1632Q( �•. I l4plcao LOT
NO. STR
.R�ION FOR B LDING PERMIT
40
DC F CUPERTINO
Date 5— ermit No
App ication is here y ma a fO er . o
a ro /� Building
at rr
to be occupied only as
in accordance with Plans, ftecifications and Plot-Plan filed herewith.
a, Estimated Value of Improvements, $ c O n ® Fee
H
v 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
"a Cupertino be complied with.
lua
cis OwAddress
Bx Address
` \ CON ACTOR AGENT
\ �Phone_� 6 Approved
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION — - - -- - ---- - - - -
I INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
INSPECTOR
FINAL BLDG. P
DATE INSPECTOR
FINAL ELEC. 1
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
r.
F/11111111!
/
H'
AP LIC FOR UILDING PERMIT
/ JUL 6 10 OF CUPERTINO \,
117
Date CpTT((��, 195_ Permit No.
MAW iSQ941j(� Q permit to F6��C 7-
a—
a_�story, Type Js- L T Building
at
to be occupied only as S I Al 6 L zr' F4 x'91 L t' QL j C LL t At 6
in accordance with Plans, Specifications and Plot -Plan filed ierewith. d do
Estimated Value of Improvements, $ �Fee $ 7 z
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
Cupertinoll be co plie(dd w.
ith
Owner c� 1\ 1 G Address z 3 )� 5•
By
Address S
"pprove
BUILDING INSPECTOR
RECORD OF INSPECTION APPkOVALS
FOUNDATION
LATIN' and PLASTER
o9,o3$I
LOT NO.lAdf 06,4 .,4—
( ro ✓U
FOR ELECTRICAL PERMIT
Y OF CUPERTINO
DaXIT l'j6F'tP@RTING, 195— Permit No. 996
Fee $ 117-4
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
Owner
By
CONTRACTOR, AGENT, ,-
Phone:
til
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 --.--.-__---------
NEW RPL FEES
Size Sub Feed Wires --- ---------------- Ranges ................ KW............... �...................�,J
Number of Circuits------------------- Oven -------------- KW -------------- /..... .......... ...
r,%
Number of Meters ........................ Signs .......... Transformers ........
...../...----.......----/-�`-----�--
Misc..... Dryers --------•------•------------------------l ----------
Motors. ............. HP _.._............_... Phase --.----------------- Permit Fee $1.00
Motors.................... HP .................... Phase -------------------
Motors -------------------- HP .................... Phase -------------------- H P Charge -----------
TOTAL FEES
Q14NSPECTION APPROVALS
Rough Wirin �` --,�------------ Fixtures ----------------------
DATE INSPECTOR DATE INSPECTOR'`
Finish Wiring-------- . ----- otors }y
DATE INSPECTOR TE N M TGIF
Final -
DATE INS►ECTOR
�1---
-•---•---
moa
/Z
do
�..
----------
'O
Size Sub Feed Wires --- ---------------- Ranges ................ KW............... �...................�,J
Number of Circuits------------------- Oven -------------- KW -------------- /..... .......... ...
r,%
Number of Meters ........................ Signs .......... Transformers ........
...../...----.......----/-�`-----�--
Misc..... Dryers --------•------•------------------------l ----------
Motors. ............. HP _.._............_... Phase --.----------------- Permit Fee $1.00
Motors.................... HP .................... Phase -------------------
Motors -------------------- HP .................... Phase -------------------- H P Charge -----------
TOTAL FEES
Q14NSPECTION APPROVALS
Rough Wirin �` --,�------------ Fixtures ----------------------
DATE INSPECTOR DATE INSPECTOR'`
Finish Wiring-------- . ----- otors }y
DATE INSPECTOR TE N M TGIF
Final -
DATE INS►ECTOR
LOT NO.
No. S EET ,
APPLICATION FOR PLUMBING PERMIT A
CITY OF CUPERTINO
�1 Ate+ : 19t5 Permit No.
