HomeMy WebLinkAbout51043.1, Bldg 620975
No.
VALLEY.GREEN DRIVE
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Dot, April 2X196 6
Application is hereby made for a permit to
to be occupied only as,
FEES
Ow na r
Contr.
Phone
�f 6
File No. 51043.1
Sanitary
a story,
in accordance with plot plan, Plans and
Estimated Value of Improvements
S
Plan Check $
Address
Address
State License
Approved
filed herewith,
APPLICATION FOR ELECTRICAL PERMIT
Data
%G Ta
1196
FEEE
Contr. (mac/
/j� Q9 n
Address -,c`/ /"r�`t'
Phone ZZ x0 7 6
State License
Approved
APPLICATION FOR PLUMBING
& GAS PERMIT
Date � .. 196 1�
GAS FEE E
PLUMBING FEE $
Contr.
Address
Phone — %� G �T/ 'd
G _
State License /'C7 -''a,
Approved���//
APPLICATION FOR
APPLIANCE PERMIT
Dote 196
.FEES
Contr. Address
Phone State License
Approved _
Applicants agree not to violate hny of the
Workman's Compensation Laws of the
State of California
UNDERFKOOR
FR�
LAT PLASTEEjR
FINAL
Data
,OUTLETS ,Z
7
SWITCHES Yk
/ f -d
/yL
/yw
RECEPTACLES
SIZE
TERIAL
FIXTUR S
TOTAL FIXTURES
�,�
H. .CHARGE
°o
AS ro
PERM! FEE
FEES
%
TOTAL
V
APPROVALS
✓r'�a �gILDING
-��7 Inspector
1 zpactor.
pector
oactor
OZ 016716,-E ��w. RVIC
SIZE
U E - to Inspector
ROUGH WIRING ` '
.specter
FINISH WIRING l�
Inspe�iar-
FIXTURES
^"- Inspector
Motors
IDI e
FINAL rs pactor
Date f, Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
Date Inspector
MENEEMENIM
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
3
v
FEE
WATER SYSTEM
SIZE
TERIAL
TOTAL FIXTURES
�,�
�C•`�-%
UNDERGROUND
FIXTURE FEE
SUSPENDED UNIT
PARTIAL ROUGH
MISC
GAS RANGE
Date
I
MAIN DRAIN FEE
ROUGH COMPLETE _AD -CC
PERMIT FEE,`
FLOOR FURNACE
STORM DRAIN FEEMAIN
! .
TOTAL FE
DRAIN f• 6
_
D t
In
WATER SYSTEM FEE
`^
GAS PIPING
/ ates
"(0
for
GAS PIPING FEE
FINAL O O -
C..
Date
Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE �
W IOt
MISC
Date Inspector
MENEEMENIM
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,`
FLOOR FURNACE
-
! .
TOTAL FE
INSPECTED �� �D-Z% ` i
�r • Data Inspector
l .
To
You are herebv,
Owner ej Tenant
At .9..
IN
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
_194
No. of Wires ...W . ............... Size of
electrical
............
ze f Switch
y
Motor Load .......................... Voltage ._..................... Phase ._........
Heating Load ....................... K. W. ....... ....... ........ ........ . Voltage
Light.....Y...... IIU..Ah�,//-
/. Reconnect ...... _........
..
No. of Meters ....................
Powe..�220........ Move Service............
No. of Add. Meters............ Move
5
Power...............nr r_.__
11, ELECTRICAL
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... - vi/� ..................1 19.4 // j7- I -el- Buildine P&miit No, -4/1
The Building Located at
Owned by
Has Been ( mplet
Aller d) o, Use As . . . ......
...........
'BUILDING INSPECTOR
.• Bdg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit N ...
�--� ------------------
[�Plumbing Final — Plumbing Permit &—,.-/
Lot No -------
Owner or Tenant
At
Tracf ---------------
.4..
-------------
Date Connected ...................................... 4-- 0
�Date
Final................................
•
III 7/63-1M PLUMBING INSPECTOR
� ,-
`BUILDING DEPARTMENT
CITY OF CUPERTINO
f � /
Job Located at ----------- - ---.......... Vim........ ...
I have this day in ected this structure and these premises
and have found the' ollowing violations of City and/or State
Lags, eovernine same.
premises
............................
shall be done
yse corrected.
: 7
ROUTE SLIP
File No. /
Date Out---�X,4p/i
Date In
Location _
0A
Subjeat
Notes
GAS SERVICE NOTICE OFFIC:
COM,
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
..............._.........I I96..
To�
You are hereby authorized to connect the GAS service for
Owner or Tenant
At
New Service ........ ........
No. of Meters ........ Reconnect ... ....... .......
Move Service ... .................. .
No. of Add. Meters .............. Move Meter ........
NG INSPECTOR
O STREF.T� v
LQtTION FOR PLUMBING PERMIT
Wz
ITY OF CUPERTINO
0oo M/aY5 �9 s;mi No.
ow /
1 � 196 Permit
it No �
w a�' Fee $ G%
x j��
° Application SNP�e��� to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures li"°°�� 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
a w Cupertino, and all other laws applicable thereto.��
w Use of Premises
0 0
o a Owner��', � (� Address--? ( ��
zBy�C! UlfiFC/n✓�StP/ i�lir Address
O CON , ACTORb AGENT
3 m Phone
W z
a �saa
0 f State Licence Approved
aU
PLUMBING INSPECTOR
UNITS I FEES
Sprinkler Valves I 1 II Water Sys. Fee I /, e -fl
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
'.Main Drain
Final