51248.3No. Street Lot No.
My OP CUPERTINO CITY OF CUPERTINOp
APPLICATION FOR BUILDING PERMIT o73
AUG 8 1972 Sanitary No.
Date, 19 _ Permit No. ,5 %oL cf�.�
'E D AdplicitioM^^ s hereby made for a permit toFi,.���k���?lGC
10
a story, T pe �._� g
ry Buildin
w to be occupied only as��// in accordance with
0
Plans, Specifications and Plot-Plin filed herewith. PI Ck Fee
Nn
r Estimated Value of Improvements, $ Fee $
oIt 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 buildin within the City of
Cuperti will be c I blied wi
o i. /O�
c
Owner i� - u Address
dBy Address
a
o Phone ,� ApproveId ing Inspector
State License
Aql�rre- 019& S2 -
QTY OP CBPERTWO STREET ,
LOT NO. 1 11
CITY OF CUPERTINO
0 C T 2 41972
APPLICATION FOR ELECTRICAL PERMIT
P A I D
Date 19 hZL Permit No,
Fee Z
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 �al1pnp;iLYeihtp,DENCE
Use of Premises SINGLE . tttttbb1' I
Ownery//�� AW Address
By M�i� Address
CONTRACTOR, AGENT
Phony. 29G -.Ia%�o APP`
State Licensefl�9�li
ELECTRICAL
c<
ITEM I NEW I RPL I FEES
Number of
Number
H.P. Phase
m
95
NO.
CITY OF CUPEONO
/`^" l't/J�� v✓`-- - LOT NO.oZL
STREET
CITY OF CUPERTINO /-Y
Z1U G 3 0 1972 APPLICATION FOR PLUMBING PERMIT
W
Y o Sanitary No.
3 a 19%2-- Permit No
U
i W Fee $-7Ile 1-5 -0
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 prices
= m and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws applicable thereto.
W i
Use of Premises
o_o
> N
3 Owne
oa
z
z By -CCA -
O CO TRACTOR,AGENT
3�
- w Phone c-9ff
W 2
W W
Ra
a o State License
U �d
Address /0-14/J6'14c"k
Address
PLUMBING INSPECTOR
Dish Washer
Water
LOT NO -410
NO STREET ,
Wy OP COMTMO
CITY OF CUPERTINO
OCT 12 197 PPLICATION OF
APPLIANCE PERMIT.
DRe19 %j,. Permit No. ..s0/i 519- 3
Fee S Af"
Application is hereby merle 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 .- DWf- UAI9—
MITWAM�-AWMAW� •
fiy 161M r -x Pft 05
CONTRACTOR, AGENT
Phone_ f7 -QM6
State License 02.310 921
Address JAW fiWt-
Approv
-i. PLUMBING INSPECTOR
APPLIANCE
UNIT'S FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
/
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
3
Inde end. Vent System
Com. Indust. 1 nst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
'
(without
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets, No. of Flues
Stacks for Metal Firc laces
Smoke Slacks. Misc. Equip.
Under 15' High
Over 15'lfagh
Comfort Cooling
Comp. of 20 HP or less
of
CERTIFICATE OF' COMPLETION
BUILDING INSPECTOR'S OFFICE
MY OF CUPERT[NO
............... B ilding Pernik No.
Date ............. ...... 19 ........
The Building Located at .... ....... if . .... �.. .&W ......... V1 .......
Owned by
His Been
plet........... �.7 .. ................................
....
(A ) For Use As: I
INSPECTOR
PAD FINAL
FOUNDATION
UNDERFLOO
FRAME
LATH & PLAS
GRADING FIN
FINAL BLDG.
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGP^D ROUGH
ROUGH W It.
FINISHED WIRIN
FIXTURES
MOTORS
FINAL Lk -) 7- -'�
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR 11 MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
-
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
MIS
V-271 I - (/. G L�� Lot No./r
No. Street
CITY OF CUPERTINO �2 -3
APPLICATION FOR BUILDING PERMIT
Dote �19 'i
Application is hereby made for a permit to
to be occupied only as
a
in accordahee with Plot Plan, Plans
Sanitary No. -7g77/ /��
Fila No. L7
tory, Type
Specificatipn filed herewith.
Estimated Value of Improvements $ J 3,
FEES 6 Plan Check $
Owner Address •r��/tT,'T
Contr. t Address /.
Phone •151 / -- J �/ State License
Approved i�->�-t- tN` �✓�a�r
APPLICATION FOR ELECTRICAL PERMIT
�A �'Z�
c�A�
Data A-. 19
FEES
Contr. C�Ca�e�[na-e/
Address t `` � �t/•c-•''�
/
Phone 3--a % b
State License 2 Vy 'f
Approved -
APPLICATION FOR PLUMBING & GAS PERMIT
-7-2-
Date 19
GAS FEE $
0
PLUMBING FEE $ ^2 6�
4-t-tr-.-:z�
t--7-�
6 "Z. �
Contr. t' t 2��
Address
Phone X5, �Q-�37v
State License 7
7p
/S�.
Approved-c-�-c
APPLICATION FOR APPLIANCE PERMIT
d
Date L 19-�? Z'
FEES
Contr.
Address
Phone .r -V
State License C-2/3��V
-Approved
Applicants agree not to violate any of the
Workman's Compensation laws of the
State of California
PD -1