51248.3ITTER OPrk SMari LOT NO. "T
NO. STREET
Cm OF CUPUM0 CITY OF CUPERTINO
OCT 12 1PLICATION FOR APPLIANCE PERMIT
Dar�l� (df3Ei2 19 ZZ Permit No.
Fee-$
Application is hereby mage 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 . DWCULA)e-
Owner A� ND [f/5 Address A,76&,6 PA
sy_D VTA ins ( Address J#1V erOXC_
CONTRACTOa, AGENT
Phone Vp'%' 1Veo
State License 4U169:2__j Approved /4/� /
PLUMBINGINSPECTOR �/
FEES
Com, Indust., InstAit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind, Ventilation System
Forced Air. Mech. each Power
Gravit S stein
No. of Air Outlets, No. of Flues
Stacks for Metal Fire laces
Smoke Stacks, Misc. E ui .
Under 15' High
Comfort Cooling
Comp: of 20 HP or less
& absorp. units with input
of 500,000 BTUorless
Comp. over 20 HP & Under 50 HP
& Absor . units with input
of 500,001 & Under 1 000,000 PO
Permit Fee
Total Total Fee 5
� X/!moi Z y zft
No. .._-Street
•'^' OF CUP6RINO Lot No.
CITY OF CUPERTINO
G 8 197APPLICATION FOR BUILDING PERMIT
Date Sanitary No. % �J SG2
A
Application is hereby made for a permit.to
o`
Ci a story, rype Building
'o to be occupied only as - accordance with
r w Plahs, Specifications and Plot- an filed herewith .
PI Ck Fee
v= Estimated Value of Improvements, $ Fee $ %O • ��
0 o 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 buildinR within the City of
Cupertino will be comp' with. i
'—
� Owne �
> /6 C CJ
3 r
v o, By. Address
E Phone _v--� f
_ U Approved
' I State License _ �G�/ -OCuilding Inspector \
'd�
�/ I 61"IA, IV& SM,1jr—
NO.STREET LOT NO.
CRY OP CIIPERTMO CITY OF CUPERTINO
0 C T 24 �f �LICATION FOR ELECTRICAL PERMIT
Date I., A 1 164-11- 19 ze�' Permit No.
Fee I i
Application is.hereby made to the City of Cupertino for a permit to install
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
n
i Owner ///fYLi/L/W AGY" Addre 4
i By 4� Add
Ap ro sad
CONTRACTOR, AGENT _
1 —
Phone: 2�9G —1—f7& & ELECMICAL
u State License ay�9�G
Your N -
ITEM NEW JPPL IFEES
Number of Outlets "6
Number of
of
H.P.
406
d
a�3s
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
MY OF CUPERTINO
ti
Date...... Y= ....................... ......... 19 ------------ Buildi
_ �5,1? R. N,5.
,7u ? ......... ......
The Building Located at .................... ........
Owned by ...... .. ... ".. /. e. � =, . ....� ....
. . .............................
........... ......... ..........
Has Been
(Altered) ....................... ..... -
- BUILDING INSPECTOR
NOTICE INSPECTION CHARGE
C11Y of NtE�T1.C�I2TY" OF CUPERTINO
2B`}" G INSPRCTOR'S OFFICE f/
Date .._..._.1..:/ %P3_... ......... 196.... Permit No.` -
/T77 . .. ..... ...... .
To ---
..---- �......Lc c ✓........ ......... - - .......... - - ......-=- -
Location ... -- - -` --.. .'�.��-�2-1 ---- - .
Reason ............CQs-.L--.L._0
....._-- .. _.... ....._ .._....------- O
............................................... ........ ..................... -------------------------------------------------
DPPe6itw'$-_.......... ....................
Amount $.... �•--
...............__.._............_........._......................----"-------------..._
....-----........_-------------------- - ---------
INSPE
114 9/60-200
o�KaLr�/ I 114A..i (JQA LOT 1,10.-
h0. S"FET
CITY OF CUPERTINO
W <Ory OF CUPUTINO APPLICATION FOR PLUMBING PERMIT
W z
°AUG 3 0 1972 Sanitary No.
3 a Date 19 Permit No
W LL P A I Fee $- '16
O Application is 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 rices
> and/or fixtures in accordance with the. provisions of the Plumbing Code of the. C of
4 w Cupertino, and all other laws applicable thereto.
w I
F r
o`o Use eOf Premises' o
i < Ow// Address /0 -310&AZtl �c '
z By
O _- CONTRACTOR, AGS—�
- Phone �9d- D 5756
W z
W W
a o I j State License
lP
Address 6 Z57 (-21 fro
Approved
l PLUMBING INSPECTOR. C,
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Do to .-.�(%19 ��
Application is hereby made for a permit to
Lot No./. G�
-2. 3 /
Sanitary No. 7 q 7
a story,
to be occupiedonly as
File No.i 4 2,&..a
in accord ce with plot Plan, Plans and
Xpecification filed
Estimated Value of Improvements $
33 DDD
FEES - ` 0 Plan Check $ 7
Owner Cl Address
//
Contr. (/ Address //
Phone 2 47/ 7 / State Liconse��^ 212
Approved �//// I
APPLICATION FOR ELECTRICAL PERMIT
Date ...cam[ , 119 .)al— FEE$ - s=;-/'i.�
Contr, ilpe/e i Lbw , Address e'ztg a y all ` _e_
Phone —�-�(O ".S -e State License �P�j��5��
Approved �-//tet+-ti•/ --
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 7 2 GAS FEE $ - �;
PLUMBING FEE $ - - SO
Contr,_ C p =Q.�_:-tel -sti-W Address ba-- `-z"-r L'-)
Phone
State License %
Approved/
�6/� APPLICATION FOR APPLIANCE PERMIT
Data / 19 7 -2— FEE$ �J
Contr.-s-.' Address
Phone ��7--7 d.f ?J State Lice
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PDA
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR
PAD FINAL
FOUNDATION q:7
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINA,�L//BLDG.
V�C3/�' 6AJa ELECTRICAL
DATE INVECTOR
UNDERGROUND ROUGH
ROUGH WIRING I
FINISHED WIRING
FIXTURES J
FINAL
BACK FLOW REQ._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETES A
MAIN DRAIN a
FINAL PLBG.
FINAL GAS Y
FINAL APPLIANCE 11
MISC
MISC
MISC
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR —
3
INSPEC
MISC.
MIS