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NO PERMIT NUMBER�DO�G I L g.yPL�C=°/Tce' SAu�eC Lot No. 3 No. Street CITY OF CUPERTINO 9 APPLICATION FOR BUILDING PERMIT p y Sanitary No. Do to d„Z' 19 Application is hereby' made for a permit to — a to be occupied only in acc'ordar ce`(oith Plot Plan, File No. Type s -Z l/ Specification Estimated Value of Improvements f ' a FEET /� � -J Plan Chock f//ff Owner `•� G�'L++-tJ dress %'!)" •'>'� �vT-'y /„"`"^' f Contr. Address Phone f5 S` --GIA 7J State Licens —6' - 7/' Approved APPLICATION FOR ELECTRICAL PERMIT. Date S 197Zi FEE§ �y 1 Contr, Address 61 Phone oZ�7-0 S 0 State License Approved APPLICATION FOR PLUMBING & GAS PERMIT 'Date _ 19 %o2� GAS FEE f V PLUMBING FEE $ LL�� Contr. Address Phone %J -� D �! (G State License, Approved APPLICATION FOR APPLIANCE PERMIT Data 19 FEES Contr. Address Phone Stato License Approved Applicants agree not to violate any of the, Workman's Compensation Laws of the . State of California PD-T RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL, FOUNDATION D UNDERFLOOR -- FRAME LATH & PLASTER GRADING FINAL FINAL BLDG. ELECTRICAL A [�DAT�9I IN PECT OR A 11 MISC. UNDERGROUND ROUGH 14 Fill, � r.�om PLUMBING, GAS & APPLIANCE DATE INSPECTOR BACK FLOW REQ. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN FINAL PLBG. FINAL GAS FINAL APPLIANCE /-r y� `7 % ` DATE INSPECTOR MISC B °k MISC MISC 1 CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OE CUPERTINO DATE -I 1 BLDi. PERMIT N0� THE BLDG. OWNED BY HAS BEEN< File No. Date ocam. t-Lon e s CITY OP44UF7iTINO Street - , Lot No. CITY OF CUPERTINO am MAY 22 1972 ,{d/ APPLICATION FOR BUILDING PERMIT Sanitary No. 00 P A �, 19 P it NJ� YApplication is hereby made for a permit to E 3 = a story, Ty e 15� �LZ 7- Building sU to be occupied only as ,� �- .._.rG., Zgst . d�^,tin accordance with ° o-r3 Plans, Specifications and Plot-Planoed herewith . PI Ck Fee in 't rs-I ,S-a „ Estimated Value of Improvements, $ ��, d"�"d Fee $ �oZO 0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and > all other laws applicable to the construction, location, and use of buildings within the City of o Cupertino will be complied with. .3 ° Owner f ee UWAJ10 /,UC Address% a By .P Address m a .C-- E° Phone265_2S� Appro ed A1LA/- I�u ql2 617p Building lnspcctor State License -1,L� G'.t-- I X ,f /l No. Street Lot No. CrM OF cu?alw0 APPLICATION FOR ELECTRICAL PERMIT MAY 1 CITY OF CUPERTINO c �! Date194F Permit No. A P Fee $ 2f ° 10 3 :g Application is hereby made to the City of Cupertino for a permit to install electrical wiring w 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. � PP ti N Use of Premises w /I�� '> ° Owner!!!: �A' A- Address S " o B� /- O—A!'4 —e Addres ✓ V 3 ' s Contractor, Agent ° P7 Q S-3-� APProve d a Phoney ;yl� Electrical Inspector ° / J U State LicenseL-3-ii �j ITEM I NEW IRPL IFEES Number of Receptacles fj 0 1 1 7 J" '-' Size of Main Service � 1; D vO H.P 5o 10081, I LA"Pu 6NTE1Z s Q u ARF— 3 LOT NO. No. STREET �I'IY �P ��7c+17N0 CITY OF CUPERTINO ' Z < JUN % 197ePPLICATION FOR PLUMBING PERMIT ADO 3 w� 4 s o ,pp A Sanitary No a `I.)at¢i d V rJE S I91?- Permit No 0 Fee $ ";L ' W LL S O Application is hereby made to the City of Cupertino for a permit to install plumbing o 1 pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices > 1- and/or fixtures in accordance with the provisions of the Plumbing Code of the City of a in Cupertino, and all other laws applicable thereto. w x � r 4 Use of Premises ,00 I " l� EAtiIE 4 l-2 eptilE > 3 Owner Address o< zJ By SR,3 JoSE "E:c P'0ifw- '10c Address tLIS (Zpr>E2S A-u� J G CONTRACTOR, AGENT 3� Phone w z � State License. 2h�i2�S Approved rc a ao / — U`' x PLUMBING INSPECTOR 1/ FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater I Size ¢" S 9i Water Closet 3 Materia] G .. Bath Tub I To Curb Shower v 1 To Prop. Line Lavatories d 3 To Existing Kitchen Sink Not Conn. Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine I Size Water Softener Material Bar Sink To Main Drain Comb.Sink &Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee Area Drain Main Drain Fee S'= Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee I Relief Vnlve Gas Fee S—o Vac Breaker Skimmer Filter Pool Sweeper Permit Fee Total IZ Total Fee RB00 0 zZ W ¢ s0 'Y ¢ oj 3U Y a x 0 a W oQ iN a W ux tr 3L 00 > ur ZJ J J_,p 3f a _N rz yY W ¢a °ao -U Model - LOT No. 3 NO. STREET -' sO/ GTY 0WPft1t:ATION FOR APPLIANCE PERMIT N1AY 17 1973 CITY OF CUPERTINO 5-9F,173 Dater �, I 19. _ Permit No. Fee $ 0 Application 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 appliances in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. Use of Premises Res. EWiXX Deane & Deane Phone. 591- 2605 State 110828 A*s§ARI?Q AffijF7e L' ove 779 OLD COUNTY ROAD Approved UMBING INSPECTOR APPLIANCE UNITS FEES as I op Gas Oven Wall Furnace Gravity Furn. Forced Air Furn. CIZ Gas Fired Boilers Warming Ovens _ Sus . Units Dwelling Kit./Bath Inde end. Vent S stem J-p Com. Indust. I nst. Kit. Hood & Vent System �L Forced Air Under 4000 CFM Forced Air Over 4000 CFM Ind. Ventilation System without C mfort Co Forced Air. Mech, each Power GravitX System V No. of Air Outlets, Nes€ ibl g — Stacks for Metal Fireplaces Smoke Slacks, Misc. Equip. " Under 15' High Over 15' High 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 2,C) Total , �_ Total Fee CITY OF CUPERTINO SEWER -PLUMBING NOTICE Sewer Connection Plumbing Final Owner or Tenant ....... 9Z.X2,1-a At------ Tract--------------------------------------------- Date Connected ... Z ......... --21?:-- Date Final .... ;--/� ..... . Bldg. Dept. Office Copy Sanitary Permit No...._. V ......... Plumbing Permit No, Lot No..... 19............ ...................................................... 19............ -------------------- ------------ PLUMBING INSPECTOR GAS SERVICE NOTICE OFFICE" COPY cPt BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ... ... ............... �..... .........., lqZZ 1�.. To You are hereby authorized to connect the GAS service for Owner or Tenant ....... 6.................... At... ................................ +Nc',ervice ..4r............ No. of Meters ......... I ... Reconnect ............................. Move Service ....................... No. of Add. Meters .............. Move Meter ........................ -------- .... ...... ...... PLUMBING INSPECTOR '- OFFICE COPY \r CITY OF CUPERTINO ELECTRIC SERVICE NOTICE You are hereby hor zed to connect ri al er ice for' Owneror Tenant .......... .... _... ............................... _................._........... .... _. At ........ i.c7©. ;......... .._....... rrbr,_�...... No. of Wires ........................ Size of Wi s ..._ ........._... Size of Ss tc, Motor Load ............_............ Voltage _.........._............. ....... Phase ... ....... ........ .._............ Heating Load ........................ K. W. ___................ Voltage ........ I Light..... / 1 lll.... /New Serl�nr� ....... Kcconnect...... _..._. ... No. of Meters .................. HeaL.........._.... 2211..... ._.. �6rtr �\trim .. .... _... �i;nc Serri¢......... ... No. of Add. Meters........... / .Power ............... ._..__`.hr.-,.... ha se _........ \tore Mc rr........ GL[CTR!CAL IYSI'L, .R J T EM P 0QR A RY DAW:0'1C'%"'0 ... OCT OWNER: .... ........ PAID AT: ... LOT: .......... REASON:....... GAS SERVICE Fee- ------ .................. The undersigned agrees to be responsible for the gas service at the above location, until the building is ready for occupancy, City of Cupertino. INSPECTOR 117 1/63-500 I EIM VORA RY E L E C T R I CIA L' S E,R V I CE DATE: .. ..................... -rz . ........ Fee: � . ............ I --- CITY OF M.- OCT 2 19Xt. - ........ ........ P A 1017 - -- ----------J -- --- ----- - .................................................... ............... REASON: ................... ...... ............... ......... The undersigned agrees to be responsible for the electrical service at the above location ' until the building is ready for occupancy, and is released by the Building Departrnef)H' City of Cupertino. Pho ...... ... 7Xo .. . ........................ ......................................... .......... ... ........ ... ......... ........... INSPECTOR 'NANT OR OWNER .--l.i6 1'/63-500