NO PERMIT NUMBER (2)CI
CITY OF CUPERTINO
r APPLICATION FOR BUILDING PERMIT
SANITARY NO.
!, FILE NO. Sl _ n87
DATE 7 /7 /7A 19
Application is hereby made for a permit to
Cnnctrnrt. a 1 story, type 5 N. Hr.
to be occupied only as 2 & J Addition (SFDWL)
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 8.000
FEE $ 44 - HH PLAN CHECK $
OWNER Bill Don ADDRESS
PHONE 257-3889
CONTR. ADDRESS
PHONE STATE LICENSE
APPROVED Angelo Leber/h
BUILDING INSPECTION RECORD
DATE
INSPECTO
DATE
INSPECTOR
FOUNDATION
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
WALLBOARDS - INT. B EXT.
FIREWALLS
MEMBRANE
LANDSCAPING
F.M,O, INSPECTION
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC_ LA
IV
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUG .
UNDERGROUND ROUGH
ROUGH WIRING
\
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL Z
�\(''MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
,
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
CITY OF•6UP4RTINO
10300 Torre Avs TOO* 254-4505
INSPECTION NOTICE
s
BUILDING DIVISION
DAILY REPORT ❑ CORRECTION NOTICE BP;,' VIOLATION ❑
TYPE INSP.: BLDG. 00� ELEC. ❑ PLBG. ❑ MECH. ❑
WEATHER aINSP.
T .ZO i% L/n/DA 1/1574 _ LOTNO.—
NO. STO •
CITY OF CUPERTINO
C, f APPLICATION FOR ELECTRICAL PERMIT
�"�� Permit No.
Date �'Cf�^ y 7� —,79_ Fee c��
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-X .257- 3 8 `I
Work To Be
Address O a 7- LFs 2� ✓ 5 f`• 421
By naaress
Contractor, Agent
Phone
State License Approved Electrical
� ctrical inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OFsTHE STATE OF CALIFORNIA.
r ®cs
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
.•D
Ranges or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels
Signs Transformers
Dryers
Motors:
H.P. Phase
H.P. phase
H.P. phase
Power Poles
Misc.
Permit Fee
H.P. Charges
Total Fees
5
S
S..
Date iF 196-17—
Contr. � ✓",/ C, /� //i
Phone 3 7 7 7-/J—O
Date 96Coss"
�
is hereby made for a permit to
to 6e occupied 41y as
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO 9•
File No. J 0 7,
, IrSanitary No.
Type
S i,Tso
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ cps ,-
�0
FEE$ Imp Plan Check $
Owner Address
C onfr. ddress
Phone State Licr
Approved
APPLICATION FOR ELECTRICAL PERMIT o
FEE$ 7
Address
l/
State License 9� 0 U 0
Approved `- /
�j APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 4 GAS FEE $ /
PLUMBING FEE $
Contr. `�"' `"`i "r-`i" /""`„^��-/'s--`� Address 15z S—/
Phone a 9S' -o s's State License /%1 -<3 7
Approved WILLIAM D. DENEVICH
��� APPL CATION FOR APPLIANCE PERMIT 7 S o
Date ,L— 196 FEE$
plc« r /
Contr.,j Address -30
Phone /}/ State License
Approved WILLIAM D. DENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State, of California -
,OUTLETS /
1
SWITCHES 9-J
O
RECEPTACLES
j
%V
FIXTURES /7'
/
U
H.P. CHARGE
J
PERMIT FEE
'TOTAL FEES
>
7,
RECORD OF INSPECTION APPROVALS ;kyAwlk*jr
FOUNDATION - -`s BUILDING
UNDERFLOOR
FRAME .D /lDa�e
PLASTER
-
a
s�
e
FINAL �-
Date Ins oec tar
ELECTRICAL
UNDERGROUND
ROUGH WIRING ,
FINISH WIRING -
FIXTURES
Motors
FINAL
SIZE
pc�SERVICE
or
IDate
Inspector
Date
Inspector
Date
Inspector
Data, /
for
Date // Inspector
PLUMBING & GAS !�
MAIN DRAIN
SIZE
I
I MATERIAL
STORM DRAIN I
SIZE
I
LmIL4TERIAL
WATER SYSTEM
SIZE
4ATERIAL
TOTAL FIXTURES
/ v
OOP
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH - kb -
MAIN DRAIN FEE
Dot
ROUGH COMPLET O
/
I
STORM DRAIN FEE
MAIN DRAIN
DalJ/
_ IGSe
WATER SYSTEM FEE
GAS PIPING
ate
n or
GAS PIPING FEE
FINAL -
Dote
S
c r
PERMIT FEE
�
MISC
Date
Inspector
TOTAL FEE
SZ
MISC
Dote
Inspector
Dote Inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
Q
SZ
BLOWER FURNACES
COMBUSTION VENT
a
SUSPENDED UNIT
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR FURNACE
,TOTAL FEE
5
INSPECTED - -'. �CiBS'
Dote Inspector �i
.2-Zd7lo AINI)A ISy'4 �L LOT
NO. S "ET
CITY OFF C:1r :1i;, s^1, CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
JAN 23 19.115
Dote v W-1#4A / —r , 1971
Permit No. //
Fee $ g!
