NO PERMIT NUMBERLot No.
No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 6 66
File Nd?_Zg!j! 0�
� nn AA
Date 196 ^
t
Application is hereby made for afpermit'to
n �i a°` story. Type
to be occupied only as
in acco'rda_ once wiM, Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $cP17 O Q d _
FEES 4Mtl'�I Plan Check $
Owner Address teZ/ OA' O
Canty, p Address
,/ / p
Phone .1.7 S� v T J Q State License
Approved /96 10,/
i —
Dote
Contr.
Phone
Date
Contr.
Phone
Do to
Contr.
Phone
APPLICATION FOR ELECTRICAL PERMIT
196' FEES
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
_196 GAS FEES
PLUMBING FEE E
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
1% FEES
Address
State License
Approval
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
PAD.FINAL,_
FOUNDATION_
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG.-
BUILDING
DATE INSPECTOR
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
i BACK FLOW RE
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
DATE INSP
O 7I O� Lot No.
No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date % 196 71
Application is here by made for a permit to
to 6e occupied only as
w e3 —,3
Sanitary No. ` V ` *111,1 79
File No. ��e2`1'�•
a ' / story, Type S' = v
in accordancWith Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements
FEES feel
Owner
Contr. p
Phone taZ. 7 'rya A�Q 0
$
Pion Check $
Address IM2 ✓d O •- - az.� �T
Address
State License `f S
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data
--
196y/ _
FEES
Contr.
-'� �J'-"��-^-�"-�
Address
Phone
State License `"«'Z
)�•�
Approved ��✓sV-= ="`-�� ---�
APPLICATION FOR PLUMBING & GAS PERMIT
Date
196
GAS FEE $
PLUMBING FEE $ op s'-
Contr..
Address
Phone
�% ti.��- 5"'d S✓' o
State License
Approved
APPLICAT ON FOR
APPLIANCE ERMIT/y sZ
Data
196/
�—
FEES
Contr.
/,
K�-� • 6"- �
D
Address /(1 3 3 /`-�lir J ft T
Phone oZk 7 - 7 d Cb
_ a
State License c,2 3 / O 9
Approved'
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPEC-FION APPROVALS
BUILDING
INSPECTOR MISC.
PAD FINAL
FOUNDATION -
UNDERFLOOR 71
% OF
-
FRAME
A H' PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
aw If'
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH?C-�OMPLLETE
MAN DRAIN a
FINAL PLBG.
FINAL GAS ✓
FINAL APPLIANCE
:JU
%
MISC
MISC
MISC
CITY 6F' CCPERTINO
10300 Torre Ave.
CORRECTI9N NOTICE
,lob Located atcX..--W/---L_.--- --.--- --- ----. - ��
------------- ---- ---------------------- --- --------------------------- -- --
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:.... 2
-
City Telephone Inspector: --_...._.
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
Depa rfineM
Job_ Located at
M-M�
------------ -- ----------------------- --
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: y-7/
�- a - --
City Telephone Inspector- ----- -- ---- -- ---
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
--- ----------- -------------
epartment
t
Located at
-- ----- -- -- ---- -- ----- - -------- ------ -----
---------------------------------
---- -------- ------- ------------------------------ ----------------- -------- --- -
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call thpinspector.
252-4505 Date: ------ �V,,71171,
City Telephone Inspector: k�
ROUTE SLIP
File No. 5 /
Date 51— 3/- 7/
Location�'�
Subject
Notes
Approved 4--3/- Z4 44z �Q
Date In ector
ROUTE SLIP
File No.
Date s 6/-y/
Location
Z. �= G
Subject ..a(
Notes
Approved S'lel i A.
Date Inspector'
.21387 Krzich Place
NO. sTn Err LOT No.
6
Plan WB-3
elnr of eu'I LICATION FOR ELECTRICAL PERMIT
MAY 1 8 1971 CITY OF CUPERTINO
tc AA 8 19 ■ —, 19 Permit No.
�-
Application is hereby made to the City of Cupertino for a permit to install electrical
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 Premises 1-fam. res.
Owner 11`- 3-.—Inc
By w en ra a.� Mm
1DBS�QS'F�RE. 7;�G ENT
Phone: fUNNYVALE, CALIFAMM10
' 3(f.194p1 .
State License, 12422
Address--S'�ovrtc'�a--si•ary
Address
Approve _.
ELELT IUAL INS►E
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches
Number of Receptacles
/L
Number of Fixtures
/.
Ranges or Ovens K.W.
JI,A
Size of Main Service
Number of Meters
Number of Panels
Signs - Transfomers
Dryers
Motors:
H.P. Phase �<
H.P. Phase
H.P. Phase
Power Poles
Permit Fee
2.00
H.P. Charges
S'l
Total Fees
1S'
I
\ P) Wu \ C.\\ hAC'r
Lot No.
