FILE 51167a'�/�I `^^^'�•• Let No. O
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. S%/G'7_
Q�ISanitary No.—, BY
-Date 196
Applicationis hereby made for a permit to
to be occupied only as
Estimated Value of Improvements E4A.4QO 0%'-
FEES 6 9- d,o
Owner 04X2./:+
Oem1.
Phone a2-- %
Plan Check E y /�
Address - of 81 9 J'04
Address
State License--/sf1�'{%, 7�
Approved 4-iC//JL A— ��
APPLICATION FOR ELECTRICAL PERMIT
Date `< 196 �7
FEEE
Conir. /
Address
-7/�a-
Phone _l 73G
State License
Approved
�e
APPLICATION FOR PLUMBING
& GAS PERMIT
Date / 196 7
a
GAS FEE E / S
PLUMBING FEEE / ck-2 tz
Phone�S^��-3 %�
State License /F"" 7
APPLICATION FOR
Date 1%
Approved / - XW
APPLIANCE PERMIT
FEEE �` aS
/yn
Contr. ✓
Address -a—
Phone--���`�.3 ��
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
R2CORD OF [NSPECTION APPROVALS
FOUNDATION BUILDING
D t �
UNDERFLOOR h
re
FRAME
CLAjjk & PLASTER
pate
FINAL C,_
-3-t7 Inspector
ELECTRICAL
UNDERGROUN VV
I it
ROUGH WIRING
Dat q
' 6 -7
OUTLETS
FINISH WIRING
SWITCHES 20
133-°
RECEPTACL S'1
Dat
l'a
FIXTURES
FIXTURES
oL
M.P. CHARGE
v
ki�RMIT FEE
^mAo
TOTAL FEES
5�
-3-t7 Inspector
ELECTRICAL
UNDERGROUN VV
I it
ROUGH WIRING
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
Dat q
' 6 -7
ns pector
aD24
FINISH WIRING
Y
133-°
UNDERGROUND
Dat
Inspector
FIXTURES
FIXTURE FEE
PARTIAL ROUGH / e�
^mAo
Inspector
Motors
MAIN DRAIN FEE
ROUGH COMPLETEv-, _e C
Dat
Inspector
FINAL
y'
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
SIZE
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
133-°
UNDERGROUND
_
-_
FIXTURE FEE
PARTIAL ROUGH / e�
-
Date
MAIN DRAIN FEE
ROUGH COMPLETEv-, _e C
Do I or
�
5 rCo7
STORM DRAIN FEE
MAIN DRAIN
�'
Dyte or
-3 -G
WATER SYSTEM FEE
GAS PIPING
'
S
Dateor
GAS PIPING FEE
FLOOR FURNACE
FINAL t
TOTAL FEE
Date Inspector
PERMIT FEE
d�
MISC
Date Inspector
TOTAL FEE
.3
- MISC
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 —�/f e-11— L7
Vote Inspector
ROUTE,, SLIP
File No.
Date Out �—
bate In
Location—";4 a� —
Notes
Approved q [Z-!G�CCLctw --
Date Inspector
I �
9
I AGREE I WILL NOT VIOLATE ANY OF THE kA'ORKMEmi S
COMPENSATION LAWS OF THE STATE aCAL,.
%
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I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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APPLICATION FOR :PLUMBING PERMIT
Q
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hT� OF CUPERTINO
s Gs� ',
'o _ i Sanitary No.
o j Aorii�r26
3 U Date 1 �j 4n^1 1a96� 7 Permit No
t1 i 4 ilii.. - Eee $
`' LL m Applifatipn�ls'lu eb}�maderc� ie City of Cupertino for a permit to install plumbing
�.- o Q • '-pipes=and•` r fii,tures- IistedtT�I , a (reverse side hereof, and agrees �to -install- said- prices .
(L i m :and/oy-fixtures in accordance %ali -the provisions of the Plumbing Code of the City of -
a w _Cupertinp, and.all other laws applicable thereto. -
t Welling
o o Use of Premises- ---
r Ditz Crane C 2295 De La, Cruz Blvd,, S C,
v'_04 Owner Address
Palin Plivabing Company 124h Sunnyvale -Saratoga RoadAdZ�css .
Al, FF- i ��Ti'�iaililA f -5
PLUMBING INSPECTOR j
. `F
Water Heate
ns
RECORD OF INSPECTION
Underground Rough
Partial Rough -
Rough. Complete
Hain Drain
Final
I ASRqE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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Type of Appliance Units Fees II
Remarks (Check ✓I
New Replace Relocate
Gas Ranges t
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces x00
75 Boilers
Warming evens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
--� _
Floor Furnace
,0
Miscellaneous
NAME TYPE)
I
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Appliance Fees IU,2S
Inspected and Approved ......... .................. ................................
DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date.....?py ....- ---- 7. ......................... 147 Building Permit
The Building Located at �( 612- --. ? U.:!tt.k%.Y.s.-.. i�::?....-
� ..........
/]nwe
Owned by ......-C.A�. �..�...`.. .%................ ....... - -.......... - ...- .-...........
Has Been (Completed ) For Use As:...-.
i.-'---........................................._......------.........-......--._..------.............-...-'---'--'-.........---.............
�.........-'---._------.............'---•--.........................--.---.-----.........-......-....._.....-............---------........
------------------ ............................................... - --
�at.... :
BUILDING INSPECTOR.
'102 12/66-1M
n 'I GAS SERVI.Ct NOTICE'OFFICI: '
BUILDING INSPECTOR'S OFFICE, COPY
CITY
..OF...CUPEINO............................... 196.
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ._4G'/ ......4�._.....
......._..._.. _...... _..._......._...
f
New Service .,�....._......._......
No. of Meters ........ Reconnect ..............................
1'1 Move Service ......... ..............
No. of Add. Meters ...... Move Meter ._.......................
PLUMBING INSPECTOR
BUILDING - INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection
12/Plumbing Final
Owner or Tenant ....
At
......................
I)Idg. Dept
Office Copy
Sanitary Permit No . ........ ...... .
Plumbing Permit No.
Lot No. ............
Tract ............
..................................................................................
DateConnected .................................. . .......................................................... 147—
Date Final/J.....-----........_...........4?..
..............................................................
................... �t-
--- ------------------------------
L Lu�
UMBING INSPECTOR
I] I 7/63 -IM
ICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are hereby aut razed to co nec electrical service for
Owner or Tenant ..........' ....... . .
Cs�
•At .........Zb......... ..........n...
No. of Wires ... ............... Size of Wires .Fi.. Zi........ Size of Switch
MotorLoad .......................... Voltage ................................ Phase .................................
HeatingLoad ........................ K.W.......... ........ ................. Voltage ................................
Light........ 1te...�/.. New Servicr...�/. _.. Reconnect... ...........
No. of Meters ...... ....�.......�
Heat ................. 230._..ZTree ire .. ._..__ Move Service...........
No, of Add. Meters............
Power ............... " Phar ............. Move Meter..............
ELECTRICAL INSPEC R