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NO PERMIT NUMBER10237-10239 WSTT-c�- - _ 9 NO. STREET - LOT NO. 4.76 CITY OF CUPERTINO Const . Tax: 126.88 APPLICATION FOR BUILDING PERMIT SANITARY NO. _9261 FILE NO. 51, 353 DATE 4/28/75 19 Application is hereby made for a permit to Can ct- (PlEn A) a 1 story,type 5 N. Hr. to be occupied only as I-J Duplex (2496 sq ft Liy 660 so ft gar.) in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 65 000 FEE $ 22'i.00 PLAN CHECK $ OWNER Dividend Industries ADDRESS 2160 Forest Ave. S.J. PHONE 275-8430 CONTR, ADDRESS PHONE RI III nImr- STATE LICENSE 275773 APPROVED James H.Sisk/h DATE PECTOR DATE INSPECTOR FOUNDATION FLOOR STEEL PRE-GUNITE FRAME BOND BEAMS LATH WALLBOAR - INT. EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTIO FINAL BLDG. // 7 UNDER -FLOOR — -7 TIEDOWNS -MISC. PHRAMS MOORE BUSINESS EORMSINC.. L. ELECTRICAL INSPECTIGN RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR U RGROU O UNDERGROUND ROUGH R flJL FINISH WIRING ROUGH WIRING FINISH WIRING FIXTURES f INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. _Q BACK FLOW INSTALLED DUCTS & INSULATION UNDERGROUND ROUGH C _% FLUES & OMB. AIR PARTIAL ROUGH C NDENSATE DRAINS ROUGH COMPLETE _ j,r. FINAL APPLIANCE ROOF DRAIN & LEADERS MAIN DRAIN j FINAL GAS FINAL PLUMBING zz �o -,.'CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE ;a CITY OF CUPERTINO DATE 19% S BLDG. PERMIT N.O. ✓��,_�3Js3 THE BLDG. LOCATED AT %0,137- Ald 3 OWNED BY HAS BEEN _ICOMPLETEDI) \IALTEREDI FOR USE AS r.cr�rt� o Y 4���- BUILDING INSPECTOR Dat^ l Location c;'' Subject- Notes Approve::. / 4z C�C7 /_ • �i tie 1::u��' - Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No- -------- ..... ERr Plumbing Final Plumbing Permit No...... ---- -- LotNo. ---------------- �- - -------- nn Owner or Tenant ------ . . .......................... At ---- --------------------------------------------------- Tract DateConnected ....... ----------------------------- ------------------------- ------ 19............ DateFinal .......... ------------------------------------------------------------------ 19 ..... : ...... .................. ...................... PLUMBING INSPECTOR C OFFICE COPY CITY OF CUPERTINO ELECTRIC SERVICE NOTICE i.✓rY....4.7........ 19 l.S You are hereby authorized to connect electrical service for Owner or Tenant At T. ................ No. of Wires .............. _........ Size of Wires .................. ... Size of Switch Motor Load .......................... Voltage ................. ._....... .._. Phase ... Heating Load _...................... K. XXI......... _...._....... ....... ._. Volta ge Light............_. 110.._. New ercice�:........ Kemnnect.......... No. of Meters.......-.1.. ..... S No. of Add. Meters............ Heat_.... ........ _ 220.. _. �-'rhmc Wire................ 'Power_ ... 'Char Phase......_........ \laceMeter_... r✓ ❑LECTMCA! INSPECTo% CITY OF CUftRTINO GAS SERVICE NOTICE To OFFICE COPY You are hereby authorized to connect the GAS service for Owner or Tenant ..... C4— N. At New Service -.-4� . ....... No. of Meters Reconnect .............. Move Service .. ...... No. of Add. Meters .......... ... Move Meter ........... 4� . . .. . ...... ......... PLUMBING INSPECTOR LOT NO. T 5 1 NO. CITY OFCUPFRTINO - VAL. CAP.1 X d RLICATION FOR BUILDING PERMIT (FEE w Z CLIP"- Building Per. No.,'� x �4'D6ie 19 Sa/}fit y�P�er. No. % — 3 Vn ppltcafwn'is hereby made for a permit to u--0c YJ-YP- aTructure Re be occupied only as in a Plans, Specifications and Plot -Plan filed herreAelw�Liit�tllh. / Estimated Value of Improvements, $Fivri O O It is hereby agreed that the requirements of the w Cupertino Building and Zoning Ordinances and all ' a other laws applicable to the construction, location, and Z use of buildings within the City of Cupertino will be ZO complied with. 30 PI Ck Fee $ Fee $ do _ Total Fee $ OW PHONE ADDRESS O CONTR.OR AGENT ADDR 'SS V e%%S�'��� e`Z7J'77j PHONE STATE LICENSE BUILDING INSPECTOR 0 ', o.13 A 9? o�Cv�rzT�; NO. F6REET CITY OF CUPERTINO LOT NO.