NO PERMIT NUMBERT opi 7-102iwill', Ct. 7
NO. STREET LOT NO.
., ..•. 4.76
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9259
FILE NO. 51,353
DATE 4/28/75 19_
r
Application is hereby made for a permit to .
Const (plan A) a T: story, type S N. Hr.
to be occupied only as T—,T ThTnl F•x (i496 ca - T iy 660 g ft Gar
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 68000
FEE $ 223 _ M PLAN CHECK $
OWNER Dividend Industries ADDRESS 2160 Forest Ave. S.J.
PHONE 275-8430
PHONE /
I021'I - Cow ST.QWit
STATE LICENSE 275773
PROVED James H. Sisk/h
BUILDING INSPECTION RFrORn
DATE
TOR
DATE
INSPECTOR
FOUNDATION
LOOR STEEL
PRE-GUNITE
FRAME
ra
BOND BEAMS
LATH
Y,-7
LL ARDS - IN .8 EXIC
. yd-�
FIRE ALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDC
UNDER -FLOOR a
1.I�.7Y
?
EZZ
TIEDOWNS
-MISC-
DIAPHRAMS
a
0
ELECTRICAL rNSPECTION RECORD
RESIDENTIAL
DATE INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
.
ROUGH WIRING
FINISH WIRING
7IMSH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
81NSULATION
UNDERGROUND ROUGH
j
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
.
FINAL APPLIANCE /
7
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
9-�
FINAL PLUMBING
-CERT•IF;CA-TE\0F COMPLETION
BUILDING INSPECTOR'S OFFIEf)/;�•
CITY OF CUPERTINO
DATE ��/�-/7S719_ BLDG. PERMIT NO.
THE BLDG. LOCATED AT /0 ri/% - /G-J/9 46) "�'(�%
OWNED BY
(COMPLET.ED)
HAS BEEN FOR USE
-(ALTERED)
LOT
NO STREET
CITY Oe CurmTINO CITY OF CLIPERtINO
APPLICATION FOR PLUMBING PERMIT
OCT 9 1975
n
t 7 Sanitary No.
Date n r ,19_ Permit No.�
Fee Is 7
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
Owner
By::17 V p%��n%�rG+lJC
Contractor, Aged
Phone 3 r&' C
Work To Be
Address � 7�/77 �LY/ ✓'i+Do .(n,S
State License 2(����� Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® L6
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 8 Tray
To CuEFee
'
Dental Unit
Drinking Fountain
Floor Drain
R SYSTEM
Hopper
Size
_
Restaurant Sink
Mater
Sand Trap
AL FEES _
Urinal
FixturArea
Drain
Main
Water Lender
StonwJks ia.Eee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Swee er
Permit Fee
Total
Total Fee
LOT NO._
NO STREET
CITY OF CUPERTINO
f7rt(( OT 03�51`*PPLICATION FOR PLUMBING PERMIT
Sanitary No.
Date ^ ,19', Permit No.
I` Fee$ L%L'O
pp �
Applicdtion 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
Cupertjpoo, and all other laws applicable thereto.
Use
Work To Be /
Premises
Performed
/ J
Owner I //
Address
Phone
17'/ Address y
State License / IrZ&( / O 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
FeesEConnn.
Units
Fees
Water Heater
Water Closet
Bath Tub
4nts
Shower
ine
Lavatories
Kitchen Sink
Dish Washer
Waste Disposal
Wash Troy
ORM DRAINAGE
Washing Machine
Water Softener
Bar Sink
To Main Drain
Comb. Sink & Tray
To Curb
DeMol Unit
'
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOT L FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee
ROUmE JLI.
Vile No.
Date
;�
bocat'_on
C)
,OteS
Date insDector
/ad/7/�Oa/��.o oTNo.ff
NO. STREET C.
CITY OF CUPERTINO
clsY OT o�s,,,APPLICATION FOR APPLIANCE PERMIT
r���� 2• 1915 Permit No.
Dote • 19 �� Fee E c 3 CD
Applicatron /i's 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 Work To Bed
Premises Performed
V
Owner Ld / �—/, Addnm kn
' v
Phone
OT
I toning
BY F1J3'�9'ln' eTifik{`ss•3' Address
SaNurfin; gent
Phone c 11
State license Lie.13314pproved
Plumbing Insoector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
APPLIANCE II UNITS I FEES
PART OF HEATING OR
lol FnIIIPMFNT NOT COVERED BY THE ABOVE II I
PERMIT FEE
TOTAL FEE
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No.
Plumbing Final Plumbing Permit No.
Lot No... ............ 17
Owner or Tenant . ------- �-9,4,4j
- ------- ------ -
At -----
Tract
Date Connected -------- 7-Z-7 - ----- 75-�
Date Final -------------
..................................................................................... — 19 .. .........
............................. -4� ....................
PLUMBING INSPECTOR
OFFICE COPY
7 CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
You are hereby authorized to conacct electrical service for
Owner or Tenant ...........
