51156/I'
1- r
Lot No.
No. Street //
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Son itory,No.
S—Date / 196
Application is hereby made for a permit to
to be occupied only as'
in acc
a ^/ story, Type _i-- 1 J
with Plot Plan, Plans and Specification filed herewith,,
Estimated Value of Improvements
FEE$ el—v
Ow ne r
Contr.
Phone
%00
$ / �,
Plan Check
Address –a—j-/o
Address
State License a, j7
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$ —tJ
Cont'. � Address ,
Phone rr State License 17
• � I jo Approved
rAN 18� 1965
APPLICATION FOR PLLIMBING & GAS PERMIT_ 7
Data 19 GAS FEE $ �/�
PLUMBING FEE $ A
Cont,. 12% 227711(1 1249;G• 40. Address -A2!!/9— OPLL AyE
Phone z� State License
Approved
APP ATION FOR APPLIAN PERMIT
Date 7 196 FEE$
Contr."7" - `R Address
•�
Phone 7— /a o � State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
.awl.1-62
i•6 BUILDING
FodmAT�
,OUTLETS
STORM DRAIN
Dof ! —
%
UNDERFLOOR
F
RECEPTACL SS
to
— f
FIXTURES
FRAME
ac
H46. CHARGE
A16- PLASTE%R
Dat �
'��
PERMIT FEE
WATER SYSTEM FEE
TOTAL FEES
Dat
O"o,
Motors
GAS PIPING FEE
Date
ELECTRICAL
I ector
Spector
ns pector
ctor
Ins _oectar
SERVICE SIZE
MATERIAL
,OUTLETS
STORM DRAIN
cro
SWITCHES
/
toy
RECEPTACL SS
to
Inspector
FIXTURES
%
ac
H46. CHARGE
D
n
PERMIT FEE
WATER SYSTEM FEE
TOTAL FEES
Dat
O"o,
ELECTRICAL
I ector
Spector
ns pector
ctor
Ins _oectar
MAIN DRAIN
SERVICE SIZE
MATERIAL
UNDERGROUND
STORM DRAIN
SIZE—MATERIAL
ROUGH WIRING
e�, �
toy
PARTIAL ROUGH -
to
Inspector
FINISH WIRING
STORM DRAIN FEE
DatA, or
I MAIN DRAIN
D
s pector
FIXTURES
WATER SYSTEM FEE
GAS PIPING
Dat
nspector
Motors
GAS PIPING FEE
FINAL
tt
e or.
FINAL
PERMIT FEE
MISC
Dote
Inspector
PLUM91NG & GAS
TOTAL FEE
MAIN DRAIN
SIZE
MATERIAL
TYPE OF APPLIANCE
STORM DRAIN
SIZE—MATERIAL
UNDERGROUND
FIXTURE FEE
1I
WATER SYSTEM
I SIZE
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH -
MAIN DRAIN FEE
Date r
ROUGH COMPLETE -?%2
STORM DRAIN FEE
DatA, or
I MAIN DRAIN
Dat tar
WATER SYSTEM FEE
GAS PIPING
Dat for
GAS PIPING FEE
FINAL
Date Inspector
PERMIT FEE
MISC
Z°=
FLOOR FURNACE
Date Inspector
TOTAL FEE
TOTAL
MTSC
vote inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER, FURNACES
COMBUSTION VENT
SUSPENDED UNIT
Y
MISC (tiaA-&
GAS RANGE
MISC
GAS DRYER
PERMIT EE
Z°=
FLOOR FURNACE
TOTAL
INSPECTED 11 401' lob' " UCO-
I�vw4w. LOT NO.
