51179 . . . ' ;.�; � , . . . .
G p�,� Lot No., '�.�
@g � 3 � �cJ �
No. Sfreet /2 �7` 1
� �
APPLICATI�! FO�R BUILDING PERMIT
CITY OF;CUPERTINO
Pile No.s'�// 7��
Sanitary No.- `-5��� �`
Da te � � 1- 196�� .
/
AppLicution is hereby made for a permit to
`� - a � story, Type s ? .T
ta 6e nccupied only as
in ncenrdone th plat Plan, p(nns and Specification fiLed hereweth„
Eseimotad Value of Improvements § �.��Q O Q9
FEEE 7.Q- �d Plon Check E
Owner Q Address � 00� �.f�
Contr. Address �
Phone � 3Sto � � / `�� Stota Licansa -�a� 3 �-�
Approved ��/�/�� �.�_` /
id
APPLICATION FOR ELECTRICAL PERMIT
, z S�
Data �� L� 196 7 FEEE / �/
Coner. /.,`��'�-- �C"�e�Q'-� Addrass /� 7 �' /�f-'-� ��"�
�/
' Phona � � � � U � �� 0 Sfare License aa O p � �
Approved ����
.v /�/d
APPLICATION FOR PLUMBING & GAS PERMIT
c, -� �
Date � � 196 � GAS FEE E � �
/� PLUMBING FEE E � '�--��
Contr. L/�'�"a'i //� Address _ !L 3 v �/ �� 9
Phona —02 4�S - 2 3 L 3 Stato License / �Gs��f
Approved - �J,CT.���----=-� l /
�J.l
APPLICATION FOR APPLIANCE PERMIT
Date �� 1% 7 FEES /� /�• �
Confr. ����dresz _ 0� V.._.r+-a-¢�� �L�-y /�/!�
�T—
•' � �a-t s
Phona - �- State Licanse �E'� �.� 5
i )
Approvad G✓iC//�l_— i..�__�J /.
Applicanes ogree nat to vio[a[e any of the �
Workmnn's Compens¢tion Laws of the
$taLe of Ca(ifoMia
RECORD OF INSPECTION APPROVALS � �
BUILDING
FOUNDATION � — � � Ci��
DA E INSPECTOR
UNDERFLOOR �' �6
DA/TE INSPE TO
FRAME — Z— R��
DATE INSPECTOft
LATH 8 PLASTER
-� OA E INSPEC60R
FINAL �
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
D TE INSPECTOR
ROUGH WIRING � O•
D TE INSPECTOR
FINISH WIRING ��� �
D T INSPECTOR
FIXTURES 2'y� �
' �ATE INSPECTOR
MOTORS
Z � D/yTE INSPECTOR
FINAL � ���
DATE INSPECTOR _
PLUMBING & GAS
UNDERGROUND
ATE PECTOR
PARTIAL�ROUGH
DATE I PECTOR
ROUGH COMPIETE - '� �
, DA E INSPECTOR
MAIN DRAIN �� a —6
O TE INSPECTOR
GAS PIPING ^�
ATE INSPECTOft
FINAL
OATE INSPECTOR
MISC
DATE INSPECTOF
MISC '
� DATE INSPECTOR
APPLIl�ICE
�.•
INSPECTED
on ecrorx
MISC
DATE INSPECTOF
MI
DATE INSPECTOR
MISC `
� DATE E INSPECTOR
_
. I �
ROUTE SLIP
File No. S�/79
Da te 3 -..Z.1�-6 �
Location �g�- ,$�
Subject ��� �Q �a.�ry
Notes
Approved -3:2��� -
Date _ Inspector
, ,
-- � _. .
CERTIFICATE OF COMPLETION
BUILDING INSPECI'OR'S OFPICE
CITY OP CUPERTINO
Date --�'5.-- ...�..-�'~�..-�.�-a---.--> 19..-'------.. Building Permit No.S,I/ /..
The Building Located at _..l.../..../.f?�...._Lf/�4�A�i�..zL�etrS�.�.:................ .
Q � / �
Owned by . - �!.7�:g.Q:....,�r.`u-""".- -- ---......--.._... - .l�-V'4 ...J{.3....
(Completed) _ ,
I Has Been ��� P r Use As: .------�..����,.._.........._......--------------
�' ...-------...._...._---.....----... ...... .. ... . �. ... . . �
.. . ... . .. .. .. . ... ..... -:.�---.....--------........
- ........... --- .... .... -�-` L1�fC-.j.-.�.-�..�' - � -- ...... ...._...-
.... .. . .. � ..... � ............ ....
