510372-0
` •? .. Lot NZ6 O
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to % �' 196 -)P—
Application is hereby made for a permit to
to he occupied only as
Sanitary No.dy `f s-1
File No. �+—� J
a --;'L story, Type 'f L \7
in accorMnce with Plot Plan, Plans and Specification filed herewith..
Estimated Value of Improvements $ 33_ p-0--a W'x_
r
FEES
Plan Check $
�9�
Owner _GV Fn+k C%W...
P—a&-s ddress 0
Cont,
Phone 02 �.3 — E f "
Address
State License 9
i
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date � 196 4 FEE$
Contr. C..cE �1� Address
Phone _- -y 6 S� % State License }ate2
Approved I"
APPLICATION FOR PLUMBING & GAS PERMIT J
Date 196 . GAS FEE $
//11 PLUMBING FF,EE! $
Contr. _1/LC�.✓iti Address '�/df� Z-
Phone —'3 JP 0/ 9 State License .2-2 0 V 6 7
Approved
APPLICATION FOR APPLIANCE PERMIT
Date - u /I 196 q,4 FEES
Contr. L'tw��-a fie Adress '7 J Cj �jzL�( �i2.
Phone — S % �— LG c 1—
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
State License �� d
Approved
Q
RECORD OF INSPECTION APPROVALS
PAD FINAL _
FOUNDATION_
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG.—
BUILDING
INSPECTOR MISC.
ELECTRICAL
n ATF INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
r
FINISHED WIRING
FIXTURES
��
V
MOTORS
ie
FINAL
PLUMBING. GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH bttj%)) I-ZZ-
ROUGH COMPLETE O
MAIN DRAIN 14fl"All
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
Z
6 T
OII
N* WRI
G
O
7
'
DATE
MISC
MISC
i
7
i
/ / OC 0 / I ( LOT
NO. STREF.a'
APPLICATION FOR PLUMBING PERMIT
" a CITY OF CUPERTINO
y o C Ql l . Sanitary No.
p LL
3 a 196_ Permit No eS/ 0 3 7
U CCrf
= LL .;' S L f 1 - Pee S
o Application is hereby made the City of Cupertino for a permit to install plumbing
a a pipes nc(.,( slo e reve se side hereof, and agrees to install said prices
i m r res nee with the provisions of the Plumbing Code of the City of
a m C`tpertino, and all other aws applicablQ thereto.
a ~ Use of Premises
J LL
O O
> N
.3 Owner
oa
zJ
z By
O CO TRACTOR, NT
3 < 7Q-fib - 0 Phone—
wz
wLL
a o ate License .2 3 d
_u
PLUMBING INSPECTOR v
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
fe
Size
Water Closet
3
Material 77
Bath Tub
To Curb d
Shower
To Prop. Line
Lavatories
To Existin
Kitchen Sink
Not Conn.
Dish Washer
.f
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
—
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
`2 • `"1
Total
Total Fee
. O'd
//U / SAMrO rER c S � LOT NO. Ito G
APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
Date lellt,19 y Permit No. 10 Z O _
I'cc ti
Appl'c. lion is heryb �de t t ity of Cupertino for a permit to install electrical
wiring g d/�rTfishtres�is'ate he reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of tno, t d ws applicable thereto.
},., rTlfor QUIP N0
Use of Premises es
Owner W • COW VM P A
By Z EB EL Fr. A
CONTRACTOR, AGENT
�96 - Soli A
State License 42y11114
ITEM
NEW
RPL
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W.
0
Size of Main Service
floe
Number of Meters
Number of Panels
I��
60
Si s- Transformers
Dryers
O O
Motors:
�'•1 H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Permit Fee
2.00
H.P. Ch. es
Total Fees
30
����� I �� �i�F�iS' ✓/L-//l� I.OT NO, /'O_
NO. STREET
APPLICATION FOR BUILDING PERMIT
®g' ITY OF CUPF.RTINO ;Im6 SS
�'�6ni6m� Starp No.
l t e _ 196� Permit No. Z/ O S 7
Application is hereby made for a permit to �.eEGT
WAI
Building
to be occupied only as_JL1K�—"_ QGGeeZ! A' in�n//accordance with
Plans, Specifications and Plot -Plan filed herewith. Pt Ck Fee
W
Estimated Value of Improvements, $ 33, «'fl Fee $ %� —"
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertinor�wiill,b�e, c�/m�plied with. //���o �%
Ownea lSGF�/ ( Oef/ii�A id rr<c Ka / C 3 ie_
State License /7 �6yBUTT.DING INSPECTOR
a
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OFCUPERTINO
Date .... .........(���`...... .24�-Iq----- ZO Building Permit No... I03
1 Gc.,•.c:lr� /` n
The Building Located at ..............
