NO PERMIT NUMBERT 0226-10228 : Will Ct . • 3
NO. STREET •y - LOT NO.
4.76
CITY OF CUPERTINO Const. Tax: 126.88
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9255
FILE NO. 51.353
DATE 4/28/79 19_
Application is hereby made for a permit to
CORet_ (PT an R) a 1 story, type 5 N. Hr.
to be occupied only asl—.T DunT ex (L9O3 sg ft LTV 660 sq ft Gar
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 68, 000
FEE $ pp3-00 PLAN CHECK $ 111.50
OWNER Dividend Industries ADDRESS2160 Forest Ave. S.J.
PHONE 275-84,i0
CONTR, ADDRESS
PHONE
LICENSE 275773
APPROVED James H. Sisk/h
BUILDING INSPFCTION RPr nRrl
DATE
SPECTOR
DATE
INSPECTOR
FOUNDATION
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
i
WALLBO 5 - INT. EX .
• I L�7
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FI AL BLDG.
UNDER -FLOOR
TIEDOWNS
_ is
IAPHRAMS
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH)
^
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPE TOR
BACK FLOW REQUIRED
UNDERFLOOR S.M. 7
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
-)
FLUES & COMB. AIR L
PARTIAL ROUGH
•'I
CONDENSATE DRAINS
'
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
�f
FINAL GAS
FINAL PLUMBING
J�
3 CERTI.FICATE,OF COMPLETION
BUILDING INSPECTOR'S OFFICE '
CITY OF CUPERTINO
DATE 1 q ZI BLDG. PERMIT NO.
THE BLDG. LOCATED AT '/O�%�
OWNED BY
/(COMPLETED)
HAS BEEN --(ALTERED)) FOR USE AS r� ��
File No.
y , Date
ocwt'_on
J. }J ; c c !..
DD>'OVC'.t
Da -e y;15 DeC 0
N
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No . ...... .. . ...........
Plumbing Final Plumbing Permit No. —5�..4 ---
Lot No.........._ ----------
Owner or Tenant .......
At
-------------
Tract
DateConneded ------ 2 / ........ - — ------------------------------------------------------------- 19 ------------
Date Final --------
.5 ------ ---- ........................................................................ 19 ............
...................... ;;� ...... ............... ...... C ...........
PLUMBING INSPECTOR
I CITY OF CUPERTINO OFFICE COPY
ELECTRIC SERVICE NOTICE
You -!are hereby authorized to conni,t electrical service for
Owner or Tenant
. ..........................
At
24
.............
No. of Wires .......... __ ........ Size of Wires ..... Size of Switch .16 ..
Motor Load . . . ............ Voltage ......... ...... . phase ....
Heating Load ............ . K, V1 . ..................... ..... __ Voltage . _ ..........
No. of Meters ..... Light ...... ...... 110._/—n. New Senicv..i� ....... liv,mlnect ..... _ ...
No. of Add. Meters............ No. ...... 220.....4!777"1'hrec Wire................ \Ic,, e ser, ic,
.Power_........._..Three Phase....._.._..... M,,e lkfc(,i
............ ....... C_
1:1.11CTRICAL JNSPECI,,Y
OFFICE
CITY OF CIJPERTINO COPY'
GAS SERVICE NO ICE
19:7
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .....
At
New Service ........ 4�
..........
No. of Meters .......Reconnect ...............
Move Service ........
No. of Add. Meters .............. Move Meter ......
- PLUMBING INSPECTOR
/0.2 -e Z-4 z�q ly_* O C 7
LOT NO. .3 N
NO. STREET. '
CITY OF.CUPERTINO
vAL. 0 0
CAP.
d
Cv APPCfdLION FOR BUILDING PERMIT
FEES
w Z
Building Per. No. -57 JXJ
i
z
>< 0
Date , 19 f
"' Sonita Per. No.
0 v
Application is hereto made for a permit to CJnlSZ'
a story, Type - Al A1,� —o L
CL•O��Structure
F
6
-
to be occupied only as r- .T _� u���(
in
a
'Z
Plans, Specifications and Plot -Plan filed herewith.
aw
�,
F x
Estimated Value of Improvements, $ G e ejU o
_
a
PI Ck Fee $
_O O
It is hereby agreed that the requirements of the
a
Cupertino Building and Zoning Ordinances and all
Fee $ —2-2
O a
other laws applicable to the construction, location, and
Z -'
use of buildings within the City of Cupertino will be
Total Fee $� -3 54 ..5�
ZO
complied with.
nn
—�
Qfx—
t" Z
Oy✓tdEB PHONE
ADDRESS
40
CO TR.ORAGENT
ADDRESS
-0
75 =ey o a751773
PHONE STATE LICENSE
BUILDING INSPECTOR
Q L/,
Xa2 c/ -LOT NO. ,3
NO STREET
( CITY OF CUPERTINO
d` cuz=^TINOAPPLICATION FOR PLUMBING PERMIT
Sanitary No.
