NO PERMIT NUMBERLot No. 3
#'a•2.o21,' Cft"ARDA CouWr
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO-)
Sanitary No.
IllsID2
s13
6
((''���� �� ���� File No.
Dote _
Application is hereby made for a permit to
�QV A a story. Type
to be occupied only as
in accordance with Plot P
Estimated Value of Improvements
FEE$
Owner Ub.sr, ItAC_
N
Contr. A-s. G).L+I `tlWl/M
Phone 11*13 -IutIO-
Specification filed herewith.
Plan Check $$
Address Ss . �y ` N M0166"1A6
Address IJMJV 16A SS _ttt
State License a Ist LO$ S' -'
Approved WILLIAM D. SENEVICH
AM D. UCNE'VICH
(' ^` APPLICATION FOR ELECTRICAL PERMIT
Date 7� "d-J 196 FEES qq�y tityy''''..��{{�
Contr.^ ty Q Addresw�`E'"7-I�.t�U q
qU
Phone c�--I- LState License
Approved UWLLIAM D FIENEVICH
C' APPLICATION FOR PLUMBING & GAS PERMIT
Dated 196 GAS FEE $ Q_b0
cc R �PLUMBING FEE $
Contr.
^ A_^ddress uaz: "' "fir"
Phone Q `� -0, 0 State License 1q1 J-a-11 --
Approved YMLLIAM D RFrnw4e,__
APPLICATION FOR APPLIANCE PERMIT a
Date ���/JJ /`5� 1% //��%�/� FEES /}�u/c,2 • Sip ,p
Contr. .eLG..�,�- �tt�.Xw�i`�-rC-� /''-C��Addrass �% % "
Phone - .,% State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
PAD FINAL
FOUNDATION
UNDERFLOOR _
FRAME
T 8 PLASTER,
GRADING FIN
A
FINAL BLDG. 4
� I
ROU
FIN]I
FIX1
MOT
FINI
BUILDING
INSPECTOR MISC.
ELECTRICAL
, • A,/1
3H WIRING
iHED WIRING
Iti'i�
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
b ALK YLUW KLW._
SANITARY NO. _
UNDERGROUND ROU
PARTIAL ROUGH_
ROUGH COMPLETE_
MAIN DRAIN
FINAL PLBG.
FINAL GAS f
FINAL APPLIANCE
INSPECTO
MISC
MISC
MISC
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
- r--) ---- 6ep-aH-me-nt 7 ---------------
Job Located
..............
----- --------------------------------
0 .....................................
- ------- --------
------ ......... ..................... .........
................................
......................... -------------------------------
------------------------------------------------------
............ M .......... -,'*** ----- ---------- ---- ---- -- ------ -- ------
................. ----------------- -------- ------------------- -- --
You are ere lifi----
ed that more work shall be
done until the above violations are corrected. When
corrections have been made call the ins ector.
252.4505 Date: --- _4 --------------
City Telephone Inspector.
• OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CU P 1: R 'I I N 0
TO I
You are hereby an �ori r to con ect el t 'cat service for
Owneror Tenant ............ .......... ......... . .. .... .... ...............
M�L T ... 11 ...... (� . ..
..... .... At . �,4Q.4.ot
No. of Wires ........................ Size of Wires ...................... Size of Switch ..................
Motor Load .......................... Voltage ................................ Phase _ ..... __ ......... .. ...
Heating Load ........................ K. W . . ...... .......... . Vo
mew Service_ ............. Reconnect...... .......
No. of Meters....._Li"
Httt_�ht�: :::�*:. 2,2,,O,._� � ...... h ree Wi r Move Service..........
No. of Add. Meter
Power ._.. ......... hree Pha e .. .... .... ... Move Meter............
............. 4 ....... W....
ELECTRICAL
LO7— 3
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Cupertino Sanitary
District Copy
//pp
Sewer Connection Sanitary Permit No. ....�b.o..............
�Plumbing Final Plumbing Permit No.S 2...
.............
(fTp/` / f Lot No.... ......_.........•.
Owner or Tenant --- "...1..!.l.r'1. [ p.M 4�s
202 14 A
r At z
Tract .... ...--...Y1.1.1:i.Nd.Z.......................-- ............. ........
DateConnected .....1 .. .//..-..A.q.pp.......................................................... 19............
DateFinal .........jz... ...l.1..6."....................,-..............n............./ I.... 19............
v PLUMBING INSPECTOR
Lo-r >
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Bldg. Dept.
Office Copy
'rsr' Sewer Connection Sanitary Permit No. 4561?
...........................
Plumbing Final Plumbing Permit No5) ............................
LotNo... 3 .......................
Owner or Tenant ----- Q.T.A./4 ..... Hom.z.� ..... jAv...r . ... I .........................................
2.0-a 14
At ?_j0z_./q ..... ....... a
Tract ... C�-m.,AAD-fi... ..... AlAto-O.F . ..............................................................
Date Connected ......
Date Final ----------
19 ............
19 ............
kJ PLUMBING INSPECTOR
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF. CUPERTINO
....................... ........................ 19& .....
TO
You are hereby authorized to connect the GAS service f r
Owner or Tenant ...... UT&H .......... Hp�� ..........
At 21 2J .. . ..
.piff ..................................
New Service ...e.N ...............
No. of Meters ... ......... Reconnect .............................
Move Service .............
No. of Add. Meters .............. .. ..........
..............
