Loading...
51087 41 ,-22086 Linda Vista P1 . LOT NO. 16 18° NO, STREET Plan 201 W Z Id ISON FOR BUILDING PERMIT t � lM `= o ® OF CUPF.RTINO LL + 1� O Sanitary No. 5 � W LL Date _ Permit No. S ' o o Application is hereby made for a permit to Erect i N a CITY ForCy RTlNO Building a W ? to be occupied only as SEDWL in accordance with ii o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee > ; Estimated Value of Improvements, S 21 ,000-00 Fee E 66. 00 iJ It i her by agreed that the requirements oftheCupertino Building and Zoning Ordinances and * Z all nt er I ws applicable to the construction, location, and use of buildings within the City of j o Cupe ino ill be complied with. N Owne - Address 1 1 . CAMPBELL W Z B WW y Address ¢ a i -U c241 -18965158o Pho 1Approve i - seSta Ln7 e c G INSPECTOR 22086 Linda Vista Pace NO. STREET \ - LOT NO. \) .50 CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. FILE NO. 51,087 DATE 7/16/74 19_ Application is hereby made for a permit to _Rpmndpl Tntprinr a 1 story,type 5 N. Hr. to be occupied only as Single Family Dwelling in accordance with plot plan,plans and specification filed herewith. 250 ESTIMATED VALUE OF IMPROVEMENTS $ FEE$ 5..00 PLAN CHECK$ OWNER Edward E. Pearson ADDRESS PHONE 996-2499 CONTR, ADDRESS PHONE STATE LICENSE APPROVED J. A. Busto/h BUILDING INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR FOUNDATION FLOOR STEEL PRE-GUNITE FRAME BOND BEAMS LATH WALLBOARDS-INT.&EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. UNDER-FLOOR TIEDOWNS -MISC- DIAPHRAMS MOOREBUSINESS FORMS INC..LA ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL I MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS B INSULATION UNDERGROUND ROUGH FLUES 8 COMB.AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE ROOF DRAIN 8 LEADERS MAIN DRAIN FINAL GAS FINAL PLUMBING MISCELLANEOUS ' ,;4;?D e y V i Ca- LOT NO. �••- NO. STREET '' v CITY OF CUPERTINO ((( EE ON FOR BUILDING PERMIT d CAP. { a APPLICATIl FEE o w Z Building Per.No. �=/_(1.� :E o: Date >< O Cyr• Sanitary Per.No. LL � 3 v ApplictA; is hefeboa for a permit to_ _C Abfr� = Type-16 � Structure t- O ^ to be occupygd cp ds J,�L� '�'rC in accordance with a l� i w Plans,Specifications and Plot-Plan filed herewith. a w x Estimated Value of Improvements,$ �• �� PI Ck Fee$ pO It is hereby agreed that the requirements of the s-Jv rn Cupertino Building and Zoning Ordinances and all Fee $ 3 other laws applicable to the construction,location,and Z — use of buildings within the City of Cupertino will be Total Fee$ Z complied with. 3 n�u�anQ ��m� w Z OWNER PHONE - ADDRESS w w a-' 6 Q FO CONTR.OR AGENT Kb _ V OtU.V672 PHONE STAT— F LICENBUILDING INSPECTOR / p/LA APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Date " 113 196 r File No. trl Sanitary No. App ion is hereb - made for a permit to T story Type to 6e occupied only as in accordance with Plot Plan, Plans and .Specification filed herewith. Est' at d Value of Improvements E �® le FEE$ �, Plan Check $ Owner Contr. Phone • State Liu Approved APPLICATION FOR ELECTRICAL PERMIT q Date A 19612 FEES Contr. ✓ �7u-t Address Phone 3-7 7 " 7-�z'SZ State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Date// tZ 196 J GAS FEE $ Contr. `-e�`--�/p•"n-�� /.ir/w""'-'�-' Phone PLUMBING FEE $��%�-5 Address J/ State License /7/,L3 % / WILLIAM D. c"!EVICH Approved APPLI ATION FOR APPLIANCE PERMIT aZS— Date 196 FEE$ X�j 7- Contr. p "�-""��` Address 2� r`'' - Phone �� �— / State License % �a-G - y WILLIAM D. GENE`JICH Approved Applicants agree not to violate any of the , lVorkman's Compensation Latus of the State of California RECORD OF INSPECTION APPROVALS�"a FOUNDATION C- BUILDING Datepector UNDERFLOOR - -6S l Date��.f ww '' LL nspector (F' l�/7'1]'il a eY islQ'�� 4( .