51165 .S--d Lot No. ,
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
.File No. SII�I.S
r/ Sanitary No.
Dote 196 d
A 'cation is hereby made for a permit to r
a story, Type V
to be occupied only as
in accordance w' Plot plan, Plans and Specification filed herewith,
lI
Estimated Value of Improvements $ r% 0 0 Q
FEE$ - ��IF Plan Check $
Ow rmr Address
Cont'. Address QQ
Phone G ` ce State License �Z �7 ZTJ
s.
.lUlf to `` Approved ,
C
CL
APPLICATION FOR ELECTRICAL PERMIT
Do 196
�j�/ FEE$ - A/0 1 �
Cont
Cont'. Address -1,2-1,0-1,2-1,0 •/��n0 ,'/�/�
Phone 32.� - 9(, State Licenssee� 1979/,
Approved
APPLICATIONFORPLUMBING & GAS PERMIT
��
Date 196 d GAS FEE $
PLUMBING FEE $
Conte q Address ;?-2-,C 4'
Phone 7/S-7G State License/'I i; 2� /" 4 i
Approved —L�✓N'y� . _ ��
7 APP CATION FOR APPLIANCE
Data 1% FEES
Contr. .Address /'� "^ " ///� �'/r✓Jl.
Phone State License
Applicants a0v2.(/ Approved
gree
not to.vtoldte any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
(mace*���-v�K
BUILDI��a -
FOUNDATION 6" G
- �--`�
DAT INSP TOR
UNDERFLOOR - �'�-6
A�TyE INSP TOR
FRAME `� 1
DATE INSPECTOR
LATH 8 PLASTER
DATE INSPECTOR
FINAL 0.
D INSPECTOR
ELECTRICAL
ELECT.
DATE INSPECTOR
U ERGROU
�\ DATE INSPECTOR
RO " (U
DATE j- INSPECTOR
FINISH WIRING -v
DATE INSPECTOR
FIXTURES 0
DATE INSPECTOR
l
MOTORS
DATE (^ INSPECTOR
FINAL v
DATE INSPECTOR
PLUMBING L GAS
UNDERGROUND
' pA EC TOR
PARTIAL ROUGH
DATE RECTOR
ROUGH COMPLETE
�^ DATE RECTOR
CDR I
p �{ DpA�TE I SP--TOR
GAS PIPF -C/
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE / INSPECTOR
MISC DATE INSPECTOR
�
TEMP-ORARY 'ELEtTRICAL SE RVICE
DATE: ......
.......----- Pee:
CA: --------
OWNER: ....
AT: ... '_4
-----------------------.........I.......�P-- ---
LOT: ....
......... ........_...,....I ........
.. ......... .. ....... ..
REASON:
The undersigned agrees to be responsible for the electrical serrvicP'Vtbe7.abP'J'1
. .. -c5ation,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino.
phone -. ...................
500 INSP
116 1/63. EQ "TENANT OR OWNER��
TEMPORARY * GAS SERVICE
DATE: .......D?- (�.. '2--7 Fee: -- ---1��2)
..............................;�- -------------- ----- ---------
OWNER:
La
....................................................................................................
AT:
LOT: ...... .......7 -7- 3 c>
......... ............4.................................
REASON: -14-?—A—E.-i
--- ------ .. --------------------------
The uiri—Mlgnetl%gree, 113T I
I esponsible for the gas service at the above location,
until tge'-,�9' III'
f building is ready for occupancy, and is released by the Building Department,
, i .-
City ofi Cu Fitm61.
.p. — 31, 1968 U�
Phone ------------------- --------
Z9te 11 z RTINO_.,�j
.. . .... .... .... ..
117 1/63-500 INSPECTOR TENANT OR OWNER
OFFICE COPY
tl--"�ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
I OF CUPERTINO
To
You are hereby �rh rized loconnect electrical service (or
Owner or Tenant . .... ..
At ...........
