NO PERMIT NUMBEReCot). o
No. '
Lot N
Street (oZO �9
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to, 196 7
. .- Application is hereby made for a permit to
a
to be occupied only as
1. in accordance with lot
Estimated Value of Improvements
Sanitary No. -70 S 'Z—
File No.S—I'A.14-1
story, -Type .S l
Plan, Plans and Specification filed herewith.
sa
FEES O plan Check E------------
Owner . LLt.a..L.�.� a w.s i /14ddress %3 4#140 1;
i
Contr. Address
Phone ` —r� 9 D State License 4,4S-0 L
Approved /'1) /
OL
APPLICATION FOR ELECTRICAL PERMIT
y//r4�
Date 196 71
FEEb
Cont'. -.ic--/+e-w-k�
Address
Phone �"'�6 �`S ��
State License � � 2--
IF /
Approved
APPLICATION FOR PLUMBING 8, GAS PERMIT
d 1-' 7 d
\
,FEE
Data 196
GAS $
_
PLUMBING/FEE $ J�
/ � n
Contr.
Address
Phone �6 7 - % 7
State License
Approved -
APPLICATION FOR
APPLIAN PERMIT/07 s-
Doto 196 7! dd
-
// ,,,,
Cont,. 22`'c't-'u.<.� f'f tLZA±= +
__FEE$
Address 6 C
Phone C%�JP'L+
State License i � 4�'P'2
9
'Approved
Applicants agree not to violate any of the
V
Worknaxn's Compensation Laws of the
State of California
RECORD OF•INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION — "70
UNDERFLOOR
FRAME 1'pa 6L.
LAT &PLASTER
GRADING FINAL
FINAL BLDG. E•JfGt �� NO rqc /eppg —2—?I .��
ELECTRICAL
nnrc INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
a"
WIRING
FINISHED
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH 4a -
ROUGH COMPLETE i
MAIN DRAIN
FINAL PLBG. �71
FINAL GAS
FINAL APPLIANCE
ol
lwsra�� C D. Ar Simr Y
F,
d l':
nicornrn o' M
ROUTE' SLIP d'
File No. �°? �•�
Date
Location ZQr &
z
Subject
/ ,µme
Notes 4d ,/" �s// l/'� i /
..-74,
Approved
ate I n ector`
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
...........P.......
Pif partment
Job Located at .C.3......��
T
----------..._.�
---------------------------------- ---------�,�-
--- - ----------------`--i- I -- ---- -- ,
_... � - ----------
��- ---- ---- - -- -
..... :.� -� . ... ... .......�Q•d,----------
-----------_...._------------------------- -- ---_------------.------------------
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.
252.450.5 Date: .........I-� .2—,7 .—.%.`..
City Telephone Inspector: ....... 7 /
CITY OF.CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
- P ------
epartment
J2baled at - , ..... ................ - -----------------ea A- ...--n .... -- -----
n .
P
---------------------------- - .......... .--------------- -------- ----------------
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: ---- l..:aZ_- --- %- ----
City Telephone Inspector: ---.
CITY OF CUPERTINO
.10300 Torre Ave.
CORRECTION .NOTICE
-�Repar�ime`n---- --
Q-/.
ob Located at .. ?vet .oa........ c olM - ------
.. ...._..... --- .. - .......
--------------
----------------------------
................ . . . . .- - - -- ... ------- --- -
You are hereby notified that d
f�or}p f ujnti7tl a violations
corrections ha made c;
252.4505 Date:
City Telephone Inspector:
6 m�fe work shall be
are corrected. When
ill the inspector.
CITY OF CUPERTINO'
10300 Torre Ave.
CORR.ECTION AOTICE
1 .7
D �071-
Job Located at rtment
------------------------------------------ * -------- * ------------------------------------
You are hereby notified that no more work shall ' be
done until theabove violations are corrected. When
corrections have been made call the inspector.
Date: ......... A9
252-4505 ........... f ---------
City Telephone Inspector: .. k ......
ROUTE SLIP
File No.
Location
ifs
Subject
Notes
... .0 EI/.�/_. .
K.
