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NO PERMIT NUMBER (2)10207-1o2G9 will Ct. 6 NO. STREET - i.. LOT NO. d 4.76 CITY MCUIERTINO•. APPLICATION FOR B ILDING PERMIT SANITARY NO. 9258 FILE NO. 51,353 DATE hlp5 19_ Application is hereby made for a permit to Const. (Plan B) a 1 start 5 N. Hr. to be occupied only FEE $ 223.00 y, ype I—J Duplex (2503 sq.ft. Liv. 660 sq.ft. Gar.) in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 68,000 OWNER Dividend Industries PHONE 275-8430 PHONE CHECK $ ... 2160 Forest Ave. S.J. STATE LICENSE �75773 APPROVED James H. Sisk/h BUILDING INSPFC-TInN RFrnon FOUNDATION BOND BEAMS MEMBRANE �� .. TIEDOWNS IrtTTJ1R11r1» -_ ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDER ND RO H UNDERGROUND ROUGH ROUG ROUGH WIRING FINISH WI N Y ISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED N / UNDERGROUND ROUGH •' FLUES 8 OMB. AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE /- FINAL APP IANCE ROOF DRAIN 8 LEADERS '23 MAIN DRAIN 7 -'j FINAL GAS FINAL PLUMBING CERTIRCATE.OF e0APtETION BUILDING•IN9PECTOR'S OFFICE R a 1, CITY OP CUPERTINO DATE ����'/7.S 19 BLDG. PERMIT NO. ✓C�35 3 THE BLDG. LOCATED IAT 16)07C',;) OWNED BY HAS BEEN CCOMPLETEDjFOR USE AS (ALTERED) on'-- 6- ;o,e5 File ,No. - Date ///7 J� Ipp"oved 1 Date insocCl.or Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No.......�............--- Plumbing Final Plumbing Permit No. ..-�._.L......5....... Lot No ..... ..... ..... - (� 9 n �_ Owner or Tenant .......t.�. v_ .. ......... At .---I c_ -",Cv GOFFICE COPY -4'r CITY OF CUPERTINO ELECTRIC SERVICE NOTICE 19-T— You are hereby authorized to connect electrical service for Owner or Tenant e — ..... h� A�/ X � -q- ..... I.. I .......... No. of Wires ......... ....... -__ ....... Size of Wires .... ........... ..... Size of Switch /e,'-v, ' A Motor Load -------- .......... Voltage ........ .......... . ..... Phase ........ ............ Heating Load ............ ........... K W . .......................... .... Voltage . ..... ....... No. of Meters........Light ................ 1 10 ..... r, New S,Rc,011"C't .............. . No. of Add. Meters........._. Heat .... ........ 220-.I�-t'hrel Wire . ....... . mc,,c suj,,j,, ........ Power ............... Three 11h.,,,..- '41 ... . ....... e�� I ELECIRICAL INSPFCTOR 0-4 OFFICI; CITY OF CUPERTINO COPY GAS SERVICE NO CE . ...... - ........... jqq.S_ TO You are hereby authorized to connect the GAS service for Owner or Tenant ... LLV-141-j)1.9-��- At .6, 6�� New Service .... No. of Meters ........ — Reconnect ........ Move Service ..... No. of Add. Meters .............. Move Meter ........................ ........... PLUMBING INSPECTOR C 7 LOT NO. ~ Y CITY O. CUpZGTINO CITY OE,CUPERTINO- CAP. VAL. i� pAPPLICATION FOR BUILDING PERMIT EEE� 4/ 19 Building Per. No. 6" ..3si Sonit%jy Per. No9-13_7. Applic%iionlis feeby made for a perrm�iitt to C^�L�'ST li`3'iaA/ `R f astory, Type .� ti0.1's-a3.4r - LGO¢ 61* Structure to be occupied only as ?-.T J70006X i , Plans, Specifications and Plot -Plan filed herewith. Estimated Value of Improvements, $ DO U PI Ck Fee $ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all Fee $ a.i-3 o other laws applicable to the construction, location, and Total Fee $ -?1 3 o a use of buildings within the City of Cupertino will be complied with. I PHONE ADDRESS OR AGENT ADDRES STATE LICENSE BUILDING INSPECTOR �( O �+ ay C/12AVF0 n LOT NO. STREET ., CITY C. C�1'--T-' ;0 CITY OF CUPERTINO SEI' 1 APPLICATION FOR ELECTRICAL PERMIT ` Permit No. Date r a D , 19%� Fee E 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 work 7o Be Premises -��'� Performed Owner �"`r��1-�G•-•�yy Address. Phone J d By Address 4 ntractor, Agent Phone 3.2.V�-2n /0 StateLicense /�i7_ ,? Approved I AGREE I WILL NOT VIOLATE7 ANY OF THE Woykm,04,s X _X COMPENSATION LAWS OF THE STATE OF CAL IA. U ITEM NEW RPL FEES Number of Outlets �a Number of Switches Number of Receptacles ( % Number of Fixtures / Ranges or Ovens K.W.og Size of Main Service 00 Number of Meters Number of Panels �, 0% Signs - Transformers Dryers R. /v Motors: .L H.P. Phase O /U v�-00 H.P. Phase H.P. Phase Power Poles Misc. 00 Permit Fee H.P. Charges Total Fees 3s-6r ® cn 0 7— ioao��oaoy c%iHQo 6 NO. STREET LOT NO. �t�NO CITYOFCUPERTINO co o; cU ` APPLICATION FOR APPLIANCE PERMIT q v Permit No. Date \ 7q� Fee$ ;k. I= 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 Work To Ba Premises Performed Owner j N Address L� • i� P'�i�di r� (1 j yC/.M�L/..L Phone (/ Phone S n .7-0--,"YpC1—A+/Bny}— Address a.M tractor AI9 nt Sen artin, a i ornia 95046 ON) 683-41101 Phone Stone ticense_n wee: r-la uC. 11279031donrnvnd I AGREE 1 WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 0 1A APPLIANCE 11 UNITS I FEES TO EXHAUST PERMIT FEE LOT NO.4� a �.;pKO CITY OF CUPERTINO Ort C1 CAPP19C�TION FOR PLUMBING PERMIT U V 1 O Sanitary No. Date [ LPI9� Permit No. t� r Fee $ 6f 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. /\ ® cs FIXTURES NUMBER MAIN DRAIN Units Fees Unit Fees Water Heater Size Water Closet Material r} Bath Tub To Curb Shower To Prop. Line Lavatories To Existing Kitchen Sink Z- Not Conn. Dish Washer y ' Waste Disposal v 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 TOTAI FEES Urinol Fixture Fee Area Drain Main Drain Fee ater Leader Storm Drain Fee rinkler System Water Sys. Feelief Value I Gas Fee c Breaker Skimmer Filter Pool Sweeper Permit Fee Total Total Fee .o LOT NO. 6 CITY OF CUPERTINO c1T; c: cura',,TAPPLICATION FOR PLUMBING PERMIT OCT 9 1975 I Sanitary No. Date ,19_ .—f Permit No. Fee 5 �— 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 Owner ��/2e,2gz lJ Phone By Address 75//./✓n2_ Contractor, Ag nt Phone State License Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® u FIXTURES NUMBER I MAIN DRAIN Unitsl Fees I 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 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 D?