51248.3 4 2-410T�a3a o��
No. Street Lot No. L-5�
0f CUPEO140 CITY OF CUPERTINO & d,pD
CM
a 19iePPLICATION FOR BUILDING PERMIT as X s
Sanitary No. 7�/.�-.y BG
W ^^ 19 — Pe o.
E '� pp4catibn�f�ereby made for a permit tq
o = ���
3 _ a story,Type � � - Building
d R
U
to be occupied only as accordance with
ao. Plans,Specifications and Plot-Plan riled herewith.
� PI Ck Fee
Estimated Value of Im
d � Provements,i-�d'BD� Fee S
0
`o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
3 all other laws applicable to the constructic, ,.location, and use of buildings within the City of
_. Cupertino_ will be compl' d with. !"
'3 Owner
d By Address -ems
E Phone
U -� Approved
State License wilding Inspector
\1
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ............. - uildig �n P No. !.2. .�j..
The Building Located at -- -- Zz 3-`� --
Ownedby .....: -....... ......... ............ ... ------.--• ..._.........
- ....
Has Been (Q- r " s :Fo At '
(Alteied) .. -- ----- --
----------------------------
- ........................................ .................................................................................
............_.......--..............................••..-------........._...--..---.--------.--........-----•-.............------`-----
- -- --.. --....................................................... ...... ...........:.::.............................-
_...-•--.. --- ---------
ILDING :INSPECTOR
d� b Im�fd
Q NO. STREET - LOT NO.
r oCITY OF CUPERTINO
Ot Ay5/ RICATION FOR ELECTRICAL PERMIT
Su
Zw
, o
o F Date 19 Permit No.
> Fee 5
i 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
0 o airing and/or fixtures in accordance with the provisions of the Electrical Code of the
> N City of Cupertino, and all other laws applicable thereto.
r3
z'Z Use of Premises LF
SINGFAMILY RESIDENCE
= o
3 a Owner R.4 me FY E m _ Address �� 4-- e
N Z$G EC
w Z
a a BYAddress 3 2I S.n^
Q O CONTRACTOR, AGENT
�6 ��6 Approve
U Phony. ELECMMAL rNf►E
etate License W10'14 6—
t/
-lip
ITEM NEW RPL FEES
Number of Outlets /3
Number of Switches /3
Number of Receptacles V 7
Number of Fixtures
Ran es or Ovens K.W.
Size of Main Service 04/1' •0-4
Number of Meters
Number of Panels �• `�
S' -Transformers
Dryers
e0
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Ch es
Total Fees
-7-12.30 Ih6o-&—e �F41) LOT NO.
NO. STREET
CITY OF CUPERTINO
W iv ®F €yP"PIM9 APPLICATION FOR PLUMBING PERMIT
f =
n
Sanitary No.
3�U%301972
ate -X 19 � Permit No
WLLP A D Fee i 5
of Application is herebymade to the Ci of Cupertino Fora permit to install plumbing
o a pipes fixtures lsted on the revue side hereof, and arees to install sid price
i w` and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
w = Cupertino, and all other laws applicable thereto.
a Use of Premises _
J LL
0 0
a a Owner G � Address/0 30(i�
Z J
AddressL t d A ,& �l-
�, CONTRACTOR, GENT
W.i Phone-- 9e-- y�G
W W
a UkStar, License Z 7JZ 37 Approved
,<
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater /' Size I/ --�
Water Closet .6b Material
Bath Tub To Curb
Shower To Pro .Line
to ie o Ex' tin
't
Dish Washer
Was Dis sal
we Tra STORM DRAINAGE
Was hin Machine /• _Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hb er
Restaurant Sink Material
_Sand Trap TOTAC FEES
Urinal 11 Fixture Fee .3•SO
Area Drain Main Drain Fee
Water Fee
Sprinkler System Water Sys.Fee
Relief Valve
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fce a•r-`"'D
Total /7S Total Fce
�?a.Z30 I ftmarmp iQd Lor No. �1J
GIT OP tommo STREET
OCT 121972 CITY OF CUPERTINO
YZ
APPLICATION FOR APPLIANCE PERMIT
Q
Z 4
3U DaDteAAI �� 197 Permit No.Sa�
� r•,3
U FeeS 13
W Application is hereby nmde to the City-of Cupertino for a permit to
C install gas appliances as listed on the reverse side hereof, and agrees to
<N install said appliances in accordance with the provisions of the Plumbing
Code of the City of Cupertino, and all other laws applicable thereto.
3Use of Premises 6,
00
o i Owner, W'dRAy /{00767 Address A)CA) Mce
q.o By hf)Sl� jZ0j� Address JiW 1rOSC�
3 F CONTRACTOR,AGENT
- w Phone t2 t l- 1050
'02 4
State License 23104. Approved
V V PLU MING INSPECTOR
.V!
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Fumace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Wam»ng Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System O�
Com.,Indust.,Inst.Kit.
Hood&Vent System '
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without Colli[W Cool
Forced Air. Mech.each Power t
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Firc laces
Smoke Stocks,.Misc. Equip-
Under
' ui .Under IS'High
Over I 'lliel
Coin fort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Com .over 20 HP& Under 50 HP
&Absorp.units with input
of 500,001 &Under 1 000,000
Permit Fee
Total Total Fee >
2 2_?D I >��G� ST�GCi/ '�ZJ CI G!' Lot No. S;
No. Street '
CITY OF CUPERTINO sy
APPLICATION FOR BUILDING PERMIT
Sanitary No. r
Do to 19 7.�2-_
Application is hereby made for a permit to cc
li�1YJ 57J21�[i� a story, Type
e v c
to be occupied only as �
in accords c .with Plot Plan, plans and.vd1gification filed herewith„
Estimated Value of Improvements S -'U' CiYO, 60
FEES - a Plan Check E/' L �A
Owner `� /�GK 6� Address /y 3G CGl 4111
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dote �L L,1'9// -��- FEES
Contr. Address ��"`j`j Pc-•`� � .--
Phone _ ��/C c5� 7 ,+ State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT V
Date �� 1q 7 �. GAS FEES
PLUMBING FEE $ -a 3, 5-0
Contr. �p^c����L-sem-L/�F�t.-v��--� Address 6 a S—
Phone d,/ /y - d J-J 7o State License 7f��5p-3p�7
Approved
Date 19 PPLICA ION FOR APPLIANCE PERM/ p v
/ FEES
Contr. Address
Phone ��7— 7O J-7J70 J�J State License
Approved -C.-G�Ca
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PDA
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION -1�-
UNDERFLOOR ,
FRAME Z'
LATH & PLASTER
GRADING FINAL
FINAL BLDG. 4
ELECTRICAL
6&D INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING /
FINISHED WIRING
FIXTURES
MOTORS l
FINAL- a -7
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. -
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH g•
ROUGH COMPLETE -7
MAIN DRAIN
FINAL PLBG. ✓ J —7
FINAL GAS c
FINAL APPLIANCE J
,Li
DATE INSPECTOR MISC.
MISC
MISC
MISC