NO PERMIT NUMBER (2) Lot No.
No. Street /'
APPLICATION FOR BUILDING PERMIT r�
CITY OF CUPERTINO
File No. IS-// 79
Son itory No.
v
Date —196 -r7
Application is hereby made for a permit to
a Z story, Type - r Z f
to be occupied only as
in actor once h Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ J ji Q 0 CG
FEES — �yS S� �Q /J Plan Check '$ / A
Owner _. `� /^-t_�r.s� l /�/t.-��L.-�J Address 1,r70 O 4,( L lC.�( �,A?
Contr. Address
Phone 3s-6 02/ <L6 State License 07 ax X 8.2 �s
Approved
Al
APPLICATION FOR ELECTRICAL PERMIT
Date L 1—/ 196 7 FEE$ /�
Contr. ' .iL.,t-�/ `C��c-c-G� Address / 6 /�.�`"" �t.Q
6�
Phone 7.� y G State Licenses
Approved
v s<
APPLICATION FOR PLUMBING & GAS PERMIT
Date196/,--' GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
__i, / APPLICATION FOR APPLIANCE PERMIT
Date � 196 � F
�EES /7 �j �
Cont,. ✓�-4ddress k/ y•-��+—s-�-'✓ ��3 71
i/
Phonb b S State License /6 ( 3�
/ Approved ' cLJ3
Applicants agree not to violate any of the �-
Workman's Compensation Laws of the ,
State of California
RECORD OF INSPECTION APPROVALS
- 6 Aq rBUILDING
FOUNDATION O- 29 - 6 7
DATE INS CTOR
UNDERFLOOR _
�' Dl�'[E �
FRAME
DATE INSPECTOR
LATH & PLASTER
/S D TE IN SPEC R
FINAL tel[ YY
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
TATE INSPECTOR
ROUGH WIRING
D T INSPECTOR
FINISH WIRING _
q� INSPECTOR
'FIXTURES
DATE INSPECTOR
MOTORS
AT INSPECTOR
" FINAL
GATE e INSPECTOR
PLUMBING.& GAS
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
DATE SPECTOR
ROUGH COMPLETE
DA E SPECTOR
MAIN DRAIN e? 12-47
p" INSPECTOR
GAS PIPING
DATE 4v INSPECTOR
FINAL �-5'—�
DATEINSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
r1
MISC
DATE INSPECTOR
t
MISC
INSPECTOR
DATE INSPECTOR
0�
10214 Portal_Ave. .' Cunert ino LOT No. / 3S7
N < NO. STREET � y a
w iAPPLICATION FOR BUILDING PERMIT
K
o CJ� c`x= r9¢ ire
' CITjY110F CUPERTINO aF
su Sanitary No.
10;1 13 1957 U
i w Date 196_ Permit No. S-// r
o
o
Application is hereby,m(AWIade forla•permit to Build
INU
a N a two story,Type V I J Building
w
ato be occupied only as Single Family
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> "; Estimated Value of Improvements, $ 32,000.00 Fee$ 95.50
i J It is hereby agreed that the requirements of-the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
J n Cupertino will be complied with.
3 N Owner OMEGA UILDERS INC. Address 15700 Winchester Blvd.
W z
W B Ad
a Phone-3Q 5146 Approve
fState License222326 _ emtmNc INSPP.CTOR �'
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATA INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR _
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. _
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
O STREET LOT NO.
W a. AP ILP CAT ONrFOR ELECTRICAL PERMIT
E
o Q v J 4 C UTY OF CUPE•RTMO
3< (DEpC 281967 i
o Date % Z L 194 Permit No. ��
CITY OF Ct1PFR71N0 Fee 3S'
a NApplication is hereby made to the City of Cupertino for a permit to install electrical
W I wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
f M
o 'o wiring and/or fixtures in accordame with the provisions of the Electrical Code of the
S City of Cupertino, and all other laws applicable thereto.
Use of Premises
Z
0
3 a` Own e Address _
N
W W B _ Address
O CONTRACTOR, AGENT APProv
_
-� �: 7,3� - n �rf7l ELBCTArCAL rNsrec7ol
Stale License:
:$-2) 'af • NEW RPL FEE_
Size Service Conduit 2- 11 Number of Outlets 19 �2.