At ...
No. of Wires .........
........ Size of Wires ........ .... Size of Switch
Motor Load ..........................
Voltage ....................... Phase ...................
Heating Load ........................
K. W, Voltage .— ... ... . ....
No. of Meters....._.....
Light.._...___... 'Iu SeIlic,-4!7� ..... ltc,mmeo ...............
No. of Add. Meters............
Heat..........__... 220-4 ....
— Three Wire......._....... sem(,—
.Power.....__.._..Three Phasc................ Mme Meter......
........... . . . . . . . . . . .
CLECTRICAL INSPECIo.4
OFFICE
CITY OF CUPERTINO COPY
GAS SERVICE :NO ICE
.. ........ ......
To 0 .... ...... 19
You are hereby authorized to connect the GA for
Owner or Tenant
At .....
New Service .........
...........
No. of Meters ...... Reconnect .. ...... - ..... .............
Move Service ........ —
No. of Add. Meters ........ — Move Meter ...... --
............................
'0..... -
PLUMBING INSPECTOR
• OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO("",
--435)
T
' _t.. '
.- ............. y9G±.....
_
o —.
1
You are hereby aµthoriied to conned electrical service for,
Owner or Tenant
g....-_.-.,�........,�Js.._ ..��..'.. ....r
r .........
t _.. ...................
No. of Wires ........................
Size of Wires ...................... Size of Switch r �...'.....
Motor Load ..........................
Voltage ................................ Phase .........................
HeatingLoad ........................
K. W............... ..... .... ........... Voltage .........................
a
No. of Meters...................
{ Light ............... 110.. .... New Service .... ........... Reconnect..................
No. of Add. Metenrs............
Heat ................. 220.......I. Three Wire.............. Move Service............
(!
Power ...............
..'ram Three' Phalle................ Move ?meter..............
9.
ELECTRICAL
INSPECTOR
� 0.2- /0. .LOT NO, 7 JAG
NO. ST EE�•'
CITY OF CUPERTINO (( CAP. VAL. OOO
f 7!
a APPLIC�TION FOR BUILDING PERMIT l FEE
w Z ,q, Dm^ O? CUT-Tdtx s Building Per. No. /, 35.;
z
OLL t0ob• 19 Sanitary Per. No. g�1
3 u A ti$pVs hereb� made for a permit to C O.yT SP S�f�lw v J
u a r T S .(/HA s �L. _ (CCU
_ LLO ` Y� Y —1 5-`-9E, r �S�Structure
O
. to be`occupied only as 1- r%.�%-u�ILEY in
a
i w Plans, Specifications and Plot -Plan filed herewith.
aw
F x Estimated Value of Improvements, $ Od 0
a , PI Ck Fee $
O O It is hereby agreed that the requirements of the
w Cupertino Building and Zoning Ordinances and all Fee$ .2-2.3 e0
p < other laws applicable to the construction, location, and Total Fee $ Z use of buildings within the City of Cupertino will be
z complied with
30 /- n
� OWNER
PHONE
O CONTR. OR AGENT
- �7 S� o a 7 S- 7 -7-j
PHONE STATE LICENSE
ADDRESS
�ES
BUILDING INSPECTO
O L,
N�C.
s STREET ..
LOT NO. /
CITY OF CUPERTINO
Co of�APPLICATION FOR ELECTRICAL PERMIT
SEP 19 19�. �
g / Permit No.
Date / , 19� Fee S
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
Owner
Phone
By
Co rector, Agent
Phone_ 39rf-20//O
State License a �F, %A an(�
Work ToBe
Performed
Address
I AGREE 1 WILL NOT VIOLATE ANY`OF THE
COMPENSATION LAWS OF THE STATE OF
0 LA
4�4
- ITEM
NEW
RPl
FEES
Number of Outlets
p
Number of Switches
p
Number of Receptacles
Sly
Number of Fixtures
aG
• �°
Ranges or Ovens K.W.
l+•Ov
Size of Main Service 00
D
dOd
Number of Meters o2-
Number of Panels
?DO
Signs - Transformers
Dryers
p
Motors:
H.P. Phase - Sp
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
H.P. Charges
Total Fees
71
O 1.
/ D ,L/ 7 L4
Z 9NEc o C 7, LOT
/ O STREET
CITY OF WkRTINO
APPLICATION FOR ELECTRICAL PERMIT
t ' 1975
Permit No.
Date , 19_ Fee S
A
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 lows applicable thereto.
Use of Work To Be
Owner k 19/,119F'ND INV Address. c ;1 /L O
Phone yQ t% sT'�a ��0_
By eO Q�-(.e.r ✓ Address
Contractor, Agent
Phone
State License Approved .
actri i r
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® c.
ITEM I NEW � RPL I FEES
Number of Outlets
Number of Switche
Number of Receptc
or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
H.P. Chart
LA