NO PERMIT NUMBER (2)10246-10248 : will, Ct.
NO. STREET
CITY OF CUPER
APPLICATION FOR BUILDI
DATE 4/28/75 19
�. LOT NO.
4.76
10 Const. Tax: 126.88
PERMIT
NO. 9253
FILE NO. 51,353
Application is hereby made for a permit to
Con qt. _ (PI ELn A) a 1 story, type 5 N. Hr.
to be occupied only as I—J Duplex (2496 sg . ft. Liv. 660 sg . ' ft . Gar. )
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 68.000
FEE $ 223.00 PLAN CHECK $ 111.50
OWNER nividend Tndi mtriam ADDRESS 2160 Forest Ave S.J.
PHONE 275-8430
CONTR, ADDRESS
PHONE STATE LICENSE 275773
APPROVED JgMes H. Siskh
BUILDING INSPECTION RECORD
DATE
SPE TOR
DATE
INSPECTOR
FOUNDATION
ZA"
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
ATH
WALLBOARDS - INT. B EXT.
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.,!
UNDER -FLOOR % /
%t
TIEDOWNS
-MI5C-
DIAPHRA AS
.i
MOORE BU SINES S rOPM GIu„ is
I
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
%
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL I/
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE INSPECTOR
I
DATE I INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M. -
7
BACK FLOW INSTALLED
DUCT & INSULATION ir
- >9j
%
UNDERGROUND ROUGH.
/a7
FLUES COMB. AIR
PARTIAL ROUGH
CO ENSATE DRAINS
ROUGH COMPLETE g-
-7
FINAL APPLIANCE
. )
ROOF DRAIN & LEADERS
MAIN DRAIN
-7t
FINAL GAS
FINAL PLUMBING
C% 1 .,_CERTFICA OF COMPLETION_
B ILDINGNSPECTOR'S OFFICE '
/ CITY-F CUPERTINO
DATE �rx I 9-Z4-'7. BLDG. PERMIT NO.
THE BLDG. LOCATED AT Ih-;l 11G 'Z!P VS'
OWNED BY
HAS BEEN A
ICOMPLETEDI-�
LTERED) FOR USE AS
1)OT— SLI p
File No.
�\ Drate���—� J
,ocat' on
.ote$
Date fnsoeC to'_'
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No: ..... �.� -4r,.�-..
Plumbing Final Plumbing Permit No. -$—1 ----
o ... 3413--
Lot No . ......... / - - ---------------
Owner or Tenant ......
At ......
Tract ------------
Date Connected ........
............... ----------------------------------- ----------------- 19 ------------
Date Final ------------- &.--5 . . -.....
. -.--------------------------------------------------------------------- 19 ............
.......................
PLUMBING INSPECTOR
CITY OF CUPERTINO OFFICE COPY
ELECTRIC SERVICE NOTICE
You are hereby authorized to connect electrical service for
Owner or Tenant .....
At
No. of Wires ................. Size of Wires .. .... Size of Switch
Motor Load -- - - ---------- Voltage ............. ..... . Phase — . ........
Heating Load ... . . .............. K. W. Voltage . .. ..... .........
No. of Meters.......2 Light ..... Ito...0 New Service... . C— 1(,,mnrct,
Heat..._...._..._ . 220./.�.. Three Wire......_....... M�,,c S,,,,j,r No. of Add. Meters............ Power........._.... "hrLT Phase_...__._.... kf,trr
ELECTRICAL INSPFCTOR
�• OFFICE
CITY OF' CUPERTINO COPY
GAS SERVICE N ICE
?
To ....._., 197.t-
You are hereby authorized to conned the GAS service for
Owner or Tenant .....
,/ �{ �...... .. ............. ....... _.
At ..i0..�-.j�/�..--.._��3.Y_g.. .... ... .. .. ..._.. ..
New Service
No. of Meters ... ....._.7.......
No. of Add. Meters ..._-
Reconnect .............................
Move Service ..........
............
Move Meter ........................
..........:....................... ......
PLUMBING INSPECTOR
10-L546 —/0 -z SL Q I AZ e.yd-o C z r LOT NO. ♦ vs
NO. .STREET , VAL. �OOO
CITY OF tUPERTINQ CAP I r '
�i?;,TNO t SL 76
d c O` k4LIQC7ATION FOR BUILDING PERMIT FEE
w D tee n P k 11" 1 Building Per. No.
