NO PERMIT NUMBER (2)10216-10218 Will,,•ct. 5
NO. STREET I 'LOT NO.
4.76
CITY OF„CUPERTINO Const. Tax: 126.88
APPLICATION FOR BUILDING PERMIT
`sew'
^ - SANITARY NO. 2257
FILE NO. 51.353
DATE 4/28/75 19_
Application is hereby made for a permit to
rnnat- (Plan R) a 1 story, type 5 N. Hr. '.
to be occupied only as I—J Duplex_(2503 Sa ft Li,v. 660 s0 ft Dar
in accordance with plot plan, plans and specification filed herewith.
AL` \
t
Y '.
ESTIMATED VALUE OF IMPROVEMENTS $ 68 000
FEE $ 229.00 I PLAN CHECK $
OWNER Dividend Industries ADDRESS 2160 Forest Ave. S.J.
PHONE 275-8430
PHONE
ADDRESS
LICENSE 275773
APPROVED James H. Sisk/h
/ RIJIIn] Mr. ImcoarTlnw. ocrnon
ECTOR
DATE
INSPECTOR
FOUNDATION
-
e -
FLOOR STEEL
PRE-GUNITE
FRAME -/0-14
BOND BEAMS
LATH
WALLBOAR -IN7. %T.
�(
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINA LDG.
UNDER -FLOOR
TIEDOWNS
DI HRAMS
MOORE BNSIN ESS fnuuciu� e
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROU
UNDERGROUND ROUGH
ROUGH WI 0.
ROUGH WIRING
FINISH WIRING y
FINISH WIRING
FIXTURES /
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
1
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M. 74
>3-
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
_
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
/ ►/)
ROOF DRAIN & LEADERS
0
MAIN DRAIN
-7
"APPLIANCE
FINAL GAS, -
;5^--7
FINAL PLUMBING
�r CERTIFICATE 000OMPLETION
BUILDIN iINSPECTOR'S OFFICE
CITY OF CUPERTINO
DATE ��a 19 7� BLDG. PERMIT NO. J -S� 35 3
THE BLDG. LOCATED AT_1O a/6 - /6,)19-
OWNED BY
HAS BEEN COMPLETED) FOR USE AS
'(ALTERED)- /l
",OU",F . SLlP
File No. -
Date
ocat on
l�
a ins ctor
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
MV i C Sewer Connection Sanitary Permit No.......I ......
71...� .. ? ----- i ..
.....
Plumbing Final Plumbing Permit No. 3 S-
--j - ---------
Lot No.:.... ... 4� ----- :
Owner or Tenant ----- r�11`71-; . ..........................
Tract
DateConnected ........ ...................... ------------------------------------- 19 .............
DateFinal ............ ------- 75 ---------------------------------------------------------------- 19 ............
.......................... h4Z ............
PLUMBING INSPECTOR -
_ OFFICE COPY
CITY �F �CUPERTINO
ELECTRIC SERVICE NOTICE
You are hereby authorized to connect electrical serviSe for
Owner or Tenant ......r�/:?/.': L.C�.at.:�>,..�
...--l�l/.7....................
No. of Wires .................. Size of Wires ..................... Size of Switch .1071 /i
Motor Load ... ...._._. ........ .... Voltage ...... ................... Phase ........
Heating Load ........................ K. \fir. ............ _........ ....... ..... Voltage ............. .................
................ iio --- New Se
_ nice.....Z �, No. of Meters. ......... Light ..... ---�� -�
No. of Add. Meters............ �
Heat. .... ........... 22.. 0..":� I'hrcc Wire..____._... ?loco Sercicc
Power..... .......... 'Three Phase.. .....
.._...
�v
i.LECTH!CAL !NSPECTIA
OFFICE
CITY OF CUPERTINO COPY
GAS SERVICE . ..... !� NO ICE.
TO........
You are hereby authorized to connect the GAS service for
Owner or Tenant ....
At
New Service ....
...........
No. of Meters .......Z. Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........
PLUMBING INSPECT(5-R--
/ O.L/G — /O-L./eP Z-4 Z.9, A/sc0 'l T. LOT NO. S" 4
NO. STREET' , 1. VAL. LB Oac
V. CITY OFCUPERTINO CAP. { v 7L
i a CnN OAPPLI RTION FOR BUILDING PERMIT t FEE—�
w s 7� Building Per. No.
Data , 19 G,
O Sanitary Per. No.
O a Application is here b made for a permit to C"~57 rPL9N
= O a --/-story, Type S &h4C 4("-d 3IIX - GL O 1'400RsStructure
w0 a to be occupied only as r-T .(�u At E7L in
i Z,Plans, Specifications and Plot -Plan filed herewith.
Q w
F Estimated Value of Improvements, $ 00 O
Q w PI Ck Fee $
O O It is hereby agreed that the requirements of the 00
u, Cupertino Building and Zoning Ordinances and all Fee $ o2-23
0 < other laws applicable to the construction, location, and Total Fee $ a�3 z use of buildings within the City of Cupertino will be
zz complied /with.
3 Nk;.lY^ ..Y n;�. �.�.c:R- v�/� U VT✓te-c�Cl�--.y
Z VGA( OXJNER PHONE ADDRESS
Q OF CONTR. OR AGENT ADDRESS'
PHONE STATE LICENSE bVILDINU INSPECTOR
0 1.
/oai� A LANFO e % LOT NO.
NO. STREET
CITY O` C}� ~nN0 CITY OF CUPERTINO
ATkPPLICATION FOR ELECTRICAL PERMIT
Permit No.
Daten_, 19 �� Fee S
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
�
///
4
Owner A-1110!11-2'4 ! 261,1(
Phoneg7.3d
By
G ntractor, Agent
Phone ��
State License 6 a ,-,U
Work To Be
Performed
Address
/ 1 AGREE 1 WILL NOT VIOLATE ANY OF THE WO M N'S
(�[(T COMPENSATION LAWS OF THE STATE OF CAt21A. U
0 u
11
ITEM
NEW
RPL
FEES
Number of Outlets
�p
Number of Switches
Number of Receptacles
67
Number of Fixtures
Ranges or Ovens K.W.
"o
Size of Main Service D
Number of Meters
p1
Number of Panels
Signs- Transformers
Dryers
,OD
Motors:
! H.P.Phase _,�0
/0
•Od
H.P. Phase
H.P. Phase
-
Pos er Poles
Misc.
Permit Fee
H.P. Charges
Total Fees
3S,�Es
® u
LoTS—
IUdI(a�to �G<;onea LOT
NO. STREET C/ 'T
O
o; 0,;,= CITY OF CUPERTINO
"0vL C PyyP.LICATION FOR APPLIANCE PERMIT
/�— ID(Permit No.
Data / ` , 19 7 J'� Fee $
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 r
of Wok o Be
Promises /-r f��>, PerfoTmerd
Owner ��s' Y _ Address �Qlek
c)
Phone
BY 111170 nepat Aveau® Address
ntrActo ent
Phone
son
artm, 681ilornia 85046
State License OLA69 C-20 LiC. N2vanA9n..—,&,i
I AGREE 1 WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 L.
APPLIANCE
UNITS
FEES
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
W,OW B.T.U.'S
16
a-
•00
2) FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S
3) FLOOR FURNACE
4) SUSPENDED, REC. WAIL, FLOOR HEATER
5)INSTALLATION OF APPL. VENT
'
6) REPAIR OF, ALTERATION OF, OR ADDITION TO
HEATING APPL, REFRIG. UNIT, ABSORP. UNIT,
COMFORT HEATING, COOLING, 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
1 W,OW TO 500,00I 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
10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP.
_
'
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
11) AIR HANDLER IO,OW CU. FT.
12) AIR HANDLER OVER 10,000 CU. FT.
13) EVAP. COOLER PORTABLE
14) VENT. FAN CON. TO SINGLE DUCT
/ . 6 O
15) VENT. SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
16)HOOD- MECHANICAL EXHAUST
17) DOMESTIC INCINERATOR
18) (,UM. OR INDUST, INCINERATOR
19) EQUIPMENT NOT COVERED BY THE ABOVE
PERMIT FEE
J.00
TOTAL FEE
coi.S 00
NO STR T LOT NO. 7
OZ CVi T1NO CITY OF CUPERTINO
`PL15ATION FOR PLUMBING PERMIT
r
!/ Sanitary No.
Dote , 19 Permit No.
Fee Ecs-, 'l
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
O,vne Address
Phone —
By i_IA Address
State License //i(// / / Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. X
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
I
Size
Water Closet
Material
To Curb
To Prop. Line
To ExistingNot
I
Conn.rn
I
STORM DRAINAGE
Washing
Size
Water So
Material
Bar Sink
To Main Drain
Comb. Sink & Troy
To Curb
Dental Unit
Drinking Fountain
Floor Drain
_
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture he
Area Drain
Main Drain Fee
E-
Water Leader
Storm Drain he
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Voc Breaker
-
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee
r
LOT
Date
CITY OF CUPERTINO
CITY c: ciAPPLICATION FOR PLUMBING PERMIT
OCT 9 1975
_ SanitaryNo.
19
1
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
Owner
e
Permit N.
Fee E
for a permit to install plumbing
and agrees to install said prices
Plumbing Code of the City of
Phone
Address
_Contractor, Ageni r
Phone
State Licensey5%S Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® L.
FIXTURES
NUMBER
MAIN DRAIN
Unitsl
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
1,
Not Conn.
Dish Washer
Waste Disposal
-
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb. Sink & Troy
To Curb
Dentol Unit
_
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size '
Restaurant Sink
Material
_
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Woter Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Swee er
Permit Fee
Total
Total Fee_.--