51248.3 1 •H,�
No. St et Lot No.
CITY OF CUPERTINO B
ctn of culrtan"APPLICATION FOR BUILDING PERMIT /.
Sanitary No. Z9 aL
. A19we , 19
•v P ' .No. el-
E .E Applicatipn ereby made for a permit to
p �O
3 _ a story,T pe Building
$ to be occupied only as n accordance with
0
Plans,Specifications and Plot-PI filed herewith. PI Ck Fee
d
Estimated Value of Improvements,S �o d-'B-C7 FI9�Fee S
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
Cupertino will be comp " d with.
.3 ° Owne ' Address
_ m
„ $ BYafi
Address
Y 6
o Phone �(� Approved
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State License _,� uilding Inspector
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�A Q NO. STREET. LOT NO.
r o of cvp O CITY OF CUPERTINO
0 u DEC 15 lg�� APPLICATION FOR ELECTRICAL PERMIT
_W LL
° Dateh 6 I� �a�3 19 Z Permit No.
4 W
> r
Fee ,;
<N 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
00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> N City of Cupertino, and all other laws applicable thereto.
z J Use of Premises— SINr-1 F FAMILY RESIDENCE
Z
0 n
a Owner Address to Ll
By EE ELECTRIC _
aAddress
W S-
CONTRACTOR, AGENT17,
a 0qq Appr
Phone: 10Y6 JrE�6 ELK a INWE ✓
kState License a4119iG ,�
—B—
ITEM NEW RPL FEES
Number of Outlets /
Number of Switches 3 5
Number of Receptacles
Number of Fixtures /
Ranges or Ovens K.W. /• D�
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryers / O�
Motors:
H.P.Phase
H.P.Phase
Power Poles
mi
W fAx)
u0iV e.d.
Pennit Fee 2.00
H.P.Charges
Total ees /9�4
109357/ LOT NO.
NO. 6 STRE
m ITY cr C:+r r'+^
CITY OF CUPERTINO
.0
APPLICATION FOR PLUMBING PERMIT
Y OAUG 3 0 197? '� Sanitary No.
3 a 4Jat _���, 19 Permit No
W v Fee $�? 3-SO
° 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 a` and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all o ler laws applicable thereto.
wx
F r
j W Use of Premises
00
> 0
0 3 Owner Address 0:56 >
Z By. t Address 2 6 0 '�
3 o (0C TRACTOR,AGENT — �
Phone
W Z
W W
fState License 72 55 7 Approved—
0
a U PLUMBING INSPECTOR c./
FIXTURES NUMBER MAIN DRAIN
Units Fees Units_ Fees
Water Heater i Size 00
Water Closet A 3,OCMat
Bath Tub To Curb
Shower / .S To Prop.Line
Lavatories a2 To Ex' tin
Kitchen Sink /.141 Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing 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' / /•S7U
Restaurant Sink Mate '
Sand Trap TOTALf FEES
Urinal Fixture Fee -3.5-D
Area Drain Main Drain Fee
Water Leadert Drain Fee
Sprinkler System Water Sys.Fee , S O
Relief Valve
SD
Vac Breaker
Skimmer
Filter
Pool Sweeper
Pemdt Fee '2,00
Total S" Total Fee -SO
l
1095/ 1 4VCAY oft sTRfE i LOTNO CoQ
NO. STREET'crty '
»< CP CUPERnNo CITY OF CUPERTINO
1gAj PLICATION FOR APPLIANCE PERMIT
o Z 0=6 C k /l 19 22- Permit No.
n t f1 Pres A3.0O
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
<N install said appliances in accordance with the provisions of the Plumbing
Y = Code of the City of Cupertino, and all other laws applicable thereto.
S a Use of Premises ._ �UJELf �A1C-
00
�g
Owner 46 �&L ffO Ad 61S Address JUCA)LO Pf k t
J 2 a SWI CAC Il't n-D Address .m-lJ .Tose,
J'O y CONTRACTOR,AGENT
l 87— 7050
� Phone
Y,2
oState License �31090�' Approved r /
-U .�/ PLUMBING INSPECTOR �/
APPLIANCE UNITS FEES
as I op
Gas Oven
WallFumacc
Gravity Fum.
Forced AirFum.
Gas Fined Boilers
Warming Ovens
Susp.Units
Dwelling Kit./Bath dO
Inde end.Vent System
Com. Indust. 1 nst.Ki t.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks.tor Metal Fireplaces
Smoke Stacks,Misc.Equip.
Under 15'High
Over 15'Ifigh
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 input
of 500,001 &Under 1,000,000
HPemit 00
Total Total Fee DC
CERTIFICATE OF COMPLETION
BUILDING INSPECTORS OFFICE
CITY OF CUPERTINO
Date ......6... 19-2 Building Permit No. ......
. ............. ..........I........I
The Building Looted at ....1.0-9..5.1...... ......air........qat..................
TA ... . ...............................
Owned by ....... ................... .
.............
mpleted - F,
Has Been or U!VAs: .....;: ...-.....I............ . ...................
.......................................................................
---------------- -------- ....................................................................................................—
...... .. ........ . .. I
.. .........................
------------------------Z
........... .. ..-
----------------------------------------------------------- .:&121:� .... .....
BU 1i ING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL �
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
0-6
�- ELECTRICAL
v DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING-
FINISHED
IRING FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH y
ROUGH COMPLETE 7
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
ATE INSPECTOR MISC.
MISC lr 3
MISC
MISC
Lot No. (
No. Street
CITY OF CUPERTINO J
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File N-6 "1u' 3
Dote _19
Application/is hereby made for a permit to
e'-'2W-5 a sto T
to be occupied only
in accords a with Plot Plan, Plans a�ind4 ecification filed here it
Estimated Value of Improvements $
FEES Zo` Q G Plan Check f /�'+' , , L
Owner Addres"- �b 7�5
Contr. Z ? f / Address
Phone v J L Stats Licens
Approved
L'
APPLICATION FOR ELECTRICAL PERMIT
Data �1'97n ��,, FEES /�
Contr. �� aJ Address 1`319 -`e-Z
Phone 6 _ State License C
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date -�U 79 zz �2 GAS FEE E ( /J3
PLUMBING FEE f
Contr. -�'-'e`-^--� !- - Address - �a �-�—
Phone —�� O " USS—(o State License
Approved
�6 L- APPLICATION FOR APPLIANCE PERMIT
Date qtr-z..
/f 19 / Z./ FEES
Contr. / Address
Phone ��'` �a .f-Zl State License JD / 1
Approved
Applicants agree not to violate any of the .
Workman's Compensation Laws of the
State of California
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