♦pector LATH &PLASTER �+ FINAL pector � — 'S Date Ins oe ctor ELECTRICAL SERVICE SIZE UNDERGROUND ROUGH WIRING t¢ - S - tor D e v Inspector FINISH WIRING ata Inspector FIXTURES ate Inspector Motors e ctor FINAL - S Date Inspector PLUMBING & GAS MAIN DRAIN SIZE I .OUTLETS / FEE SWITCHES STORM DRAIN I SIZE RECEPTACLES[1� 3 a.2s FIXTURES // / 171 H.P. CHARGE o!L L PERMIT FEE WATER SYSTEM TOTAL FEES 90 ELECTRICAL SERVICE SIZE UNDERGROUND ROUGH WIRING t¢ - S - tor D e v Inspector FINISH WIRING ata Inspector FIXTURES ate Inspector Motors e ctor FINAL - S Date Inspector PLUMBING & GAS MAIN DRAIN SIZE I I MATERIAL UNITS FEE CIRCULATING HEATERS STORM DRAIN I SIZE I L.JLATERIAL a.2s BLOWER FURNACES COMBUSTION VENT o!L ITERIAL SUSPENDED UNIT WATER SYSTEM SIZE GAS RANGE TOTAL FIXTURES / O /O UNDERGROUND GAS DRYER FIXTURE FEE PERMIT FEE PARTIAL ROUGH TOTAL FEE rJ� Dote Gf' for MAIN DRAIN FEE ROUGH COMPLETE 16 --?a---1 D 1.4 ecs-ar STORM DRAIN FEE MAIN DRAIN - '- - f 0� Dot r WATER SYSTEM FEE GAS PIPING - -`� GAS PIPING FEE Z //Dat FINAL �j �- Date nz pector PERMIT FEE MISC - 4q Dote Inspector TOTAL FEE 6 MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS a.2s BLOWER FURNACES COMBUSTION VENT o!L 0a SUSPENDED UNIT MISC! GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED - a a� l Date - Ins pe c tor/ CERTIFICATE OF COMRLETION BURDMG IIVSPB MW§ OMa- CITY OF CUPMnNO :Date ...... ��a._a''�...... .:........... 19..�y Budding PecmitNo'n 'The Building Located at ..... �x � .-��.:.-.�ti;�'•�� :...std ' Has Been �CO1°�For Use As:..... .. ya...��- ................._..._: 102 7/63-300 Cio GAS SERVICE NOTICE OFFICOPY lli BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO I)6'4 To YOU are hereby authorized to connect the GAS service for Ownec or Tenant 11,1.1412 , zzoeo-a ........................................... At)'A %. ......... ...... ....... New Service ._elm....._._.... ..... No. of Meters /.........._.... Reconnect .............................. More Service .. ...... - — .... .... No, of Add. Meters ...... ....... Move Meter ................... PLUMBING INSPECTOR Hidg. Apt off;ce ccpy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No . ..... 4-1�......P-4 ................... gq,,,Tiumbing Final Plumbing Permit No. f 76 f7 --------- otNo. ..................... -- ------ ----- - -- - --- Owner or Tenant - ---------------------------------- o -- --- --------------------------- . , —4 -a -Z Tract.............. �,-' et -a ---- -- -- ----- ----- -- - --- - --- ------------ ------------ DateConnected -------------- --- ------- ---A/---...------...........----- - --- ------- -- DateFinal ............................. 10.1/ ----------------- ------------ ------------------ ...... P UMBIN INSPECTOR'--- - -------- ill 7/63 -IM OFFICE COPY I� ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OI' CUPERTINO 196. To You are hereby aized to ect electr' se or Owner or Tenant ................. -r ......... .. �o?o PC..+ ........................... _ . Q� ........................... . At /ODr3�' t.,,,No. of Wires ............. Size of Wires ...................... Size of Switch .................... rte. Motor Load .......................... Voltage ................................ Phase .... ....... ........._....._... HeatingLoad ....................... K. W. ........................... ....... Voltage ........._._.................. Br � / Light ............... 1t0....._..... New Servo:e................ Reconnect.................. No. of Meters.... • Heat ................. 220.../ Three Wire................ Move Service............ �. No. of Add.'Meters............ Power ............... a Meter.............. e%EcnacAL INSPECTOR"' ROUTE SLIP File No. / d'1-7 Date out 1 2_ —,z.0 — Date In Lc, -aticn �r--6 Subject, "-- Notes Approved /A 247o Date Inspector ROUTE SLIP File No. S/0�7 Date Out Date In Location./ Subic --t. Notes Approved-§,/Z$-Lt'-- Date pproved $ i$ -L5__ Date Inspector Z y!! Q V I py Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. J� d&,7 Sanitary No. Data 196 Application is hereby made for a permit to a story, Type to be occupied only as in accordance with Plot Plan, Plans and Specification filed herewith.. Estimated Volae of Improvements $ FEE$ \^1— _ Plan Check $ Owner 71 /4 d "" Address Contr. Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION-FOR PLUMBING & GAS PERMIT Date �� 1966-/ GAS FEE $ PLUMBING(FIEF $ PO Contr. tom/ Address �/�"`^ 1 Phone -2 r12 State License z(e 6J Approved APPLICATION FOR APPLIANCE KERMIT Data 196 FEE$ Cbntr. Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION BUILDING Date Inspector UNDERFLOOR Date Inspector FRAME Date Inspector LATH 8 PLASTER Data Inspector FINAL Date Insoector ELECTRICAL ,OUTLETS SERVICE SIZE SWITCHES UNDERGROUND Date Inspector RECEPTACLES ROUGH WIRING Date Inspector FIXTURES FINISH WIRING H.P. CHARGE FIXTURES Date Inspector Date Inspector PERMIT FEE Motors Date Inspector TOTAL FEES FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE I MATERIAL STORM DRAIN SIZE ATERIAL WATER SYSTEM SIZE iTERIAL TOTAL FIXTURES . UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date Inspector MAIN DRAIN FEE ROUGH COMPLETE Data Inspector STORM DRAIN FEE MAIN DRAIN Date Inspector WATER SYSTEM FEE �^ GAS PIPING Data I or GAS PIPING FEE FINAL - S'C Date ns pector PERMIT FEE 'ar+_n_ MISC �{ Date Inspector TOTAL FEE T � MISC Data Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Date Inspector 22086 Linda Vista Pace NO. STREET \ - LOT NO. \) .50 CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. FILE NO. 51,087 DATE 7/16/74 19_ Application is hereby made for a permit to _Rpmndpl Tntprinr a 1 story,type 5 N. Hr. to be occupied only as Single Family Dwelling in accordance with plot plan,plans and specification filed herewith. 250 ESTIMATED VALUE OF IMPROVEMENTS $ FEE$ 5..00 PLAN CHECK$ OWNER Edward E. Pearson ADDRESS PHONE 996-2499 CONTR, ADDRESS PHONE STATE LICENSE APPROVED J. A. Busto/h BUILDING INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR FOUNDATION FLOOR STEEL PRE-GUNITE FRAME BOND BEAMS LATH WALLBOARDS-INT.&EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. UNDER-FLOOR TIEDOWNS -MISC- DIAPHRAMS MOOREBUSINESS FORMS INC..LA ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL I MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS B INSULATION UNDERGROUND ROUGH FLUES 8 COMB.AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE ROOF DRAIN 8 LEADERS MAIN DRAIN FINAL GAS FINAL PLUMBING MISCELLANEOUS ' ,;4;?D e y V i Ca- LOT NO. �••- NO. STREET '' v CITY OF CUPERTINO ((( EE ON FOR BUILDING PERMIT d CAP. { a APPLICATIl FEE o w Z Building Per.No. �=/_(1.