51248.3 4 W7
No. S et Lot No.
CITY OF CUPERTINO
� Of NPEF71N0 16 —o717i��19
APPLICATION FOR BUILDING PERMIT
a 197Z SanitaryNo. 7 ss
19. _ P 't-No.
Y E Applicatipn ereby made for a permit to
E AA
3t D storyType Building
v U
to be occupied only asi n accordance with
0
Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
sEstimated Value of Improvements,$, /°?--D Fee$ 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 complie with.
c
-' 9 Owne Q - D D /�
3
m v By i<_ de&4e-f/ Address
v a
o
Phone c6�/3 �� Approved
U �� �� riding Inspector
State License � \
/.098/ I �aemq' Ave 'G-
!R G NO. STAE ET tOT NO.
rc � CITY OF CUPERTINO
YQ
3 < �gPPLICATION FOR ELECTRICAL PERMIT
4
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W )late , 19 Z Permit No. 44
Fee 'S
a
V)w Application is hereby made to the City of Cupertino for a permit to install electrical
i 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 N City of Cupertino, and all other laws applicable thereto.
__j Use of Premises SINGLE FAMILY R
JZ
JO
Owner M/JA�l4L/ � Address
— " By
ZEE ELECTRIC Addres
U y CONTRACTOR, AGENT
`u X96 —Se�� APPr
Phone: E ICA 1N376
�, State License 12-09i11 ell
- B-
ITEM JNEWRPL FEES
Number of OutletsNumber of Switches - S
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service OC/�
Number of Meters
Number of Panels 0�
Sijqns-Transformers
Dryers
Motors:
H.P.Phase I
H.P.Phase
Power Poles
N S
u2NA(91
Permit Fee 2.00
H.P.Charges
Total Fees /9 �U
/O?V LOT NOk 6
NO. STREV I p
CRY OP ejfaJ1111tl;. CITY OF CUPEItTINO a
W AUG 3 0 1972 APPLICATION FOR PLUMBING PERMIT
x o Sanitary No.
0 U PattA_1 9 19 Permit No
X 'o Fee$�.5'0
Application is hereby made to the City of Cupertino for a permit to install plumbing
`o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i a` and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws applicable thereto.
w =
� r
J LL Use of Premises
00
3 Owez
Address 1/D tO // 1K
i J (002.5 ( lGe -4, X-
By Address
3 �
CONTRACTOR,AGENT
- m Phone� �K'
a o State License 753 7 Approved
U � PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater ! Size 6 r 5100
Water Closet 3,04 Mat
Bath Tub /,!:o0 To Curb
Shower .5d To Prov. Line
Lavatories .01 T.Ex' tin
Kitchen / SONot Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size '/
Restaurant Sink Material
Sand Trap TOTAIL FEES
Urinal Fixture Fee •-s-0
Area Drain Main Drain Fee
Waier Leader Fe
S rinkler'System Water Sys.Fee /150
Relief Valve )l rni Fee
SU
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee e2.i,q J
Total OSZ Total Fee ,SO
IDIA1 L120kV /W 42RECfT LOT NO. (o(o
NO. STREET
CR't Of CUPEaTWO
n` CITY OF CUPERTINO
OCT 12197APPLICATION FOR APPLIANCE PERMIT
X2
on DEw a I7ffl41966 19 & Permit No.
u
Fee$ 13"
Y !V
o Application is hereby nz& to the City-of Cupertino for a permit to
0 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
FCode of the City of Cupertino, and all other laws applicable thereto.
Use of Premises A[eIELL//U�
00
!; owner A&MY M0165, Address AAEAMO A+Rt
01
J U Address SAhU J_0SF
CONTRACTOR,AGENT
Y3 = Phone
o i State License Approved
40 U PLUMBING INSPECTOR /
APPLIANCE UNITS FEES
Lias I op
Gas Oven
WaB Furnace
Gravity Fum.
Forced Air Fum.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath Z.
Inde end. Vent System
Com. Indust. Inst.Ki 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 Firc laces
Smoke Stacks,Misc.Equip.
Under 15'High
Comfort Cooling
Comp.of 20 HPkor 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
Permit Fee QO
Total Total Fee "
CERTIFICATE Ot 'COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ............. ............. 19.71. Building Permit No.
..........
.............St.144 6-,�(.... K-.
The Building Located at ...................
Ownedby ...... �- .ea ........ ......:........._.........--••---................
Has Been ((Altered) For se As: ...... ........................................
........................-...................................................................I..............................I..................
.....................................................................................I..........................................................
........................................................................... ................................................
..................
'BUII.DING INSPECTOR
RECORD OF I�SPECtION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL i
FOUNDATION 04 -4--
UNDERFLOOR
UNDERFLOOR
FRAME Z"
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
(' ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING ' 73
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE �'—
DATE INSPECTOR MISC.
MIsc ?l
MISC
MISC
4-0 9y/ I " 2� t!-/C Lot No.&I 6 i
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT GJ
Sanitary No. �f //
File No�15f,• 2W 3
Date 19 7�
Application is hereby made for a permit to tet-
a - story, Type / v
to be occupied only ash
in accor ce with Plot Plan, Plans and ecification filed herewit
Estimated Value of Improvements $ 00 O�
FEES /� • Plan Check S /
Owner /`/Li CG {y � Address
Contr. Address
Phone . 3 a y - i-3 State License (111591
Approved
APPLICATION FOR ELECTRICAL PERMIT
/ c v
Date ( �J 19 � FEES
Contr. A,, j �eL-�-�. Address � �-f�
xvc
Phone �'�'/ "" S 7 (o State License a
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 7j GAS FEE $ C/ Ja/
PLUMBING FEE E (� 3 ff�
Contr. - --t-•� -•--(i •r�l,.�-c�i Address -`"t } `7`--E-�
Phone State License 12 /f
t
Approved
APP LIC I�O l FOR APPLIANCE PERMIT d-c
Date Q y 19 FEES
Conor. tca�c-d/ Address
Phone State License c" /c' 9 2--
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1