BUILDING INSPECTOR
102 12/G6-1 M .
� GA$ SERVICE NOTICE ore�cL
� COPY
� 13UILDING INSPECTOR'S OPPICE
I �3 CITY OP CUPERTINO
� 5 p�
i � ���� cO
, i 9 ...
i To
i You are hereby authorized to conned the GAS service for
I
' Ownec or Tenan[ ... .. �
.. . ..... ... . . ... . . . ���.............................................
' A� _/�,��-�.-1/ ,�_ . . _. . .. .. ........ ._ ...._...
New Service .4�................
No. of Meters .�/.............:.
� Reconnect .............................
Move Service ................_.....
No. oF Add. Meters .............. Move Meter
........................
.......... . . . .�.....................
PLUMBING INSPECTOR
. OFFICE COPY • � ' •
/ ELECTRIC SERVICE NOTICE
'� ! � r, �"� BUILDING INSPECTOR'S OFFICE
�J�.��y CITY OI� CUPERTINO
i ..._...._...�,�.'7._._ .__... .._., 19C�. ..
To � J
, You are hereb autlwrized to mnnect el ct ical serrice for
/ ��(���
� Owner or Tenant ... .._._ .. .. ..�_..._ .i�'.�L!`�,...�.....�..._...._. . ..
A[ ........ ..... . . �.,'_..
....... . . .
�
._.� . .. . .. ., _ . . .. . ....... ...._._.
No. of Wires ......�_......... Size of Wires .... .... .._ Size of Switcl� E:��„_..
Motor Load .._..................__ Volta e
g ..._....._............._._.. Yh:isc
....__.........__...... .. ...
Heating Load ........_.............. K. \Xi. ....._._........_......__.... Volta e
g ............ ................. .
Light...........��/f�10../.. New Service.._. ...._ Keconnea..._....._......
No. oE Meters........�......._.. / /�
HeaL._.._......_. 2?0._.:� Wi .._.... ./... IMove Service.....__.
No.of Add. Meters............ � .
Power............_. T Ph e......._`_....�Move Metec.............
........._...._ .. .. .-.. . . . . .. . .. . .
�
P.LECTRICAL INSPECTOR
� • . ` • .Bldg. Dept.
Office Copy
I BUILDING INSPECTOR'S OFFICE
CITY OF CLJPERTINO
❑ Sewer Connection Sanitary Permit No. ...S�l(.�
......
� �umbing Final Plumbing Permit No.✓ .I.1.7�'.�.
.. -
�t No. ,5,3. ... -
Ownet or Tenant --�L'2% �
...s,l...�
''� - - -..... - - -� - .....
At ..1..9_��-�.' . .�-�. ��.. ... -� ..
Tract ----��----_f.`C!.e��...�. . ----��-
'- -------�-------�-----�-----------...------...---..../.........
Date Connected - � -� - - -/a�-- � - -...- .... - - - ..- 1�-�`t°'•7
Date Final --------------�----.....C?S/Y!�{,� ............. 19.CGSf....
/
-....----- - �-'........ ..............----....----
LUMBING INSPECPOR
111 12/6G-1M
�
_
. , r., � .
ROUTE SLIP
File No . S/i7i
Date Out i�/�„��
Date In /o u��
� �. ,
Locatior� �;�rr' .S�
.ICJ.c,e,t'-�C.-,.. ly"<..,�r��
Sub,ject p� �•—�� ____
Not.es �.2a3-� _
Approved 0 � �c� _ ,
at • Insp;cto^
�3 /3a;�
� ��,/ 19763 Wintergreen Drive, Cupertino �,pTNO. S3 (� �j/
N Q Nn. ,`�n_TRE1T� � �J / {e�
w Z �" �i�,A�PLICATIoON; FOR BUILDING PERMIT
r ° F �� C,II1TY OF CUPF.RTINO
5 u '� �G� � 1 3 195� �-. . Sanitary No. .S �/ �
i 4 Dare , 196_ Fermit No. .S //7g
" 0 .,� ni�tlrr.T�P�f1 �
o Q �AppGcati�n�is hYreby made fona,permit to Build
a N � one srory,Type � I J Building
w
� � to be oaupied only as Si np Fa i y
a
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
� " F.stimated Velue of Im rovements, � nnn !1
. 3 p $ Sy 4_. Fee E 7£3-(l0
iJ It is hereby agreed that the requirements of,the Cupertino BuildinR and Zoning Ordinances and
j Z all other laws applicable ro the construction, locatiop, and use of buildinxs within rhe City of
o Cupertino will be complied with.
