No. �� , 196 / �CT �. 968 Fee$ O'N 3 Application is hereby made to the �j�yr C ertino for a permit to install plumbing pipes and/or fixtures listed on the reverse stat h eo nd ry�1;kQ��¢]s�anl prices and/or fixtures o in accordance with the provisions of the Plumbing Cod'e`df thd�ikllupertino,and all other c'claws applicable thereto. , " `o u A Use of Premises o U ° Owner Y /Limo �.V/.C�%.9.J/ Address ��`lLZ L//�`r'✓a/�1 -_ m By 'r Address 3 -!i Contractor,Agent Phone G A -� State License Approved_��?��'� — 4 1 Plumbing Inspector FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater Size Water Closet Material Bath Tub To Curb Shower To Prop. Line Lavatories To Existing Kitchen Sink Not Conn Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Wasbing Machine Size Water Softener Material Bar Sink To Main Drain Comb.Sink&Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee Area Drain Main Drain Fee Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee Relief Valve Gas Fee Vac Breaker Skimmer Filler � � G Permit Fee Total Total Fee RECORD OF INSPECTION APPROVALS 94 BUILDING FOUNDATION DATE - IN CTOR UNDERFLOOR ` I� DATE tR?P CTOR FRAME ? � � 6 AT DATE p' INS p R & PLASTER ^6a ^O)Tp I CTOR FINAL Y 6 DATE INSPECTOR ELECTRICAL ELECT. SERVICE DATE INSPECTOR UNDERGROUND I ATE I INSPECTOR ROUGH WIRING I /\G—/ DATEINSPECTOR FINISH WIRING _ d DATE INSPECTOR FIXTURES b DA INSPECTOR MOTORS DAT INSPECTOR FINAL - b (t:)vQ' DATE INSPECTOR PLUMBING & GAS UNDERGROUND _ DATE ECTOR PARTIAL ROUGH DATE EC TOR " ROUGH COMPLETE -� DATE RECTOR MAIN DRAIN ATE PECTOR �- GAS PIPING DATE NSPECTOR FINAL DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR MISC DAT PECTOR MISC DATE INSPECTOR 1LVUll: JL11 File No. / S! Date 9-n'-_ G S/ Location_ Subject Notes Approved - -6 q Date I s e or CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date I...`....1 ................... 14 d' P No. ...... I.I.- §uil ing, Permit The Building Located at ... ....... Owned by ....... ........ .............. ... ....................7.. .. ................ Has Been (Completed) For Use As: ........ ..................................... ..................................... ............................................................. ................ ............................. ....................................................................................................................................... .............................................................................. ......... �n&.................. ............... .. .........*.......*...... BUILDING INSPECTOR 102 12/66-IM r OFFICE COPY ELECTRIC� SERVICE NOTICE BUILDING INSPECTOR'S OFFICF, CITY OF CUPFRTlNO _..................._.. ........... ... ... 196_ . To . .. . . You are hereb aut ze t met Icctncal,service for Y .Owner or Tenant At. .. ......_�..Q :.1. !.... . .. .... ............. ..... ._.. No, of Wires ...N1........... Size of Wirest ..... Size Of Switc(CpA—:. Motor Load .......................... Voltage ..... ..:....................... Phase ...... . Heating Load .............:.......... K. W. ......._...:.........._i........ Voltage ... .................. No. of Meters..... . ' Light.........�..... 10..._ New ervime................ Reconnect.......... No.of Add. Meter'*::.:::::::.: Heat................. 220..... e Wi . Move Service......... MoveMePower...... P ter.............. 'P.LECTMCAL INSPECTOR GAS SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO a ......_.. .... ..... �........._................... 1960... To You are_hereby authorized to conned the GAS service for IOwner or Tenant ... . ..At : lO �I? . ................................................................. / New Service .�............... No. of Meters ../................ Reconnect ............................. Move Service .'...................... No. of Add. Meters .............. 'Move Meter ........................ ............................ PL MBING INSPECTOR Bldg, Dcpt, Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO F1, Sewer Connection Sanitary Permit No. 7 0/Plumbing Final Plumbing Permit No. /— ,A... .......... Lot No. .......V94VI.............. Owner or Tenant ...... �- -- --------- - At Tract .......A.................. ... ...... DateConnected .............................. .................................................................... I, ..... ....................... ............................. Date Final ------ .................... ......................... PLUMBING INSPECTOR 111 12/66-IM Q� LOT NO. an NO. MEET l r'a /t0 p Itj ARPLI@ATION FOR BUILDING PERMIT r o CITY4OF}CUPERTINO o < /APR �- �S ��AAAcccccc Sanitary No. i D;tte rTV 196E Permit No. //i/ Z o Application is hereby made for a permit ro a i N a o2 story,Tye Building aw to be occupied only as in accordance with a 20 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee > 0dz mG , ; Estimated Value of Improvements, S Fee SeI56- iJ 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 J O Cupertino wi be c plied w' 3i �/°-Qn�- Addreso_i [ a a Addres of _ aU PhonesZS2 rlL5 Approved WILLIAM D. CiEN�VICH j State License BUILDING INSPECTOR / I! .