Size Service Wires Number of Switches Z 3. .� S
Size Service Switch Number of Receptacles 3 6
Size Sub Feed Conduit — Number of Fixtures
Size Sub Feed Wires Ranges KW
Number of Circuits Oven KW y
Number of Metiers / Panels Transformers
Signs
Misc. Vers ( / a0
Motors If�� Phase
Motors IIP Phase .
Motors RP Phase
Permit Fee 2.00
HP Charge -�'' a1
Total Fees �2 ., I S�
/ep.;Z/7 I �� a�,Z� LOT NO. 171Z
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
z r - OF CUPERTINO
oYow C L7&
aDate /X Permit No.
U i 1a
w a Pee $,�
A tt�lication is herebymade to the City of Cupertino for a permit to
o a ins��l l,+�s '�pliarK �s l t S� the reverse side hereof, and agrees to
z in install said appliances in accordance with the provisions of the Plumbing
Code of the City of Cu ertino, and all other laws applicable thereto.
y l
5 a Use of Premises RESIDEN(t
00 �) � �/ O• 3S
50 Owner C� �-s.a .moi 11 Address
0 3 — Pioneer way
__j MERCURY SHEET METAL & HEATING, INC. Addre&ountainView California 94040
- z By
J'O CONTRACTOR, AGENT
a `
Phone
- m —
o 'z State License 166835 Approved
It < O PLUMBING INSPECEOR
l�_U
IN
° aG � a � aFwot
y a
of
o �
N 7.�
` N
z
--------------- ----- —
ROUTE SLIP
File No ._�J/ 7
Date Out_ c c
Date In io%
Location C
Sub,jeot
Notes Zo
d is
YW
Approve �f
t IneP=ctor
ROUTE SLIP
File
/ . Date
Location �YL
Subject / LIAa
Notes
Approved
Date Ineneet�r
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
r
Date ......moi....-:: .../:47.............. 19.6.Z.. ..�tBuillding Permit No.,�(7�:..
The Building Located at ....�j1 a .�.y....._ P'l l-n.a,......L��...... ..................
Owned b ......
t
Has Been (Completed(� ) Por Use As: ....1.�...!.....�.'.f.�..............--.....................-----
�a �w._:P...._ .. _.......................
....................... . .........
(IC' )—z,--6 P '
............... . .......................................................................................................................
.. . ............................................................ ... ............. .... .....................
BUILDING INSPECTOR
102 ,12/66-1M -
O CE COPY- • -
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
i
To
You are hereb auth rued to connectclecttncal vi for
Owner or Tenant .. ..... Ll ._1. ........... -.
No. of Wires ...._Z ........... Size of Wires........ ?....7/.- Siie of Switch .t.D.Q.�.�
Motor Load ......................... Voltage .................. ...... ...... Phase ..._._..... .............._. _.
Heating Load ........................ K. W. ... ... ..... .._.._............ Voltage ._.-.:...._......_.. ....
' Light..: ..._ IIU../ New Service....._�Keconneet..................
No. of Meters.................... �.
j Heat................ 220.......yThree wre..... ...._ ve Service........_.
No. of Add. Meters............ _
Power.............. 'Three P ove Meter............
............_. . .. ........._.�... ..'.'.5.14
'
ELECTRICAL INSPECTOR �'
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
i
CITY OF CUPERTINO
................. ....::�J:-------........,................., 196
To
You are hereby. authorized to conned the GAS service for
Owner or Tenant .......�19c.r��v--...1,/i�� ....:.................�.............:....
At ./Du?lyl-..�� r .�� ....................................:.......................
;New Service v
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
❑ Sewer Connection Sanitary Permit No. --------
E40"Plumbing Final Plumbing Permit No. 5.'-117, .........
Lot No. ....Z—lq
0 7.-.z................
Owner or Tenant ............ --------------------------------------
At Zez��71.. . ... .......g"",)
.... .....................................................
Tract .... - --- - -------------------------------------......../....-----
-----------------*. 1946
----------------------- --------
-
Date Connected -------------------/,,,7.:7/-------------
--
...................................................... '.
DateFinal ............................ ---------•-------------:-- ..... .. --............ 19.
.........................
PLUMBING INSPECTOR
111 12/66-1M