51248.3 No. S eet Lot No. �
CITY Of CUPUTINO CITY OF CUPERTINO e
(�. A 7 APPLICATION FOR BUILDING PERMIT
�Uu Date��f , 19 Sanitary No.
„ P o.
y r�" PalicOn is hereby made for a permit tq
3 •S a story Type e�� Building
o°' to be occupied only as ��_z � U �n accordance with
° Plans,Specifications and Plot-Plan filed herewith- PI Ck Fee
iO s Estimated Value of Improvements, Ls�B °�' Fee$
-ate.
v
o 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
Cupertino will be compli d with.
C
.3 o Owner 4ddress %
Bye�JA
Address
a
E Phone — 3 Approved
State License
a� uilding Inspector
� � \V\
O Q NO. STREET LOT NO. /Q
Z Z _
ao aprs-noo CITY OF CUPERTINO
3u 15I$fLICATION FOR ELECTRICAL PERMIT
U y''
' Date l � ' i3 , 191L Permit No.
o —
Fee S +
<to Application is hereby made to the City of Cupertino for a permit to install electrical
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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 u City of Cupertino, and all other laws applicable thereto.
Z Use of Premises SINGLE FAMILY RESIDENCE
J Z
AW
Address/Y D
a Owners Address ' 4 �r "°
WByZEE/� LECTRIC CW Address
X CONTRACTOR, AGENT y
_t
a U Phone: --15)6 --15)�79 APProv
ELECTRICAL r svllcf
State License.
ITEM NEW RPL FEES
Number of Outlets
Number of Switches /3 79 6
Number of Receptacles �{
Number of Fixtures 6
Ranges or Ovens K.W.
Size of Main Service IWO 106
Number of Meters
Number of Panels / 0
S' -Transformers
Dryers !-0
Motors:
H.P.Phase
H.P.Phase
Power Poles
W - FAQ/
u.pu 6 cb
Permit Fee 2.00
H.P.Chames
Total Fm
LO /'4 �� ',`�/� LOT NO. /O
NO. STR .T 7
MY of e11fEaFiri 3 CITY OF CUPERTINO
" < APPLICATION FOR PLUMBING PERMIT
Yo AUG 3 0 1 72 Sanitary Nci.
3 a 19at v t 19`�2 Permit No
Fee $a.3•6-0
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 < 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 =
F f-
W Use of Premises
o00 � ,
a Owner / f..I'�/ Address10 t/rCrt.tGo-
Z-J
;_ z ffy ,Address 62.SC
O CON RACTOR, AGENT
3 r=
W i Phone 9f
W W
ao State License S3 Approved
_U
X PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater .SU Size -5 f / 5.00
Water Closet 5,00 Materia
Bath Tub 0 To Curb
Shower •5 To Pro. Line
Lavatorie ,04 To Existing
Kitchen •S of
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine 5b Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size .Sa
Restaurant Sink Material
Sand Trap TOT EES
Urinal Fixture Fee •,SU
Area Drain Main Drain Fee •0 0
Water
Sprinkler System Water Sys.Fee D
Relief Val.. Gas Fee
SD
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee a2,0 d
Total Total Fee O
/e0df I LUU-Y loft sTI?EE% LOT NO, 10
NO. STREET
p1'!
M ctral"t) CITY OF CUPERTINO
Z 1177APPLICATION FOR APPLIANCE PERMIT"
=g OCT 12
0 i �ate�l 1�'�OB Ek 11922, Permit No. -5y.> Y7- 3
X Fee•S IS
° Application is hereby made to the City of Cupertino for a permit to
00 ` install gas appliances as listed onthe reverse side hereof, and agrees to
0 install said appliances in accordance with the provisions of the Plumbing
` F Code of the City of Cupertino, and all other laws applicable thereto.
S u Use of Premises 'rwELL/Al
00
og Uwner `11�Gk/�Y /�fJAi1ES Address LQ R&eg
zz Bq ®1illk apt dd Address YA7 J'OJ E
Fj1O CONTRACTOR,AGENT
—0 Phone d i l- Wso
N
um
o qqi �� State License c;2.3/0 Q 1' Approv(e
C y--- PLUMBING INSPECTOR `�
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Fum.
Forced Air Fum.
Gas Fired Boiler
Warming Ovens
Susp.Units
Dwelling Kit./Bath
Inde end.Vent System
Com. Indust.,I n st.K i t.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without Comfort Cool,
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc.Equip.
Under 15'High
Over 15'110gh
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
&Absorp.units with in ut
of 500,001 &Under 1,000,000
Permit Fee
Total Total Fee /s
CERTIFICATE OF "COMPLETION
o BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ............... ................ 19.... Building Pan* No.
The Building Loatted at ..... -tkv....... ..._..>.............
Owned by ......
............................................................
Has Been (Altemdjr Use As:
....
...... ..
...... ......................
................
...........11....................•-----------------................................--------- ................................................
.....................................I.....................--......----I....... ....................................I...........................
.......................................................................... .../.....//_.........I....--•--............
..............I.......................
...........
MILDING INSPECTOR
RECORD OF INSP€CTI0IN APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL . i �-
FOUNDATION Z
UNDERFLOOR
FRAME ZZ
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
(�� S DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES 0
MOTORS
FINAL O,
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. - 7�-
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH ` y
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. S_a —7
FINAL GAS
FINAL APPLIANCE 3—
D TE INSPECTOR MISC.
Mlsc 73
MISC
MISC
Lot No. / O
No. Street
/ Z
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. 9� '3,yj
File No. 2�'1' 3
Dotal/8 19
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accoreance with Plot Plan, Plans an ecification filed herewit
Estimated Value of Improvements $ Goo• V�
FEES v J�� Plan Check $
Owner Address O✓ �'J
Contr. z L,� Address
Phone J — / / State Licenser
Approved 60 /
r
APPLICATION FOR ELECTRICAL PERMIT
Date �S� 19 - FEES
Contr, 2.r E-ZI Z - Address - `a
Phone --�7 6 � r�Z`l State License
Approved �.
i
APPLICATION FOR PLUMBING & GAS PERMIT
d/Data 19 7 GAS FEE E 0 J
PLUMBING FEE $ of 3 X16-
Contr. _ �r-� . ` .( Address � -1- 1' '-'L-`��
Phone �- n - U,} —6 State License
/
Approved ^ ""-"--�
APPLICATION FOR APPLIANCE PERMIT
Date /a 7' 19 FEES
Contr. Address
Phone
Phone -74 S--b State License .2 tj�9
Approved
Applicants agree not to violate any of the ,py
Workman's Compensation Laws of the
State of California
PD-1