51114 J9�39 /'//;,�.�i>r Ole. LOT NO.
No. STREET
® A jIL�C�r�A N FOR PLUMBING PERMIT
Y OF CUPERTINO
0 o BSEP 21 5 Sanitary 1n.
� LL
o < Date 196r Permit No
3 CITY OF is
wLL Fee $ 700
� o
Application is hereby ma the City of Cupertino for a permit to install plumbing
o a 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
a w Cupertino, and all other laws applicable thereto.
LL Use of Premises
00
r3 �
Owner
Address��roJ�9/��/CifiQlTT��•
By RAYNE SOFT WATER SFR HAddress
3 0 3571 THOMAS ROAD
— m Phone. SANTA CLARA, CALIFORNIA
w w k:941.2370 ,
ai StateLicense ����`�� d Approvedw/ �a�
FIXTURES NUis E i R I
UNITS FEES UNITS FEES
Water Heater Size
Water Closets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size
Alater Softeners eC Material
Bar Sinks To Main Drain
Comb. Sink s Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM I
Hoppers Size
Restaurant Sinks Material
San Traps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee
Water Leaders Storm Drain Fee
�prinkler Valves Water Sys. Fee
Permit Fee
TOTAL PFOU11 TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
.Partial Rough.. V
.Rough. Complete-
Main Drain
Final...
Lot No.
No. Street y
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No�/�♦
Sanitary No.
Date 196
Application is hereby made for a permit to
n story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEES Plan Check $
Owner &W 41140 oM ✓00 Address
Contr. Address
Phone State License
Approved
��za�� rJl•!
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEES
Contr. Address
Phone State License
Approved
C' APPLICATION FOR PLUMBING & GAS PERMIT
Data / — z" 196 GAS FEE $ ,az
PLUMBING FEE $
Conor. ���� ✓"�C'�'�' Address
Phone x11-337 O State License 5e
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 196 - FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Latus of the
State of California
RECORD OF INSPECTION ,APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Dote Inspector
FRAME
Dote Inspector
LATH 8 PLASTER
FINAL Date Inspector
Date Insoector
ELECTRICAL
.OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Inspector
TOTAL FEES FINAL Date
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LWILATERIAL-j
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE MAIN DRAIN Date Inspector
WATER SYSTEM FEE �`ry!' GAS PIPING Date Inspector
GAS PIPING FEE FINAL Date Inspector
Date Inspector
PERMIT FEE v2`? MISC
Date Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED '
Data Inspector
ryrrt �t / 1 ti2iz e 7 T 1� LOT No.
N NO. 1 e T t\
W APPL�ICATIiON FOR BUILDING PERMIT
o CITY OF CUPERTINO
g < (OCT 29: 1966 sanity r} No.
s U
Uare
Permit No.
oCITVApPCt' ltspCRTMa�A0.�ora permit to IcNCO' Q
01
Z N a b w1Q story,Type A l co
ato be occupied only as AIM' fifth
0 o Plans, Specifications and Plot-Plan fit4herewjibb Pl Ck Fee V
F3 Estimated Value of Improvements, Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied with. nn ..
3 a Address' MJ
Q-�
_ a Owner EESTAi22E'Z
w Z
BY Addr
01
rc a `'
Q oPhon --9S7- a �' APpr*BUILDING State LlcenS rNSPECTOR d