51248.3 2-- let
�aaG o _ x
No. Street Lot No.
StttO CITY OF CUPERTINO
�t�t Ot c� q APPLICATION FOR BUILDING PERMIT i��_
�1�1 Sanitary.No. 7 9a S
EG Da 119 — Pe nit No. .S—i� VLf,N3
E A pBg3ti ?is hereby made for a permit for^%'�L% �/�
3 ` pa�' f
F story,_Type �— - Building
U
to be occupied only asC .,mssv�
o .�i�c in accordance with
`
If
r « Plans,Specifications and Plot-Klan filed Lherewit PI Ck Fee "
9 Estimated Value of Improvements,$ ppD,BT� Fee$ � g�
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
A Cupertino willhe complied wi,t,/hf.
.3 9 Owner �/l/! �''ddress
v m By Address lLixC�
E, Phone Approved -•
�U ildin Inspector V
. State License �9e.7 g P
STREET LOT NO. 02
W'Z
x o CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
00 Dat vs' � i /3
w 19 Permit No.
> ! Fee S
a w Applic }on's hereby made to the City of Cupertino for a permit to install electrical
awiring and/or fixtures as listed on 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
> N City of Cupertino, and all other laws applicable thereto.
03
zJ Use of Premises_gjbiaL$ F! ALLY RESllJENCE
-.z
o �/j� ,�// �� Jj m
3 < Owner �/�/9UC FY�wgj Address / ///"4 'e4
W Z By ZEE'ELECTRTC- Address S
ww
Rd
0 FCONTRACTOR, AGENT ^
a'U _2- �07 APPr
Phone ECECMICAL [NSPE
State License ✓//
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles a
Number of Fixtures 77-
Ranges
Ran es or Ovens K.W A Q-(l
Size of Main Service 0 •0-�1
Number of Meters
Number of Panels
Signs-Tmsfomers
Dryers /
Motors:
H-P-Phase
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Ch es
Total ees 4.�U
� CERTIFICATE ` Oe COMPLETION
BUILDING INSPECTOR'S OFFICE
0
CITY OF CUPERTINO
1 I— 5�1
5 g p
Date ........................................ 19.33. uilding Fggll��No .....�7Y-)�-----
TZ .7 Aj
---
The Building Located at ...............................
Owned by ..... ....................
HasBeen 1( 11tc�redlr Use As: ..............................................................................
.................................................................................................................-..........z..................
...............-...........................-......................................................v-------------—............................
------------
......... .... . . ............
---------------------------*--------------------------""................ .....i;:::
... --... .. -----
----- .....
ING
LOT NO.
NO. STREET
CRY OF CUPEUNO CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
f4U G 3 0 1972 Sanitary No.
19,Z2— Permit No
i LL Fee$ 2 5-.S0
LL W 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
'z N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a m Cupertino,, and all other laws applicable thereto.
0 o Use of Premises (.t Dim• /J —1- ,�y� �/
i< Owner // ' ' Addresg/n /2 1111 sil &J2�
o By.e4.kd LLXAddress6a2SUltlL-
F
CONTRACTOR;i& V
. z Phone cpl5 G
ww
a.o State License 3 7 '-Approved
VX PLUMBING INSPECTOR f/
8
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size •'�
Water Closet Material
Bath Tub To Curb
Shower To Pro . Line
vet 'e "2. o E i
fir
Kitchen Sink
Dish Washer
Waste Disposal
Wash Tmv STORM DRAINAGE
Washin Machine /- Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinkin Fountain
Floor Drain4111FIxtumFee
R SYSTEM
Hopper /0 /• S�D
Restaurant Sinkal
Sand TrapOT ,FEES
Urinal /3-S�Area Drairain FeeWAter LeaderS rinkler S stemSys.Fee
Relief Valve Ga%Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total /'. 0 Total Fee
d-K I A0,01MFM lWAO LOT NO.
NO. STREET
Lar GP "?ERTNG CITY OF CUPERTINO
_xa
OCT 12 197ZAPPLICATION FOR APPLIANCE PERMIT
°U Daten toonaaN 19 Z!L Permit No. _LAPP I/o. 3
3� p
°4 Fee•$ I.3'10
s W Application is hereby maide to the City-of Cupertino for a permit to
O i install gas appliances as listed on the reverse side hereof, and agrees to
zm install said appliances in accordance with the provisions of the Plumbing
r F Code of the City of Cupertino, and all other laws applicable thereto.
S Use of Premises
0C
u < Uwner /lIAlrKi9Y NQN/ES Address �e1ULD PAS t-
J'oZ sy_ f3UI ICK /YIrL RD Address SfF91/ TCJ f�
3 �
CONTRACTOR,AGENT
a Phone_ cgr7—%0'56
w
W W
to
a u State License_o'L 3/0 4<2 Approve
-U '!r PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn,
Gas Fired Boilers
Warming Ovens
Susp.Units
Dwelling Kit./Bath
Independ.Vent System O-o
Com., Indust. 1 nst.K it.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without ColdQ91 Cool I
Fomed Air.Mech.each Power
Gravis S stem
No.of Air Outlets,No.of Flues
Stacks for Metal Fire laces
Smoke Stacks,Mise.E ui .
_Under IS'High
Over 15'tlin
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of SOU 000 OTU or less
Comp.over 20 HP&Under 50 HP
&Absur .units with in ut
of 500,001 &Under 1000,000
Permit Fee
Total Total Fee
Lot No. �2—
No. Street
CITY OF CUPERTINO �'Sy
APPLICATION FOR BUILDING PERMIT
Sanitary No. 79 a? 5
—7 File No.,—3
Dote�19 11_ ..
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accord a with Plot plan, Plans and eci fication filed here-'
Qi
Estimated Value of Improvements s 4
FEES _ CP/. Q Plan Check $
Owner �� Address j036 r �c 'S—)
Contr, n p// Address
Phone - /I ] w Sto to Licens U/-
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date f �S 19 7 Y FEE$ / 9 �
Contr. Address g 4" 6-L-, "?40
Phone - �� M Sy7 6 State License �s�/`'� C7 6
Approved
O<
q APPLICATION FOR PLUMBING & GAS PERMIT .
Date o C�j
19 - oZ GAS FEE $
PLUMBING FEE S `S
Contr. ez=yZ2=r=x l 4 - __/ Address (a .2- S� X
Phone �-% 0'r,f State License L/
Approved /v
Date ld /off 1Q PZ L2ICATION FOR APPLIANCE PERMIT j
FEE$ oma.
Contr. Address
Phone — �'� 7- 70 rz State License -2 0
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
n..
UNDERFLOOR bum toof-I
FRAME L 24 tl
LATH & PLASTER
GRADING FINAL
FINAL BLDG. r
ELECTRICAL
DATE INSPEC R MISC.
UNDERGROUND ROUGH
ROUGH WIRING L' LO • j
FINISHED WIRING
FIXTURES
MOTORS • ,
FINAL • '
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH Q lg y
ROUGH COMPLETE 'a 7
MAIN DRAIN
FINAL PLBG.
FINAL GAS - 3 _ 73 -
FINAL APPLIANCE - �� •
DATE INSPECTOR MISC.
MISC y �7
MISC
MISC