� :E o: Date >< O Cyr• Sanitary Per.No. LL � 3 v ApplictA; is hefeboa for a permit to_ _C Abfr� = Type-16 � Structure t- O ^ to be occupygd cp ds J,�L� '�'rC in accordance with a l� i w Plans,Specifications and Plot-Plan filed herewith. a w x Estimated Value of Improvements,$ �• �� PI Ck Fee$ pO It is hereby agreed that the requirements of the s-Jv rn Cupertino Building and Zoning Ordinances and all Fee $ 3 other laws applicable to the construction,location,and Z — use of buildings within the City of Cupertino will be Total Fee$ Z complied with. 3 n�u�anQ ��m� w Z OWNER PHONE - ADDRESS w w a-' 6 Q FO CONTR.OR AGENT Kb _ V OtU.V672 PHONE STAT— F LICENBUILDING INSPECTOR / p/LA 0 -.Lot No. No. .Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. Sanitary No. Date 113 196 App ion is hereh - made for a permit to i story Type to he occupied only as in accordance with Plot Plan, Plans and.Specification filed herewith. Est' at d Value of Improvements FEE$ �, Plan Check $ Owner ddress • Contr. M dress Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT q Date /L 196 FEE$ Contr. ✓ �7u-t Address Phone 3-7 7 " 7-�z'SZ State Licenser �� O Approved APPLICATION FOR PLUMBING & GAS PERMIT Date /Z 196 J GAS FEE $ _ PLUMBING,�FEE $ Contr. `-ems`- /p"n-it /.ir/w"."-'�-' Address Phone State License /7/,L3 7 / WILLIAM D. c "!EVICH Approved APPLI ATION FOR APPLIANCE PERMIT aZS— Data 196 FEE$ 7 Contr. eel-,_ p "�-""��` Address Phone �� �— / State License WILLIAM D. 13ENE`JICH Approved Applicants agree not to violate any of the , lVorkman's Compensation Latus of the State of California RECORD OF INSPECTION APPROVALS �"a FOUNDATION C- BUILDING Date pector UNDERFLOOR Date��.f ww '' LL ns pector F AME U -/{//'- !� � a e"�zlU'�J 4 .♦ns pector LATH & PLASTER �+ FINAL I ,-,?- — 'S pector Date Ins ne ctor ELECTRICAL .OUTLETS `7 / SERVICE SIZE SWITCHES 9 UNDERGROUND D RECEPTACLES 3 ROUGH WIRING ¢1�1- S cror FIXTURES /�l / 171z FINISH WIRING D e t/ Inspector H.P. CHARGE L FIXTURES to Inspector ate Inspector PERMIT FEE Motors TOTAL FEES 9� FINAL - -e S 9' c tor Date Inspector PLUMBING & GAS MAIN DRAIN SIZE I I MATERIAL STORM DRAIN I SIZE I L.JLATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES /0 /O UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date Gf' for MAIN DRAIN FEE ROUGH COMPLETE 16-2a---1 Dote 1.4 ecs-ar STORM DRAIN FEE MAIN DRAIN _ - f Dot r WATER SYSTEM FEE 0� GAS PIPING - -`� /Dat GAS PIPING FEE FINAL �j Date nz pector PERMIT FEE �- MISC - Dote Inspector TOTAL FEE MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS a .2s BLOWER FURNACES COMBUSTION VENT o!L 0p SUSPENDED UNIT MISC ! GAS RANGE MISC GAS DRYER PERMIT FEE J aZ. �t-0 FLOOR FURNACE TOTAL FEE INSPECTED Date - Ins pe c tori CERTIFICATE OF COMRLETION BURDING IIVSPB MW§ OFFICE. CITY OF CUPMnN0 :Dde...... , 19--46— Building Pecmit No. w., 'The Building I opted d ..... x e+.a fir.'�ti:.�'•: �w�• 3;rw Ownedby �. �..._. , - .............................................. Hu Ban �.O1°��For use As: ..... ..ya..�� .................._..._: _. 'y�.................._.............. _.._.. _........................: .-...: ..... ---------•--- -. �• 102 7/63.300 Cio GAS SERVICE NOTICE OFFICOPY lli BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO I)6'4 To YOU are hereby authorized to connect the GAS service for Ownec or Tenant 11,1.1412 , zzoeo-a ........................................... At )'A .......... ...... ....... New Service ._elm....._._.... ..... No. of Meters /.........._.... Reconnect .............................. More Service ........