Owned by ----
Has Been
(Completed)
For Use As :.......................-.--...- .
Sslltered � .. ......... -- ---
----............................----------------------_------------------------------_------............--------------------------
............................. _------................................ ...
................................... ......Uri" '........--'-'--..........
�/ BUILDING INSPECTOR
I-0-r /(z>Cl GAS - SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
7-- ...... ................. 1 196......
To
You are hereby authorized to connect the GAS service for
Owner or Tenant WAA.0��.g .� ................... ....................
At .11201 ......
New Service ...,,k ...............
No. of Meters ..... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. moveMeter
............
PLUMBING INSPECTOR
LoT- I GO
'21 Sewer Connection
Plumbing Final
Owner or Tenant
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Sanitary Permit No. _6 ---- --- Plumbing Permit No. C.—
;_71.03 .. 7 ....
Lot No.....L&c) --------------
0-6-V - ----------------------- ---------------
At ---- 1J.9-IN-_1 4) - -
.T.2 ...... _-JA ....... "R ............... ........
t ---------
Tract ------ F-1.3 '6j-v>-o . ...........................
Date Connected ...... (? — 0 < ?
... a-a--c --------------------------------------------------- ...........
Date Final ...........I---- - -- -- ----- 7.0 ...................... .
L .......... -------
PEU—M—BIN— OR
r
() OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
160"
...... - ............ 1 197()
You are hereby author' Cea ',"onC�, eIj.!ctri;aI service for
Owner or Tenant
At.........
No. of Wires ........................ Size of Wires ..... .............. - Size of Switch
MotorLoad ..........................
Voltage ......................
--
...... Phase ..................................
Heating Load ........................
K. W . .......
................ .........
Voltage .....................
NNo. of Meters
o. of Meters........'.No.
I lo ......
1.".New
Scnice....
--------
of Add. Meters............
Heat ................. 220..
,,---Ihrec
Wle,�-.)
Power ..............
ree
Af,,e Nf t
u,"Inc"C'471
ELr
C T R iC AL
ROUT_ E SLIP
File No.
Date 1-2-1-7
Location,_L
Subject f
Notes —
Approved /-zi_TO ___�
Date., Inspector
CITY OF'CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
/-^-AG*-'** ---------------
Department
JobLocatedat S4nTH_--7ZK&S.ft.
.._.Twwxlco ---------------- -----------------
1- L .SZ 41-.( ...... Pis"mi-gwcp-----------------
------------------------------------------ -------------------- ----- ----- - -
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: ..%.. .�.�%t, 7...........
City Telephone Inspector: �'.'---------------------------
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
�----------------------
Department
Job Located at ���L.�.I---- &J7if-..l-EX.<9.��}.
r--..L6-o------.-"
----------
- 7 v_.gala-------------
----------------------
2..--�LH7.?:... P{ca �e70�.s jdle.. % �✓JSTic
li-T-_UPSTH��J' Tub' _6/-771----------
3 7�11.N. 77�ii✓ C�`' ekeE
w'T--'4Nc
-------------------- -- ----------------- ---
--
----------.7 - --..4 55-1.3------
------------------------ ------------------------------------------------------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252.4505 Date: -- - -- 3- ---
City Telephone Inspector: b..>-.�1.----_----------.
CITY OF:'CUPORTINO
10300 Torre Ave.
CORRECTION NOTICE
Depart. t
Job Located at �6-O
------ -------------- -------- - .
tlo� 1/Uc�
...... ... --------------------------- --- - ---
---------1-n---- -
-�--------t------ -
-------------------------___........ _---------------------------------------- -
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252.4505 Date: -- (-7x4t�
City Telephone Inspector-
CITY OF -CUPMTINO
10300 Torre Ave.
CORRECTION NOTICE
- �L------------
pp�Department J
JR-E4er--Cc
ova -�6 a - ..
a.Gs...----------- -----
ti--------
z= -------------------- -------
3- �1-� ----- � ~
s
----------------------------------------- ---- ----------------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252.4505 Date: J..-
City Telephone Inspector: -
/Q
ROUTE SLIP
File No, 5/ o
Date— e'E�
Location 'r� iao
Subject
Notes
Approved
Date Spector