51248.33
N5. Street Lot No.a'�
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
.:.Y. C�pE„-t11tp Sanitary No.
Datefn7 77qq , 19 P=iLNo.
,,MfAdpycaj@7Z hereby made for a permit to ! "
W
a story, Typ 2 Building
w t e occupied only aOCJr[1,4Ae10accordance with
o��-
Plans, Specifications and Plot -Plan file herewith. PI 4 Fee
Estimated Value of Improvements, $ .� �°"� Fee $
s
oIt is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
3 all other Taws applicable to the constructio,location, and use of buildings within the City of
A Cu ertin will be com li d with.
c
P P
4 Owner � "gess
vBY Address
a
E Phone Approved
u
State License uilding Inspector
NO. STRECT
CRY OF CUtr iM0 \' CITY OF CUPERTINO
LOT NO./,#9r- 4
APPLICATION FOR ELECTRICAL PERMIT
AUG 7AVZ2 7 1972 ([
Dat%, a M V% , 19 — Permit No.
Fee 3 4 1 it
Application is hereby made to the City of Cupertino fora 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 Address j r •p
By ZEE L CTRIC Address XY'C,
CONTRACTOR, AGENT
_Se� / Approved
Phnnc: //3 !'� ELECTRICAL rNf�Sf,7O1
State License
ITEM I NEW I RPL I FEES
Number
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.L� &A= LOT NO, G17
STREET A.
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
'Ty p • CUPERTINO
Sanitary No..
Dad 19 �+ Permit No. Ski �•�_
n Fee S 14, So
ApPic:IQpAS 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 therovisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
11 By l✓<-RAhF�>U�/� Address 6'� �+ Je-
CONTRACTOR, AGENT
Phone-41L�SS�o
State License
`u1X7153'/
Approved,
T PLUMBING INSPECTOR ��
Water
Fee
Fee
=31- 1- I L pr aja 1.0T NO.
Not STREET
OTr OP curimNO CITY OF CUPERTINO
OCT 10 ATI LICATION FOR APPLIANCE PERMIT
Date • 19& Permit No.
P A Fee-$ l�
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 City of Cupertino, and all other laws applicable thereto.
Use of Premises _AgW4fr4-,G.l+eKs
Owner AL&&AC./S�/ GiU2/�S
By /5" rs
coNrtnncroa, BNr
Phone
State License
Address Af4ff-t"-0 469&�
Address i5sdrAJ L/k713%rz
Approved- 4�
PLUMBING INSPBcrOa v
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vents stem
Com. Indust. I nst.Kit.
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
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under IS' High
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
of 500,000 BTU or less
Comp. over 20 HP & Under 50 HP
& Absorp. units with input
of 500,001 & Under 1,000,000
Permit Fee
Total Total Fee /,�`�
h CERTIFICATE
BUILDING
K CITY
OF 'COMPLETION
INSPECTOR'S OFFICE
OF CUPERTINO
Date _..... ...-.. .................
L -t 7 -L..
The Mclin8'Located at ...... ............
..........�
Owned by
Has Been ` r.-._-' For
(Altered)
Permit No. 5 C......
_.
As:......... '—
.'. ".... .... • -.............. _.
PAD FINAL
FOUNDATH
UNDERFLO
FRAME
LATH & PL
GRADING F
FINAL BLD
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR
DATE TE
UNDERGROUND ROUGH
ROUGH WIRING O
FINISHED WIRING
FIXTURES -;;
F
BACK FLOW REQ._
SANITARY NO. _
UNDERGROUND ROU
PARTIAL ROUGH
ROUGH COMPLETE .
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
73
ELECTRICAL
INSPECTOR.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
RA
DATE I
•
���i7V. ,LSlIRS
ml
-I�
DATE TE
UNDERGROUND ROUGH
ROUGH WIRING O
FINISHED WIRING
FIXTURES -;;
F
BACK FLOW REQ._
SANITARY NO. _
UNDERGROUND ROU
PARTIAL ROUGH
ROUGH COMPLETE .
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
73
ELECTRICAL
INSPECTOR.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
RA
DATE I
No.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Date 19
Application is hereby made for a permit to
to be occupied only as
a
in accordance with Plot Plan,
Estimated Value of Improvements
FEE$ 9g.ec
Owner
Contr.
Lot =o:
$4 46,00
A•J/
Sanitary No.715a
File No -v-
story, Type
Specification filed
$ 3.4o
Plan Check E lli . 33
Address 10 3 A Ll k- WL
WL
Address
Phone ✓ /Lq r Iy & Stara Lica e Q e,' � s
y�D Approved � �
73 2. -7 "
73,s -/F $40 (4P' r*.0. )
APPLICATION FOR ELECTRICAL PERMIT
Data � % 19 7 2' FEES Js
-
Contr.
Contr. Address -2- X3-5
Phone - CC079'to / -3� 7 to State License a
Approved
APPLICATION FOR PLUMBING 8, GAS PERMIT
Date 6 � � 19 72, GAS FEE E
PLUMBING FEE $ OX
Contr.
Phone - 02 2,c-- S-6
Address
State License
Approved `-
APPLICATION FOR APPLIANCE PERMIT
Dote/d//J� 19 '_� FEES
Cont, .L7s.awrC/ Address
Phone __'Lf 7- i0" State License — 2
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1
6
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