ROUTE SLIP
File No
Date
Location _1d ��
Subject Li
Notes ' rd n o.
veQ
Approved,,.. /_7d
Date Iri4pEct6r
CITY OF CUPtRTINO
10300 Torre Ave.
CORR TION NOTICE
LDepartment
Job Located at ..... .... ......................
..... ... .... ------ ....... -- --- ----------------- /--'r -------- —zi -------
--- - -------------- ---- --- --------------- ----- -------
--- .... .... --------- es-
.. ...... ... ..... ... ....... ... ......
------ ------- .. .......
-- --------
Q-............ ..........
... ...... .. I ....... ... . ... .. .
........ ---- .........
---- ------ - -----
--- ---------- -------------
............
--------- --- ------- -- -- -------
0
done t s e Corr t
corrections e been made +Call theins C t Or,
252-4505 Date: ... . ...... ........
City Telephone Inspector:
I -I _....
ROUTE SLIP
File No iy�
Date
Location. 3
Subject
Notes
Approved56y, 1 /2-C4
Date �spector
A "tl\.A 'liU tow r�
NO. STREET
w 2APPLICATION FOR BUILDING PERMIT
a
x o ® CITY OF CUPE.RTINO
¢
o a Samtary No.
U .
3
i 196 Permit No. S „S(
LJ ° � uWNa
o Application is hereby made for a permit to
a
a n �P ERT1hFtk — Building
to be occupied only as '_kv h�� in accordance with
a
0 o Plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee
"; Estimated Value of Improvements, $ �/ -dL?rJ `i' Pee $
iJ 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 buildings within the City of
d o Cupertino w' I be omplied with. �
3 N Address�8� �.y\16A%4.AT.,AVF,
W z B r
rc a x_ —
a 0 Phone Approve t
I-j' State Licens,A61(,6.6 I T's— CII.DINC INSPECTOR /
.k 20 9 Camarda �t
r ..
'No Street Lot No. 3
Ems,
APPLICA'fIQN FQR APPLIANCE PERMIT
�City of Cupertino
;Date$ 20 10 7, 195_ `tl Permit No. I1 r1If
�059 G. Fee$ J,F.•SU
0 0.
r � Application is hereby made to the City of Cupertino for a permit to install gas appliances as
�,, hstsd'ioa 't=lhe're5,ersc�slde�heicof, and agrees to install said appliances in accordance with the
o °' ,provisions ofI'tfie Pldmtibig' : oit bfC� the City of Cupertino, and all other laws applicable
7S Use of Premises Res,
0 0
'..3 ownft NXM Utah Homes,_Ine. Address P.O. Box 1405
o By Sai;n Carlos Sheet Metal Address779 Old County Rd.
.' Contractor, Agent
:Phone_ 591-2605
State License 110828 Approved /
�_ k� P tubing Inspector
(/
APPLIANCE
UNITS
FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
Indepand Vent Svstem
Com., Indust., Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
witho t f rt Co
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets, No. of Flues
Stacks for Metal Fir laces '
Smoke Stacks, Misc. Equip.
Under 15' High
Over IS' Hieh
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
of 500,000 BTU or less
Comp. over 20 HP & Under 50 HP
& Absorp. units with in ut
of 500,001 & Under 1,000,000
Pemrit Fee
2.
Total
11 Total Fee
122,54
LOT NO.
NO. STRRCT'
,a PA N FOR PLUMBING PERMIT
Vie Y OF CUP17RTINO
( D.0 1 69 Sanitary No.
llat ! AU�d 196J Permit No. S:rz X j
CuSiI�itl't1 Pee $ ` -/ SU
,ffr Eat f-is � to le City of Cupertino for permit to install plumbing
pi �9 t`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 / J UOLz�,<
Owner Qr09 -.S-L...e. AddressSYZA/ 0424r,P9 4r47 5w. tyv✓44
By e1---1171ehj JAI-1 �o . r.LAddress 6-ZS e✓/AS Jr s �/
CONTRACTOR.AGENT
License_ 1713 "� 7
Approved, .�
/ \ PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Y
3. 061
Size
Water Closet
19,00
Material
C, i
Bath Tub
3. Od
To Curb
Shower
r
3. d C
To Pm . Line
Lavatories
9.041
To Existing
Kitchen ink
Y
3. 001
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Y
,do
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM /. S-6
Hopper
Size
Restaurant Sink
Material
q•✓
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
33. ea
Area Drain
Main Drain Fee
. O O
Water Lea er
Storm Drain Fee
Sprinkler System
Water Sys. Fee
s0
Vac Breaker
.a- 4-. 4
3. 0 U
Skimmer
Filter
Pool Sweeper
Permit Fee
— 00
Total
a-
33 oa
Total Fee
. S-6
NO, s'rn li lrr LOT NO.
q � I�/$Pt6?N FOR
' i � �� jt CITI' OP
uate , 19
CITXp,QFtiocupoTmoto the City o
wiring and/or fixtures as listed on the re
wiring and/or fixtures in accordance with
City of Cupertino, and all other laws ap
Use of Premises "WIT N5,3i
Own P r eta ,
By
CEO— 'RA1CTrOR, AOr. T
Phnnt:
State License
19
ELECTRICAL PERMIT
CUPERTINO
f
ry Permit No. S
Fee S 5 . p C)
Cupertino for a permit to install electrical
verse side hereof, and agrees to install said
the provisions of the Electrical Code of the
14icable thereto. _
Address :2.y)Nl'���►F14ah
Address _ SL�.VVA%,
Approved
ELECTRICAL INSPECTOR /
ITEM I NEW IRPL_[FEES
Number
Number of Receptacles I I I
of Main
Poles
0o