51248.3z -ate /
No. Street Lot No.
CITY OF CUPERTINO 't:�5 -aapBD
CIT' of C" LICATION FOR BUILDING PERMIT / SY
y
MAY
197z 9 Sanitary No. 7937
[B 1 J — Permit No. .��� 3
E Agglication js hpjby made for a permit to
3 a F' /� .1 IJ story, Type Building
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to be occupied only as in accordance with
`o
0 v Plans, Specifications and Plot -Plan filed herewith - PI Ck Fee
m
Estimated Value of Improvements, $.®-�T Fee $
o `~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 buildings within the City of
Cupertip will be compli d ith.
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State License uilding Inspector
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NO. STREET ,LOT NO. O"
O CITY OF CUPERTINO
Gj%f
1ICATION FOR ELECTRICAL PERMIT
Date O�•'.P I3 , 19 '3 Permit No. 4,
_
S� Fee S 9
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.
SINGLE FAMILY RESIDENCE
Use of Premises
Owner Address
By ZEE ELECTRIC Addressd
y
CONTRACTOR, AGENT Appro t /)!W
Phooc: )9v/ ---50 %6 ELECTRICAL
�-- State License a Vi916
ITEM I NEW IRPL IFEES
Number of Outlets
Number of Receptacles I A % V 1
il. s16
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111"41.4-1 1 •v".'^'- LOT No.
CM OF IN10"010 STREET 8
CITY OF CUPERTINO
JUN 2 7197?►PPLICATION FOR PLUMBING PERMIT
Rte
Q Sanitary No. 7f sl
U9te !/ 19 /� Permit No X4 44A
/ Pee $ 023. SO
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.
Use of Premises
By
Phone o' 9i'055"%
State
PLUMBING INSPECTOR
Size
Comb.Sink & Trav I 1 II To Curb I I
mm,
Total
Size
LOT NO u J
STREET
MY OP LUPI NO CITY OP CUPERTINO
OCT 10197 PPLICATION FOR APPLIANCE PERMIT
Date1q� Permit No._
1
D A Fees l&�g_
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, Cq of Cupertino, and all other laws applicable thereto.
Use of Premises ffg-,"ZX oU.
Owner,"&g!!..GSo6f6,n lE�i Address /166A14 -U
By- : 4 y'Address
EONTMCrOR, AGENT
Phone261- —r— " zgffO
State License 2l�gZ
k
PLUMBING INSPECTOR
Forced Air Furn. Z14 'e
Gas Fired Boilers
Warning Ovens
Susp. Units
Dwelling Kit./Bath°'*
Hood & Vent
Forced Air Over 4000 CFM II 1
No. of Air Outlets. No. of Flues 11 1
Comfort Cooling
of 20 HP or less
Comn. over 20 HP & Under 50 HP II I
Total
CERTIFICATE OF COMPLETION
BIJUDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
..........
Date ................................... '19 Buil g Permit
The Building Lomted at ..... . ......... 0.1 -!:ML.....
Owned by ....... .................. I
..........................................
Has Been 41:4�..-Fo(�r/Use'As: ........... ....................
iNspEcrdR
RECORD OF INSPECTION'APPROVALS
BUILDING
DATE INSPECTOR
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME to.
2� t
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
'DATE INSPECT05 MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING S' %
FIXTURES %?
FINAL I �
BACK FLOW REQ._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE O
MAIN DRAIN
FINAL PLBG. 3-�S
FINAL GAS
FINAL APPLIANCE S
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
DATE I
Street
Lot No.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT �e s
Sanitary No. '7 0)S/
y1syA1/.• /'� File NOSY
Date 19
! i
i
A1pplicationi hereby made for a permit to
��" astory, Ty
to be occupied only as
N r•�—a /[ bn. y�
in accordance 61th Plot Plan, Plans and fpecification filed herew
Estimated Value of Improvement
FEES
Owner 0
Contr.
Phone
i
E .2, 04,6 49 -
Plan Check $
Addresy%"vrkY
Address
Stara Li c so2-(e!2
Approve
APPLICATION FOR ELECTRICAL PERMIT
Date / s /J 19 7 Y
Contr.Pilo/���i
FEES /y
Address
State License
Approved C
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19
GAS FEE E C/� J
PLUMBING FEE E A-a
Contr. L-e+-�C�Ir� D /�'".�nis� Address ��s—e-� a^ ` t'T
Phone - 2Li9State License
Approved
J{L
Dote AG� l� 19 APPLICATION FOR FEESIANC /PERMIT
Date 19 -7 FEES
ERMIj3 >�
Cont, Address
' Phone - aZ P % 7 d j -Z
I. Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
State License �d i�
Approved 4-4—�-