CERTIFICATE ---O"F COMPLETION
BUILDING wspFcrows OFFICE
CITY OF CUPERTINO
Date ................ 2=1.1 ............... i 19 ...... ..... Building Permit No.
The Building Located at ... ..... ..... .... ................................
Ownedby ...... ...........................
Has Been (Completed) For Use As: .... Fe?,?,71..y ......
(Altered), ....... ---- ----------
BUILDING INSPECTOR
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OPPICG COPY
CITY OF CUPERTINO
...... ......... ....._._.......: ...; 1971.
To
You are hereby authorized to connect the GOAT
pAS rvice for
Owner or Tenant .... U. .. '. rCLA.a�F�: p..... .. .. .............._..._........
..
2aOS.....�a�...c..,.e..................__........:...__.:_............._.._....
At ..... ........_.. .
New Service
No. of Meters ..... Reconnect .......:.._..._......
Move Service. _......................
No. of Add. Meters ......._.... More Meter ........ ........
PLUMBING INSPI'CTOR
3
CITY OF CUPERTINO .OFFICE COPY
ELECTRIC SERVICE NOTICE
You are hereby authorized to connect electrical service for
Owner or Tenant .....n. r � r .1+ !"ls
..^-. .l �I..........
._.....
At
No. of Wires ........................ Size of Wires ...................... Size of Switch .1.��:5�..°i�i.7•
Motor Load .......................... Voltage ._.................... Phase ... ...... ........ ...............
HeatingLoad ........................ K.,W................ ................... Voltage .................:..............
k.
.Light................ 110.......... ..' New Seryice ......RemnnecL............. ...
No, of Meters ................ . M e Me
...Heat_ ..._......... 0............ 1'hrec Wire ....
No, of Add. Meters........�Go,
nc Srr
,Power ............... Three Phase.... ter........ .
ELECTMCAL INSPECTOR
3 Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. '....7...oz...... ......
Plumbing Final Plumbing Permit No. ......
Lot No..-....... ' - ---- ---
Owner or Tenant
Tract ....S-f:<.-.
Date ConnectedV....-��..:..�?:.*..U.
Date Final
19............
PLUMBING INSPECTOR
22056 Rae Lane, CupertinoG/fC
No. AA Street Lot No. #3
\�\APPLICATION FOR APPLIANCE PERMIT
City of Cupertino \��/1/)
.�, AW,
e l Permit No.c�`�Fee$ ie'ution is dt59de to the City of Cupertino for a permit to install gas appliances as
led on _t_hhrrecre side herco(, and agrees to install said appliances in accordance with the
o provisionYX the Plumbing Code of the City of Cupertino, and all other laws applicable
T there i
Uc,of ♦Premises Residence
cowner Pacific Shore Properties, ;dtess 12928 Via Roncole, St¢a.
c — 81 Pioneer Way
By MERCURY SHEET METAL & HEATING INC. AddressMmmtain VicwCalifnrnis Q4n4n
3 Contractor, Agent
E Phone
968. 2082
U
9-8-70
State License 166835 Approved
�" PILkbing Inspector ✓
APPLIANCE
UNITS
FEES
Gas lop
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit.��
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 .o f
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets, Ns
s
Smoke Stacks, Misc. Equip.
Under 15'High
Over IS' H62h
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 1000,000
Petmit Fee
Total
Total Fee
i
i
22056 116P Lane ,.
LOT NO. 3
w Plan 204
LL 53 TION FOR ELECTRICAL PERMIT
p_
's u Oat,
CITY OF CUPERTINO
19 _ Permit: No. C, /
a w 1 Applic, ior�iereby made to the City of Cupertino for a permit to install electrical
whin��jjnor fixtures as listed on the reverse side hereof, and agrees tri .install isaid
00
w''�and/or fixtures in accordance with the provisions of the Electrical -Code of the
> m of. Cupertino, and all other laws applicable thereto.
zJ Use of Premises 1—fam. res.
