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NO PERMIT NUMBER (2)I 20265-20267Vint=-:'s.'.Dt, NO. STREET "• s`4 LOT N9: ~ i 4.76 CITY OF WkRTINO Const. Tax: 126.88 APPLICATION FOR BUILDING PERMIT SANITARY NO. 9245 FILE NO. 51,353 DATE 4/28/75 19 Application is hereby made for a permit to Const. (Plan B) a 1 story, type 5 N. Hr. to be occupied only as I—J Duplex (2503 sq. ft . Liy. 660 sq. ft . Gar. ) in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 68, 000 FEE $ 223.00 OWNER Dividend Industries PHONE 275-8430 CHECKS CONTR, ADDRESS PHONE 2160 Forest Ave. S.J. STATE LICENSE 275773 James H. Sisk/h BUILDING INSPECTION RFCORo ® —_— —®— BOND BEAMS MEMBRANE Til 7 ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDER UND ROUGH p UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES . y INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE I INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS 8 INSULATION UNDERGROUND ROUGH FLUES 8 COMB. AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE yj J FINAL APPLIANCE Q� y ROOF DRAIN & LEADERS MAIN DRAIN FINAL GAS 7 FINAL PLUMBING MISCELLANEOUS S� 0 Da.tc �6 V V v Location Subject Notes Approved Da, IV- e" 1 � ;CERTIFICATMF COMPLETION " _ - BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE h - ti , I9 BLDG. PERMIT NO. 6 7 �(3, THE BLDG. LOCATED 1AT 7 U L-, � )�� Z- O1L /yt S p-qP, nC� OWNED BY—� ��--N o HAS BEEN CO.MP�EDi/ FOR USE AS_��-�i Kam[ IACTEREDI ` Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No . ....... Plumbing Final Plumbing Permit No. .............. Lot No ........... -?, .......... Owner, or Tenant . e.�7 ............................ At ------------------------------------------- Tract Date Connected ........ --- -------- ...................................................................... 19 ------------ Date Final ---------------- dl— 2� 1 n ! PLUMBING INSPECTOR OFFICE COPY CITY OF CUPERTINO ELECTRIC SERVICE NOTICE I .. ......... � _ / () . ..... ........ 19/3 You are hereby authoized to connect electrical service for Owner or Tenant AATel- At ........ Z .. 0-72 ... No. of Wires ................. Size of Wires .. .......... Size of SjAch foo ..... Motor Load ................. ........ Voltage .. ........ Phase ............. Heating Load ........................ K. W . . .. ... .... .......... Voltage . ..... ............... No. of Meters._....._.. .. ......... No. of Add. Meters............ Heat........ ...... 220 F Power ............... Af(,c,,Metcj ...... ............ ....... iiLECTR- AL OFFICI: CITY OF CUPERTINO COPY GAS SERVICE NOTICE, To.......... I—— ....... 19 o You are hereby authorized to connect the GAS service for Owner or Tenant . . ....... ................ At P -69.r-- 2, New Service ..... No. of Meters Reconnect ............. .............. Move -Service ....... ................. No. of Add. Meters ..... ........ Move Meter ........ P.L.61 BING INSPECTOR 7• ✓.S«7�/• Lj C / . �s LOT NO. �.i NO. STREET CITY OF CUPERTINO (((VAL. OD— d nT r ATINIO CITY APPLICATCION FOR BUILDING PERMIT CAP. ( _ _ t FEE z Date n h O 9 fi 1975 19 Building Per. Na..�� 0 , ' Sanitary PerANa. V Application is herebmade for a permit to 640A16i"��iEf/ R 3 = u_ a__�_3 story,'Typee SAME ds40L/P' 4,2d"�Structure F O to be occupied only as .7-t% .%1'/%Yfx' in a 'Z w Plans, Specifications and Plot -Plan filed herewith. as F x p Estimated Value of Improvements, $_lva. — a O PI Ck Fee $ _O It is hereby agreed that the requirements of the ep w Cupertino Building and Zoning Ordinances and all Fee $ aw 00' 3 g other laws applicable to the construction, location, and Z use of buildings within the City of Cupertino will be Total Fee $ ZO complied with. OWNER PHONE ADDRESS QO v CONTR. OR AGENT oZ 7.t =p Tc%�o2 75 7'Z3 ADD ' PHONE STATE LICENSE BUILDING INSPECTOR 0 , RC../-.. .�-i> % ��/.STFI' 'A.