1983LOT NO.
NO STREET
N a ��� N FOR BUILDING PERMIT
ZZ
2cr
Y ° CITY OF CUPERTINO cc
°Sanitary N a03 I
30 CITY' OF CUPERTINO , /I ry7
i LL Date 196_ Permit No. ! �,�5
r O
LL
w Application is hereby made for a permit to C
a
a to ale. story, Type^— Building
W
ato be occupied only as A --)W !=2n-
0 o in accordance with Plans, Specificatio sand Plot -Plan filed herewith.
F' 3
Estimated Value of Improvements, $ t ��� �C, Fee $ ��
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of bu dings within the City of
° Cupertino be complied with.
3�
a Owner Address
WZ
M a y Address
114
<K
2f� �I Approved
State Licens `' BUILDING INSPCTO I
RECORD OF PEc7���L
. CTION APPROVALS
FOUNDATION
UNDERFLOOR
FRAME
(f!5;
PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
/ 77, , r I LOT NO.
APPLICAU111OF
OR PLUMBING PERMIT
i OCT 1 1962 CUPERTINO
Dat ITV Ar 0, m2944 .�1.O196�
Permit No. 1cf6 46
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 Premises
Owner C 411*1,A ti Ai o AP 0 Pry' ri n- , Address v
By ZLI//ASz�
CONTRACTOR, AGENT
Phone � E —
Address
Approved
PLUMBING INSPECTOR
UNITS FEES UNITS I FEES
Water Heater f Size
Water Closets Material G�
Bath Tubs To Curb
Showers To Prop. Line L�
Kitchen Si
Waste Disposals y
��
Wash Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material I
Bar Sinks
To Main Drain
Comb. Sink & Traysl 1
11 To Curb
Permit Fee_
Dental Units I
��
TOTAL FEE
Drinking Fountains)
RECORD PF I
E ON
Floor Drains
�� WATER SYSTEM
Hoppers I I
II Size y I I
Restaurant Sinks I 1 II Material /jt v I I
Urinals I I Il
Fixture Fee_j J
Area Drains
Main Draih Fee
, o o
Water Leaders
Storm Drain Fee
Sprinkler Vaives
Water Sys. Fee
/, o o
Permit Fee_
TOTAL
TOTAL FEE
RECORD PF I
E ON
Partial Rough C Z
Rough Complete
Final ,:L/10— j &��—
/9? , r AcG � "!�-v .
NQ. STREET LOT NO.
" N QR ELECTRICAL PERMIT
N 0V 7 NO C OF CUPERTINO
q
Date 1 , 19F2�" Permit No.
PERTI,NO Fee $ O�
Application is hereby made to the City of Cupertino for a permit to install erctrical
wiring and/or fixtures as listed on the 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 Cupertino, and all other laws applicable thereto.
Use of
Owner
CONTRACTOR, AGENT
Phone• &
Address .
Address
Approved
9/
Size Service Conduit . .... - ........ ..-Number of Outlets__________________
Size
utlets-------_---------
Size Service Wires___ ?h/.J�_ ------ Number of Switches_-__________-_.
Size
witches----------------
Size Service Switch.... ln!'.,......____Number of Receptacles_--._..._.-_
Size Sub Feed Conduit ------------------ Number of Fixtures
I
Size Sub Feed Wires_ -__ ..............Ranges-______-__ ------ KW_____-_--_____
Number
W--------------
Number of Circuits-_•---------------- Oven -------------- KW__-_____-_--__
Number
W--------------
Number of Meters ........................Signs__......-_ Transformers__._____
NEW
ransformers--------
NEW RPL FEES
Ir-
-- -
----------
- - Jnt_
--
----------
---
--
--------
?
..........
..........
..............
----------
---- .....
.......
..........
----------
..........
----------
75
..............
------------
Misc------------------------------------------------ Dryers ----------------------------------------- I --------- J ---------- I ------- Z�_
Motors -------------------- HP .................... Phase -------------------- Permit Fee $1.00
Motors ------_----------- HP.. Phase --------------------
---------- H
Motors .......... P Phase .................... H P Charge ................
TOTAL FEES
SPECTION APP
g --- -------- - VYV31
Rough Wirin- --- ----- I- - -- Fixtures �------'_---I---------
DATEINSPECTOR
Finish Wiring ................ ................... Motors .......
DATE CTOR
.::2.:7: D/ .-
Final _.,? .. . I .. ..........
DATI
tr
n
V
V
v
N
Li
v
1/7LS 1 10d IIlE LOT NO.
NO. - STREET
D jz ION FOR GAS PERMIT
OCT ��V?t7Y
OF CUPERTINO
Date 'Z , 191U Permit No.
CITY OF CUPERTINO Fee $ 3 _
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
Use of Premiseslrf/�E�/V
—"'PA -
By
CONTRACTOR, AGEN-P
I r -
Address I (' _
Address - 1 -
Approved
BING INSPECTOR
Type of Appliance I Units Fees jI New j Replace I Relocate
Gas Ranges
Wall Heaters I I II
Gas Plates I I II
CirZulating Heaters I I II
Blower Furnaces I I II
Gas Fired Boilers I I II
Warming Ovens I I II
Percolators
Griddles I I II
Steam Tables I I II
Gravity Furnaces I I II
�Suspended :Unit
Floor Furnace
Miscellaneous
(NAME TYPE)
Inspected• and Approved --- !..
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets I I Size of Main I 'e
Gas Piping Fees
Tested and Approve'..?.....
4ATE INSPECTOR
LOT NO. 223
NO. 5TREET
T'rant 4: 2860
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date- -- 19C...__ Permit No. / C) I I,-
7 16 -
(?I TY 04 1 f P F RFee $—
NApplication is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
r1 appliances in accordance with the provisions of the Plumbing rode of the City
ri of Cupertino, and all other laws applicable thereto.
v
C
w Use of Premises__ --
1 Ow �Up ®Pt ina �' �i?+ i � Address :: .i' St.*
SAN A OS Sr �ET-FJIFiAL V II N , ' —din 93i4kq01"'00 -
fj79�ROAD Address_
SAN CARLOS, cENr A roved 1
Phone T����Y'7TTT "' R`7 PP
PLUMBING INSPECT
J)
Type of Appliance Units Fees Nei
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens I ��
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit II�
Floor Furnace I I II
miscellaneous I n
NAME TYPE) �I�I
--T-60
Appliance Fees 950 15 11
Inspected and Approved .... ...... _......--
DATE INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Fj Sewer Connection Sanitary Permit No. -------
&3--Plumbing Final Plumbing Permit No. ----------
7MMer or Tenant --- -- - ---- --- --
-------- .... Lo ------ o. /. - -
--- --- --------------------------
At- - - --------- -----
-20
- ------------- - ------------------------------- -------------------
Tract ----------------- . -- -- — A
Date Connected ------------------------
Date Final --------------------------
------------ --------------------------------------------
R,
PLUMBING INSPECTOR
111 7/61-500
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
A
---- ",%----------------- B Permit11>17,
Date
The Building Loca�t /at ----------------
Owned by ------ ---
m L-?
or ......
Has Been Use As: ....... ....... ----------------------
(W-Itered)
------------------------------------------------------ ....................................... ...................
--------------------------
...........................................
.........
102 Q -61-500
------- --- --- ----------------------
..........
J--- - -------------
ILDING INSPECTOR