M
Street
�3a.cl,
'5i
Q IN
FOR BUILDING PERMIT
fCupertino Sanitary No.Date raotxh'
(} . permit No. s� L7-o
Appl i fora permit to I toy 4r t),
13 �r�7 �rT{y� S— _ Building
w to b���u� e� ay sqDR" `T - �r'� in accordance with
0
n Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
" p
Estimated Value of Improvements, $ 000 Fee $ "Fe —'
«`
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
0
3 all other laws applicable to the construction, location, and use of buildings within the City o
A Cupertino ill be omplied with.
Owne C+M • Address
a
co Phone 0% �4\�• Approved
1 \ State License 1-4rS�"� _ m g Inspector /
A13 I `/&4 Z/C/f 1'z �cE
a, LOT NO. te''✓
N STREET Jv
W Ot 1�911 APPLICATION FOR BUILDING PERMIT
Y CITY OF CUPERTINO //
¢ LL 01- `O Sanitary No./.1� 9 oQ
5U to, 512. ao.l
W LL I�;t� — S — % 196_ Permit No.
aO
W Application is hereby made for a permit to
oQ
i m a story, Type — S 7 Building
to be occupied only in accordance with
20 Plans, Specifications and Plo an filed herewith. PI Ck Fee
> ; Estimated Value of Improvements, $'2_6 • Fee $ 0 ` S
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
J O Cupertino will be complied with.
< Owner O %/9H 40 .y,6S Address ld XO-S)r' IPVZ S,
N
W Z
n By
< U Phone 2.67— — f Y 3 a Approve
l State Licens z) / /- S B L 7 G INSPECTOR
21387 IRrzich P1
LOT
NO, STREET Wig 3e 9
CITY OF CUPERTINO Rs
w Z My cr �A"OPLITCATION FOR APPLIANCE PERMIT
sa
3 ° Y lla 1971 71 rl >30,
a Date 19 — Permit No.
w U P A Q Fee $ a. 5-4
' o Application is hereby nm'de to the City of Cupertino for a permit to
o a install gas appliances as listed on the reverse side hereof, and agrees to
Z m install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
S~ Use of Premises House
oc
O ner �U aahh Homes Inc.
zJ 'riusick Air Conditioning _
J'O Jz y OR, AGENT
3 c 29g"ThS�b
— m Phone
o a State License 231092
aOd-
Addres$0 Box 2805 Santa Clara
Address 1633 Rogers Ave. San Jose
Approved
•� PLUMBING INSPECTOR
APPLIANCE
UNITS
FEES
as I op
Gas Oven
Wall Furnace
`
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
.2
06
Inde end. Vent System
Com., Indust., Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without Com Fort Cool.)
Forced Air. Mech. each Power
Gravity System
tNo. of Air Outlets No. of Flues /Q— Z
:$�!
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
_Under 15' High
Over IS'flieY
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 input
of 500,001 & Under 1,000,000
Permit Fee
�Qo
Total
Total Fee
'y�bj
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Cl
Date ........ ...................... 119-11... Building Permit No . ......................
-7 ..
TheBuilding Located at ..... ................... .x .... . ......................... Owned by 4 ......... ....... ..........................................................
-------------------------------------
Has Been Use As: ........ .....
tered) of
.......... : ...................................... : ............................... .............. . ............. .......... ..................
.................................
................................ ................
I.
............ .. ..... . .......................
ZILDING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY
OF CUPERTINO
Sewer Connection
Sanitary Permit No. ......
G......................
[:1 Plumbing Final
/
Plumbing Permit No...:>..��.U:.:/
LotNo ..................................
Owneror Tenant ........
At....��./. .. S'..�.......
././ t...,-/ �-.
/t�n. :._'.:=
�
�v------------------------------------------
--------- .......................................................
---------
Tract.......................................................---.....-------............------`--..........---..............-----....---
Date Connected ........h.....'
Date Final ...............`l.._-
19............
19............
PLUMBING INSPECTOR
GAS SERVICE NOTICE OFFICT.
cfox COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINOO
To
You are hereby authorized to connect the GAS ervice for
Owner or Tenant ...... ............................. ......
At..... /0.3-1? .. 7 .. ...................... ................................
xa:�- - �—- New Service ...... /I . ... ..........
No. of Meters . ....... /.... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
........................
PLUMBING INSPECTOR
OFFICE COPY
✓w"�Db�p�']'J CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
19-'
To
You are hereby a ho 'zed to co nett elec ritc, Itservi-ce• four
Owner or Tenant .7..,... p ..: A� - .... _�...'.\ . .... ��-" ..............................
At .........�..... J. Ca.......m ;.�.C2...'Z...
I.C..� �3...4,..HC.p....... .
No. of Wires ........................ Size of Wires ...................... Size of Switch .......
Motor Load ---- .................... Voltage ............ Phase ......... ..............
........_.
HeatingLoad ........................ K.W...... ......__............. _.... Voltage ............... ,...............
Light........ _.... 11n.. _...._ N a' Se cite ...ylR2mnnra.............. ..
No. of Meters ......
-
Hea[..........._.... 3' ...._....!Ih 'c Wir •.... ........ ... ?i;icc Scnim..........
No. of Add. Meters............
Power.. l r Ph, r .............. \Lrc - Mctrr... ....
LOGCTN!CA! IN KIWR