NO PERMIT NUMBER (2)10237-10239 WSTT-c�- - _ 9
NO. STREET - LOT NO.
4.76
CITY OF CUPERTINO Const . Tax: 126.88
APPLICATION FOR BUILDING PERMIT
SANITARY NO. _9261
FILE NO. 51, 353
DATE 4/28/75 19
Application is hereby made for a permit to
Can ct- (PlEn A) a 1 story,type 5 N. Hr.
to be occupied only as I-J Duplex (2496 sq ft Liy 660 so ft gar.)
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 65 000
FEE $ 22'i.00 PLAN CHECK $
OWNER Dividend Industries ADDRESS 2160 Forest Ave. S.J.
PHONE 275-8430
CONTR, ADDRESS
PHONE
RI III nImr-
STATE LICENSE 275773
APPROVED James H.Sisk/h
DATE
PECTOR
DATE
INSPECTOR
FOUNDATION
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
WALLBOAR - INT. EXT.
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTIO
FINAL BLDG. // 7
UNDER -FLOOR —
-7
TIEDOWNS
-MISC.
PHRAMS
MOORE BUSINESS EORMSINC.. L.
ELECTRICAL INSPECTIGN RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
U RGROU O
UNDERGROUND ROUGH
R flJL
FINISH WIRING
ROUGH WIRING
FINISH WIRING
FIXTURES f
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
_Q
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
C _%
FLUES & OMB. AIR
PARTIAL ROUGH
C NDENSATE DRAINS
ROUGH COMPLETE
_ j,r.
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
j
FINAL GAS
FINAL PLUMBING zz
�o -,.'CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE ;a
CITY OF CUPERTINO
DATE 19% S BLDG. PERMIT N.O. ✓��,_�3Js3
THE BLDG. LOCATED AT %0,137- Ald 3
OWNED BY
HAS BEEN _ICOMPLETEDI)
\IALTEREDI FOR USE AS r.cr�rt� o
Y
4���-
BUILDING INSPECTOR
Dat^ l
Location c;''
Subject-
Notes
Approve::. / 4z C�C7 /_
• �i tie 1::u��' -
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No- -------- .....
ERr Plumbing Final Plumbing Permit No...... ---- --
LotNo. ---------------- �- - --------
nn
Owner or Tenant ------
. . ..........................
At ----
---------------------------------------------------
Tract
DateConnected ....... ----------------------------- ------------------------- ------ 19............
DateFinal .......... ------------------------------------------------------------------ 19 ..... : ......
.................. ......................
PLUMBING INSPECTOR
C OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
i.✓rY....4.7........ 19 l.S
You are hereby authorized to connect electrical service for
Owner or Tenant
At
T.
................
No. of Wires .............. _........ Size of Wires .................. ... Size of Switch
Motor Load .......................... Voltage ................. ._....... .._. Phase ...
Heating Load _...................... K. XXI......... _...._....... ....... ._. Volta ge
Light............_. 110.._. New ercice�:........ Kemnnect.......... No. of Meters.......-.1.. ..... S
No. of Add. Meters............ Heat_.... ........ _ 220.. _. �-'rhmc Wire................
'Power_ ... 'Char Phase......_........ \laceMeter_...
r✓
❑LECTMCA! INSPECTo%
CITY OF CUftRTINO
GAS SERVICE NOTICE
To
OFFICE
COPY
You are hereby authorized to connect the GAS service for
Owner or Tenant ..... C4— N.
At
New Service -.-4� . .......
No. of Meters Reconnect ..............
Move Service .. ......
No. of Add. Meters .......... ... Move Meter ...........
4� . . .. . ...... .........
PLUMBING INSPECTOR
LOT NO. T 5 1
NO.
CITY OFCUPFRTINO - VAL.
CAP.1 X
d RLICATION FOR BUILDING PERMIT (FEE
w Z CLIP"- Building Per. No.,'�
x �4'D6ie 19 Sa/}fit y�P�er. No. % —
3 Vn ppltcafwn'is hereby made for a permit to
u--0c YJ-YP- aTructure
Re be occupied only as in a
Plans, Specifications and Plot -Plan filed herreAelw�Liit�tllh. /
Estimated Value of Improvements, $Fivri
O O It is hereby agreed that the requirements of the
w Cupertino Building and Zoning Ordinances and all
' a other laws applicable to the construction, location, and
Z use of buildings within the City of Cupertino will be
ZO complied with.