� � `LOT -- 42 NO:. NO. STREET " CITY,OFCUP,ERTINO, -,Vx r \cili CbfiON:FOR ELECTRICAL PERMITA. i> 1 1975 tiJUL y/ �s •. dr, - 4pPgrmd No - Dotei'. ip� a v. f p s' ;.Apphcatlon,'isFhereby made to:the.Clty`Iof Cupertino for q permit to install electricals } ''wiring and/,or fixtures a0isted on.thereverse-side herecf;:.and agrees - - to instbIPsatd wiring and/or'fixtures.in accordance with,the provisions of the Ele-trical;Code of'the aty'of Cupertino, and all other laws applicable.thereto. Use of - - -Work To Be r Premises' Performed Owner Address �1100 v / n ey Address SQ'�n-CtJs ontractor, Agent Phone 03"7S/ JO%O - - K Stote License Aq6 - .A Electric I ector v„ - I AGREE I WILL NOT VIOLATE ANY OFTFIE'WOR EN - COMPENSATION. LAWS .OF THE:.STATE „ - ITEM NEW. '--RPI FEES .' k•-"Numbe2of Outlets Number'of Switches Number of Receptacles " - 6. Number of. Fixturesv 'Ranges Y.. or Ovens K.W. ta, Size of Main.Service Number of Meters --Number of Panels t xySigns -Transformers 3` ryers Motors Zj ' H.P.Phase `-H.P. Phase. t -Power Poles Misc.' p ev Permit'Fee z-'H.P.-;charges i Total Fe LOT NO. /r NO STREET 13 CITY OF CUPERTINO �� o:"7R4LICATION FOR PLUMBING PERMIT Sonitary No. Dater , 19 Permit No. � Fee E 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 Puformad Address Address Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® v. FIXTURES NUMBER MAIN DRAIN Units Fes Units Fees ter Heater Size — ter Closet Material h Tub �- To Curb wer !Kitchen — To Prop. Line atories To Existing ' Sink — Not Conn. h Washerste Disposal Wash Tray STORM DRAINAGE Washing Machine Size Water Softener Material Bar Sink To Main Drain Comb. Sink B Tray To Curb Dental Urut Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Moteriol 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 26.26o-,�o.iG7 ' /)I 17 A G / LOT NO. /L NO. . STREET ' CITY OF CUPERTINO APPLICATION FOR APPLIANCE PERMIT Dote ass I�}i ci I7 J 19 % f— Permit No. Fee 5 , Application is heyr�ebonade to the City of Cupertino for a permit to install gas appliances R Ad bn fiie 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 �L P X Work To Be K Premises Performed Owner Plbl DJ— 0 /P Address. By -A C If 4-1 9 Cn IJ /% 1P -Address_ (-lC) XdY -dFJ 7 Contractor, Agent S- N,t N 14 A )' .- //J C--d Phone A ` C - -Z !/'�E 7 ' State License .2. 7 CY &3l Approved_ Plumbing Inspector - I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® LA APPLIANCE II UNITS I FEES 7) BOILER OR COMP. I 4-HP. ACJURP. aTa ItM _ TO 100,001 B.T.U: S 8) BOILER OR COMP, TO 16-HP. ABSORP. SYSTEM 100,000 TO 500,001 Y) BOILER OR COM, TO 15-, 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,, 50,001 B.T.U.'S - 11) AIR HANDLER 10,000 CU. FT. 12) AIR HANDLER OVER IV,000 CU. FT. _ 13) EVAP. COOLER PORTABLE 14) VENT. FAN CON. TO SINGLE DUCT 15) VENT. SYSTEM NOT A PART OF HEATING OR AIR CONDITIONING 16)HOOD- MECHANICAL EXHAUST 17) DOMESTIC INCINERATOR - 18) COM. OR INDUST. INCINERATOR 101 Fn W PMFNT NOT COVERED BY THE ABOVE PERMIT FEE TOTAL FEE LOT NO. / -)— Date CIT7 0. Cur-GTINO CITY OF CUPERTINO APPLICATION FOR PLUMBING PERMIT OCT 0 1975 I .19 L Application is hereby made to the City of Cupertino pipes and/or fixtures listed on the reverse side hereof, and/or fixtures in accordance with the provisions of th Cupertino, and all other laws applicable thereto. Use of Work To Be Premises Perrm foed Owner Address e Sanitary No. Permit No. Fee$ 6 for a permit to install plumbing and agrees to install said prices Plumbing Code of the City of Phone By Address/7<L%% Contractor, Agent Phone 3s� 1-34-4 State License �/y D Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 0 L1 FIXTURES NUMBER MAIN DRAIN nits Fees Units Fees er Heater Size er Closet Material Tub To Curb er To Prop. Line tories To Existing en Sink Not Conn. Washer te Disposal ITob sh Tray STORM DRAINAGE hing Machine Size er Softener Material Sink To Main Drain b. Sink & Tray To Curb tal Unitking Fountainr Drain WATER SYSTEM per Size aurant Sink Material Sond Trap TOTAL FEES Urinal Fixture Fee Area Drain Main Drain Fee Storm Drain Fee Water Sys. Fee Gas Fee aSystem t Permit Fee 3 Total Total Fee