J UL 1't I'm Fee $�/ X ;?2
94!ysan'
lornayj
eade to the City of Cupertino for a permit to install plumbing
r he reverse side hereof, and agrees to install skid 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
Address
By Address
IF CONTRACTOR, AGENT
Phone l� 3 -�w/ Approved
PLUMBING INSPECTOR
UNITS FEES II I UNITS •FEES
Water Heater I �� II Size
Water Closets I Z,U� �� Material
Bath Tubs J, pa To Curb
Showers To Prop. Line
Lavatories I Z
0011 1-o txtsting
Kitchen Sinks /
�, (gyp �� No Conn. A'� ">
Dista Washers
Floor Drains
Waste Disposals
Hoppers
Wash Trays /
j, pp �� STORM DRAI
Washing Machines I /
�, p�� II Size I_
Water Softeners I
1 II Material F
Bar Sinks I I 11 To Main Drain
Comb. Sink & Trays
To Curb
Dental Units
Drinking Fountains)
I ��
I
Floor Drains
I I II WATER SYSTEM
Hoppers
I I II Size I
Restaurant Sinks
I I II Material I 4WAV, I
Sari Traps
I I II TOTAL FEES
Urinals
I I II Fixture Fee
Area Drains
I I II Main Drain Fee
Water Leaders
I I (I Storm Drain Fee
Sprinkler Vaives
I I II Water Sys. Fee I j,
Permit Fee
TOTAL
I ;'I�,,. I� TOTAL FEE ;
REC RD 9F INSP
Partial Rough 7 Z p G a
Rough Complete'9W11,
Final ;'
f
N
tr
a,
h
�i
v
�a
v
( ,,
O \ _AP1�
NO. �5y &"T .�
GAS
{
TERTINO
OEC 27 10Y_
, 14Q
UPERTINO
LOT -NO.
PERMIT
Permit No
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 � t -s
ci6 Owner (O NS f , ('-0. Address i,. Al ;4 (v • S -
r
By- =j � r i.. �/V Address IF T -N • S.C,
N
CON ACTOR, AGENT
y� Phone A rov
C N PP PLUMBING INSPECTO
of Appliance I Units Fees 11 New
Wall Heaters
Gas Plates
Circulating Heaters 11
Blower Furnaces
Gas Fired Boilers
Steam
Suspended Unit
Floor Furnace,
NAME TYPE
Appliance rees I 1 II 1 1
Inspected and Approved ..............:...I
- ---------------------
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size oftT
Gas Piping Fees
Tested and Approved 7.7 '. .
DATE
INSPECT
6 l 1444u/al LOT -NO,-3
NO. jitREET
T N FOR APPLIANCE PERMIT
r ON a AMM CITY OF CUPERTINO
ISIDEC I & *011 it 196.__.. Permit No.
p n'
CITY
ibt r ERbJlNq Y P permit —
CITY AWicat s ere ma a to the Cit of Cupertino for ermit 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.
Q
H
C
Use of Premises_//�-��^-�
Com,. d� """' Address +
C11 Owner ' "' - _ - By DIV16ON Address
HEATIN�°�l?£"4rC0. Approved
✓� Ph PLUMBING INSPECT
of Appliance I Units Fees 11 New
Heaters
Gas
Blower Furnaces I /
✓ C
Gas Fired Boilers j
Warming Ovens
Percolators ( �_
Griddles
Steam Tables
Gravity Furnaces I IL
Suspended Unit II
Floor Furnace
Miscellaneous
NAME TYPE
Appliance Fees I I/.
m*PCLLCu auu nY����cu ..�....� h---••
DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .----------- .= - ---- 19...... ----- Building Permit No. ...... '..::y.......
The Building Located at ........................ -_: ............ ... ............
Ownedby --------- -------------------------
........................................ ......................
( Completed) �,
Has Been For Use As:
(Altered) ----------------------------='---•-- rr.a-..-.....-----......---.....------•
------------------------------------------------------------------------•----•-••--••---•-•--......-------•---•-•-----•--........•.----
----------------..... ------.................................
BUILDING INSPECTOR
102 7/59-500
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
werConnection
Plumbing Final
Owner or Tenant ---- --
At ..... &.10 --- B-1-1 ......
Cupertino &
Of f ice
Sanitary Permit No. .14-44
--- -8 --------------------
umbing Permit No. ............ 3:3
.................
Lot No..
Tract----------------------- -----------------------------
------------- - ----------
Date Connected ------------------- ------------- 19
-
Date Final ......... ...... -----------------------I-------- ---- ---------- - ---------- 19---6.1
6.1
----------------
PLUMBING INSPECTOR
111 1160-500'�t
f
the undersigned do hereby certify that
I am the owner and occupantf th Ingle
family dwelling at a®3 /
i t which I am making app ica" n o do
-
work as a homeowner.
also certify I will not hire any
non-licensed or contractor,
but will do thi work myself.
Z-� 766 s: /7� ---
E NUMBER r