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51167.1 7-LE7'0A/ sr Let No. 9J' No. Street APPLICATION FOR BUILDING PERMIT CITY'OF CUPERTINO File No. �_ c� Sanitary No. �� / `f Data 196�� A plica tion is hereby made for a permit to T a / story, Type 1 V to be occupied only ns in accordancOlith plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements I $ a'Opp'. D d ei "Fa FEES - �S /�J Plan Check $ / Owner 1/ Address er?.X9S— 04A,✓t Contr. Address Phone ZS- 7State License Approved APPLICATION FOR ELECTRICAL PERMIT Date /// 196 FEES Cont,, Address Phone ,7r5�3� State License /z Approved %gn1-t.IAM n APPLICATION FOR PLUMBING & GAS PERMIT Date //7/G 196 ,7 GAS FEE $ GJ� •.s-o PLUMBING FEE $ Contr. _ ®+/ ..J tr Address Sw A,�4rs..•-'te y Jy Phone ry'�S '2��LS State License ��)�}yGpps�9 Approved /w./.VrQa�• - -•-�-�i� APP CATION FOR APPLIANCE PERMIT Date �/� 196 FEES Contr. Address Phone 7 9 '— d 9 3 X'/ State License /u7C2-6J1� 2— Approved �.(t/� L/ Applicants agree not to violate any of the 114- Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION BUILDING e UNDERFLOOR Dq�e7 r� Insp a FRAME ATc oL H PLASTER ��^s pe/ ���V �`" Dar ect rya FINAL Ina Dec ter ELECTRICAL .OUTLETS SERVICE SIZE SWITCHES UNDERGROUND ? ns RECEPTACLES ROUGH WIRING ' pector Date�� f/t/`.,Ilnspactor FIXTURES FINISH WIRING �Dute Ina pe ctor H.P. CHARGE FIXTURES s /'V Inspector PERMIT FEE Motors �y 3 , .GNe Inspector TOTAL FEES FINAL �V Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND q FIXTURE FEE PARTIAL ROUG r MAIN DRAIN FEE ROUGH COMP LET Date or STORM DRAIN FEE MAIN DRAIN y ns WATER SYSTEM FEE GAS P 0 Date or GAS PIPING FEE F I N A Data mpector PERMIT FEE MISC Date Ina pector TOTAL FEE MISC Date 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 FLOOR FURNACR TOTAL INSPECTE ' Dote Ina pe c for CERTIFICATE TO F' COMPLETION BUILDING INSPECT'OR'S OFFICE CITY OF CUPERTINO ,Date ....... ................. 19.) .�:...n . Building Permit No.5.714.7-j The Building Located at ....�I..7l..r..._`:.:.(d�I,9- e�[nn...J~ ........ ......... Y - .. - / ......... t J Owned b _ . ...4/LJaw � ..... ......................................._./4t' k..... .._. ;Has Been (Completed For Use As: -.:4i ' .Ll.--.GJM1.. ......................................ti.,.....d. . .....�... .�..........I.....�. ....g..... -................... 1 .... ......................-------.......... ........................ ... ........ ....._... ... ............... .. .... .� 3 i J 4 ........................... ........... .!- .................. . ....... BUILDING 'INSPECTOR 102 12/66-IM - �qjkICE COPY ELECTRIC SERVICE NOTICE �^ I�•I+ BUILDING.INSPECTOR'S OFFICE ERI.INO CITY OF CUP __.. 196.(� To You are hereby authiz I t(t'-cro'inect ctrical service for Owner or Tenant ............ At ... ..Q. �..1_..a..l.��j...... ..�.. -: `.;v.J.' •p.:,.F '.3............_•.............. No. of Wires ...... dam........... Size of Wires ......" ':. .1/ Size of SwitcCW.g1-...... Motor Load .......................... Voltage ........:....................... Phase _......................I........ . HeatingLoad ........ ............... K. W. ..............................._. Voltage _............................... Light..../..... IIO,/'_1. New Service. ........ Reconnect.....:........... No. of Meters..........:...... Heat................. 220......,E hre iT.. .. .—.._ Move Service........... No.of Add. Meters............ Power.. 1 �_-�....... hr Ph �f Phase .. .......... Move/J/ eter.............. ..................._..._......wi�j....... _ P.LECTRICAI. INSPECTOR I GAS SERVICE NOTICE OFFICE COPY INSPECTOR'S OFFICE t 9� UPERTINO /y I To I You are hereby authorized to connect the GAS service for Owner or Tennant ... ...... .. ............................>..:................ At New Service ...v............ No. of Meters ... .::........... Reconnect ' Move Service .....................:., �+ No. of Add. Meters .............. Move Meter LU BING INSPECTOR Bldg. Dept. - �: Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO I. q ❑ Sewer Connection Sanitary Permit No. .....Jl_ /9r ... ®/r'lumbjn inal Plumbing Permit No. 11io7e/ LotNo. .......�.�................ Owner or Tenant ... eL . C .......-.... -------------------------------- At Tract ............ .. . Date Connected .........__:.... 1�..... .T.......:............................................... 19.1 '/..... { DateFinal ............................ ... ..---.....-.........---... . ..........-.......... 19.(llA...: , .............. .... ...... . O�PLUMBING INSPECTOR 111 12/66-IM „ ROUTE SLIP File No.� Date Out--7� Date In Location o`T'CJ �S� �/ Sub,jeot Notes i Approved (Date Insp;cto^ . I I6)A///3 /iL<K!/-/ /7C/ /i/%� LOT NO. ( NO. STREET W ® A PLIA� M FOR BUILDING PERMIT ° �' OF CUPERTINO 6 F s ; 2 67 Sanitary No.9S— _ Uate /to 196,2 Permit No. 5-116 7, / 'o / n 4atMrsI�� M)MO limit to 1 1110 y� i a a ze"2e story, Type Building r to be occupied only as rf in accordance with o'o Plans, Specifications and Plot-Plan filed herewith. P1 CIL Fee Estimated Value of Improvements, $ A/"W Fee $ A�/, iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and J Z all other laws applicable to the construction, location, and use of buildings within the City of j o Cupertino will be complied with. RITZ-CRANE ;i —0 Owner Address _ _ _ _ _ _ . - __.._ LL7 VL LM 5WB: W By DCS/�LiiAii.i/c/OL Adts CA''TA fl App rm IF -,ns U0 Phone7—//O/pD APProv State License /�// / / BUILDING INSPECTOR N Q W z U I"AL&"t ,'&. LOT NO. Y � NO.- STREET APPLICATION FOR PLUMBING PERMIT ©Hca T OF CUPF.RTINO _ ��.—`�- L117 Sanitary No. �`�9Date _ Ct Permit No J'—z"L Fee $ eLG . Sa AppI* pp s�,ereby odJ�ic,.it rty of Cupertino for a permit to install plumbing pipes arui/Idr�fixt'ufre`s lst "P4 t,t �r��✓e'se 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 all other laws applicable thereto. ,U�sseee of Premises By AI CONTR CTOR, AGENT Phone���� State License ��GS7l 'A ;t Address — 101, V. PLUMBING INSPECTOR $� FIXTURES NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water }[eater Size Water Closet Material Bath Tub To Curb Shower /# To Prop. Line !� Kitchen Sink / Not Conn. Dish Washer Sewer Box Waste Disposal Size Wash Tray STORM DRAINAGE Washing Machine Size Water Softener Material Comb.SinkBTrav I 1 11 To Curb I I I Urmkm Countem Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Free Area Drain Main Drain Fee Water Leader Storm Drain Fee Sprinkler Valve Water S s. Fee ZSVI Relief Valve Gas Fee Vac Breaker Skimmer Filter Permit Fee Total / O�_re Total Fee zljrD