51175 Q G 7 Lot No.
'NO. Street ,
APPLICATION FOR BUILDING`PERMIT
CITY OF CUPERTINO
File No. 1�777`S�
. Sanitary No.
Do to _196
Application its hereby made for a permit to
✓s•+a[.iC - a story. Type
to he occupied only as
in accordance with Wot plan, Plans and Specification filed herewith,
Estimated Value of Improvements b
day 0 O O
FEES �0 - Plan Checkk$$
Owner (� l./Lct....G Address
Contr. �r Address
Phone ?,s3 Q 6 (� 0 State License Z57 zk-6 0 9
Approved WILLIAM r). GCt.rvV.rosj
APPLICATION FOR ELECTRICAL PERMIT
Date / 196 7 FEE$ 7.2// nn
Contr.
Qap �.Pe .r. J Address 02/7,5
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date / 196 / GAS FEE b
PLUMBINGGFF�E/E $ 'z 7 IL?
Contr. `it'c`T.✓�+�J (Ji`i'" 'i Address / 1"
Phone 5;1 State License a-/?�(� 7
Approved
APPLICATION FOR APPLIANCE PERMIT y v
Date 196 �� FEE�j$
Contr. ,do�— 7 7
s�
State License
pproved
Applicants agree not to violate any of the
Workman's Compensation'Laws of the
State of California
Y,.J , �'11 -6? r"y -- -
RECORD OF INSPECTION APPROVALS
FOUNDATION
BUILDING
Dplq�!
UNDERFLOOR eC / O Inspect
to Ins part
FRAME
} D to ) Ins pe or
LATH & PLASTER
Da 6' I s ect
FINAL
Date Insoector
/ E TRICAL +
,OUTLETS � � SERVICE SI
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING
FIXTURES FINISH WIRING 2,0 D Inspect.
'
H.P. CHARGE FIXTURES—, Ins pact.'
Inspector
PERMIT FEE Motors
Ffltoo Inspector
TOTAL FEES FINAL 1°
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
ate or
MAIN DRAIN FEE ROUGH COMPLET
t I
STORM DRAIN FEE MAIN DRAIN
f e� n r
WATER SYSTEM FEE GAS PIPING — (�/
ff Date 7nspecEtor :GAS PIPING FEE FINAL 1_j-- Date
PERMIT FEE MISC
Date Inspector
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 j PERMIT FEE
FLOOR FURNACE .' ti TOTAL FEE
7 R....._
INSPECTED
Date nspecfor
// � /352
IG�/06y9—/a7oll 4 /4 c LOT NO.
NO. STREET C3 K f1 3
w p APPLICATION FOR BUILDING PERMIT l
o OF CUPERTINO /�
0 7 ft
Sanitary No!' J` S
a
S,U Uate :5ft)
6Z Permit No.
0 o Application is hereby made for a permit to
a
i N atoy T Building
t..be occupied only as //O/ X in accordance with
a
00 Flans, Specifications and Plot-Plan filed herewith. PI Ck Fee
> ; Estimated Value of Improvements,S 36 G00 Fee
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all ,laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will be complied with. D
3 st Owne G P / /� Address dK 3
W . Address
a By
� f
a U Phon 2 Approve
State Licens �� t we INS YF.CTOR /
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....1a•.>.:'. ................... 19.47. Building Permit No.'P' /7x-
. . ...........
The Building Located at :...................
Ownedby .....Wmzd.......Cu ---------------------------------------------
Has Been (Completed) For Use As: -------A��------- --- . ..... - -----
44&�
........................................................................--------------------- ..................................................
.................................................................................................................................................
................................................................................................................. ---- ............
..............................................
BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
..........-... ...4.77/ .......-.......I--....... 196
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ZQ!q�.. . ....... ........ ........i.......... ....... ...................
At ...... ........
. .................:..:...........I..............
,New Service ..........
No. of Meters .... Reconnect .............................
Move Service .......... ............
No. of Add. Meters .......... Move Meter ...... .................
PLUMBING INSPECTOR
• Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
f-I Sewer Connection Sanitary Permit No.
---------------------
g;,*Plumbing Final Plumbing Permit No. s�zxr- -
Lot No. -----------------
7
------------------------------------------------
Owner or Tenant
At . .......-------------------------------------
G
Tract
---------- ------
Tract ..........-,;a� ------------------ ---------- -----------------------------
Date Connected .....................zeO' �27-------------------------------------------------------- 194/7
Date
/1 1-1
DateFinal ----------------------------1�?1111-r----------------------------------------------------- 190........
----------- -------------
PLU BING INSPECTOR
111 12166-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY Oh CUPERTINO _
'L� .............._....... 196.1.
To '
You are hereb a horized 9 cO eQt electrical service for
Owner or Tenant ... tt .03a.. y..... .... .. �.,.... ....._........._. ....
At
No. of Wires ..._.a ....... Size of Wires ..3-.i.�...Y..__ 'Size of Switch
Motor Load .......................... Voltage ....... ...... ...__......_... Phase ....... .... _........
..._:.....
HeatingLoad ..._-------------- - K. \fir.. .................._.........---. Voltage _......_.__......._........
LighL...�/...._ I lo...f� New Servi[✓........... Reconnect..................
No. of Meters........:- -
Heat............._.. 220..,,1.. hree 're... _.._..._ Move Service............
No. of Add. Meters........`....
- �
Power... � ree has . . Move Meter----
...........
eter. .
'F:LECERICAC.WSPE OR
.. Y ,
File No . 5 7J�`
Date Out
Date Ing.
Location
Subject
Notes
Approved LZ -IP-( 7
Date Inspector
nvviL
File No S/ / 7�
Date Out
Date In ,.
Location
Subject
.—Notes
Approved
Date Inspector
l (a /7,I L 4r P4. LOT NO.
STREET
h10 CUPEdry,VO
CITY OF CUPERTINO
1 6 f976 APPLICATION FOR PLUMBING PERMIT
/I b --��//' Sanitary No.
Date /'' ,19L� Permit No.
Fee$
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on 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
Cupertino, and all other laws applicable thereto.
Use of //_ Work To Be .L s
Premises � Performed OA' z A
Owner /JLIS—etc-'+• — Address�� if 7 101 2--
Phone�/rte � v jlmgY �D ��.L+'�-�.'�,�1"-�✓nvJ�sra�
BY `r—,.Js- �.(/.•. Address�F n7.J'
Contractor,Agent
Phone 2S3
State License �� Z"'�3 Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
U COMPENSATION LAWS OF THE STATE OF CALIFORNIA. LA
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