51248.3 y. ..t.�57
o4ar i
No. Str t Lot No.
C0 of NP'cai1N0 CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT /
AU date 81912 Sanitary No.
19 _ Pennit No.
--f
.r E (�ApRlicfiof hereby made for a permit to
s _
3 _ a story,Type J—L Building
to be occupied only a in accordance with
0
o °= Plans,Specifications and Plot- an filed herewith. PI Ck Fee
N
m Estimated Value of Improvements,$ Fee$�o
r
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 will be com lied with.
c
.3 ° Owne ��Addrcss,
ddress
By
v a
E Phone3�G S Approved 74
a
State License
uilding Inspector
isA;2/ I u Ae Sr
N Q NO. STREET LOT NO.
2 z
' o &C> CITY OF CUPERTINO
0 j 15 197tPPLICATI�/ON FOR ELECTRICAL PERMIT
° D�tg A
o F 19 Fermis No
a Fcc ? /�
U) Application is hereby made to the City of Cupertino for a permit to install electrical
w
W = wiring 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
S w City of Cupertino, and all other laws applicable thereto.
_� Use of Premises SINGLE FAMILY RESIDENCE
J z
° /rle
3 a Owner /40 � Address
By ZEE LECTRIC Address �%.
< O
pp
CONTRACTOR, AGENT Approved
-U Phone: ' b '�A76 E ECrNGL rNE*E F
State License.
ITEM fNERPL FEES
Number of Outlets Number of Switches
Number of Receptacles Number of Fixtures —R es orOv K.W.Size of Main Service 1.06
Number of Meters
Number of Panels /• 4
S' -Transformers
Dryers 1 /• 00
Motors:
H.P.Phase
H.P.Phase
Power Poles
LG A'AJ9LG
Permit Fee 2.00
H.P.Charges
Total ees �9•�Q
Io 9NO. /7J(tSTRE LOT NO.��
N � sTRe / '.
CITY OF CUPERTINO
i d a..io]d APPLICATION FOR PLUMBING PERMIT
r aAUG 3 0 1972 Sanitary No.
0 a Date 19 � Permit No
WU p A I r)
W W Fee$2-31
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
i in 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.
W I
W Use of Premises
00
> a
O 3 Owner Address 10Z§V
O
J Ulf
o By L(�J� �y C [ . .lix c_.Address /,^"I-S
0 COT[! RACTOR,AGENT
- m Phone-.2-91- 4v SS6
W
W W
U a State License �� Approved
—U \� PLUMBING INSPECTOR ��
FIXTURES NUMBER MAIN DRAIN
Units .Fees Units I Fees
Water Heater / ).-50 Size -3 "
Water Closet ,2 3,dw Mat da
Bath Tub 1',S0 To Curb
Shower .SD To Prov.Line
Lavatories To Ex' tin
Kitch Sink /•S* N
Dish Washer
Waste.Disposal
Wash Tray STORM DRAINAGE
W Machine / .SD Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size 1 ' / I A$0
Restaurant Sink I Mate
Sand Trap TOTAY,FEES 2
Urinal I Fixture Fee dJrO
Area Drain Main Drain Fee S 0
Water Leader Stogn Drain Fee
Sprinkler System Water Sys.Fee
ReliefValve ('as Fee
/ S7)
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee c2,00
Total Total Fee ,SO
Jn92-/ I LUCAf' OR-K srRct i LOT NO. 7 a
No. STREET
Cn't Op CUPERTINO
CITY OF CUPERTINO
QCT 21912 APPLICATION FOR APPLIANCE PERMIT
ao
cH I'We 1912 Permit No.
:
: `o Fee-$ /3
Application is hereby made to the City:of Cupertino for a permit to
o< install gas appliances as listed on the reverse side hereof, and agrees to
i a install said appliances in accordance with the provisions of the Plumbing
FCode of the. City of Cupertino, and all other laws applicable thereto.
3 u Use of Premises AIJELL/d1
00
Owner AW-64K M-2/1 CS Address MW 10 L"__,t'
j c By8"Idt d)f t (1.0 Address 54k �ZLIJ E
CONTRACTOR,AGENT
`
- a Phone f 7—Al50
NZ
o 1 State License -��1 qaZ Approved /
U PLUMBING INSPECTOR e/
APPLIANCE UNITS FEES
as o�T p
Gas Oven
Wall Furnace
Gravity Fum.
Forced Air Furn. 0�O
Gas Fired Boilers
Warming Ovens
Soso.Units
Dwelling Kit./Bath
Independ.Vent S stem
Com. Indust.'Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(withoutComfort
Forced Air.Mech.each Power
Gravity System '
No.of Air-Outlets,No.of Flues
Stacks for Metal Firc laces
Smoke Stacks,Misc. Equip.
15'High
Over 15'11igh
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Comp.met 20 HP& Under 50 HP
&Absorp.units with input
of 500,001 &Under 1,000,000
PermitFee
Total Total Fee j 0Z
CERTIFICATE 00 COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......... ............. 19. Builcling_Permit No.
V
The Building Located at ..... A.,........ ....... ............. .. .-t
Owned by .......
: ...............................................................................
(Ce m--V�ete d ...........
Has Been (Altered) �0/-'e As: ........ .....F*.,...�;> -
....
.............------------------------------------------------------------------------------------------------------------------------------------
.........................................I.......................................................................................................
............................................ ...................................... ......... ..................................................
...........
ILDING iNspEcroR
RECORD 0 INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION • '�- ,
UNDERFLOOR
FRAME Z
LATH 8 PL TER
GRADING NAL
FINAL BLDG.
/ ELtCTRICAL
GDATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING 7
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR I MISC.
BACK FLOW REQ. G.J d
SANITARY NO. ' 1-
-73
UNDERGROUND ROUGH
PARTIAL ROUGH 9.+
ROUGH COMPLETE 7 '
MAIN DRAIN
FINAL PLBG.
FINAL GAS - l 73
FINALAPPLIANCE S-
ATE INSPECTOR MISC.
MISC 7
MISC
MISC
o is cz c S� Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT S/
Sanitary No. /
y File No. �/,.�U.�, 3
Date19/
Applicatioq is hereby
maadde^fora permit to
7`/ - Vr a story, Type
to be occupied only a.s
in ac dance with plot plan, Pla s and Specification filed h ewith,.
Estimated Value of Improvements S e5 0
FEES - (�% ' �o Plan Check f -y,/
Owner CLL L� Address '" l'J /'( •/
Contr. /JAddress
Phone -27 11 / State Licens
Approved i
APPLICATION FOR ELECTRICAL PERMIT
Date 19 7/ FEES
Contr. Address -
Phone State License
Approved
61 LW
{, APPLICATION FOR PLUMBING & GAS PERMIT
Dote a 19 GAS FEE $ (./ 4-�- J
PLUMBING FEE $
Contr. -P--��-��-�� Address
Phone -'0 State License 71.3
Approvell
l0 APPLICATION FOR APPLIANCE PERJIT„z,
Date L 19 �y FEES
Contr, Address
Phone �7— 76,E O State License a y,, 4��/1�
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California ,
PD-1