30
PI Ck Fee $
Fee $ do _
Total Fee $ OW
PHONE ADDRESS
O CONTR.OR AGENT ADDR 'SS
V e%%S�'��� e`Z7J'77j
PHONE STATE LICENSE BUILDING INSPECTOR
0 ',
o.13
A 9? o�Cv�rzT�;
NO. F6REET
CITY OF CUPERTINO
LOT NO.�
s c", APPLICATION FOR ELECTRICAL PERMIT
Permit No.
Date '� �yr ,19'7r Fee E
-cl 91
Applicatpn is heieby made to the City of Cupertino for a permit to install electrical
wiring and/o/J' ixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Cade of the
City of Cupertino, and all other laws applicable thereto.
Use o1 _/ ` Work To Be
Par(ormed -�/
Owner !�-v��i r-L�' ��fls/.� Address a/�O 'YLz,,t,/
PhoneBy
Qontractor, Age Address
Phon 3711-2O/p
State License ay� % W �—/n Approved _ . / /
I AGREE 1 WILL NOT VIOLATE -ANY OF THE WORKMEP�S
COMPENSATION LAWS OF THE STATE OF CALIFOR ' j�
® se
ITEM
NEW
RPL
FEES
Number of Outlets
�,r
Number of Switches
Number of Receptacles
Number of Fixtures
D
Ranges or Ovens K.W.
a.a�
Size of Main Service
Number of Meters a
;
Number o
-Dd
Signs - Transformers
-
Dryers
oZ
.ZDO
Motors:
I/7. H.P. Phase .,fp
/,;L-
H.P. Phase
H.P. Phase
Power Poles
-
Misc.
Permit Fee
/`f 'DO
H.P. Charges
Total Fees
® cx
na3���oa3i!.ti.V.(2 , LOT NO. /
NO. STREET (J
CITY OF CUPERTINO
ant a,, c APPPLICATION FOR APPLIANCE PERMIT
JUL 2
�g75 //ff((/ Permit No.
Date , — _ , 19� Fee E�da
Application( is Irks reby 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.
Pre of,=,� Work To Ba'--
Premises 44�.1.L(l f (ii !�+'�i(. ''// Performed �/J /
Owner I /,r.,,�l� Address— , /) OX
Phone
v
tr on ironing
BY Address
ontra o ent
Phone San Martin, Cali3ornia 9;i046 State License e......,,.va
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
APPLIANCE
UNITS
FEES
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
100,000 B.".'S
�
• �
2) FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S
3) FLOOR FURNACE
4) SUSPENDED, REC. WALL, FLOOR HEATER
5) INSTALLATION OF APPL. VENT
6) REPAIR OF, ALTERATION OF, OR ADDITION TO
HEATING APPL., REFRIG. UNIT, ABSORP. UNIT,
COMFORT HEATING.000LING, 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
100,000 TO 5uu,001 B.I. 'S
9) BOILER OR COMP. TO 15-HP. TO 31-HP. AB ORP.
'
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
III AIR HANDLER 10,000 CU. FT.
12) AIR HANDLER OVER 10,000
13) EVAP. COOLER PORTABLE
14) VENT. FAN CON. TO SINGLE DUCT
. OO
15) VENT. SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
16) HOOD -MECHANICAL EXHAUST
'
17) DOMESTIC INCINERATOR
18) CO -OR INDUST, INCINERATOR
19) EQUIPMENT NOTCOVERED BY THE ABOVE
PERMIT FEE
J, ()0
TOTALFEE
l •O
NO X 'S'T aAl 0 l" / LOT NO.�
CITY OF CUPERTINO _
0: uc1- 19PLICATION FOR PLUMBING PERMIT
,n/ ( Sanitary No.
Date �\.•TT^19L Permit No.
Fee 5 am —
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---CL�/ / Y
Premises Performed
Owner _ Addressr/ Q�
Phone I /1 ��.//
By _ Address // ��/X
State License / i :2 / % V 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
Units
Fees
Units
Fees
Water Heater
—
Size
Water Closet
—
Material
Both Tub
Z
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
2�
Not Conn.
Dish Washer
Waste Disposal
Wash Troy
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
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
LOT
CITY O? CUPcatNO CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
OCT 9 1975
Sanitary No.
Date fl 6 ,19_ Permit No.
Fee s dT`
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
Owner Address.
Phone
By AddressZ-X� 7 ��//�i',L� ✓ls<(- f177�
-
Phone
State License-`�-����� Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 u
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 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
Wafer Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
'
Total
Total Fee