J z
o Pacific Shore Prop., Inc. Vi
3 < Owner yyN ^r FC2 Address
w w By 926 KIM, ROAD Address
O g SUN�'tYPp CAI NT
a 0 PHONE 76-3a21 Approv
— u Phnnc: ELEMICAINSPECIOl
State License A,243 -�.�
k'' 7
f7EM I NEW IRPL (FEES
Iff-T. 7
Number of
-Z�. —
Size of Main Service
H.P
NO. STREET
w q E LIGATION FOR BUILDING PERMIT
r o ` CITY Or CUPERTINO ,7oS�
` Sanitaiv No.
o Q .{ nit
�3§.U` t e `0 CT 19(r.ZD Permit No. ��. T✓�.e(il��
LY phcatio y made forPe
e a permit to `DAf.7AuCr_
z.N 4�� y, YP _,. Z.-Cr �e7 Af-L/:� Building
cor T
aw
w a to babcc ted only as m acc�rjansc�with
< %�`Tc /Y"ro
20 ans, Specifications and Plot -Plan filed herewtt Pl Ck Fee __�.T�
>i
r 3 Estimated Value of Improvements, $� • DDD Fez $ 3 .
i J It is hereby agreed that the requirements of the Cupertino Building and Zonin Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
j o Cupertino will be complied with.
3 `a Owner��/}Gi.� c. syo//'f /��f'O/� Address '
s a BY-��/ c ��"LD- Addre`ss0 —
i f6
a U Phone �/ Approv
(� State Licens, 7 0 BUILDING INSPECTOR /
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trrT LOT NO. 4
Plan 203
IiT FOR ELECTRICAL PERMIT
t V
77 TY Of f.,UPIiRT1N0
Da � 19.70 Permit No.
Pce 5 Z
C ffpilicoFn iC UPER'CJ I the City of Cupertino for a permit to install electrical
wiring and/or fixtures as hstec 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
Owner
1-fam. res.
Pac. Shore Prop., Inc.
Address Mt_View, .Ca.
By bt ra WANDERSR Address _
oaWtjW¢9bAC)ARaT Approved _
YUNNYVALQ, CALIFORNIA crxccnt INSPECTOR
phone: -- — — OR
State License 12422 K
ITEM
NEK
RPL
FEES
Number of Outlets
119
Number of Switches
23
Number of Receptacles
-3 1s
Number of Fixtures
Ranges or Ovens K.W.
2.�
Size of Main Service �p
Number of Metes /
Number of Panels
J
S' -Transformers
Dryers
Motors:
i
H.P. Phase
H.P. Phase
Power Poles
Pemut Fee
2.00
H.P. ChaMes
2.�7
Total Fees
'.oS
LOT
NO STRtET
tYsp CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
if
I�� Sanitary No..
Date\jY Permit No.
1` FeefvG
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.
Voris To Be
Performe
Address
Addresses
Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® '•
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
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 I
TOTAL FEES
Urinal
Fixture Fee
Area Drain )
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee
M
i �-ti�c3
W,
w
w
o a 0
ZN
6 w
LOT NO. /.. Tr. L790
k"LICATION FOR BUILDING PERMIT
`�OCITY OF CUPERTINO
/ Sanitary No. 70OP49
19670 Permit No. S�/? ?-2—
AppJicaV is hereby made for a permit to Wild
a tom`( story, Type re8ldentla7. Building
�e occupwd only as oneone-fami�pdwelling in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee —"
Estimated Value of Improvements, $40P000 Pee $ 111r-50• S0
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
II of aws applicable to the construction, location, and use of buildings within the City of
per n l be complied with.
Phnn �� 964-4960
State License 2245o6
INSPECTOR
V
z41..� Lot No. 2—
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No. 3 /A-2-1,
Date � � 79 %trt�..l
Application is hereby made for a permit to
—� — story, Ty e
to be occupied only as 910- '
in accordance with Plot Plan, Plans Specification filed herewith„
A'�
Estimated Value of Improvements $ t�Old �""
Imo`
FEE$ Plan Check•$
I n�-
Owner Address
Contr. Address
Phone &2 7if J— State License 11 G Y�
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data
19 FEE$
Conti.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Do to
19 GAS FEE $
PLUMBING FEE $
Contr.
Address
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date
19 FEE$
Contr.
Address
Phone
State.License
ApprdveA%
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
P D-1
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADIN FINAL
'l
FINAL
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH_
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE