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NO PERMIT NUMBER (2)T opi 7-102iwill', Ct. 7 NO. STREET LOT NO. ., ..•. 4.76 CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. 9259 FILE NO. 51,353 DATE 4/28/75 19_ r Application is hereby made for a permit to . Const (plan A) a T: story, type S N. Hr. to be occupied only as T—,T ThTnl F•x (i496 ca - T iy 660 g ft Gar in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 68000 FEE $ 223 _ M PLAN CHECK $ OWNER Dividend Industries ADDRESS 2160 Forest Ave. S.J. PHONE 275-8430 PHONE / I021'I - Cow ST.QWit STATE LICENSE 275773 PROVED James H. Sisk/h BUILDING INSPECTION RFrORn DATE TOR DATE INSPECTOR FOUNDATION LOOR STEEL PRE-GUNITE FRAME ra BOND BEAMS LATH Y,-7 LL ARDS - IN .8 EXIC . yd-� FIRE ALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDC UNDER -FLOOR a 1.I�.7Y ? EZZ TIEDOWNS -MISC- DIAPHRAMS a 0 ELECTRICAL rNSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING . ROUGH WIRING FINISH WIRING 7IMSH 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 81NSULATION UNDERGROUND ROUGH j FLUES & COMB. AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE . FINAL APPLIANCE / 7 ROOF DRAIN & LEADERS MAIN DRAIN FINAL GAS 9-� FINAL PLUMBING -CERT•IF;CA-TE\0F COMPLETION BUILDING INSPECTOR'S OFFIEf)/;�• CITY OF CUPERTINO DATE ��/�-/7S719_ BLDG. PERMIT NO. THE BLDG. LOCATED AT /0 ri/% - /G-J/9 46) "�'(�% OWNED BY (COMPLET.ED) HAS BEEN FOR USE -(ALTERED) LOT NO STREET CITY Oe CurmTINO CITY OF CLIPERtINO APPLICATION FOR PLUMBING PERMIT OCT 9 1975 n t 7 Sanitary No. Date n r ,19_ Permit No.� Fee Is 7 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 Owner By::17 V p%��n%�rG+lJC Contractor, Aged Phone 3 r&' C Work To Be Address � 7�/77 �LY/ ✓'i+Do .(n,S State License 2(����� Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® L6 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 8 Tray To CuEFee ' Dental Unit Drinking Fountain Floor Drain R SYSTEM Hopper Size _ Restaurant Sink Mater Sand Trap AL FEES _ Urinal FixturArea Drain Main Water Lender StonwJks ia.Eee Sprinkler System Water Sys. Fee Relief Value Gas Fee Vac Breaker Skimmer Filter Pool Swee er Permit Fee Total Total Fee LOT NO._ NO STREET CITY OF CUPERTINO f7rt(( OT 03�51`*PPLICATION FOR PLUMBING PERMIT Sanitary No. Date ^ ,19', Permit No. I` Fee$ L%L'O pp � Applicdtion 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 Cupertjpoo, and all other laws applicable thereto. Use Work To Be / Premises Performed / J Owner I // Address Phone 17'/ Address y State License / IrZ&( / O Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. FIXTURES NUMBER MAIN DRAIN FeesEConnn. Units Fees Water Heater Water Closet Bath Tub 4nts Shower ine Lavatories Kitchen Sink Dish Washer Waste Disposal Wash Troy ORM DRAINAGE Washing Machine Water Softener Bar Sink To Main Drain Comb. Sink & Tray To Curb DeMol Unit ' Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOT L 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 ROUmE JLI. Vile No. Date ;� bocat'_on C) ,OteS Date insDector /ad/7/�Oa/��.o oTNo.ff NO. STREET C. CITY OF CUPERTINO clsY OT o�s,,,APPLICATION FOR APPLIANCE PERMIT r���� 2• 1915 Permit No. Dote • 19 �� Fee E c 3 CD Applicatron /i's 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 Bed Premises Performed V Owner Ld / �—/, Addnm kn ' v Phone OT I toning BY F1J3'�9'ln' eTifik{`ss•3' Address SaNurfin; gent Phone c 11 State license Lie.13314pproved Plumbing Insoector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® LA APPLIANCE II UNITS I FEES PART OF HEATING OR lol FnIIIPMFNT NOT COVERED BY THE ABOVE II I PERMIT FEE TOTAL FEE Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. Plumbing Final Plumbing Permit No. Lot No... ............ 17 Owner or Tenant . ------- �-9,4,4j - ------- ------ - At ----- Tract Date Connected -------- 7-Z-7 - ----- 75-� Date Final ------------- ..................................................................................... — 19 .. ......... ............................. -4� .................... PLUMBING INSPECTOR OFFICE COPY 7 CITY OF CUPERTINO ELECTRIC SERVICE NOTICE You are hereby authorized to conacct electrical service for Owner or Tenant ........... At ... No. of Wires ......... ........ Size of Wires ........ .... Size of Switch Motor Load .......................... Voltage ....................... Phase ................... Heating Load ........................ K. W, Voltage .— ... ... . .... No. of Meters....._..... Light.._...___... 'Iu SeIlic,-4!7� ..... ltc,mmeo ............... No. of Add. Meters............ Heat..........__... 220-4 .... — Three Wire......._....... sem(,— .Power.....__.._..Three Phasc................ Mme Meter...... ........... . . . . . . . . . . . CLECTRICAL INSPECIo.4 OFFICE CITY OF CUPERTINO COPY GAS SERVICE :NO ICE .. ........ ...... To 0 .... ...... 19 You are hereby authorized to connect the GA for Owner or Tenant At ..... New Service ......... ........... No. of Meters ...... Reconnect .. ...... - ..... ............. Move Service ........ — No. of Add. Meters ........ — Move Meter ...... -- ............................ '0..... - PLUMBING INSPECTOR • OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO("", --435) T ' _t.. ' .- ............. y9G±..... _ o —. 1 You are hereby aµthoriied to conned electrical service for, Owner or Tenant g....-_.-.,�........,�Js.._ ..��..'.. ....r r ......... t _.. ................... No. of Wires ........................ Size of Wires ...................... Size of Switch r �...'..... Motor Load .......................... Voltage ................................ Phase ......................... HeatingLoad ........................ K. W............... ..... .... ........... Voltage ......................... a No. of Meters................... { Light ............... 110.. .... New Service .... ........... Reconnect.................. No. of Add. Metenrs............ Heat ................. 220.......I. Three Wire.............. Move Service............ (! Power ............... ..'ram Three' Phalle................ Move ?meter.............. 9. ELECTRICAL INSPECTOR � 0.2- /0. .LOT NO, 7 JAG NO. ST EE�•' CITY OF CUPERTINO (( CAP. VAL. OOO f 7! a APPLIC�TION FOR BUILDING PERMIT l FEE w Z ,q, Dm^ O? CUT-Tdtx s Building Per. No. /, 35.; z OLL t0ob• 19 Sanitary Per. No. g�1 3 u A ti$pVs hereb� made for a permit to C O.yT SP S�f�lw v J u a r T S .(/HA s �L. _ (CCU _ LLO ` Y� Y —1 5-`-9E, r �S�Structure O . to be`occupied only as 1- r%.�%-u�ILEY in a i w Plans, Specifications and Plot -Plan filed herewith. aw F x Estimated Value of Improvements, $ Od 0 a , PI Ck Fee $ O O It is hereby agreed that the requirements of the w Cupertino Building and Zoning Ordinances and all Fee$ .2-2.3 e0 p < other laws applicable to the construction, location, and Total Fee $ Z use of buildings within the City of Cupertino will be z complied with 30 /- n � OWNER PHONE O CONTR. OR AGENT - �7 S� o a 7 S- 7 -7-j PHONE STATE LICENSE ADDRESS �ES BUILDING INSPECTO O L, N�C. s STREET .. LOT NO. / CITY OF CUPERTINO Co of�APPLICATION FOR ELECTRICAL PERMIT SEP 19 19�. � g / Permit No. Date / , 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 Owner Phone By Co rector, Agent Phone_ 39rf-20//O State License a �F, %A an(� Work ToBe Performed Address I AGREE 1 WILL NOT VIOLATE ANY`OF THE COMPENSATION LAWS OF THE STATE OF 0 LA 4�4 - ITEM NEW RPl FEES Number of Outlets p Number of Switches p Number of Receptacles Sly Number of Fixtures aG • �° Ranges or Ovens K.W. l+•Ov Size of Main Service 00 D dOd Number of Meters o2- Number of Panels ?DO Signs - Transformers Dryers p Motors: H.P. Phase - Sp H.P. Phase H.P. Phase Power Poles Misc. Permit Fee H.P. Charges Total Fees 71 O 1. / D ,L/ 7 L4 Z 9NEc o C 7, LOT / O STREET CITY OF WkRTINO APPLICATION FOR ELECTRICAL PERMIT t ' 1975 Permit No. Date , 19_ Fee S A 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 lows applicable thereto. Use of Work To Be Owner k 19/,119F'ND INV Address. c ;1 /L O Phone yQ t% sT'�a ��0_ By eO Q�-(.e.r ✓ Address Contractor, Agent Phone State License Approved . actri i r I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® c. ITEM I NEW � RPL I FEES Number of Outlets Number of Switche Number of Receptc or Ovens K.W. Size of Main Service Number of Meters Number of Panels H.P. Phase H.P. Phase H.P. Phase Power Poles Misc. Permit Fee H.P. Chart LA