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NO PERMIT NUMBER (2)20275-20277 V'_•sta Ct. 13 NO. STREET : 'h i ' . `}, " " LOT NO. 4.76 CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT Const. Tax: 126. 88 SANITARY NO. 9246 A� FILE NO. 51 'R5-j DATE 4/28/75 19_ Application is hereby made for a permit to rnnc+.. (Plan R) a l story, type 5 N_ Hr_ to be occupied only as I—J T)unl ax (2503 c4_ ft. Tiv 660 arj ft Gar ) in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ FR 000 FEE $ 22'R- 00 - PLAN CHECK $ OWNER Dividend Industries ADDRESS 2160 Forest Ave. S.J. PHONE 275-8430 PHONE STATE LICENSE 275773 APPROVED James H. Slsk/h RI III nitdr: INCCFrnnwl ocrnan DATE NSPECTOR DATE INSPECTOR FOUNDATION FLOOR STEEL PRE-GUNITE FRAME BOND BEAMS LATH - WALLBOAR -INT. EX FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION I NAL BLDG. O — yy- UNDER-FLOOR r TIEDOWNS t DIAPHRAMS �2 - O MOORf 8U51HE 55 lORMSIN[ Is ELECTRICAL INSPECTIOLF RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDER ROUGH 114 f UNDERGROUND ROUGH ROUGH WIRING i - ROUGH WIRING FINISH WIRING ELNISH WIRING FIXTURES JNTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL O-L')= OTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOO M. BACK FLOW INSTALLED DUCTS & INSULATION / j - UNDERGROUND ROUGH • �} = S FLUES & COMB. AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE 3-7 FINAL APPLIANCE ROOF DRAIN & LEADERS MAIN DRAIN FINAL GAS -�7 ME FINAL PLUMBING .MISCELLANEOUS ?? o':'S SrZ P Da';e -. f Location Sub'ect�- Notes 'CERTIFICATE OF'COMPLETION,a- ., BUILDING INSPECTOR'S OFFICE CITY OF UPERTINO DATE I V Y 19-_ BLDG. PERMIT NO. S ' �S V THE BLDG. LOCATED AT ZO`L OWNEDBBY' �I-V,/,AC�7 .Vo ,V ' —HAS- E�-N (COMPLETEDI� VAL-TEREDI`�FOR USE AS (AD r.��\�! i! V • Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No . ....... .............. Plumbing Final Plumbing Permit No.... -57 .....3......... r3 k Lot No. ........ --------- Owner or Tenant ----- ZD. .../At ......C- .......................................... Tract DateConnected ------- --- .. -- ---- --"* ---- ----------------------------- --- ** ----------- ---------- ---------- 19............ Date Final ----------------- 5— PLUMBING INSPECTOR OFFICE COPY CITY OF CUPERTINO' ELECTRIC SERVICE NOTICE You are hereby ankh Atzed to. (..-oonect clectri se ice fo Owner or Ten ......... At ........... No. of Wires ........................ Size of Wires ...................... Size of Sitch W Go (��_ Motor Load .............. ..... Voltage ___ ....... Phase ........ ........ Heating Load ..... ............ _ K. W. .... .. ....... _ ........ Voltage ..... I.,._..... No. of Meters-_LightI[ o .... ef�7�ew ect_ .. .... Heat. No. of Add. Meters 1'rcc r ,Power............... ......... .. . .... E LECTRICA L INSPrC �k OF171CI: CITY OF CUPERTINO COPY GAS SERVICE NOTICE To You are hereby authorized to connect the GAS service for Owner or Tenant At No. of Meters ......... �r ....... No. of Add. Meters ...... ....... New Service ...... Lam........ . ....... Reconnect ............................. Move Service ....................... Move Meter .......... ............ - ......... .. . PLUMBING INSPECTOR ao,27S--o2oJ Z 1�/S;,Tq . CT LOT NO. NO. STREET 0 La 4 0 W Q 0 OQ 3u W 0 = O OW a T N aW W = CITY O?CUT�,C TLNO CITY OF CUPERTINO VAL. APPLICATION FOR BUILDING PERMIT AP �6 o (� FEE Dote Q 2 8 J' , 19 Building Per. No. t " Sanitary Per. No, 02 Application it ht4by made for a permit to CLN/17' !� •R w a —story, TypexA /.�. L/� — �dp ��_Structure to be occupied only as 7--Y7 .Dwa"FX in Plans, Specifications and Plot -Plan filed herewith. Estimated Value of Improvements, $S4Q= u_ PI Ck Fee $ 00 It is hereby agreed that the requirements of the Ap > w Cupertino Building and Zoning Ordinances and all I ".$ O a other laws applicable to the construction, location, and 9 Z use of buildings within the City of Cupertino will be Total Fee $= OZ complied with. z s OW�tER < / . PHONE ADDRESS ��CONTR. OR AGENT ADDR S _u 274_- ,G3a 27<�77i PHONE STA E LICZENSE BUILDING IN PECTOR A 0'. 