0 �),�� 19 /Sonitory Per. No.
3 V Applicatio';is �er6Ey made for a permit to COAZJ7- 6 &Z. 4e r4 /
Fp a Cory, Type S-�.4�.t �.i K9 �. 9d 1.v- (t'. Oyrfr$tructure
O .
a
to be occupied only as-1 — %T .7 /�LCX
i
i Z,
Plans, Specifications and Plot -Plan filed herewith.
a u,
F x
Estimated Value of Improvements, $ 4 00 O
/?L
LL
PI Ck Fee $
O_ O
It is hereby agreed that the requirements of the
>
Cupertino Building and Zoning Ordinances and all
Fee $
3
a
Z —
other laws applicable to the construction, location, and
use of buildings within the City of Cupertino will be
Total Fee
ZO
complied with.
_a
niOWNER
PHONE
ADDRESS
Q
0
CONTR. OR AGENT
75�73
ADD S
PHONE STATE LICENSE /
BUILDING INSPECTOR
/a a fie
ioa y6 L z v vC u CEi
LOT
CITY OF CUPERTINO
c1TY w CD72"11 4PPLICATION FOR ELECTRICAL PERMIT
SLP 11 1.75
Permit No.
Date , 197'r Fees
Application on 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
Promises/] ^�0^�
Owner A/ 'd i✓
Phone p 17J g.pe3o
By Lw
Contractor, Agent
Phone 2 aa/d
state License - - ZA8 C-/O
Work To Be
Performed
Address o�14 !Q . ^NUf 9/
I AGREE I WILL NOT VIOLATE�NY OF THE
COMPENSATION LAWS OFT STATE OF
r
ITEM
NEW
RPL
FEES
Number of Outlets
Ot�
Number of Switches
16 F—
Number of Receptacles
Number of Fixtures
a)10
Ranges or Ovens K.W.
Size of Main Service
w;2CO,4
.7. 00
Number of Meters al
'2"
Number of Ponels
.0
Signs - Transformers
Dryers
0d
Motors:
H.P. Phase IJ"p
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
of .0 0
H.P. Charges
Total Fees
iOaY�/loaTU LY Gib LOT NO. /
NO. -STREET t/
GV" CITY OF CUPERTINO
�jPPL_Y'CATION FOR APPLIANCE PERMIT
/� _ IDPermit No.
Dote _!/ , 19 Fee E a $— PO
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 Be
Premises p Performed[..,.,,
Owner V f"�' Address 6
Phone ASCO Air Conditioning
By 13270 Depot Avenue Address
San 44WrggpCAbfetnia 95046.
Phone (dpA) 683.4inj
State License CLA55 C-2C LIC. # 27903T Approved—
ng nspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
f j COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
s�/ �® ce
5)
APPLIANCE 11 UNITS I FEES
P. ABSORP. SYSTEM
HP. ABSORP. SYSTEM
:S
HP. TO 31-HP. AHOR
),001 B.T.U'S
TO 51-HP. ABSORP.
50,001 B.T.U.'S
. FT.
10 CU. FT.
7 LE DUCT
RT OF HEATING OR
MAUST
2
ERATOR
ED BY THE ABOVE
PERMIT FEE
NO ' STR F LOT N<
FD
all 01 "C,15 CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
J
Sanitary No.
Date / ° 19 of6 Permit No. C�
Fees S6 6-0
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.
UsAo Work To BePrPvfored
OwAddressPh��/rBy Address— /�//A/r/�IN
Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. /n\
FIXTURES
...NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
i
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 SY TEM
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
L
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee
LOT NO. /
NO STREET • ,
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
err C. Carz.,nno
Date OCT 9r t4i,, 19 Sanitary No. Permit No.
Fee s
Applicafion,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 P.'{[L4-/a47/-9 Address
Phone ��
By Phone Addres. Ir /7S/ 7 7 'VB "'/�G'_
\ Caniradoq Aganf
Phone )e,
State License _V J li> `f rQ Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
cI COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® 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 & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
-
Restaurant Sink
Sand Trap
TOTAL FEES
Urinal
AWoter
Area Drain
Fee
Water Leader
Fee
Sprinkler System
ee
Relief Value
Gas Fee
Vac Breaker
_
Skimmer
Filter
Pool Sweeper
Permit Fee
Totol
Total Fee