51248.3111-D I&7_a 11A+ JTI_ � LOT NO � I
NO. STREET
a < CITY OF CUPERTINO
VZ111W
tarr OP caP9*WLICATION FOR APPLIANCE PERMIT
n�'T 3U DateSCP 1q ]� Permit No.
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O � Fee•S1S'�
4 W Appica60n is hereby mEtle to the City-of Cupertino for a permit to
° i install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
r x Code of the City of Cupertino, and all other laws applicable thereto.
3 n Use of Premises _ Z)j t 7 / . /A/
o°
O ` ownei_A&Wk f/D/y1EK Address I/ C) Z 0 AeY
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o By�U,I /X /7,,Og�i} Address zc �dJ�
CONTRACrOR,AGENT
W z Phone_�F�—��Jl�
as o State License93/Cit Approved 1041�
�� _L PLUMBING INSPECTOR
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Com., Indust., Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
Fnrced Air. Mech. each Power
No.. of Air Outlets, No. of Flues 11 1
Comfort Cooling
of 20 HP or less
of
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0 oOf C11PE0.iWo Street - - - Lot No. �
AUG a 1912 CITY OF CUPERTINO C_ ��� 6 pD�
APPLICATION FOR BUILDING PERMIT
Sanitary No.
Application is hereby made for a permit to
to be occupied
in accordance with
Plans, Specifications andPlot-Plan filed herewith PI Ck Fee G
Estimated Value of Improvements, $ o�%B?iD Fee $ If
i
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with. / n f
By —S1
Phone
State. License
Approved
Inspectors
V
i
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ............
--------- ............. ......... 19_..1:: �... Bxii4 kng Permit,O,, ......
The Building Located at ..2,73- 1/
. .......... ......................
Owned by ..........
Has BeenAltered)
��For Use `As(j..';.,.J.�..-
(
I /77Ea. 90,e S11,1—
NO.
11,1 'NO. STREET LOT NO.
Cay of wpul"10 CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
OCS 241972.
Date '19 Permit No.
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
l `F^m�IbYt KftIDENCE
Use of Premises n
Owner Address �43d i
By Address
CONTRACTOR, AGENT
a-4-sa%6 Approved
jr1X1rA11M1XCrCM
Phonc:
�� State License DZ
AWL
C.
ITEM I NEW IRPL IFEES
IMA -
Number of Receptacles Is (o X I
9
/,. 70
22.Z^y3� I &" /.(ns 1X'.. LOT NO.a
NO, 5n EP.T
CITY OF CUPERTINO e
z Z cay or cuPeowoAPPLICATION FOR PLUMBING PERMIT
YZ
o Sanitary N0.
/ U; G 3 0 1972 y
� U , 19 LA., Permit No
IL p A Pee $ z23. Sd
r w Application is hereby made to the City of Cupertino for a permit to install plumbing
0 pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
rand/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicablethereto.
wZ
�r
0 o Use of Premises
o a Owner Address ��•
ZJ n' .
o ByiSt C Address 6 eZ a C �t t 1(to
F O NTRACTOR, AGENT
— Phon
Z e_
w
W w
a a State License ,�3 7 Approved
_V
s( PLUMBING INSPECTOR
�......�....nn '➢R IM PFR MAIN DRAIN
23
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Date 19
Application is hereby made for a permit to
to be occupied only as
a
in accord6dce with Plot Plan, Plans
s
Lot No. d
/.$I-
Sanitary
.$2
Sanitary No. 7 19 L1
File NO..SJ ZL , 3
filed
cEstimated Value o4 Improvements $ OG (4
FEE$.- ay_'/�� Plan Check$
Owner Add,,,,-/
Contr. Address
Phone
State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
d p
Data / 19 7 7/ FEES
rn E_
Conor. Dt J/ a Address c� 1>4A- X__1 CL� AdZU
Phone _ �_ L, .S� 7 State License
Approved "
APPLICATION FOR PLUMBING & GAS PERMIT
Date d 19 7,.2— GAS FEE E `r )a
PLUMBING FEE $ e2
Cont'.
G o
Phone
Address
State License
Approved
/d APPLICATION FOR APPLIANCE PERMIT
Date 19 7 Y FEE$
//ff �� t
Contr. ,�/ Address
Phone - �2 /f 7 - 70 S -d State License i i /
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR M
PAD FINAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
FOUNDATION
6
' 1
UNDERFLOOR
FINISHED WIRING
FRAME
'
�I
LATH & PLASTER
GRADING FINAL
Z
FINAL BLDG.
4A� ELECTRICAL
(/
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
' 1
FINISHED WIRING
FIXTURES
FINAL 1 9'"jS6�
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR 11
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE ,
T