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 D work To Be
Premises Performed
Address o
CA/ � �LL
Approved_ Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® L/
APPLIANCE 11 UNITS I FEES
D AIR OR GRAVITY Fi
B.T.0 'S
3 AIR OR GRAVITY FL
FURNACE
JDED, REC. WALL, FLI
LATION OF APPL. VEI
OF, ALTERATION OF
IG APPL., REFRIG. UN
)RT HEATING, COOL.
JG SYSTEM
OR COMP. TO 6-HP.
MECHANICAL
ABOVE
PERMIT FEE
ROUTE SLIP°
File No..
Date Out
Date In
C�4
Location
Subject, (904 ..'
Notes
1
A n oved
1
Date Inspector
h
ROUTE SLIP
File No. .S/0p,7
Date
Date In
Location_ 1- e Af
Subec.t.��
Notes
Approved
Date Inspector•
'CERTIFICATE , 0 . F COMPLETION
JY BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date -------- 19.. Building Permit No
11 /90C . �./ ................... /�
The Building Located at
Ownedby ...........................................................
Ti
el
Has Been X'Con`P"�For Use As:...._- .... . ... ..................
- ---------------------------- . ........ ....... .............................
-----------------------
.................rILDING ....
INSPECTOR
102 7/63-500
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........................l..Z.. /.-----.....
OFFICE
COPY
196..oS�
To
You are hereby at d to connect the GAS s ice for
Owner or Tenant .................. ti1.K..L, i f..../- ..................T�. L....---_.................
At .......... Z o.`1...t�.....t..�S�..fl.....Y..t.SSA...........1 ..L,..........................
New Service ..... --.........
.No. of Meters ...... ..............
No. of Add. Meters ..............
Reconnect .....
Move Service ...
Move Meter .....
PLUMBING INSPECTOR
llo 6/63.500
. . -OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
..........._.........�..�........ ............ t9
To
You are hereby a horized to connect electrical servic
CZ ► t
Owner or Tenant ................... .........�.T�...... ......�...j ....---...............
Z C7 rJ (� V t S.�A�..............
At.......................................................................................................................................
No. of Wires ...... ........... Size of Wires . ..1 ........ Size of Switch CO A
Motor Load .......................... Voltage ... __........................ Phase ......... ...............
.
HeatingLoad ........................ K.W.......... ........................ . Voltage ................................
No. of Meters......
LighG...._W- .✓..... New Service. .... Reconnect ...._...._......
..._........
Heat...... �.. 220..... ✓ Three Wire ................ Move Service............
No. of Add. Meters............
Power ............... Throe Phase ....... Move Meter..............
.......................................................... ......................
ELECTRICAL INSPECTOR "
BUILDING INSPECTOR'S OFFICE
Cin' OF CUPERTINO
n Sewer Connection
Plumbing Final
Owner or Tenant s-� /
, - r -- -.
njdg. Dept
uif;s Copy
Sanitary Permit No.._. ...........................
Plumbing Permit No. .61-04P7 -------
Lot No . .... l�. .............
Tract .. ---------- ----
Date Connected -----------------------------
. .................
Date Final ---------------------
--- - 1-1/ .7771./K -----------
Ill 7/63-1M