NO PERMIT NUMBERi T /1 //
No.
No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO /
File No.
/L� 0
Sanitary No.O
Date 3 196
Application is hereby made for a permit to
to be occupied only as
in accordance with Plot P
Estimated Value of Improvements
FEES o�U
Owr.er v !V
Contr.
Phone `' 7— s5 c
Type S 1 T
W, Plans and Specification filed herewith,
E 3 /D04`=
Plan Check E� p�
Address /te�./(/��r >"�_�/O
Address
State License L /Jppn(/
Approved
APPLICATION FOR ELECTRICAL PERMITG rr��
Date T 196. Jr— FEES - -y //
Contr. /-�� /�. l/'t/.'<-.�%lJ �i�-�t� Address -^,- /) 1�f aZ "e1 /`-a" / /.
Phone, / b _ � State License //-0 9fs
-Approved -ram '�LcL7 s
APPLICATION FOR PLUMBING & GAS PERMIT
'?/ � s�
Date / 196 E FEE F GAS -�
PLUMBINGFEE ' FEE
Contr. Address iL 9
Phone[, State License
ove
APPLS,ATION;�FOR AP PrLIANCE PERMIT �i�
Date / 1.96 FEES
1� �� Contr. � �Address --��,1 let
Phone - 9� �— Q d �,7 State License -+2-0- r 1� 07
Approved
Applicants agree not to violate any of the .
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION
APPROVALS
BUILDING
FOUNDATION
Pecfor
UNDERFLOOR
ate
pector
FRAME -
'
�
a
nspectof
AT PLASTER
_
Data
Inspector
FINAL
Date
Ins De c for
,OUTLETS
az
SWITCHES 3 2
RECEPTACLES
`3
FIXTURES
H.P. CH GE
ai
W
RMIT FEE
a
TOTAL F ES
ELECTRICAL
UNDERGROUND
ROUGH WIRING ,
FINISH WIRING_
FIXTURES
Motors
FINAL
PLUMBING & GAS
SERVICE SIZE
Date
Date
-Al:
Date
Inspector
Inspector
Inspector
Inspector
MAIN DRAIN
I SIZE
I
I MATERIAL
STORM DRAIN I
SIZE
I
Lm,,TERIAL
WATER SYSTEM
SIZE
IATERIAL
TOTAL FIXTURES
/9
/
("
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH
-a
MAIN DRAIN FEE
ROUGH COMPLETE
Data
STORM DRAIN FEE
Do td
MAIN DRAIN S-3-6s-
WATER SYSTEM FEE
6-p
'�
GAS PIPING -
b"
GAS PIPING FEE
�
FINAL '�
ate -
S
PERMIT FEE
(iM
MISC
Data
pector
TOTAL FEE �
`S
MISC
Date
Inspector
uate Inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS . /
BLOWER FURNACES
y
pZ.�i
COMBUSTION VENT
U=
SUSPENDED UNIT
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR FURNACE
TOTAL F
INSPECTED <!J ��s,s
Date Inspector
0a�ti&
LOT NO, 7
W NO 0 TR
W T FOR BUILDING PERMIT
so
r OP CUPERTINO 5 WFEB 231965 Sanitary No.7
0 do
Dnte-= 196_�:— Permit No.
~o CI IpEp �n�permittoUjvanisNyO A_k
a m a story, Type �'--�— Building
W
to be occupied only as
a
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith.
W3 Estimated Value of Improvements, $22 000 o-= Fee E q-3 U�
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, locatiup, and use of buildings within the City of
o Cupertino will be complied with.
3r
— m Owner / �- Address es��
uW By /� N tmu Address % n
a 0 Phone `Z�j%' J"D.3 o I//
State License O v a c�u� iNsvecTOR
`.1
RECORD OF INSPECTION APPROVALS
FOUNDATION _1
DATE INSPECTOR
UNDERFLOOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
DATE INSPECTOR
DATE INSPECTOR
DATE. INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
FINAL GAS
DATF. INSPECTOR
LOT NO. //
NO. STREET -
® J-811�t Y
IFEB 25 1965 sanitary No.
fT�/ (� (�'p �(�� (�t^'196— Permit No .��O/G00
G
CP t °n� Ikt�eNy RT'V Pf� Pee $- o i st
IBr h ati is a City of Cupertino for permit to install plumbing
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
Cupertino, and oth, r laws apylicable theleto.
Use of
FOR PLUMBING PERMIT
OF CUPERTINO
_ Address
Address tzl1
Phon %� r�
�tate
Approved PLUMBING INSPECTOR
FIXTURES
b
I
UNITS
FEES
UNITS
FEES
Water Heate
size r
Water Closets
Material PJ
Bath Tubs
To Curb
Showers
f
To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
Bar
To Main Drain
Comb. Sink s Trays
To Curb
Dental Units
Drinking .Fountains
Floor Drains
WATER .SYSTEM
Hoppers
Size
Restaurant Sinks
Materia ./
Sana Traps
TAL FEES
Urinals
Fixture Fee
re -Drains
Main Drain Fee
�/-ater Leaders
Storm Drain Fee
Sprinkler Valves
Water Sys. Fee
r
Permit Fee
00
TOTAL
ov
TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain
Final...
NO. , . Y E LOT NO.
®A ICAT1 N R , ELECTRICAL PERMIT
'�IAPR 5 1965 C F CUPE•RTINO
Date CITYW `CUMIN 195— Permit No.0
Fee ti O J
Application is hereby made to the City of Cupertino for a permit tom all 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 Premises Ala%
Owner e,e
By ! TRIC
no So iN38'1ROP— ""Box 927 --
Phony. Il 1 Ifl �I W
Siate License: 9fj'
Address
Address
etecrarAL
NEW RPL
Size Service Conduit ......................Number
of Outlets...................
