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NO PERMIT NUMBER (2)will t - NO3.0227-1022 STR ET - +• LOT NO. CITY OF CUPERTINO 4.76 APPLICATION FOR BUILDING PERMIT .SANITARY NO. 9260 FILE NO. 51 353 e fi DATE 4/28/75 - 19 Application is hereby made for a'permit to Const. (Plan B) a ] story, type 5 N. Hr. to be occupied only as I-J Duplex (2503 sO ft T i V 660 sq . ft Gar in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $68 s 000 FEE $ 223.00 PLAN CHECK $ OWNER Dividend Tndtc ri c ADDRESS 2160 Forest Avp. 4 T PHONE 275-8430 CONTR, ADDRESS ATE LICENSE 275773 APPROVED .Tamar H Si k /h BUILDING INSPECTION RFCORr1 DA E SPECTOR DATE INSPECTOR FOUNDATION OR STEEL PRE-GUNITE FRAME •7� BOND BEAMS LATH �.LY WALLBOAR - INT. EXT FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. UNDER -FLOOR 7- TIEDOWNS -MISC- DIAPHRAMS ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH i �7 UNDERGROUND ROUGH ROUGH WIRING ,� ROUGH WIRING FINISH WIRING / FINISH WIRING FIXTURES i� INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL ( 7 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 & INSULATION�1� UNDERGROUND ROUGH FLUES & COMB. AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE ROOF DRAIN & LEADERS MAIN DRAIN 7- 7-7 FINAL GAS /0 - 7 FINAL PLUMBING o/ cam- 2 CERTIFICATE OF/80MPLETI0N BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE // �7 �� 1 q_ BLDG. PERMIT NO. THE BLDG. LOCATED AT //i 2 y j,/%��,e� OWNED BY ' (COMPLETED) . HAS BEEN "—hALTEREC)I ) FOR USE AS , rolul B SLIP Tile No. p, Date /�a ocat' on otes rip_ oved Date LnsDcCi:or Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No...... '410 ................. S`i [� Plumbing Final Plumbing Permit No......... /.3s-3 ................. LotNo- ------------- 8----------- Own At Tract Date Connected -----.�.'-=..------------ ----------------- -------- 1,9 ------------ Date Final--------/-L- 7- 25- 19............ PLUMBING INSPECTOR , 10 CITY OF CUPERT INO OFFICE COPY ELECTRIC SERVICE NOTICE 19 You are hereby authorized to connect electrical service for Owner or Tenant ... P& -elene, - l;r0) At ... No. of Wires .. ...................... Size of Wires .... Size of Switch .,/(/v /a Motor Load ..... - --- --------- Voltage - - - ... Ph . . . ............. Heating Load .. . .................. K. W. ........ ....... .. Voltage . ....... ...... .. ..... No. of Meters ..... Light ................ 1 10 ..... 4 New No. of Add. Meters............ Heat ................. 220 ... 41 Three Wire_....._....... Mo,c Sumc, Power ............... Three Phase— ... Meter...._. i.LECTR!CAL INSPECT114 OFFIC17 CITY OF CUPERTINO COPY GAS SERVICE NOTICE TO You are hereby authorized to connect the GAS service for Owner or Tenant ... 0(,6,j ss--�--X At New Service ......... No. of Meters ..... - 2;Z=. Reconnect .. ....... ....... Move Service ....................... No. of Add. Meters ..... - ...... Move Meter ........................ ................... oe ... . ................ PLUMBING INSPECT —OR /0az7-i0.)_i3 L¢Z.9lyl,!F_O C7 LOT NO. NO. STREET' I '• -. '. CITY OF CUPERTINO - VAl G O u J CAP. { Al 76 a APPLICATION FOR BUILDING PERMIT t FEE 11%-1. Building Per. No. 3 F Daft C 9. Sanitary Per. No. v Applll VidMfifiereby made for a permit to CaNS?- 3 / u. u- a� / star , Type S W, 6k �3 �Li✓_ yV — G O 4 B.ac� �e Structure —� ^�( O o to be�occupied only os T.�% �.fwp s� in a z u, Plans, Specifications and Plot -Plan filed herewith. a u, r Estimated Value of Improvements, $ 0_0 I O PI Ck Fee $ O It is hereby agreed that the requirements of the w Cupertino Building and Zoning Ordinances and all Fee $ -ld-3 00 a other laws applicable to the construction, location, and z use of buildings within the City of Cupertino will be Total Fee $ =zz complied with. lj OANER PHONE ADDRESS ^ a O CONTR. OR AGENT ADDR S -U �Z�3_-�f3° a7s-7�3 PHONE STATE LICENSE BUILDING INSPECTOR i'0 NO. LOT NO. STREET , CRY OF CUPE177 CITY OF CUPERTINO SEP Z 9 i97 Date P A9 LICATION FOR ELECTRICAL PERMIT Permit No. / Ig7J Fee E . Application is hereby made to the City of Cupertino for a permit to install e�cal 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 PromimsM�-+� Owner i Phone By Phone 3 O ntractor, Agent U State License �� 7a4F e-/O Work To Be q Performed D�ii�.QY Address--z;ZZ4ik��! I AGREE I WILL NOT VIOLATE ANY OF THE WORKM9jS,/ , % d /� COMPENSATION LAWS OF THE STATE OF CALIFORNIA. X ITEM NEW RPL FEES Number of Outlets / Number of Switches Number of Receptacles Number of Fixtures ,TO Ranges or Ovens K.W. 09- Size of Main Service ,Od Number of Meters Number of Panels Signs - Transformers Dryers -0 D Motors: % H.P. Phase rs� Q SD_d H.P. Phase H.P. Phase Power Poles Misc. Permit Fee p?O H.P. Charges Total Fees O c+ �Uda-7��oxtiq C�J�c��2c� L$ S LOT NO. NO. STREET CITY OF CUPERTINO o3s^;;cTwAPPLICATION FOR APPLIANCE PERMIT evil o` Date Permit No. "/ , 19 �� Fee $ � r'N n. �s — Appliaation 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 Be _ �l/!L Premises O Performed / ' / V f/i Owner o"'-+ / 1"{�Qn�.GC. Address Phone AbLU r Conditioning By n Address C o, Phone San Martin, California 9j046 State License (408) 683.4101 O Approved /C��ai I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® '. APPLIANCE 11 UNITS I FEES TO T.U. 10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP. 11 - 1 EXHAUST BY THE ABOVE PERMIT FEE ' `/ / (1M6 22 g/ -LOT NO. NO STREET CITY OF CUPERTINO az+ o APPL)CATION FOR PLUMBING PERMIT Sanitary No. Date '^ , 19 / - / Permit No. t Fee$ 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 0 LA COMPENSATION LAWS OF THE STATE OF CALIFORNIA. FIXTURES NUMBER MAIN DRAIN Units Fes 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 2 Waste Disposal a. 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 he Sprinkler System Water Sys. Fee —' Relief Value Gas Fee Vac Breaker Skimmer Filter Pool Swee er Permit Fee Total Total Fee LOT NO. r CITY OF CUPERTINO C1T' °r cur, APPLICATION FOR PLUMBING PERMIT OCT 9 1975 Sanitary No. Date n FN ,19_ Permit No. F. 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. Use of Work To Be Premises Performed OwnerAddress Phone By C-12 ll7s"J! Address Contractor, A nt Phone ':Rr- "P4 State License 2�YT'L7 Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® 1A FIXTURES NUMBER MAIN DRAIN Unitsl Fees Units Fees Water Heater Size Water Closet Material Bath Tub To Curb Shower To Prop. Line F;.—tar 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 Sond 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 dO