51167.1 r
c2ior 70 I Lot No.. —2
No. Street // Z / .v
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Fila No. d-11671
Sanitary No.
Data 196 . _
lication is hereby made for a permit to
a � story. Ty
Qr7J
to he occupied only as
in accordant ith Plot Plan, Plans a Specification filed herewit
Estimated Value of Improvements 5 . 14 (JOQ s-=
FEES ��//JJJJC� `4"/t^ Plan Check $ y� o ,(
Owner air `'� • -� Address 2-41r—A 04- feu /J tty1�
Contr. or Address V�
Phone O State Licenser/Q-7 el
Approved C.),aB. ——&A �
APPLICATION FOR ELECTRICAL PERMIT
Dote9/�'J� 9YS 196 7 FEES oZ'G 13 a
Contr. WAddress 44g� fi4
73j9—,s--7,
7 `Sy
Phone _ / .36-5`7, State License —��` ��' Z
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Date [,(�,� 196 GAS FEE $
PLUMBING FEE $
:onh. �iCti'fi Address /d-2 X N 't
Phone — 2 eZS-- 1 2 2 3 State License
Approved
APPLICATION FOR APPLIANCE PERMIT
)ate �y�// /1�% y'7 7 FEES
.ontr. Cvl�i N-/.-c.c-/ /�-CC'—t� Address 1.36.)
ohone
State License 2' Z
Approved -_irzj�5.--1
Opp Licants agree not to violate (in), of the
porkman's Compensation Lotus of the
;tate of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
�a(e ! pecfor
UNDERFLOOR L�m
�a6 Pe x
FRAME fa
at - is pecf'r �
LAT & PLASTER ' G -
ata ..6 Ina pe oler
FINAL l
Date Ins as ctor
ELECTRICAL
.OUTLETS RVI 1
SWITCHES UNDERGROUND / �� /
o 6 Inspactor
RECEPTACLES ROUGH WIRING
1 pab � nspecfor
FIXTURES FINISH WIRING —le
fa r Inspector
H.P. CHARGE FIXTURES— t0
D Inspector
PERMIT FEE Motors
ota Inspector
TOTAL FEES _J-H FINAL NA
Date Ina pact or
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE IATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
M
or
MAIN DRAIN FEE ROUGH COMPLET
t6 or
STORM DRAIN FEE MAIN DRAIN S
ata I R r
WATER SYSTEM FEE GAS NG =.S
ate or
GAS PIPING FEE FINAL •".'�
Date Inspector
PERMIT FEE MISC
ote Inspector
TOTAL FEE MISC
Dote 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 FURNACE TOTAL FEE
INSPECTED
^Date Inspector
�/ 7 6 I Lot No.
No. Street
i�
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Data 7 6 196.7_
Application s her by made for a permi to
s y, Type
to be occupied only ns
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Valve of Improvements $
FEES T /� Plan Check $ �/
Owner {rte._ e'^-"�s�A— Address ^7 Z9 S p 04 ,
Contr. Address
Phone _CZ.1-7/��/�// t� State License
/' ! n " Approved ( /
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr.. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 GAS FEE $
PLUMBING FEE $
-ontr• Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
?ate 196 FEES
.ontr• Address
'hone State License
Approved
?pplicants agree not to violate any of the
Gorkman's Compensation Laws of the
?tate of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Do to 1 ns pe ctor
LATH & PLASTER
Date Inspector
FINAL
Data Insoector
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Dote Inspector
RECEPTACLES ROUGH WIRING
Date Ins pectar
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector'
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
00, PL MBING & GAS
MAIN DRAIN :11SIZE I MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Dote Inspector
MAIN DRAIN FEE ROUGH COMPLETE
- Do to Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date .Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Dote 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 PERMITTEE
FLOOR FURNACE TOTAL FEE
INSPECTED - —
' Date Inspector
I% O//OG /M��iQ�iU!! / LOT NO. / `R
—� NO. sT.K� 1.1-21 —
z < PPU1, A 1 ' N FOR BUILDING PERMIT
Z
lit
sG CITY OF CUPERTINO �F
° aSE 6 1967 LU/ SanitaryNo,
5U 7/53
= LL Unto �`� 196 Permit No.
