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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