NO. �- STREET
�Q
�PC� GN FOR GAS PERMIT
W z O OF CUPERTINO
Y° ?�r AN 18 1965
o a Date / / :i g- ��
3 U —[n 196_ Permit No. 5
4 w LL CAp� tiOF' ` �P�bl.� �'fh Fee. $ ,�•
p Hca n is m d t e City of Cupertino for a permit to install gas pipes
o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
a> and/or appliances in accordance with the provisions of the Plumbing Code of the City
W of Cupertino, and all other laws applicable thereto.
dx
0 o Use of Premises
o a Owner :✓ '� !✓ Address 40Aka
zJ n
o y v d7J,9,2 T/N /'� C' u Address
CONTRACTOR, AGENT
3 a ne FeP-3,37&
w z
WW s3�/3 •���
°a State License Approved
PLUMBING INSPECTOR
i
CERTIFICATE -OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.--...----..• Building Permit o. K
- {,
Date---•-•-•----l� --.'�- 19 :-=�-----•-----•-----.......
The Building Located at L� t 4-11% - 1` d
Ownedby ------------------- �1 -----•........................ .........
Has, Been (Altered) For Use As: ...... .......................
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............................................ -........... -............................................................ ...........................
-••-------•-------------•---••---.............. ......................... z.................. ..............................................
--------------------------------•--.-------•----.---------------.:.......---- ......... --....-------------------------------------
BUILDINGId�1SPEIOR .
102 7/63-500 C , ,! „_
I Bldg. Dept
Office Copy
I
I
BUILDING INSPECTOR'S OFFICE
I CITY OF CUPERTINO
I
I �
❑ Sewer Connection SanitaryPermit No...-..:. ---:9-......
I
umbing Final lumbing Permit No. ..-:7/.1-M----.
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LotNo..................................
Owner or Tenant ....- ..`.
• .....:....................
At - = :- ..
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Tract---------------•-----------•-=---•---•-- ----------.=------=------------.......
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Date Connected z-'- .:.�.--_------ 19 .
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Date Final ................................:[.. .... •. ............. 19.
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PLUMBING INSP O
111 7/63-1M
L/ J�� �UC LOT NO.
NO. STREET ,
J 1 FOR PLUMBING PERMIT
Y OF CUPERTINO
W
o AN 8 1965 Sanitary No.
�. _ J
o a Date 196 Permit No
"u ®•
W Fee
�N9
or�liati is h yQe to t $
e City of Cupertino for a permit to install plumbing
LL a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> r 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.
LU I
J LL Use of Premises - JA:Z1 4
O O
> N
3 Owner ON y Address �-
JJ J L By /a,e 7'//� (lam CG Address /D 4:2 eo L �
0 CONTRACTOR, AGENT
3 ~
N PhoneAg -P --33 73
a _
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W
ui
ir ��3 la /.3 Approved
� State License PP
PLUMBING INSPECTOR
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AP UCAT OR , APPLIANCE PERMIT
U L 195 OF CUPER'TINO
Da CITY
—IN 196— Permit No.
Fee• $ O -a
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
Code of the City of Cup,&tijio,,and a4 other laws applicable thereto.
Use of
owl
Address
State Lice ns •Q E Approved/1/ i
PLUMBING INSPECTOR
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60
Q NO. - EE T .�_� .-- - - t.OT.NO.
?IJAN
4 BUILDING PERMIT
Z 5 1965 F CUPERTINO
Sanitary No.. 029 3
DateM-1—yo
([ (� [pTI, 196 ermit Nb.�/
icsatid'tris hek�4rr�atl� Wermit to
a - story, Type - ��— 1
to be occupied onl)La _
in d
Building
accor ance with Plans, ,�pecihcations and 'Plot-Plan.,,fi8d
Estimated Value of Improvements, $pQ o0
Fee $��
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, locatiott,, and use of buildings within the City of
Cupertino will be compli�J-tri{.
By
Phon 6%— o? 3
State License 2 _-?- 4 8 7Z -
042- A. `BLAk�
NO. STREET
BUILDI,5,1NSPECTOR
LOT NO
ELECTRICAL PERMITCWR
F CUPERTINO
,l MAR 1.9 1965 3LZ
Date 3 / 194 Permit No.
C Fee $ 00
Application is hereby made to the City of Cupertino for a permit to inlia I 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 PremisesGY1C
Owner j r — V -, A
By � ' A
Phone: C
AGENT / \ A
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H dt�
3jy
4, Kajco-