51248.3 cm w( upm-No Street �✓ / Lot No�
CITY OF CUPERTINO
AUG 81972 APPLICATION FOR BUILDING PERMIT
Sanitary No..
v laD?t�F �. n ,19 — P it No.
E 'c _ Application is hereby made for a permit to �
o ,o
t a story,Type Building
U
o
to be occupied only as �il �! accordance with
cy Plans,Specifications and Plot-Plan:filed herewith. p1,Ck Fee — p
Estimated Value of Improvements,S A� e Fee 5' Q•��
� �e
c `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
Cupertino will be compl'ed with.
Ownef/4y
m
a By Address
UPhone - ����� Approved
State License r,-�—.. uilding Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTWO
Date ...........
................. 19........ Building P t
............ o 7_.... ......
The Building 2=L .......... ............... ....
..........
Owned by ..... ..............
..... . .......................................
...............
Has Been use . . . . . . ............................................
........................................ ............................. ......-............... ........I.........I............................
-----..................--I........--------...............................................................................
.............................--------- ...................................
............
- ----------------------
.. .........
--2L'D-fNG INSPECTOR
ZDING
11W rf oe0?Q LOT NO w
dfI OP CUpEII BEET
17
o OCT CITY OF CUPERTINO
A0#QCATION FOR APPLIANCE PERMIT
YLL p
3u Date J/_ T71` 197. Permit No. `Z3
i 4
Fee-$ �f lJ0
nm Application is hereby made to the City-of Cupertino for a permit to
o C install gas appliances as listed on the reverse side hereof, and agrees to
<m 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 D/vE 1
oc
o i Owner VJ /A-Y nYtmE'S Address A'1 EdJco ,oA�eK
zJ
BY / y 00 Address SSi4-N FUSE
3 F CONTRACTOR, AGENT
Phone-
0 z
vw
ac State License 3�0 9-;—P Approve
U l0 PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. 00
Gas Fired Boilers
Waning Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent System a
Com. Indust..1 nst.K i t.
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 Fircl2laces
Smoke Stacks Mise. Equip.
Under 15'High
Over IS'Ilielt
Comfort Cooling
Comp.of 20 IIP or less
&absorp.units with input
of 500,000 BTU or less
Comp.over 20 HP&Under 50 HP
&Absorp.onit§with in ut.
of 500,001 &Under.1 000,000
Penit Fee d�
Total Total Fee "
l
P I al �. /
aaao s� � 6
.Z Q NO. STREET LOT NO.
r o •CITY OF CUPERTINO
35 kICATION FOR ELECTRICAL PERMIT
U 00W
o G
Date 19 ZL— Permit No.
> A _ Fee S
4 WApplication is;hereby made to the City of Cupertino for a permit to instsKelectrical
ms.µ wiring and/or fixtures as listedon the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
S W City of Cupertino, and all other laws applicable thereto.
_� Use of Premises SINGLE FAMILY RESIDENCE
J Z
J Q /
3 a Owner �IJ�Ad1 F/l3Nf,6 Address 4
Z
, By ZEE ELECTRIC Address 3
O F CONTRACTOR, AGENT
`� '96 —5,0,96 APPro
Phync: / CTRL C INfIR
State'License -WA" 41 \ ��
ITEM NEW RPL FEES
Number of Outlets
Number of Switches /
Number of Receptacles
Number of Fixtures
Ran es or Ovens K.W.
Size of Main Service OOID •0'>7
Number of Meters
Number of Panels
Signs-Transformers
Dryers . 0-d
Motors:
H P"phaw
H.P.Phase
H.P.Phase
Power Poles
" aS
.SO
Permit Fee 2:00
H.P.Ch es
Total t1ecs . 35
0 e40 LOT NO.
NO. STREET
CITY OF CUPERTINO
z &y APPLICATION FOR PLUMBING PERMIT
WZ
w-AUG 30 1972g/ Sanitary No.
3 a Date-__
0 Ig7L Permit No _
u
i a n Fee $ 42 9 Sa
° Application is hereby made to the City of Cupertino for a permit to install plumbing
o a 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
a w Cupertino, and all othee laws applicable thereto.
0 o Use of Premises
o f Ownnee►r �isi,� p �i G(�� Addresy�/�3o L.✓ o Y� /4&4
_ o RYA' loA, �. d%t�. Address6.2S - 0"
3-F- CONTRACTOR,A NT
w Z Phone
ww
n n
a o State License X7/537 Approved
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater O Size
Water Closet o Material
Bath Tub To Curb
Shower U To Pro .Line
Lav ri To E i tin
Dish Washer
Waste Disposal
Wash Tra STORM DRAINAGE
Washin 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 TOI FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Relief Valve 11 Gas Fee
W e r e
Sprinkler System Water Sys.Fee /•
Vac Breaker
Skimmer
Filter
Pool Sweeper
MPeTotal • Sa
a�,2,2 o I �,o /i Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
sanitary No. /—7
% 2 ?Ar
Q �Q File
Date ._1L�.1�_19
Application
is hereby made for a permit to r
'.JT2Glt=-_7
1- a story Type�7
to he occupied only as s
in actor ce with Plot Plan, Plans and ecificalion filed herewith;
Estimated Value of Improvements $ . 'S �' I./"d . D
FEES - ! •' �d � J Plan Check $
Dwi.er Address /G 3
Contr. Address �J
Phone �! 7 r State License / r
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date �L 19 � � FEES //��jj f
Contr. Address .a2 L`� Z_. le-
Phone - y �- S-� 7 E• State License - py��,�
Approved LL::i 9-sC...r�
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 '_7 .2_ .GAS FEE $ y J
/ PLUMBING FEE $
Contr. PO �. Q`�3� w Address
Phone State License (—,S 7
Approved rYC1P-PB
!L
APPLICATION FOR APPLIANCE PERMIT'--
Date J L 19 7 7..- FEES SS_``
Contr. Address q
Phone air 7- 7V SZ State License (:,202//fa
Approved
Applicants agree not to violate any of the 1611
Workman's Cnmpensation Lows of the
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
O ATE INSPECTOR MISC.
PAD FINAL
FOUNDATION Z 71
UNDERFLOOR L J�
FRAME
LATH & PLASTER 2'Lo• L
GRADING FINAL
FINAL BLDG. A"'
l�w1Z► /��, ,_ ELECTRICAL
V C-�
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING z
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS 8 APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGHlf »'
PARTIAL ROUGH O �"
ROUGH COMPLETE 40 �,
MAIN DRAIN
FINAL PLBG.
FINAL GAS 3 73
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC L
MISC
MISC
I