51248.3 No. Street Lot No. '/'
CITY OF CUFUMO CITY OF CUPERTINO L°
AUG 8 14MLICATION FOR BUILDING PERMIT A6 -o'90
Sanitary No. '7�idT GAll—
Date Ig
v P nri t No. Si a
E 'E Application's hereby made for a permit to � _
Br �' a ..story,T �_LcJ, Building
v
YPe
u
to be occupied only as in accordance with
o
a. Y Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee 9r �
Estimated Value of Improvements,$ G�f�,B DO Fee$ P-6V
_ v
m
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 buildings within the City of
Cupertino will be compli d with.
c.
.3 ° Owner' Md
_ A
v . By. Address
lib E Phone — APPr vel
U
State License ��y L_ uilding Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... ..........
. .. ........................ 19..... Buildingi itN illy *
. ��o. ....................
The Building Located at 222 ��O .-..
. . .... .. ......... ..
Ownedby .......... ......... -------------------------------------
Has Been 41 .2��or Lfse�s
(Altered) ......... ...............I------- ............................--......
...........................—............:,p.............................................................-..............................
---------------------- ..................................I............. ------------
7--------------------------------------------7,
......................... ..........I................................ ......
- --------------
.. . .... ... .... .................................
'5 IWNG INSPECTOR
._ < NO• STREET LOT NO. zY
.z
r o CITY OF CUPERTINO
00 APPLICATION FOR ELECTRICAL PERMIT
Wu
1
W LL
o Date
o /3 19 9 Permit No.
a P Fee S
<W Application is hereby made to the City of Cupertino for a permit to install electrical
a ? wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> m City of Cupertino, and all other laws applicable thereto.
zJ Use of Premises SINGLE FAMILY RESIDENCE
J Z
3 N Owner Address 3d $
a gr ZEE ELECTRIC Addres S.G.
O F CONTRACTOR, AGENT
aU Phone: — �A�7/o Appco
ELECTRICAL 1HEP
State License
aS//9/� ,� °�
-L'
ITEM NEW RPL FEES
Number of Outlets 9
Number of Switches -3
Number of Receptacles 'G
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service 1O4,4 A 06
Number of Meters
Number of Panels •4 6
Signs-Transformers
Dryers
Motors:
H.P.Phar
H.P.Phase
H.P.Phase
Power Poles
(� U
Permit Fee 2.00
H.P.Ch es
Total Fees .76
aa�so I O/N�S/�AIJ �I) LOT NO.
NO. 'STREET '
m CITY 02 CUPERTINO CITY OF CUPERTINO
'z `- APPLICATION FOR PLUMBING PERMIT
�UG 3 0 1972 q Sanitary No.
3 I)�t o �_ 19Z Permit No
UP= n Fee$,23..S0
o Application is hereby made to the City of Cupertino fora permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i N 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.
� r
0 o Use of Premises .L¢i.
oa Owner Address/0.3o
2J
o By `{t Address
F CONTRACTOR, AG NT
w Z Phone X91- o c�G
ww
State License Z7/ i`7 Approved
i
PLUMBING INSPECTOR
e
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater ..S ,Size -.;?Ie �rD
Water Closet c9. 00 Material
Bath Tub To Curb
Shower / 'b To Pro . Line
Lava 'e^ 3-0 To Er i lin
Dish Washer
Waste Dis osal
WashTrn 11 STORM DRAINAGE
Washin Machine 1. Size
Water Softener Material
Bar Sin To Main Drain
Comb.Sink&Tra To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM _
Hopper Size u 0
Restaurant Sink Material
Sand Trap TOTAL ES
Urinal Fixture Fee /3•SO
Area Drain Main Drain Fee 0
Water e
Sprinkler System Water Sys.Fee
Relief Valve Gm Fee f I s1b
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee -00
Total 1.7,Erk Total Fee
htV ,fb,41) LOT NO.
NO. STREET
CRY OP CUPERTINO
e CITY OF CUPERTINO
3 =
OCT 12MKICATION FOR APPLIANCE PERMIT
Z 4
3Date 7 1b 19 Permit No ri /-' YJ 3
X n Fees edo
Application is hereby rnt& to the City-of Cupertino,for a permit to
o F install gas appliances as listed on the reverse side hereof, and agrees to
i m install said appliances in accordance with the provisions of the Plumbing
. = Code of the City of Cupertino, and all other laws applicable thereto.
0 o Use of Premises _bll)ELL i A)G
OwnerRA'A If Address A/1 EX)L40 P/47 k
2J
oo By_ B(/f!L'� MPC— Cb Address SAA cTO
3 F CONTRACTOR,AGENT
—a Phone_
NZ
¢a
ex
State License c�-3109-"
Approved—
Q j PLUMBING INSPRCrOR
APPLIANCE UNITS FEES
as op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent.System a2
Com. Indust.,I nst.K i t.
Hood& Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without
Forced Air.Mach.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. L' ui .
_Under IS'High
Over IS'IIie1
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
or 500 000 BTU or less
Comp.over 20 HP&Under 50 HP
&Absorp.units wi h in ut
of 500,001 &Under 1.000 000 vv
Permit Fee.
Total Total Fee j
ti
Lot No.
No. Street '
CITY OF CUPERTINO /, B 2
APPLICATION. FOR BUILDING PERMIT q !
Sanitary No.
File No.EI VI$, 3
Date 19
Application is hereby made for a permit to
a story Type
to be occupied only as
in accordan with Plot Plan, Plans and Sp ification filed herewith,
go Jr Estimated Value of Improvements $ t7r(P
FEESAgaPlan Check $
owner lG JXE'Jtddrass 6J/!..�f Al/0
Contr. n 'l Address
Phone ?+ �` y� �3�� State Lice ns
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date / L -S 1.9 FEES / dr 7. d
Contr• t� .' _ / t-"c-Qia�.�i Address cP- x.33 104 rJ
Phone � Se —.STS 7 G State License a / 6
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 8
19 GAS FEES rl-r—m
y�Ap�,',, - ' PLUMBING FEE $ 3. ��
Contr. — (�a_���_'� r Address l-Z. Y- L-42 '--- S'
Phone -
- State License
Approved
19 PLICATION FOR APPLIANCE PERMITyn
Data l� L FEES
Contr, 1f/l. Address
Phone ' 0 7-705 State License �D�9Z/
Approved Z-"-4
Applicants agree not to vinlate any of the
Workman's Compensation Laws of the
State of California
P D.1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION Z Z
UNDERFLOOR 0- rtt
FRAME-
LATH
RAME LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING L SPOT-
YD �1
FINISHED WIRING
FIXTURES
MOTORS-
FINAL-
PLUMBING,
OTORSFINALPLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH Z
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS ` �✓ `�3
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC ' 73'
MISC
MISC