� o
°o a A licaU' i Rl r y&nggewl a permit to�r4tZe�
i N story,Type ��� Building
w to be occupied only a 14: di(jgrl� in accordance with
op Plans, Specifications and PlotPlan Red herewith. PI Ck Fee
"; Estimated Value of Improvements,$����� Fee$ YZJ::-�P
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be nmp11 with. /
3 m Owner — Address
a By "� Address
? -///O
a Phone Approved
State License /! / BUILDING INSYF.CI'OR
OFFIC COPY ELECTRIC SERVICE NOTICE
Rq�. BUILDI14G INSPECTOR'S OFFICE
�qCITY OF CUPETITINO
................... �7
To . 77/v2........... -- 196.
You are hereby aujhdr d npact electrical service for
12e 0 co
Owner or Tena ��ZA - -------
At
No. of Wires ............... Size .......... Size of Switche�oe)19
.................
MotorLoad .......................... Voltage ................................ Phase ..................:...............
HeatingLoad ........................ K. W. .................................. Voltage ................................
light
No. of Meters... 110........_.. New Service..'...._. Reconnect.............._..
No. of Add. Met Heat220............ Three Wire................ Move Service............
Power............... T hue............ e Meter..............
..... ......... ...... ..........1........
ELECTRICAL INSPECTOR
ROUTE, SLIP _
File No.
Date Out
Date In
Location �+`�
Notes —
Approved
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...:47.'.............................. 194.../.../ Building Permit 0.5)471
The Building Located at a,,7.1.7P4......... ....J-A.....
�v Y .....i :
Owned by .......b:c CSA.44..............................................1,/. ....
et ----------
Has Been For Use As: ......` .. .
. ... ....................................................
.......................................................................................................................:..........................
..................................................................................................................................................
............................................... ......................................................................... .... ....... .
4 32,
-- ---------------
BUILDING INSPECTOR
102 12/66-IM
GAS SERVICE NOTICE OFFICE,
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
........ A?......5
.—............. ........ .......... 196.17
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At
New Service ..............
No. of Meters ...4-1......... Reconnect .............................
Move Service .......................
No. of Add. Meters - ...... Move Meter .:...... ........
.............
PL BING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .41=11.
Plum 'n inal Plumbing Permit No. .,--�7�5
Lot No. ......1:5. ....................
Owner or Tenant ......4--
'led—
At z5;fl,7
P=
Tract ......
Date Connected ..................... .-4&. ................................... ............ 1947
Date Final ..............................
......................................................
------------ . . ..-
PLUM ING .........INSPECTOR
111 12/66-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........................ ...................... ...............
TO
'You are hereby a riz d to co ct electrical service for
Owner or�enant .....P:.ft�41 ... ......
.................. .......—
At .... .....tPA-i?........
ti.................................:........................
. ....
No. of Wires ... ............. Size of Wires ..i, ✓ Size of Switcw qg?l "
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
-No. of Mete ..... I .... New Service... �. Reconnect..................
I'll Heat................ 2201..n<2 ThIt. ........ Move Service............
No.,oF Add. Mete,,
Power.,............ e ........... Move Meter..............
....... ..........................................
ELECTRICAL IN E
ROUTE SLIP
File No. ,;•'
Date Out
Date In -5-6
Location
Sub feat. -�f-• �• �
Notes
Approved"
Date Inspector
j�V I CiR-CSG ' i�/Jf7A�/.✓" LOT NO. y�
NO. �,l `STREEI'
'A_ PP,LICATION FOR PLUMBING PERMIT
a CITY Of CUPERTINO
x o �eSEP 6 1567 Sanitary No.
0 Da%7 Permit No
3� G
= a r'Tv O CUPERT�NO Pee $ a so
''Application is hereby made to the City of Cupertino for a permit to install plumbing
o r pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r a and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
< w Cupertino, and all other laws applicable thereto.
Use of Premises
3 Ownee� /J GA Address
oJ yTl�linv �`� /rAdress- .
z B !� v1�,r�f Address
-
o CONTRACTOR, AGENT
— m Phone
w z
O Y State License `/IGS7y Approved
a o /
U PLUMBING INSPECTOR I/
FIXTURES I NUMBER II MAIN DRAIN
UNITSI FEES 11 UNITS I FEES
Bath Tub
To Curb
Shower
To Prop. Line ✓
Lavatories
To Existing
Kitchen Sink /
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Machine
Material
Comb.Sink & Tray I 1 II To Curb
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Si ze
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main fhi, Ie ,, L26T
Water Leader
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee C
Total /j'Q
Total Fee elG 30