3 N Owner OMEGA BUILDERS, INC, pddress 15700 Sdinchester Blvd.
rc a By Address S Gatos �
('JF
a� Phonr 356-2146
� — Approv
State Licens 22 2 UII.DING INSPP.CI'OR
�
RECORD OF INSPECTION APPROVALS �
FOtrNDATfON �
. nnrr �NsrrCroa
UNDERFLOOR �
I UA'fL INSPFCTOIt
rxnM� i
asTr. wsaecron '
LATH and YLASTGR �
DATf: ' INSPFCTOR
PINAL I3LDG. j
DAT6 INSYF.CTOR I
I �INAL rLEC. �
DATE �15PF.CTOR
�INAL PI.BG. �
DAT6 �NSPECTOR
PINAL GAS
nn'rr �rvsrrr.roa
I 9 7 6 � � 1.�/,G„���>._n�.J �
AIO. $T0.[CT ' LOT NO. ��
N Q
_ � �-�� APP.LICATION�FOR ELECTRICAL PERMIT
� � ° � r a . _�.-- , i �� .
3 a CITY OF CUPL'RTIC70
' w" � : �DFC 28 1967 �!�.',
LL
I ,`� W Date ' z S/ , 196� Permit No. " �.
o a ��;�r �,= �'�l;�ERTI�'0 Fe� s �.—
i 9.�'s�
�� Q w Application is hereby made to the City of Cupertino for a Pecmit to install electrical
� ,i, wiring and/or fixtures as listed on the reverse side hereof, and agrees tn instalf said
� � wici�g and�or fixCures in accordan�e with ihe provisions of the Electrical Code of the
00
> y City of Cupertinq and a(I other !a�cs xpplicable thereto.
�� Use of Premises .�'�'_�/5�,�2c� �e.�
J Z �
J �
3 a ow n ai nad«55 3,� ���
_ N � I
W Z A �- , /
� n y _ Address � �C V-
Q O CON]RAQOR� AGENT
- �3�- � 7�fD _ �pp`
one: ELE If.AL INS�E
State License �y � ��' � �(
�
T/ as �'/ ".� NEW flPL FBES
Size Service Conduit 2 � Number of Outlets l o ,�7 `�O ��
$ize Service R'ires �z Number of Switches � J /�. �'S
Size Service Switch �pp � Number of Receptacles � z
Size $ub Feed Conduit Number of Fixtures ld
i Size Sub Feed R'ires � Ranges KW
Number of Circuits � Oven Kli'
Number oE\7eters � Panels Transformers /. ��
Signs
� Misc. D�,r ers / l. �
1lotors � }[�Z Phase /
, 11otors fIP Phase ' "
h1otors IIP Phase
Permit I'ee 2.00
IIP Charge o2. n-�
'Cotal Fees ���� s /
-is�d� � .�G,�.�_,.�..- � COT NO. .JJ
' NO. STRF.ET
„ . APPL•�ATfQ�I FOR APPLIANCE PERMIT
; p �� ��'-�1� C �� `OF CUPER'I'INO
3 < Dace •_ �N �� 7 �6� I96� Permit No.
i U
_ �. Fer$ �� � �
• ° �+�a\p,plie3Gon�li�� s ��,�i$�c to the City of Cupertino for a permit to
o F install gns�ippliances L T[.ed on thc reverse side hereof, and agrees to
i N install said appliances ia accordnnce �vith the provisions of the Plumbing
„ i Code of the City of Capertino, and all other 4iws applicable thereto.
� LL Use of Premises
0 0 /) �p,�D, /.3s
� � //� ��
o < Uwner - - A � Address c��-rzi ��
�Z B MERCURY SHEET METAC & HEATING, INC. $1' Pioneer Way
� o y Address
3 � CONTMCTOR, AGENT
- � Phone ��.31r— `/��3
mz C
Qo Stare License ��J Approved
-U � PLUMBING INSPEClOR
� �
o � � 'n `n � �n�� n � � w Cl G� E)G�
� Z ^� 8 � � w � � u C,' E G' .w-I N ,a
�r�i > n � . 9 0. a -9 '?f n �- �v ^I ,^a'R
c, n '" � c n� �-1 � o �� n � ' °' �� � o '
"+7 , N W p. 's'1 � w 00 "'�
' w � � U � � F � ti � � � � '
0. rt 9 F n � y � � � � � �
� � m � N � � � w
'�O � �
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