51248.3 'x -446
No. Street Lot No.
CITY OF CUPERTINO
,,APPLICATION FOR BUILDING PERMIT
CM OF CUPEFTI Sanitary No. G G
•� Date 19 _ _ d-
-?Amit u No.
13 E E A45icafion is hereby made for a permit to �
o` ,o
3a,, Building
♦. A nn story,Type . lam
to be occupied only as /7 Ltn accordance with
O Ja, Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
c y /
u r Estimated Value of Improvements, Fee$ 420,,6
�
c 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
m Cupertino will be complied with. �-
9 .2 Own .SQi / ddress /din %���tCLs`dC7/--/7��
„ $ BYAddress `-e
a
0 Phone �a� Approved .
State License uil�nspector
l
N < NO. ,STREFT LOT NO.
WZ
I
oCITY OF CUPERTINO ,
3 u G 15 1glZAPPLICATION FOR ELECTRICAL PERMIT
I LL
O
LL W ate ��' �3 , 19 2L- Permit No. 00
1� P Fee ,S j
i N Application is hereby made to the City of Cupertino for a permit to install electrical
rwiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
A o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
o <
z Use of Premises
3
`: Owner / ,250 ll!/ FYs+//%J Address 4
w z By ZEE E ECTRIC Add, n
U y CONTRACTOR, AGENT
<U Phone: Vol&- APPro
ecrRr�r. nvsee
State License /9��e
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranns or Ovens K.W. /0
Size of Main Service •Q
Number of Meters /
Number of Panels
S' -Transformers
Dryers / •O r7
Motors:
H.P.Phase
H.P.:Phase
Power Poles
b W= ANS
Permit Fee 2.00
H.P.Charges
Total Fees
Zo 9yi !/_ Llf (/4t�C G(C� LOT NO.bS
NO. ' STREIV.
CRY OF CUPEaiiNO CITY OF CUPERTINO 1...
ie APPLICATION FOR PLUMBING PERMIT
W AUG 3 0 1972
n 0 Sanitary No.
3 a Wat , 197s?-- Permit No
I LL Fee
0 Application is hereby made to the City of Cupertino fora permit to install plumbing
oa 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 previsions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
wx
� r
Use of Premises
00 � J
oa Owne Address JI (.t,4
ZJ
Z By 5F1GLt�. _Address (Va5
0 CON ACTOR, AGENT
W 0 Phone�2I— Jp- �SS�
a o
_ 0 State License—/71:5 Approved
< PLUMBING INSPECTOR /
v
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater $71 Size
Water Closet ,Od Material
Bath Tub / To Curb
Shower To.Prop.Line
lAvatories To Existing
KitchenN
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine 51 Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size / ' .S
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee .50
Area Drain Main Drain Fee . O 0
Water e F —
Sprinkler System Water Sys.Fee I's-0
Relief Val. 11 Gas Fee
Sa
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee I 00
Total Total Fee
10441 4WW OAC s1kEE r LOT NO 6,1�
NO. .STREET
C" OP CUMTI lO
w i �2 CITY OF CUPERTINO
OCT 12 ,9DPLICATION FOR APPLIANCE PERMIT
Y 2o
f 4
.a _ R 1AAA6ER
3< Da _, 19 7J— Permit No.
i
'o 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
<a install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino and all other laws applicable thereto.
SUse of Premises - bZrj 6rtJ a
00
55A,/D.f; owner AWAY 6S Address Al CA)LO MA
Z
a By �J/1J/FAr ,[/j>� t� Address aS kA,' J64-f6
f CONTRACTOR,AGENT
— Phone7— ry01f0
vW 023/0 9�
v State License Approved �o/
l) � ,L PLUMBING INSPHCfOA
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Waring Ovens
Susp.Units
Dwelling Kit:/Bath
Inde end.Vent System
Com. Indust.,Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation.System
(without Comfort.
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Mise.Equip.
Under 15'High
Over 15'High
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
Permit Fee
Total Total Fee
CERTIFICATE ` OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY O^F�CUPERTINO
Due ............... .."... ..�.: - 19.. Building
Permit NoC_
The Building Located at ....1( e1�. .: t.G.. ....04.r.�......J .............
Owned by ........Ai ..... ..:...:. ` `•: �':....�...........Q ... -........- ...
Has Been ere or se As: ._.. ../} :.. !?''...r.... ............................-
.................... ........................... ............................ -----------............----------------.............
'.....................
„BUILDING- INSPECTOR
RECORD OF INSPEETION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION ' t ' • 1J"
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. 7��7
ELECTRICAL
V �(� DATE INSPECTOR MISC.
UNDERGROUNA_ �
ROUGH WIRINFINISHED WIRFIXTURES
MOTORS-
FINAL-
OTORSFINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. i - '7Y
SANITARY NO.
UNDERGROUND ROUGH X Y
PARTIAL ROUGH
ROUGH COMPLETE fill lbp
MAIN DRAIN r
FINAL PLBG. J
FINAL GAS "�
.I FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No. (%
No. Street
CITY OF CUPERTINO Z
APPLICATION FOR BUILDING PERMIT
Sanitary No. ,/
'f File No.r `>'
Data 19 [oma
Application is hereby made for a permit to
a story, T e J
to be occupied only as —
in accor4trnhce with plot plan, PlansId Specification filed herewi
Estimated Volue of Improvements $ '5 . 6 0
FEES 4 b Plan Check $ / �
Owner. Address � 6 w`�X45
Contr, 2 Address
Phone / /2/'/J ) ✓ State License �e 2 /
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date p- �J 19 2 FEES j �
Contr. �.�/a Cie -P^ - Address - -3--; -
Phone 6 C, State License b -
Approved
APPLICATION FOR PLUMBING & GAS PERMIT )
Date 19 7�- GAS FEES (/ S� /
PLUMBING FEE E �//� �
Contr. �E-.�-�- ��-✓_�-'-�;./ Address 6 '-' J `-F-s-+�•� Ste_
Phone 0-7 d- State License
Approved
�E
APPLICATION FOR APPLIANCE PER
Date FEES
jp
Contr. _. Address
Phone :5.� 7' 7d SZ State License �' 3
Approved
Applicants agree not to violate any of the ,rte "
Workman's Compensation Laws of the
State of California
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