51248.3l�
No. Street Lot No.
GIT OF CUnmo CITY OF CUPERTINO ;�W owe
APPLICATION FOR BUILDING PERMIT �L
DMAY 171972 Iq Sanitary No. 7 9s ok
ate Permit No. /—Z�..3
Aph$catAn it heDy made for a permit to
story, Type _ S
Building
to be occupied only as in accordance with
Plans, Specifications and Plot -Plan fil hheereewith - PI Ck Fee —13.
Estimated Value of Improvements, $ ��� Fee $ J2 L.2�__29
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the constructign location, and use of buildings within the City of
Cupertino _will be compli4d with.// / 1% n /) d //
BYAddress
State License CW 7,J`,�� ilding Inspector
Ap.�25a I- eiJTre ale Sr.e&r
b < NO. STREET LOT NO.
.Y a `,V$�10 CITY OF CUPERTINO
3 u APPI IS;ATION FOR ELECTRICAL PERMIT
W W 5 /rto��3
,o
Q F Date � 9 , 19 Z Permit No. �—
y Fee.,
4 W Application is hereby made to the City of Cupertino for a permit to install electrical
W
X wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
'> m City of Cupertino, and all other laws applicable thereto.
zJ Use of Premises SINGLE FAMILY RESIDENCE
J Z
�I �+ c%s ,rmas au s �,/ 41e
Owner f/ Address n
o W gy ZEE ECM RIC Address u
<U Phone: ald—.60-76 Appro ELECTRIGLrcnre
State License 6�916
NEW
Number
of Panels
H.P. Phase
71)
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Y LL
0
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5',12 /!Ae & , LOT NO. aZ
NO. STREET w
CITY OF CUPERTINO y
err of AVWATION FOR PLUMBING PERMIT t
//����� Sanitary No._�0jM
Date ' .a`2 972 , 19�i Permit No. s/iyd"1
jj�� Fee $ c?3 • •�
Applica�tion�i's h�re6y 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.Clty of
Cupertino, and all other laws applicable thereto.
Use of Premises
By ,/&R.vc f'" G. • I-e—
CONTRACTOR,AGENT
Phone 0556
State License 7153
Address/03o
Address -
Approved i
PLUMBING INSPECTOR d/
FIXTURES
NUMBER
MAIN DRAIN
Units Fees
Units Fees
Water Heater
Size
41,
Water Closet
Material
Bath Tub
/
To Curb
"
Shower
/
To Prom Line
Lavatories
Z
To Rxiging
Kitchen
t
Dish Washer
Waste D'
_ 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 F
Urinal
Fixture Fee
.3 • S�
Area Drain
I
Main Drain Fee
.57.0-0
Water Leader
Storin Drain Fee
"—
Sprinkler System
Water. Sys. Fee
. SO
Relief Valve
Gas
..so
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
2 • ao
Total
Total Fee
LOT NO. '-
NO. STREET
qTY OP GUPERTINO CITY OF CUPERTINO
OCT 10 19ff PLICATION FOR APPLIANCE PERMIT
DateiNF07* 192 Permit No. tw
Fee. f_
Application is hereby nu* 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 Premises
Owner��rG��l�i it" Address AoASAetA .
By 1-45 Address ��
CONTRACTOR, AG
Phone !:2jr2!6'n
State License �'���% Approved � /'
\� � PLUMBING INSPHC[OA ✓
APPLIANCE
Ovens
Forced Air Over 4000 CFM II 1
No. of Air Outlets. No. of Flucs 11 1
Smoke Stacks. Misc. Eauio. II 1
Comfort Cooling
Comp. of 20 HP or less
of
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
t`( CrrY OF CUPERTINO
-, y -L.. .. ..............1723. Building Permit No, S
The Building Located at ....e.... ��r'--=.,.:::..
Owned by
Has Been (Alt For Use As: ............. ...•
PAD FINAL
FOUNDATION
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG.—
RECORD OF INSPECTION APPROVALS
tfO.I `'b
Uo'�d 61—
DATE
UNDERGROUND ROUGH
ROUGH WIRING 1 b'
FINISHED WIRING
FIXTURES
MOTORS
BACK FLOW REQ._
SANITARY NO.
UNDERGROUND RO
PARTIAL ROUGH _
ROUGH COMPLETE
MAIN DRAIN --,50
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
OR
BUILDING
INSPECTOR
ELECTRICAL
NSPECXOR
1_
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
INS
MISC.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Do to 19 -7-),_
Application is hereby made for a permit to
to be occupied only as
in ac.cordan
Estimated Value of Improvements
FEE$ �• 6 Z
Owner
Contr.
a
Lot
Sanitary No. / F d a�
File No.�a.2
story, Type
s' i J
of plan, plans and Specification filed herewith.
$ �2 6 �"
Plan Check $
Address //l--O'�.c- �-L� d -f' /,'P
Address
Phone 3 oZ T —12 T/ State License/
' r
Approved r
61 X dL
Y"1 -y 7J y-•-s�
APPLICATIONN FOR ELECTRICAL PERMIT
Date 19pp % �Y- FEE$ ./ k' O ,,ryry
Contr, / �C.t�ci Address `�- �31 �,J�C. 04-
`�'"`-'•+ 'v""��,
Phone - �b 746 State License
Approved
v 1/
APPLICATION FOR PLUMBING 8, GAS PERMIT
Date (0�" 2 19 2 -Z� GAS FEE $ S �
z
PLUMBING FEE $—
IConir.� C� tAddress
Phone C;2- - O State License
Approved
/
d APP CATION FOR APPLIANCCr
Date .�s 1q_p ��� FEE$ —
Cont, Address
IPhone 'L7 - %a 3 -2 State License
Approved
IApplicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1
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