Date ^` , 19 J Permit No.
` Fee E 57 ow
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Work To Be
/
Performed
Address
Address
Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
FIXTURES
NUMBER
MAIN DRAIN
nits
Fees
Units
Fees
ater
Sizeoset
Material
To Curb
m
2
To Prop. Line
s
I
To Existing
ink
Not Conn.
sher
i-
isposal
b
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
k 8 Tray
To Curb
t
ountain
n
lHopper
WATER SYSTEM
Size
Sink
Material
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
L i
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
LT.t.1'Fee
Fee
oTal
LOT NO.� S
CITY OF CUPERTINO
CITY O. C'JAPPLICATION FOR PLUMBING PERMIT
OCT 9 1975
i� Sanitary No.
Date , 19_ Permit No.
�) / I ) Fee$
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 Work To Be
Owners CO�I�'n�
By 7�./�///>-ni Address /'�y%�7 •S/rP141"7 ln!1 61x;RC
Co//ntractor, Agent
State License '�%%Xi (%� Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
e ce
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lovatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
RAINAGE
Washing Machine
Water Softener
Bar Sink
VS,ze
Comb. Sink & Tray
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
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
—
Totol
Totol Fee
�'
10aa1. 4-?2 -e-0 0y
14729 ' •r r• LOT NO.
NO. ' STREET
cirr O• CITY OF CUPERTINO
cu'AP011CATION FOR ELECTRICAL PERMIT
SEP75
Permit No.
Date 19Z
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 n
Phone
By
4!�t ���ontrador, AgentAgent
Phone 3716
State license a967a� c-110
Work To Be Ka� ll�lG
Performed
Address a60
I AGREE I WILL NOT VIOLATE ANY OF THE WOR EN' a
COMPENSATION LAWS OF THE STATE OF CALI RNI
® LA
ITEM
NEW
RPt
FEES
Number of Outlets
/a
Number of Switches
Number of Receptacles
.67
Number of Fixtures
?p
Ranges or Ovens K.W.
CO
Size of Main Service A504
. DO'
Number of Meters
Number of Panels
•QQ
Signs - Transformers
'
Dryers
Motors:
/ H.P. Phase . S0
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
H.P. Charges
Total Fees
356r
O �A
/o r 3
NO. STREET /./ _ LOT NO.
V CITY OF CUPERTINO
APQ4
u; __,fATION FOR APPLIANCE PERMIT
Date %-1-/��t' Permit No.
AA'' .,.1�9�— Fee $�
Application ipheteby,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 G Work To Be
Premises / Performed
Owner _ Address d C�
Phone
AbLU v on I Ioning
gY Address
1 n
Phone Sen Martin, California 95046
408 683-4101
State License rt:* % ''w—Uo—#4VM.^.'il Approved
PI rnin Inspe fors
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
6 '.
APPLIANCE
UNITS
FEES
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
100,0000.T.U:S
.00
2) FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S
3)FLOORFURNACE
4) SUSPENDED, REC. WALL, FLOOR HEATER
51 INSTALLATION OF APPL. VENT
6) REPAIR OF, ALTERATION OF, OR ADDITION TO
HEATING APPL, REFRIG. UNIT, ABSORP. UNIT,
COMFORT HEATING,COOLING, ABSORP., OR EVAP.
COOLING SYSTEM
7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM
TO 100,001 B.T.U.'S
B) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM
100,000 TO 500.001 0.T.U.'S
9) BOILER OR COMP. TO 15-HP. TO 31-HP. A850RP.
SYSTEM 500,000 TO 1,000,001 B.T.U.'S
10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP.
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
11) AIR HANDLER 10,000 CU. FT.
12) AIR HANDLER OVER 10,000 CU. FT.
13) EVAP. COOLER PORTABLE
l4) VENT. FAN CON. TO SINGLE DUCT
%
/ �O
15) VENT. SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
16) HOOD - MECHANICAL EXHAUST
17) DOMESTIC INCINERATOR
1B)COM.ORINDUST.INCINERATOR
19) EQUIPMENT NOT COVERED BY THE ABOVE
PERMIT FEE
TOTAL FEE
, Q V