No. of Wires ........................ Size of Wires ...................... Size of Switch ... .....
Motor Load -------------------------- Voltage - —-----------— .. Phase ............... .... ....
Heating Load ........ ............... K. W. .. . . . . ................. Voltage ... ......
No. of Meters..........I Light... .......... 10.......- New Service.... ......
Reconnect..........
No. of Add. Meters............ Heat---- 230....._._ Three ....... Move Service..........
Power..... ... hihase. ...... Move Meter...........
P.LECT,CAL INSPECT R
GAS SERVICE NOTICE rCE
CorY
BUILDING INSPECTOR'S OFFICE
n CITY OF CUPERTINO Q
T
u/ ....//o..........__........._.. 196/..
i
You are hereby authorized to conned e GAS service for
Owner or Tenant .r.....l..�L -4,
.....
At //
New Service .. ....._.......
I
No. of Meters .... Reconnect Reconnect
Move Service ........................
No. of Add. Meters ._........... Move Meter ..._.._...._..._..._.
PLUMBING INSPECTOR
I
li
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
......................... ---
196 ..
TO
You are her%a horiz connect Mrical serzvice,�
to
Owner or Tenant
. . . . ......................
At ...........
No. of Wires ..... .............. Size of Wires .....`....I<— Size of Switch
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters........`:......... Light 110.. . New Servime�Reconn"t..................
No. of Add. Heat220... Three ire...............
mve Service............
e�i........
Power.............. TPMove
Meter..............
........................ .......... .............. its
RLECTIUCAL INSPECTOR
/ I f✓
7
�Say. No. �'$Stre � I
Lot No.
`
AWCAFOR BUILDING PERMIT
JUL 11 1. of Cupertino
- Sanitary No.S6 Sy
Date /�'1 /0 / ne 1969 it No. JV/ AS,
AppIica_tibn iS he oby nihdU TAh I �rlG��
0
3 .R a z story,Type Building
d
to be occupied only as Sim D w L . in accordance with
r Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee G-►. Y 00
m // 00�
Estimated Value of Improvements,$ Ba O Fee$
«
0 `o 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
c A Cupertino will be complied with.
c
.; Owner Address
aBy Address
E Pho _ `31 y _ 3 ,C'/ Approved
U
State License 12 /a Building Inspector
J
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Date
W LL
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o < P'hfs
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a w Cup(
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LL Use
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3 Own
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3�
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f state
NO.
UL 2
LOT
IINE XVWR PLUMBING PERMIT
C[ Y L
15 sanitary N u.
1961E Permit No ,3 - /(, SJ
CITY OF CUPERTINO Pee $ '7—F- rip
plication is hereby made to the City of Cupertino for a permit to install plumbing
and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r fixtures in accordance with the provisions of the Plumbing Code of the City of
Lino, and all othe!'17's applicable thereto.
of Premises
License /(o '� /3 J/
Approved ZLJX '
PLUr}4BING INSPECTOR �/
FIXTURES
Water Closet
Lavatories
Kitchen Sink
Dish Washer
Machine
NUMBER
To Curb
UNITS FEES
Dental Unit
l &
FMat,
J 0
3. u -u
Floor Drain
WATER SYSTEM
To I
4,j -D
To I
/ .J—o
Not
/ ,J O
Sew(
/•i0
I/•1'd
Sand Trap
TO'T'AL FEES
/ 1,—r 0
Size
MAIN DRAIN
UNITS
Line
Comb.Sink&Tray _
To Curb
Dental Unit
"Drinkin Fountain
Floor Drain
WATER SYSTEM
Hopper
Si ze
Restaurant Sink
Material
�10 1
I/•1'd
Sand Trap
TO'T'AL FEES
Urinal
Fixture Fee %
• $2t
Area Drain
11 Main Thain Fee S� U
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
. J--1
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee -OZJ
Total / 3•J
O 'l'otal Fee a2
j29