'LOT NO. NO. •.STREET' - 1 CRY Or CUPE;iiNO - CITY OF CUPERTINO- APPLICATION FOR ELECTRICAL PERMIT `1975: Permit No. ` Date 197J - Fee $., Application 'is hereby:,mode tti`the . City,of,Cupertino for a yper'mit To install electrical, wiring-orid/or fixtures as'listed ori'�'the reverse side hereof,. and, agrees to install said . '• wiring and/or�'fixtures in .accordance with the provisions of theElectrical Code of the City of Cupertino-, and all other laws opplicable:thereto. Use of Work To Be - '( Premiies L//n�I Performed Owner .til / �O '-Address o't/GO� ¢ - . Phone_'%$- �klpY 11.. — _ByL'f Address onirador,,Agent. Phone State boenm—� '& 7a o Approved - 'S Electrical pe or s :I AGREE -I WILL"NOT,XIOLATE ANY OF THE WORKM �iJ-•— COMPENSATION LAWS.OF THE STATE OF CALIFOR .y - r �- .ITEM .. r NEW RPl ^ FEES --! Number oi s ' Numb"&-& Switches- M of, Receptacles ,-..Number Nuiuber of F�'zttires, lyas :Ranges or OyensKW02'- rC "Size of Main Service -. :�o' - 0 '- - '- Number of Meters _ ''"--Nuih6e7 of Panels- '. 1;- ry :i Signs Transformers- ` Dryers - r,. _>Motors t "r -H P P aW': - - (J Power.Poles - ` - ' c Permit Fee," ; H:P. Charges,. ' Total Fees LOT NO. 4 Ctv OF C:17`"TlttO CITY OF CUPERTINO 13 QCj �APPgCATION FOR PLUMBING PERMIT �1 �om Sanitary No. Date s , 19�..L_ Permit No. Fee s37p�- 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 05 Address ArAl Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. X 0 LA FIXTURES NUMBER MAIN DRAIN Units Fes Units Fees Water Heater Z. _ Size Water Closet n Material Bath Tub Z, To Curb Shower To Prop. Line Lavatories To Existing Kitchen Sink Not Conn. Dish Washer 2 Waste Disposal Wash Troy STORM DRAINAGE Washing Machine Size Water Softener Material Bar Sink To Main Drain Comb. Sink 8 Troy 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 WaterFee Relief Value Gas Fee Vac Breaker Skimmer Filter Pool Sweeper Permit Fee Total Total Fee LOT CITY OF CUPERTINO CIT•, o, cur=APPLICATION FOR PLUMBING PERMIT ocT 9 1975 Date 19 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 Use of Work To Be Premises Performed Owneroet: /%@ Address. e Phone By1� Address �/)7. zW Ol/ J713 /7 Contractor, Agan✓ / Phone c T�� j< . State License '4 , — Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 0 1. 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 & Tray I 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 Voc Breaker Skimmer Filter Pool Sweeper Permit Fee Total Total Fee �✓ 026.Z7J—.?6.277 (JIS _ C/ .LOT NO. Z.3 NO. •STREET CITY OF CUPERTINO cyY ce rAPPUCATION FOR APPLIANCE PERMIT JUL 21 1975 /S- r—fa. 197 J— Permit No. Fee $ ;Air ov 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 n4 4Work To Be Premises L ,x Performed Owner n% (% 1 n G )V 1 V P. Address. By S (70 .9 ) f Address F-O 41i 7 Contractor, Agent Phone a4E —.2q f7 S'4 'State License_r2 7 F031 Approved FlUmbing Inspector�I I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. e L. APPLIANCE UNITS FEES 1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING 100,000 B.T.U.'S 4 21 FORCED AIR OR GRAVITY -URN. OVER 100,D008.T.U: S "00 3)FLOOR FURNACE 4) SUSPENDED, REC. WALL, FLOOR HEATER 5) INSTALLATION OF APPL. VENT 61 REPAIR OF, ALTERATION OF, OR ADDITION TO ' HEATING APPL., REFRIG. UNIT, ABSORP. UNIT, ' COMFORT HEATING, COOLING, ABSORP., OR EVAP, COOLING SYSTEM 7) BOIIER OR COMP. TO 4-HP. ABSORP. SYSTEM TO I00,001 B.T.U'S 8) BOILER OR COMP. TO 16-HP. ABSORP. SYSTEM 100,000 TO 500,001 B.T.U'S 9) BOILER OR COMP. TO 15-HP. TO 31.HP. ABSORP. SYSTEM 500,000 TO 1,000.001 B.T.U.'S 1O) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP. SYSTEM 1,000,001 TO 1,750,001 11) AIR HANDLER 10,000 CU. FT. 12) AIR HANDIER OVER 10,000 CU. FT. 13) EVAP. COOLER PORTABLE 14) VENT. FAN CON. TO SINGLE DUCT 1-T 15) VENT. SYSTEM NOT APART OF HEATING OR AIR CONDITIONING 16) HOOD - MECHANICAL EXHAUST 17) DOMESTIC INCINERATOR 18) COM. OR INDUST. INCINERATOR 19) EQUIPMENT NOT COVERED BY THE ABOVE LTOTAL L--