� s c", APPLICATION FOR ELECTRICAL PERMIT Permit No. Date '� �yr ,19'7r Fee E -cl 91 Applicatpn is heieby made to the City of Cupertino for a permit to install electrical wiring and/o/J' ixtures as listed on the reverse side hereof, and agrees to install said wiring and/or fixtures in accordance with the provisions of the Electrical Cade of the City of Cupertino, and all other laws applicable thereto. Use o1 _/ ` Work To Be Par(ormed -�/ Owner !�-v��i r-L�' ��fls/.� Address a/�O 'YLz,,t,/ PhoneBy Qontractor, Age Address Phon 3711-2O/p State License ay� % W �—/n Approved _ . / / I AGREE 1 WILL NOT VIOLATE -ANY OF THE WORKMEP�S COMPENSATION LAWS OF THE STATE OF CALIFOR ' j� ® se ITEM NEW RPL FEES Number of Outlets �,r Number of Switches Number of Receptacles Number of Fixtures D Ranges or Ovens K.W. a.a� Size of Main Service Number of Meters a ; Number o -Dd Signs - Transformers - Dryers oZ .ZDO Motors: I/7. H.P. Phase .,fp /,;L- H.P. Phase H.P. Phase Power Poles - Misc. Permit Fee /`f 'DO H.P. Charges Total Fees ® cx na3���oa3i!.ti.V.(2 , LOT NO. / NO. STREET (J CITY OF CUPERTINO ant a,, c APPPLICATION FOR APPLIANCE PERMIT JUL 2 �g75 //ff((/ Permit No. Date , — _ , 19� Fee E�da Application( is Irks reby 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. Pre of,=,� Work To Ba'-- Premises 44�.1.L(l f (ii !�+'�i(. ''// Performed �/J / Owner I /,r.,,�l� Address— , /) OX Phone v tr on ironing BY Address ontra o ent Phone San Martin, Cali3ornia 9;i046 State License e......,,.va I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® LA APPLIANCE UNITS FEES 1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING 100,000 B.".'S � • � 2) FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S 3) FLOOR FURNACE 4) SUSPENDED, REC. WALL, FLOOR HEATER 5) INSTALLATION OF APPL. VENT 6) REPAIR OF, ALTERATION OF, OR ADDITION TO HEATING APPL., REFRIG. UNIT, ABSORP. UNIT, COMFORT HEATING.000LING, ABSORP., OR EVAP. - COOLING SYSTEM 7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM TO 100,001 B.T.U: S -, 8) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM 100,000 TO 5uu,001 B.I. 'S 9) BOILER OR COMP. TO 15-HP. TO 31-HP. AB ORP. ' 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 III AIR HANDLER 10,000 CU. FT. 12) AIR HANDLER OVER 10,000 13) EVAP. COOLER PORTABLE 14) VENT. FAN CON. TO SINGLE DUCT . OO 15) VENT. SYSTEM NOT A PART OF HEATING OR AIR CONDITIONING 16) HOOD -MECHANICAL EXHAUST ' 17) DOMESTIC INCINERATOR 18) CO -OR INDUST, INCINERATOR 19) EQUIPMENT NOTCOVERED BY THE ABOVE PERMIT FEE J, ()0 TOTALFEE l •O NO X 'S'T aAl 0 l" / LOT NO.� CITY OF CUPERTINO _ 0: uc1- 19PLICATION FOR PLUMBING PERMIT ,n/ ( Sanitary No. Date �\.•TT^19L Permit No. Fee 5 am — 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---CL�/ / Y Premises Performed Owner _ Addressr/ Q� Phone I /1 ��.// By _ Address // ��/X State License / i :2 / % V 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 Both Tub Z To Curb Shower To Prop. Line Lavatories To Existing Kitchen Sink 2� Not Conn. Dish Washer Waste Disposal Wash Troy STORM DRAINAGE Washing Machine Size Water Softener Material Bar Sink To Main Drain Comb. Sink 8 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 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 LOT CITY O? CUPcatNO CITY OF CUPERTINO APPLICATION FOR PLUMBING PERMIT OCT 9 1975 Sanitary No. Date fl 6 ,19_ Permit No. Fee s dT` 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 Premises �]] Performed Owner Address. Phone By AddressZ-X� 7 ��//�i',L� ✓ls<(- f177� - Phone State License-`�-����� Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 0 u 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 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 Wafer Leader Storm Drain Fee Sprinkler System Water Sys. Fee Relief Value Gas Fee Vac Breaker Skimmer Filter Pool Sweeper Permit Fee ' Total Total Fee