- —.... .... No, of Add. Meters ...... ....... Move Meter ................... PLUMBING INSPECTOR Hidg. Apt Off;ce ccpy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. .....4-1 ......� 4 . .................. gq,,,Tiumbing Final Plumbing Permit No. f 76 f7--------- orNo. ..................... -- ------ ----- - -- - --- Owner or Tenant ----------------------------------------- At -- ----------------- ................. —4-a-Z ITract ..............�,- _a---- -- -- ----- ----- --- ---- --- ------------ ------------ ? A/ DateConnected -------------- -- ------ -- ------------ -- ---- --- --- ---*---- - I. DateFinal .............................10.1/ ----------------- ------------ ------------------ --------- . INSPECTOR. ... ....... ... . ........ P UM13IN ill 7/63-IM OFFICE COPY I� ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OI' CUPERTINO 196. To You are hereby aized to ect electr' se or Owner or Tenant ............. .... -r.. ....... .. �o?o PC..+..........................._ .Q�............................ At /ODr3�' t.,,,No. of Wires ............. Size of Wires ...................... Size of Switch .................... rte. Motor Load .......................... Voltage ................................ Phase .... ....... ........._....._... HeatingLoad ........................ K. W. .................................. Voltage ............. .................. � Light............... 110....._..... New Servo:e................ Reconnect.................. No. of Meters.................. Heat................. 220.../ Three Wire................ Move Service............ �. No.of Add.'Meters............ e Power............... .............. a Meter.............. ELECTRICAL INSPECTOR" ROUTE SLIP File No . Date Out 1 2- —..I-c) — Date In Lc:,aticn Subject Notes / Approved /A 2476 Date Inspector ROUTE SLIP File No . S/ O 7 Date Out Date In Location ./ Subic--t .- Notes ubic--t .Notes Date Inspector Z y!! Q V I py Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. J� d&,7 Sanitary No. Data 196 Application is hereby made for a permit to a story, Type to be occupied only as in accordance with Plot Plan, Plans and Specification filed herewith.. Estimated Volae of Improvements $ FEE$ \^1— _ Plan Check $ Owner 71 /4 d "" Address Contr. Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION-FOR PLUMBING & GAS PERMIT Date �� 1966-/ GAS FEE $ PLUMBING(FIEF $ PO Contr. tom/ Address �/�"`^ 1 Phone -2 r12 State License z(e 6J Approved APPLICATION FOR APPLIANCE KERMIT Data 196 FEE$ Cbntr. Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION BUILDING Date Inspector UNDERFLOOR Date Inspector FRAME Date Inspector LATH 8 PLASTER Data Inspector FINAL Date Insoector ELECTRICAL ,OUTLETS SERVICE SIZE SWITCHES UNDERGROUND Date Inspector RECEPTACLES ROUGH WIRING Date Inspector FIXTURES FINISH WIRING H.P. CHARGE FIXTURES Date Inspector Date Inspector PERMIT FEE Motors Date Inspector TOTAL FEES FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE I MATERIAL STORM DRAIN SIZE ATERIAL WATER SYSTEM SIZE iTERIAL TOTAL FIXTURES . UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date Inspector MAIN DRAIN FEE ROUGH COMPLETE Data Inspector STORM DRAIN FEE MAIN DRAIN Date Inspector WATER SYSTEM FEE �^ GAS PIPING Data I or GAS PIPING FEE FINAL - S'C Date ns pector PERMIT FEE 'ar+_n_ MISC �{ Date Inspector TOTAL FEE T � MISC Data Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Date Inspector LOT NO.��_ NO. ST A (CATION FOR GAS PERMIT " ` S E P �. 