51248.3 2-YOs'
a .2 .2 7 0
No. Street - Lot No. /
Cttv 6i G1iEi Nt0 CITY OF CUPERTINO ,3� p
AUG 8 1972 APPLICATION FOR BUILDING PERMIT
-� Sanitary No.
Dat 19
' — Pe it o.
pp cation a hereby made for a permit tae'
3 = a !
story,Type �-1d . Building
0
to be occupied only as3aR/ _/•N accordance with
cy .Plans,Specifications and Plot-PI r Piled herewith. PI Ck Fee
LEstimated Value of Improvements,$.33 0 U U oti Fee$ 9�
o e 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 Cupertinoowiill be comp lied/w'fh. ,
Ownerzr
A
d n By Address
EPhone
U �i a - Approved
I ' State License jFwilding Inspector /
CERTIFICATE 01F COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date --•---.._>..........11..---•-----...1 19...?..3 /Building Permit No.
The Building Located at ...... .4
27--
.1 .7 .)_..7 t ..... -
Owned by --------A
..... . ----------*------------------------------------
Has Been <��tForAs: ...
.::1:-..-:...:. ... ....................................
...............I..................................................... .............-.......................I... .............--
........................... .................................................................................-..................
.....................------ ..................................... ......... --------
.. . ..................
LDRTG INSPECTOR
i
N Q NO. STREET LOT NO.
i o t �q CITY OF CUPERTINO
0 < Oil
15 �-APPLICATION FOR ELECTRICAL PERMIT
SU �v
0
' a` P
`
o
Y Date Q , 19 Z Permit No.
a
Fee Sz_
W 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
00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
3 0 City of Cupertino, and all other laws applicable thereto.
r3
oa
z J Use of Premises SINGLE
FAMILY RES. IrL�ca —
2 �IiYQLTTCL�i
0
3 N Owner //V'qCC/ 7Ed Address Aj O C
W . By ZEt ELECTRIC Addre �.
0 I CONTRACTOR, AGENT
0 Phone: �9� - SE 96 Appr
ELHCTIIIUL INSTH
State License, a41i916 KX ' /Y/
-f>
ITEM NEW RPL FEES
Number of Outlets /6
Number of Switches 5
Number of Receptacles �9
Number of Fixtures /
Ran es or Ovens K W. /.O•d
Size of Main Service O0/t •O.A
Number of Meters
Number of Panels
S' -Transformers
ers
Motors:
HP P r H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H P Chzraes
Tota •ees o2/•3S
aaa7o I E OC O• LOT NO. /
CRY OF CU &TJNO Sr EET
CITY OF CUPERTINO
W ZAUG 3 0 1972 APPLICATION FOR PLUMBING PERMIT
R o p D �9 January No.
3 U late v ' S� 1972- Permit No J"2-- ,
�.3
W W Fee 3 . -SO
O 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 accordancewith the provisions of the Plumbing Code of the City of
WW Cupertino, and all otheerJr laws applicable thereto.
o 'o Use of Premises U(ed
o a AeK Dis Owner - Address 1030f uKfr§ Jr I le�lo G.
zJ
o ByCgu+eai- ,LacAddress6%ts
3 F. CONTRACTOR,AGENT
- Phone Q9e-n 5'zl
Wz
WW
aoState License Z7L7 Approved
\ PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet 3 Materia
Bath Tub / To Curb
Shower •-� To Pro . Line
v t 'e d.. T.E ci in
Dish Washer
Waste Dis oral
Wash Tra STORM DRAINAGE
Washin Machine Size'
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
DentalUnin Ft
Drinkiountain
Floor Drain WATER SYSTEM
Hopper Size " -.SZJ
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee • .Sb
Area Drain Main Drain Fee _fid
Water Leader
Sprinkler System Water Sys.Fee
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee •t.�-D
Total Total Fee
�OZ70 I l/Dh1Q7Z D/1RLor NO j
an,BP cuPERTvgSTREET .
n O C T 2i CITY OF CUPERTINO
ox
WF?L,CATION ,OR APPLIANCE PERMIT
3 U DatepJ�rTl� 19 ZX Permit No. 3
°' LL Fee•$ A°f"
o w Application is herebymatte to the Ci p perms
City-of Cupertino for t to
° install gas appliances as listed on the reverse side hereof, and agrees to
z a 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 . h1ViLL/,fl
a
O < Ownef-n� ; Address A26XJKD A/94C
Z s .B/lJ'/CK /l'1 Cd SA�JToa F
J"O y CONTRACTOR,AGENT Address
3 �
–m Phone– 20-7-9050
wz
vw
oState License e23 /092 Approve
-U PLIJUMING INSPECTOR
x
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units -
Dwelling Kit./Bath
Inde end. Vent System-
Com. Indust. I nst.K it.
Hood&Vent System
forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(witljoul
Forced Air.Mech.each flower
Gravity system
No.or Air Outlets,No.of Flucs
Stacks for Metal Firc laces
Smoke Stacks,Misc. E Ld .
Under IS' High
Our 15'Ili 1
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
&Absor t.units with input
of 500,001 &Under 1000 000
Permit Fee
Total Total Fee
J TEHLot No. /
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO q
Sanitary No.
File No.
Dote �. 196
Application is hereby made for a permit to -
a�� story, Type S -7 ,7
to be occupied only as
in accordance ith Plot Plan, Plans nd Specification filtfAerewith.
Estimated Value of Improvements $ &3 &&t db
FEES �rl-Q Pion Check E
Owner Address /dL3 O
Contr. Address
Phone j;� —12 State License -2(.
S
�+ Approved
11,144
APPLICATION FOR ELECTRICAL PERMIT
Date 196 7 ]--' FEES -----2-/S-�L �J
Contr. -'=—�_ / Address 1'-)4-30 xx: 'C' `-��-�---'
Phone � � 6 _ �V 7 (> - State License o2 S-19 to
Approved -�-+��^
APPLICATION FOR PLUMBING& GAS PERMIT
Date 196 7 J GAS FEES Gs��
PLUMBING FEE $
Contr. L-�- `�+--1' _� Address G a J
Phone — �50 - 0J,j--61 State License / �f3
Approved -
APPLICATION FOR APPLIANCE PERMIT pa
Date 3 L 1% ] L FEES /<I
Contr, �J Address
Phone -24 7 - 7d.ro State License 4,340
Approved ..�•��
Applicants agree not to violate any of the .46
Aorkman's Compensation Laws of the
hate of California
RECORD OF {NSPFGTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL G
FOUNDATION
UNDERFLOOR
FRAME �Z L
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
/� /1^� ELECTRICAL
Ufe2 (622)6 DATE NSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING / T- 7y _
FINISHED WIRING ^_
FIXTURES '"lam 1
MOTORS _ ✓
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGHA �a —
PARTIALROUGH D
ROUGH COMPLETE 0 _7
MAIN DRAIN �� —2
FINAL PLBG. -73
FINAL GAS 3 '�3
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC