51248.3 No. Street I Lot No. f�
CRY OF CUPEa71CITY OF CUPERTINO /rj ��'d'-G
N
`APPLICATION FOR BUILDING PERMIT
n a 1972 19 Sanitary No.
H e — �y4ait�/�/�T S1/ot
`o o p ppli atirn Hereby made for a permit to
Ai'l/7
��77
3 _ a sto ,Type Building
to be occupied only a N accordance with
0
o Plans,Specifications and Plot-flan filed hereh. PI Ck Fee
d
Estimated Value of Improvements,$ , d'B'0 Fee$
o c 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
m Cupertino will be complied with.
e 0 Owne dress
3
„ d By Address
v a
§ o Phoneo /3 Approved
^ U
State License uilding Inspector
� �
CERTIFICATE OF COMPLETION
r BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
Date ....:.. ... ......... -......-..., 19.. . Budding Permit No. ....................
' �..._ya �. (..Jl��a. .....%.~.w..........::....--
The Building Located at ......�t�!X---1 r.............. . ..................
Owned by ....
1.:.--------------- =..-......................._..........--------..........-----•
Has Been " (Ai-- � As: ..... :.. :. �icr��_r.................----............
....--......._..--..... .............................--------._...,...........----........................-------.............--
BUILDING INSPECTOR
/097/ ` / eley Ae S
;m d NO. STREET LOT NO. �O O
a a CITY OF CUPERTINO
40
o < ��1Z APPLICATION FOR ELECTRICAL PERMIT
3 = 15
U
° � C 3 r
o W Date F , 19 Permit No. 2C—
Fee S /
i NW Application is hereby made to the City of Cupertino for a permit to install electrical
* r 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
'> N City of Cupertino, and all other laws applicable thereto.
h
z� Use of Premises SINGF_ FAMILY RESIDENCE
J Z
O `rye
3 a Owner ��/ Address �
W W gy ZEE ELECTRIC' Address
¢ 4
CONTRACTOR, AGENT
<U Phone: 'V>4 -../5-0.96 Appro cecrnrOer..nvsrs
(�State License�c l914
ITEM NEW RPL FEES
Number of Outlets /
Number of Switclies
Number of Receptacles
Number of Fixtures--
Ranges
ixturesR es or Ovens K.W.
Size of Main Service /U D H •d 0
Number of Meters I
Number of Panels • 06
S' -Transformers
Dryers /•0;0
Motors:
H.P.Phase
H.P.Phase
Power Poles
— D ry— FAu S _
Frr D
Permit Fee 2.00
H.P.Ch es
Total ees �5
.. Io 97IE�ILR-/� %� • LOT NO.
NO. STRB. w
C11Y OF CUPIRTVAO CITY OF CUPERTINO f�
WAU G 3 0 1972 APPLICATION FOR PLUMBING PERMIT
X
0 Sanitary No.
3
a I1hatF� I s� 19 2.r Permit No
u
_ °o Fee.$-2,6,610
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 rices
i m
and 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
� r
a Use of Premises
00
o a J
Owner Address 050
Z
2 o By_ 1 �r�C � Address
3 F CO RACTOR, AGENT
- 0 Phone a-4�" �SS6
w Z
W w
ao State License 7�5'S 7 Approved
- /X PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
.Units Fees Units I Fees
Water Heater /,5C Size
Water Closet ,SD Material
Bath Tub ,4D To Curb
. Shower I To Prop. Line
Lavatories S To Existine
SNot Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine / /,5-611 Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper - Size
Restaurant Sink Materia
Sand Trap TOT FEES
iW
nal Fixture Feea Drie
e F
Sprinkler System Water Sys.Fee
Relief Val—
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee ,O a
Total Total Fee ,.SD
e LOT NO. 6 /
NO. STREET
CnT OF CUP9MO
CITY OF CUPERTINO
Y= OCT 12 197APPLICATION FOR APPLIANCE PERMIT
Yo
0 A EQte NJ 19 11. Permit No.
3u
Z LL Fee•S--LSi`O
° Application is hereby rnade to the City-of Cupertino for a permit to
o ` install gas appliances as listed on the reverse side hereof, and agrees to
za 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 o Use of Premises _— YXfI ELL/rtJ
°o
k, ()whet �� � .tlnhES Address kIENLO
oc
J
BY 810 ltd' At OZ Address 4-ft6619SE
CONTRACTOR.AGENT
—UZ
m Phone
a o State License 03/d 9� Approved N /
/� PLUMBING INSPECTOR f
APPLIANCE UNITS FEES
Lias top
T p
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Fum.
Gas Fired Boilers
Warming Ovens
Sus p. Units
_Dwelling Kit./Bath
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
Gravity System
No.of Air Outlets,No.of Flues
.Stacks for Metal Fireplaces
Smoke Stacks,Mise.Equip.
Under IS'High
Over 15'Ifich
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 1000,000
Permit Fee
Total Total Fee
RECORD or-NsPE&HON APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION 7 " •%�i
UNDERFLOOR
FRAME s Z-
0)13 vij li
LATH & PLASTER
GRADING FINAL
10
i
FINAL BLDG.
/ A• ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING I-
FINISHED WIRING
FIXTURES
MOTORS-
FINAL
OTORS FINAL
PLUMBING, GAS A APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH-'j1-"
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN Y
FINAL PLBG. 'a -73 '
FINAL GAS J
FINAL APPLIANCE - �7
DATE INSPECTOR MISC.
MISC /1643
MISC
MISC
/O / 7/ I lJ�-s.a—cr/Ca s `�-�[iICJ —� a Lot No. �O,
No. Street
41/
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT 2. b
Sanitary No. y e' ,i 0
File No!y
Do to 19 7.Z
Application is hereby made for a permit to
a story, Type
—rT--
to be occupied only as
in accordant ith plot plan, Pla and Specification f' ed herewith,
Estimated Value of Improvements $
33 0W `
FEE$ �e Plan Check $
Ow aer Address
Contr. Address
Phone ` /'3 State License
�If_I7 Approved
,lr
APPLICATION FOR ELECTRICAL PERMIT
Date �� S" {{-19 � FEES
Contr, q (_ i Address 6/,
Phone "! G S D 7 G State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 7 L GAS FEE E
PLUMBING FEE $ ,..X.0 • Jam'
Contr. ezlals-__� k — 'ddress
Phone c::9— J fG State License
Approved
eK
d APPLICATION FOR APPLIANCE PERMIT
Date �(-1 7� 19 7 �� FEES
Cont, Address
Phone 7— G 3?J State License 3 u o /Y
Approved
Applicants agree not to violate, any of the
Workman's Compensation Laws of the
State of California
PD-1