51248.3 No. Str t Lot No.
CRY OF CUPERTINO CITY OF CUPERTINO C-'4 ~B,�
AUG g �g7z APPLICATION FOR BUILDING PERMIT � �y
SanitaryNo. /7/'1-"d(/7
-� Date , 19 _ Permit o. 3
E /lpplkatn is hereby made for a permit to xGl✓'7�
3 `o a story,Type Building
to be occupied only a ,+accordance with
o /A
c Plans,Specifications and Plot-Plan filed�her
/with. PI Ck Fee p
m u Estimated Value of Improvements, L Fee$ 00��
L L
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 compli d with.
.3 ° Owner o�ddress /d'-1251
m By E Address
v a
Phone z3�f/�p�(�� Approved
State License �� q� / ilding Inspector
NO. STREET LOT NO.
Z Z
r o CITY OF CUPERTINO
3 < a+ APPLICATION FOR ELECTRICAL PERMIT
=LL } 5 X912
° � Ce ��•�� ig 2-L Permit No.
° a P Fee $ r
a LO
W Application is hereby made to the City of Cupertino for a permit to install electrical
W
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
5 N City of Cupertino, and all other laws applicable thereto.
zJ Use of PremisesSING'L/E,I FAMILY RESIDENCE �{ ,
3 a Owner F J //a�/rte AddressAA. " rex
W W By ZEE ELECTRIC Address e•
0 F CONTRACTOR, AGENT
PP
nn//
U Phone: .94-�/L7 rove ELECTRICAL INfPE170
:T1
State License. 119/6 ,\
ITEM NEW RPL FEES
Number of Outlets
Number of Switches 3
Number of Receptacles a(o
Number of Fixtures 12 Od
Rannes or Ovens K.W. �-
Size of Main Service DOR
Number of Meters
Number of Panels
S' -Transformers
Dryers 1.06
Motors:
H.P.Phase
H.P.Phase
Power Poles
F,4.U-r
u t,uA d
Pemdt Fee 2.00
H.P.Chmes
Total Pea 1,V
00/ 140'w 0'cz LOT NO.
NO. STRIYET
CITY of C'.+r: ra^ CITY OF CUPERTINO
W AUG 3 0 197zAPPLICATION FOR PLUMBING PERMIT
x o Sanitary No.
3 a pates 1 F) uCret44OZ 1� 19 2 Permit No
=o Fee $a2d.SU
Application is hereby made to the City of Cupertino fora permit to install plumbing
o' a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i m and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws applicable thereto.
W I
F F-
J LL Use of Premises
OO Q
3 Owner Address /0 t A t Leo i
ZJ
o By Address
F
CONTRACTOR, AGENT
— m PhonX— OSS b
W
W W
aU State License 77/ST— Approved /
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater 735 Size
Water Closet Mat '
Bath Tub j,53 To Curb
Shower byO To Prop.Line
Lavatories To Existing
Kitchen Sink /.50 Not Conn.
Dish Washer
Waste Disposal
Wish Tray STORM DRAINAGE
Wadiing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinjung Fountain
Floor Drain WATER SYSTEM
Hopper Size /' ,S
Restaurant Sink I Material
Sand Trap TOTAIiFEES
Urinal Fixture Fee 3 �
Area Drain Main Drain Fee 5.At,
Water a Stom I rm Fee
Sprinkler System Water Sys.Fee O
U
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee off. d
Total ,S Total Fee
ilti LUCKY nR s`rQEET LOT NO
No. STREET
CITY GP CuPERiu1O CITY OF CUPERTINO
OCT 12 197Z APPLICATION FOR APPLIANCE PERMIT
Z4 0
3Hilar i'� Q�-7nBEQ , 19 1 Z Permit No. J � l 3
=4 Fee•$ eo:p
' o Application is hereby made to the City-of Cupertino for t to
P P
o i install gas appliances as listed on the reverse side hereof, and agrees to
<m install said appliances in accordance with the provisions of the Plumbing
i Code of the. City of Cupertino, and all other laws applicable thereto.
SUse of Premises - WCUM6'-
00
51 Address d9 A10 Ae k
Z Address aAd l .rL2fF
!'o CONTRACTOR,AGENT
3 P
—NZ
9 Phone�0�87 7�0 �u%I�.l�iEe
o i State License b;U/09, Approved
co
PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn!
Forced Air-Furn. -
Gas Fired Boilers
Warming Ovens
Susp.Units
Dwelling Kit./Bath 3 (0
Inde end.Vent System
Com. Indust. 1 nst.K it.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilations stem
(without Comfort Cool.)
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues _
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under 15'High
Over IS'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
Permit Fee �
Total Total Fee
CERTIFICATE OF COMPLETION
L BUII.DING INSPECTORS OFFICE
CITY OF CUPERTINO
Date ......... .....................119........... Bli*Hding Petmit No. ...........
The Building Located at ... L e—P ............
Ownedby ....... ...................................................
Has Been (VIeledql'oS�.r.r�.............._-.1c......... ...............
0
r Use s .......
tM4
t I
..................................................................................................I.•----...._......... ......-----......
...................................................................................................................................
..........
............. .................. .......................................
............... ....................
WING INSPECTOR
RECORD OF INSPECTIOIi APPROVALS
BUILDING
DATE INSPECTOR MISC7.
PAD FINAL •!"�
/ R
FOUNDATION �
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
�� -- DATE INSPECTOR MISC.
UNDERGROUND ROUGH er �J
ROUGH WIRING ` a '/
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH-1 'Ix
PARTIAL ROUGH
ROUGH COMPLETE 11
MAIN DRAIN /y
FINAL PLBG. �a1
FINAL GAS
FINAL APPLIANCE
D TE INSPECTOR MISC.
MISC 7
MISC
MISC
Lot No.&�
No. Street Q
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT 9Q
Sanitary No. ( n
File No. g. 3
Date 19
Application is hereby made for a permit to (_
a story, Ty e �7 J
to be occupied only as :=-7—
in accord ce with plot plan, Plans and ecification filed herewith„
Estimated Value of Improvements $ 2 GG
FEE$ L/,tnU 6 Plan Check
$ / A
Owner _ ZKQ- e Address ( 0 /2 y `�/^6.4
Contr. Address
Phone — :3 1,� Y — 1,3 ` / State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
?_
Data 4L/j— {19� 7 � FEES
Contr. /(-r-ei J Address S> SLj-Z
Phone State License a y,/ 5 /
Approved
�J
/YL
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 ;? GAS FEE f C J
PLUMBING FEE f -3- dam
Contr. Address
Phone State License /,7/J--3 7n
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 619 19 / y 7� FEE$
Contr. N&ti Address
Phone 7 ec7 ' 7 $ .I'a State License
Approved _ t. 4,
Applicants agree not to violate any of the ,
Workman's Compensation Laws of the
State of California
PD-1