L...............
Size Service Wires..........................Number
of Switches .............
_....
V
..........
Size Service Switch ------------------------
Number of Receptacles............
...F
Y�
Size Sub Feed Conduit ..................
Number of Fixtures ...............
-...
-...---
--------
Size Sub Feed Wires..-----------..
Iang --------------- KW.....--'---
.--.---.
----------
O KW
FEES
Number of Circuits.................. vcn .............. ........ ...
-- 60
Number of Meters ......'....... Signs .......... Transformers ............................ ZM
Motors
Motors
Motors
Rough Wiring
Finish Wiring
v - i--
.-- ......... ryer......_-------------------------- -- ------ ---- -----
... HP.�.fr..�..... hale .................... Permit Fee $1.00
--- HP .................... Phase
... HP ......_....................
........---- Phase ........ .... H P Charge ...... .........
. ' �
........
TOTAL FEES . ...
RECORD OF INSPECTION APPROVALS
.......-'--�--------------------------- Fixtures ----------------- ........ ..------------ ----
GATE INSPECTOR OATE IN O
.........-�........................?Motors
-------._....---�'----�---........-SYECT------R........
DATE INSPECTOR GATE INSPECTOR
Final------....._-' .......................................
DATE INSPECTOR
I"�1GLN '/ 44 "o LOT NO. /
„ NO. o„aGSTA�ON�FOR APPLIANCE PERMIT
i �GPfY OF CUPERTINO
0° fAPR 26 5 — s`/D��
3 a Date U 196� Permit No.
U Fee$ ��
4 w CITYA'fi a UPF,RT11N0,1de to the Citv of Cupertino for a permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
<m install said appliances in accordance with the provisions of the Plumbing
„ i Code of the City of Cupertino, and all other laws applicable thereto.
a�
Use of Premises
Owner �C�.P �e� Address
°J'Zz 30ss / O
0
//Q✓�)�
CON CTOA, AGENT//� �
3Z%�a
< Phone
mz
a s State License > Approved
PLUMBING INSPECTOR
Type of Appliance
Units Fees I
Remarks
f Chec ✓ i
New I
Replace I Relocate
Gas Ranges
I
I 11
I I
Wall Heaters
I
I II
i I
Gas Plates
Circulating Heaters
I
I
Blower Furnaces
I it
I I
Gas Fired Boilers
I II
I
Warming Ovens
Percolators
I
I I
Griddles
Steam Tables
I If
I
Gravity Furnaces
Suspended Unit
Floor Furnace
I
I
II
I
Miscellaneous
I
I it
(NAME TYPE)
_-
1
Appliance Fees
I�—
Inspected and Approved ................. -....... ..... ...... ........ .....
DATE. INSPECTOR
NO. THE
Y(FEB
A� N FOR GAS
OP CUPERTINO
25 1,65
LOT NO.
PERMIT
llare 196— Permit No. xoec
CITY OF CI�PER�T�I�Q Pee $_ l 0
pplication is here y ma o e City of Cupertino for a permit'o install gas pipes
o < and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
i m and/or appliances in accordance with the provisions of the Plumbing Code of the City
a w of Cupertino, and al Cher laws a cable theret .
Use of Premises
00
o a Owne Address �^
z
3 0 ONTRACr ENT
Phone J
aUState Licens�L,�-5-�� Approved_
�� PLUMBING INSPECTOR
of Appliance j Units Fees
Miscellaneous
NAME TYPE)
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Tested and Approved ............ - .......I ............. -
DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......
Building Permit No - -----
The Building Locatcd`atc.�:2,2-�-�.-4,-�
Owned by ...
.- ........................................... ................. : ..................
(Completed -N
Has Been For Use As: ............
(Altered dui"'................................
111,
................................................................................................................................
............ .... N
102 7/63.500 BUILDING JNSPE"C"'r'"0R'...
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
' ...._........._Ia... ................ ..... 196 �
To
You are hereby authorized to nect electrical service for
Owner or Tenant -----
At
No. of Wires s.9................ Size of Wires�............. Size of SwitcE�...:���
Motor Load ------------------------ Voltage .------------------------------ Phase
.,- Heating Load ........................ K. W.----- ---------------------------- Voltage --------------
..
Light ................ 110............ New Service................ Reconnect............:.....
No. of Meters. .. .........
Heat ................. 220... .`.: Three Wire................ Move Service............
No. of Add. Meters............
Power ............... e.............. Move Meter..............
�ETCTR
ICAL INSPECTOR
104 7/63-500
Blde. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE 40-A'
CITY OF CUPERTINO
❑ Sewer Connection �'''�:� Sanitary Permit No.
Plumbing Final Plumbing Permit No.-/�`'04.16.......
n Ar Lot No. ..... //---------------------
Owner or Tenant
C.
Tract
Date Connected ---------------------------- .....'._.._------ -----.._. 19.4/*$►
DateFinal------......_........---------a7lil"`---...---------- ...............---.....----- 19.1�w1....
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
// G
To
You are hereby authorized
�toocconnect the GAS service for
Owner,/. or Tenant .............. _...................._.........../.............�...
At
New Service ....e...............
No. of Meters ............... Reconnect ..............................
Move Service ........................
No, of Add. Meters ..... Move Meter^....._._.__..........
PLUM ING INSPECTOR
",
ROUTE SLIP
File No.
Date Out
Date In
Location �—U / % 66c�
Subject.
Notes
Approved -7 l�
Date/ Inspecto