4 X965 CITY OF CUPERTINO zz w 12 QM5atF1Fg"ERT1" 0-- 1965- Permit No. w 4 Fee$ 1. 50 xo Application is hereby made to the City of Cupertino for a permit to install gas pipes o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes > and/or appliances in accordance with the provisions of the Plumbing Code of the City U) of Cupertino, and all other laws applicable thereto. ux r Use of Premises Residence 00 3 Owner Franklin—Bahl Const, AddresP R�OXa 0a ZJ z By 0Pntral SPrvi r Co. Inc, AddresdL.51 Queens Lane , S:J. O CONTRACTOR, AGENT — w Phone29$-0556 � z a oState License 171537--? Approved- WILLIAM D. DENEVICH U PLUMBING INSPECTOR L Kemarks (Check ✓) Type of Appliance Units Fees New Replace Relocate Gas Ranges Wall Heaters Gas Plates Circulating Heaters Blower Furnaces Gas Fired Boilers Warming Ovens Percolators Griddles Steam Tables Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous NAME TYPE) HOUSE GAS PIPING Number of Outlets •,;i Size of Main Gas Piping Fees �, o Testedand Approved ........................i.... ----------------- _......_......----- DATE INSPECTOR 2�( •��, Sk- y( Q C_ LOT NO. NO. m STRj NTy� N VJ 1p#� FOR PLUMBING PERMIT ITY OP CUPERTINO AN 19 1966 Sanitary No.. 0 // 0 , Date ` 194 Permit No `rte 7 7 3 CITY OF CUPERTINO Fee $ wLL = 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 accordance with the provisions of the Plumbing Code of the City of a w Cupertino, and all other laws applicable thereto. Use of Premises 00 > mL / / Q 0 3 Owner - �� Address O .z J z By � Address 3 CUNT RACTpR,AGENT m Phone �'d� ; wZ o `1 State License n. n—a / ��'� C Approved U I PLUMBING INSPECTOR FIXTURES UNITS FEES UNITS FEES Water Heate Size Wate: Closets Material Bath Tubs To Curb Showers To Prop. Line Lavatories To Existing Kitchen Sinks Not Conn. Dish Washers 11 Sewer Boxes Waste Disposals Wash Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Com . Sink s Trays To Curb Dental Units Drinking Fountains Floor Drains WATER SYSTEM Hoppers Size Restaurant Sinks Material San Traps TOTAL FEES Urinals Fixture Fee' Area Drains Main Drain Fee Y/erLeaders Storm Drain Fee Sprinkler ValvesWater Sys. Fee Permit Fee TOTAL TOTAL FEE RECORD OF INSPECTION Underground Rough... Partial Rough.. Rough. Complete.. Main Drain Final... 22 Vista Place LOT NO. 16 ® APPL CATION FOR PLUMBING PERMIT z ISEP 14 1965 K!7 CITY OF CUPERTINO wX r o Sanitary No. o LL u IdPC NO , 1965 Permit No �� d � 7 w Pee 5 S To 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 other laws applicable thereto. wx .. Use of Premises Re-;J ri enc-e ° 0 P.O.Box 911 , Campbell 3 Owneruak Bak&sQdress 0 a z By Gent.ral Service Co. Inc. Address451 Queens Lane , S.J. 3 F CONTRACTOR, AGENT — Phone 298-0556 . z WILLIAM D. 3 rd VICH a o State License 171537 Approved _u // PLUMBING INSPECTOR FIXTURES N UNITS FEES UNITS FEES Water Hcatc D U Size !f' ,bt Water Closets2 z °v Material C Bath Tubs / / op To Curb Showers / / %qj To Prop. Line Lavatories 3j a To Existing Kitchen Sinks b t) Not Conn. Dish Washers Sewer Boxes Waste Disposals Wash Trays STORM DRAINAGE Washing Machines 1 or, Size Water Softeners Material Bar Sinks To Main Drain Comb. Sink s Trays To Curb Dental Units Drinking Fountains Floor Drains WATER SYSTEM Hoppers Size I Restaurant Sinks Material San Traps TOTAL FEES Urinals Fixture Fee °O Area Drains Main Drain Fee mater Leaders Storm Drain Fee 7-p7nkler Vatvcs Water Sys. Fee Permit Fee 77 .p TOTAL Q) TOTAL FEE RECORD OF INSPECTION Underground Rough Partial Rough Rough. Complete Main Drain Final