HomeMy WebLinkAbout51043.1, Bldg 520975 I VALLEY GREEN DRIVE of Ng• 5
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date April 20 1966
Application is hereby made for a permit to
to be occupied only as
FEES
Owner
Contr.
Phone
File No. S104'� • l
Sanitary
story, Type
in accordance with Plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
Plan Check $
Address
Address
State License
Approved _
APPLICATION FOR ELECTRICAL PERMIT
J
Data ' 196 � FEEE 3 a'�—�(p,�y
Cantr. _ <.2-¢-i ^-c-ci Address O?-/ 7'�""�_- r. -s•" „t'`'S^i O y
Phone State License -,;2
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
- T
PLUMBING FEE $
/
Contr. z � �a""�`'�H /"-s'>�/ Address //or u v
Phone 3`21,3 State License - ��` zl.2 'Z•
Date
Contr
Approved �����
APPLICATION FOR APPLIANCE`PERMIT
196 FEES
Phone
Jw ,
Applicants agree not to violate any of the'
Workman's Compensation Laws Ithe
State of California
Address
State License
Approved
Inspector
spe ctor
s pector
j pector
Insoecfor
E�L\ECTRIC L ���7
�jC.I1 ; SERVICE SIZE
UNDERGROUND
D f Spector
ROUGH WIRING
Data Spector
FINISH WIRING
q_ Da g A
FIXTURES i� Y _ V pector
Date Inspector
Motors Dpi�
FINAL —y // Spector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
I SIZE�,/
,OUTLETS Z
u
RECORD OF INSPECTION APPROVALS .
l f�
BUILDING
FOUNDATION .:.4
H. P. &X G E
Date
PERMIT FEE
o0
UNDERFLOOR
PARTIAL ROUGH
/
FRAME
Date
G
LATH PLASTER "
ROUGH COMPLET Gt!
GAS RANGE
FINAL
STORM DRAIN FEE
Date
Inspector
spe ctor
s pector
j pector
Insoecfor
E�L\ECTRIC L ���7
�jC.I1 ; SERVICE SIZE
UNDERGROUND
D f Spector
ROUGH WIRING
Data Spector
FINISH WIRING
q_ Da g A
FIXTURES i� Y _ V pector
Date Inspector
Motors Dpi�
FINAL —y // Spector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
I SIZE�,/
,OUTLETS Z
u
SWITCHES
2
RECEPTACLES
l f�
G ^*,-
FIXTURES
H. P. &X G E
as
PERMIT FEE
o0
TOTAL FEES
Inspector
spe ctor
s pector
j pector
Insoecfor
E�L\ECTRIC L ���7
�jC.I1 ; SERVICE SIZE
UNDERGROUND
D f Spector
ROUGH WIRING
Data Spector
FINISH WIRING
q_ Da g A
FIXTURES i� Y _ V pector
Date Inspector
Motors Dpi�
FINAL —y // Spector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
I SIZE�,/
TERIAL
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS.
TOTAL FIXTURES
REGISTERS
/
UNDERGROUND. - 6
FIXTURE FEE
PARTIAL ROUGH
COMBUSTION VENT
Data/
MAIN DRAIN FEE
MISC
ROUGH COMPLET Gt!
GAS RANGE
r
STORM DRAIN FEE
MAIN DRAIN "Pfd
d"'
FLOOR FURNACE
WATER SYSTEM FEE
/
GAS PIPING
'
ote
r
GAS PIPING FEE
FINAL
Date
Inspector
PERMIT FEE
MISC
VO
Date-
Inspector
TOTAL FEE �
/
MISC
uare 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 j ---N
FLOOR FURNACE
TOTAL FEE i
INSPECTED-
Date Inspector
4
w°
�1
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No.
ETI�Plumbing Final Plumbing Permit N
Owner or Tenant ---
At
Tract
Date Connected .......
Date Final ---------------
60fel,-
.41
III 7/63 -IM
I
59
PLUMBING INSPECTOR
Bldg. Dept
Office Copy
194"x'"--
PLUMBING
94C--
ROUTE SLIP ► r,
File No.
Date Out _—
Date In
Location
�
Sub'j'ect
Notes
Approved
ctor
GAS SERVICE NOTICE OI:HC!:
COPY
BUILDING INSPECTOR'S OPPICE
CITY OF CUPERTIIINO
........ .......... -%.?....:........._......_...-., 196..(0
To
You are hereby authorized to connect the GAS, service for
Owner or Tenant ... ....�i
At
...._........... ..._.... .....
1 New Service _� ..
No. of Meters ..........Reconnect
..............................
Move Service ........................
No. of Add. Meters .............. Move Meter .... _.'......
_..........
PLUM ING' INSPECTOR
,JCE COPY
ELECTRIC SERVICE NOTICE
Q 1 BUILDING INSPECTOR'S OFFICE,
CITY OI' CUPERTINO /.�(
' ......__........_..... .......... ......." V ., 196(*.
To //–�
You are hereby uthoriz to connect el cc trtfcal-seri e to
Owner or Tenant ...... ...
At
No. of Wires ----------- Size of Wires ...... ... ..M-114 of Switch b ......
Motor Load.......................... Voltage ..._............... .._._..... Ph,lsc T
........._.........._......
Heating Load ......................_ K. W. _............... Voltage
(/
Light .... /.... I ltl... - New Senice./.....�.. Reconnect.._.... _........
No. of Meters....... Q.......
No, of Add. MetrHeat ......y/.....220./�IJ
Move Service..........
Power ... .........
Move met er.... .......
.
ELEC F CAL
N -C
w�
Eo
Y LL
O J
3(<
NO. S EFl
f1P%:§a1LI fA\ITTION
wly
pipes and/or fixtures 11sl4fVe
and/or fixtures in accordance
Cupertino, and all other laws
Use of
z By
_ o
3�
— m Phon
w z
w w
a a
a o State
1_u
�73cy
- ' OIL) LOT N9.
FOR PLUMBING PERMIT
OF CUPERTINO
Sanitary No.
V1965 Permit No 'gyp 'r"�
;6 Fee $' J7 ,e
to the City of Cupertino for a permit to install plumbing
the reverse side hereof, and agrees to install said rices
with the provisions of the Plumbing Code of the City of
applicable thereto.
Address,�239S
Address -/'f
License �5��� Approved /
PLUMBING INSPECTOR /
FEES
Water Heate
Boxes
urmais I 111 Fixture Fee I �;/6. p -p
kler Valves
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough Complete
Main Drain
Final