51248.3iazat I BJTTER dAA CTR <i LOT NO, 23
NO. STREET
e o OP CUpEFTMO -
CITY OF CUPERTINO
CT 121912 APPLICATION FOR APPLIANCE PERMIT
� LL
0U �ay�h� �ks-ro8E2 19 Z� Permit No.-�a
= LL Fees 2
LLW Application is hereby matte to the City -of Cupertino for a permit to
o F install gas appliances as listed on the reverse side hereof, and agrees to
i m install said appliances in accordance with the provisions of the Plumbing
W Code of the City of Cupertino, and all other laws applicable thereto.
3 ` Use of Premises WELL/NA
oO
"< owner_AIACz � NO 25 Address iY1415AJL0 P/4QX
J•o BY-A1SICX A_ b Address Ah-A)JOSF
h CONTRACTOR, AGENT
—0 Phone V7��V50
NZ
a°O o(. State Licence �3�09Y Approved '64�
- U�� PLUMBING INSPECTOR `�
Gas Fired Boilers
Warming Ovens
Suso. Units
Dwelling Kit./Bath
.Inde end. Vent System
Com. Indust. 1 nst. Ki t.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without Comfort Cool
Forced Air. Mech. each Power
Gravity System
No of Air Outlets. No. of Flues
Comfort Cooling
Comp,o
of 20 HP or less
& dbsorp. units with input
of 500 000 BTU or less
Comp, over 20 HP & Under 50 HP
& Abso . units with in ut
of 500 001 & Under 1 000,000
Permit Fee;OV
Total Total Fee
�,.r ni U INO L -LI IL
lJN0.61�3('r Street .'
Lot No.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanita No
Datery
19 Pe it No. .`
Application is hereby made fora permit to'
story, Type .lxC/ Building
to be occupied only as accordance with
Plans, Specifications and Plot -Plan filed heejrewith. P�I/Ck Fee_
Estimated Value of Improvements, $ Fee $ /
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 buildi/n's w%"thin the City of
Cupertin will be compli d with. C^GvGGf
Owner Address -
Address zed
Phone_ ��[�
Approved
State License rp //Building Inspector 1
CERTIFICATE O'F COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
L ZDate ....................B dding Permit No.
D
The Building Located at ....
Owned by ........ /j�A
...... ........................ ------------ ....................
Has Bee.' --4f �:Por Use As:
(Altered) --------------------------------- ----------------
INSPECTOR
�01�1 � �irrsti : �AK �'rxetr
CIIY 0K&. STREET LOT NO. ��
OCT 241972 CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
I; A I D
Date 19 Permit No. 3 /Z46 3
Fee $�
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 SINGLE FAMILY RESIDENCE
Owner'y k¢ F/dW S A
By Eor —'/' A
CONTRACTOR, AGENT
Phone: �%i -J-77(' A
State License �y9�L
ITEM I NEW I RPL I FEES
Number of
m
aa-2sj 1 &4&1 A LOT NO. -22p
No. STREET O
CRY Of 0119 fiPla CITY OF CUPERTINO
CAU G 3 0 1972 APPLICATION FOR PLUMBING PERMIT
Sanitary No.
19 ;Z;-' Permit No
F o` ree $-2-4, s0
Applicationis hereby made to the City of Cupertino for a permit to install plumbing
o 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
a w Cupertino, and all other laws applicablethereto.
w I
� r
oo Use of Premises /
o a Owne Address -,!!L730
2J
J ° Dy CO TAAC70 fN7 Ir GAddress-(,A5-UICF , t
3
Phone_az-jjri SS6
w Z
w w
a a State License / 2153 7 Approved
- u <7 t/
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater ILII bue —==
Dental
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Date ._(2L1L-19 l=
Application is hereby made for a permit to
to be occupied only as
a
.San ito ry
story,
in accorddn2re with Plot Plan, Plans and
Lot No.
File No. 24
filed herewith.
Estimated Value of Improvements $ ": oa' �-
FEES `� Plan Check$
Owner Z O /
ddress / ✓ •3O/ fs /✓1 U
t/ /! r/
Contr. Address /n
Phone r J �`1 - / .� �� State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dote/JT 79 7'4, FEES /9
Contr. �Oe / Address c2YW 04& 4 ct-� dLleb�l
U
Phone�12z- 0-3,?.6 State License
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Do to 19 7d GAS FEES
PLUMBING FEE $ �o2 3- 4-V
// r�
Contr. Pte; O-s`..�p fs��^tr � Address (o
Phone - Ut90 - State License
Approved
APPLICATION FOR APPLIANCE PERMIT/&o'
Dote �gQ Z- .79 72- FEES
Contr. Address
Phone - E-'17-7,1 ED State License /6
Approved
Applicants agree not, to violate any of the.
Workman's Cnmpens ation laws of the
State of California
PD -1
7
RECORD OF. INSPECTION'APPROVALS
BUILDING
DATE INSPECTOR
PAD FINAL _
FOUNDATION.
UNDERFLOOR
FRAME »
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
"DATE INSPECTOR
UNDERGROUND ROUGH—
ROUGH
OUGH I
ROUGHWIRING 1t r �7ry
FINISHED WIRING —
FIXTURES '7
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR I„ MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUN Rnur.N LZ 2-2f::
PARTIAL ROU,
ROUGH COMP
MAINDRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLI
RPM
L_
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