51248.3 No. St et Lot No.
CITY OF CUPERTINO / �
co of c"""40
APPLICATION FOR BUILDING PERMIT
Sanitary No.
v
F� ate 8 1912 19 _ P t-No._ .fid YZsd
E E ApplicaVoriMhemby made for a permit to
30 �2- �a ^ story,Type Building
U to be occupied only as �.�/�I.�/ r ,l /�✓�_ accordance with
`o
° Plans,Specifications and Pl�filed herewith PI Ck Fee
r r
49 s Estimated Value of Improvements,$ ,.Z?4,8-8fl � Fee$ 90
d
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 complied with.
c
v d By Address
w a
o
Phone �� Approved
VInspector
Stale License
10741 1 yv'-y 0,9,E
0,Q NO. STREET LOT NO.
I,:
o 6W 6f _ CITY OF CU)SERTINO
0 u LICATION FOR ELECTRICAL PERMIT
W W occ, Y
oDate a !� /a�3
19)Z Permit No.
oa tom.
Fee S
<W y Application is hereby made to the City of Cupertino for a permit to install electrical
W T. wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
o'o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 W City of Cupertino, and all other laws applicable thereto.
z Use o£ Premises SINrLF_ FAMILY REST NCE
JZ
0
3 m Owner XA� /W'q Address r'rL"`d Aelt
By _ZE,F ELEGTRIG Address
0 F nCONTRACTOR, AGENT
a,u Phone: �"7lO —50�� RpPro teenuunvsre
Ir State License ��
ITEM NEW RPL FEES
Number of Outlets 14 _
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W. d d
Size of Main Service U f1 0 0
Number of Meters /
Number of Panels / /•0 d
S' -Transformers
Dryem
Motors:
H.P.Phase 'r
H.P.Phase
Power Poles
D - w - fAuS
Permit Fee 2.00
H.P.Charges
Total Fees 3$
Q 96, / LOT NO.(0o
NO. STR .T w
CRY OF cup...VRO CITYQF CUPERTINO rT'
Z �U G 3 0 1972 APPLICATION FOR PLUMBING PERMIT
W
' 0 Sanitary No.
o < 19 i Permit No
W W / Fee
0 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 N and/or fixtures in accordance with the provisions of the Plumbing Code of the C:Ity of
a W Cupertino, and all other laws applicable thereto.
W x
r r
j W Use of, Premises
00
oa Own r Address /O
ZJ ' �J
J o By Address 1 2 S C �d t iia
3 0 C NTRACTOR, AGENT
0 Phone J 91_ O
W S5-b
W W
aoff, State License S Approved
N— l PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units I Fees
Water Heater J-501 Size 3 '' .a,o
Water Closet 4. Material
Bath Tub l,Sb To Curb
Shower / 1•S' To Pron.Line
Lavatories 4To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine 1•50 Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor-Drain WATER SYSTEM
Ho .r Size id
Restaurant Sink Material
Sand Trap TOT L FEES
Urinal Fixture Fee
Area Drain Main in Fee .00 —
Water
.OUWat r Leader Stonn Drain F —
Sprinkler System Water Sys.Fee
Relief VAve Gas Fee
SU
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee ,00
Total Total Fee „5a
%0 fio/ 1 G lJLrrte DA,� sr� LOT No f'
NO. MEET
o OIY of CUPUTINO CITY OF CUPERTINO
� g OCT 12 197ZPPLICATION FOR APPLIANCE PERMIT
c Date 4102('Y1) e 19 71, Permit No.
3 u` n A TXO
TS /5O4
c Fee•$
Application is hereby made to the City-of Cupertino for a permit to
W i install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
u= Code of the. City of Cupertino, and all other laws applicable 'thereto.
3 o Use of Premises 4fUEU_IAU Az
00
$1 Owner && /Y77�1/I -S' Address MOULD 6M
zz By BGJIa b7ffi 06 Address_. R J'GliC
CONTRACTOR,AGENT
- Phone
c J f'1- 'M.fD
a
aas
c State License Approved
_U
1PLUMBING RMECrOR
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravity Fum.
Forced Air Furn. 040
Gas Fred Boilers
Warming Ovens
Susp.Units
Dwelling Kit./Bath �p
Inde end.Vent System
Com. Indust.,1 nst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without
Forced Air.Mech.each Power i
Gravity System
No.of Air Outlets,No.of Flues
Stacks.for Metal Fireplaces
Smoke Stacks,Misc.Equip.
Under 15'High
Over 15'lligh
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
Peimit Fee �
Total Total Fee '✓
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........ ..........1..................... 19-2-3. Building Permit No.
Ilie Building Located at ... .....5:711....................
Owned by .......1.1---�X-cpo en
... ..........................................I.............----------------
Has Been or se As: ... ... .... ......... ..............
(Altered)
............................................................................................................ ...........................
......................................................-.....................:...................................................................
.............................................................................. ..... ......................... ........ -------------
.. .. .. ... .......................
a,. L�DWG�iSPiCrOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL ,
FOUNDATION
UNDERFLOOR
FRAME ' odoor
LATH & PLASTER
GRADING FINAL 1 �/
FINAL BLDG.
/ ELECTRICAL
U•(,. • DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING--/—
FINISHED
IRING —FINISHED WIRING '
FIXTURES
MOTORS
FINAL '
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REG. t4J
SANITARY NO. t'•
UNDERGROUND ROUGH
PARTIAL ROUGH `
ROUGH COMPLETE ` 7
MAIN DRAIN
FINAL PLBG. ✓ ^�
FINAL GAS
FINAL APPLIANCE 7
DATE INSPECTOR MISC.
MISC 7 T
MISC
MISC
Lot No.l4�.
No. Street J
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT 7
Sanitary No.
Date
19 -2v File No.
Application is hereby made for a permit to
.2L1 a story, T pe
to be occupied only as
in accord a with Plot Plan, Plans and Spe 'cation filed herewith.
Estimated Value of Improvements $
FEE$ _ `/ /r� Q Plan Check $ 2 !,'/n //n
Owner �l�C ✓t-� Address/� ✓� f
Contr. Address �J J
Phone y /•�7 / Stare
License
Approved '
APPLICATION FOR ELECTRICAL PERMIT
3 S ,
Data 4/J 19 7 FEES d" —
Contr. 0 Address '72- �j
Phone - Q- J G _ 3�-7 State License
Approved
y�
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 7.� GAS FEE $
PLUMBING FEE $
Contr. _�p—�'C-�� -- -••_is Address 6,)
Phone O S v 6 State License
Approved L
APPLICATION FOR APPLIANCE PERMIT
Date l b L 19 L- FEES
Contr. Address
Phone -
7 ' 7 4 ,5-7j State License d��
Approved
Applicants agree agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1