51248.3 -y4y
No. St eet Lot No.
CITY OF CUPERTINO
City of CU nNOAPPLICATION FOR BUILDING PERMIT
Sanitary No._ 756
11U Bate $ 197Z ' 19 _ Pettit-No.
E 'E Application is hereby made for a permit to�.l�d��'v
o ° pa A 1
3 .F story, ype�— - Building
$ o to be occupied only as 'n accordance with
°• Plans,Specifications and Plot-P an filed herewith. PI Ck Fee
Estimated Value of Improvements,$Off.B-d"fl`� Fee$ (O -
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 Cuperti will be complie with.
3
B Owner C�e2� Address
h / -
v BY -;�(�_ltl�L�fiAddress
m a
E Phone Approved
Stale License
uwilding Inspector
// iy eve s-
0 Q NO. STREET LOT NO.
Z Z
w
a tVt� CITY OF CUPERTINO
3 a Cr aF °P� PPLICATION FOR ELECTRICAL PERMIT
U
W W Date 19 Permit No. A _
° < h Fee S
r
<N Application is hereby made to the City of Cupertino for a permit to install electrical
W
,W, : 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 W City of Cupertino, and all other laws applicable thereto.
. 3
zJ Use of Premises SINGLE FAMILY RESIDENCE
J Z //
3 /� i$!� FYiYXE6 L
a Owner Address d
W W gy ZEE ELECTRIC Address YW /VS
M y CONTRACTOR, AGENT
A1 PPLO
a V Phone: -04-5071, ELEM GL IMPE
State License PVIR16 A,
ITEM VNEWRPL FEES
Number of OutletsNumber of SwitchesNumber of Receptacles
Number of Fixtures
Rwim or Ovens K.W. �•0 d
Size of Main Service mo 0 0
Number of Meters
Number of Panels •0 d
S' -Transformers -
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
S
uRN4Ont 15 ,9•
Permit Fee 2.00
H.P.Chames
Total Fees /9 Yt7
eiT.e.ti LOT NO.
NO, aTR1,
CRY OF cuPE..ivt0 CITY 'OP CUPERTINO - iJ3
z < APPLICATION FOR PLUMBING PERMIT
f aAUG 3 0 1972 Sanitary No,
Y
3 a ate - 19 — Permit No
U Fee S.23 5-6
o 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
in and/ fixtures in accordance with the provisions of the Plumbing Code of the City of
< W Cupertino, and all other laws applicablthereto.
W 2
J LL Use of Premises
00 n
> n /
r 3 Owner Address /O-�n
o y C TRACTOR, AGENT ' Address
30 � 0X5-6
W m Phone
W z
a o State License 1-7153-7 Approved
7—
K.A/ PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units I Fees
Water Heater Size —'3r ."
Water Closet oZ ,O Material
Bath Tub / •5U I To Curb
Shower 5Z To Prop.Line
Lavatories ,Di To Existing
Kitch n Sink J,<7K N
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 Materi
Sand Trap TOTMJXEES
Urinal Fixture Fee
Area Drain Main Drain Fee -5,00
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee a
Relief Valve
6G
Vac Breaker
Skimmer
Filter
Pool Sweeper
Pennit Fee .B-()
Total jS Total Fee ..3 .So
/lo/I GUG(Y. 0�4K esrR�ET LarNO_ G,3
N�� sraEET
Gr .
o
CIT
�A 191 Y OF CUPERTINO
` 4 APPLICATION FOR APPLIANCE PERMIT
ErnaE>? S/a�� 3
01
EWe AU O 19 71 Permit No.
X° Fees
' o Application is hereby made to the City-of Cupertino for a permit to
o i install gas appliances as listed on the reverse side hereof, and agrees to
<y install said appliances in accordance with the provisions of the Plumbing
Y= Code of the City of Cupertino, and all other laws applicable thereto.
Use of Premises DLJELL/rt1
00
5 ; (timet IMIII& ll011 S Address 06- L/9 AA Y—
3,z0 By bill IaX dft GS
EO Address A11 U-aC
Phone -10 / 104.0
Y'Z
C
o State License 19�' Approve
APPLIANCE UNITS FEES
Lias lop
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Fum. /
Gas Fired BoilersWarming Ovens
susp.Units
Dwelling Kit./Bath
Inde end.Vent System
Com.,Indust: 1 nst.K i 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 Fire laces
Smoke Stacks,.Misc.Equip.
Under 15'High
Over 15'Ifigh
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 in ut
of 500,001 &Under 1,000,000
Permit Fee
Total Total.Fee
CERTIFICATE " OF' COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... .......TJ...................
Building Permit No.
4
The Building Located at
.......... . ...........
Owned by .....
...................................................
Has Been--
For /se As: .-•-5.2-F-`---!, ... ............
..... ........
..................................................................................... ........................................................
.................................................................................................................................................
...................................1-................................... s
. ...................................................................
U
---- a
iLDiNG, iNSPEcroR
RECORD OF INSPEC?4116N,APPROVALS
BUILDING
DATE INSPECTOR MSC.
PAD FINAL
FOUNDATION L
UNDERFLOOR
FRAME �• �••
LATH IS PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC`
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING io
�•
FIXTURES
MOTORS
FINAL r •�
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO. — �Y
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE — 7
D TE - INSPECTOR MISC.
MISC
MISC
MISC
Lot No.6,3
No. Street
ITY OF CUPERTINO �✓�y
APPLICATION FOR BUILDING PERMIT
Sanitary No. ��/-��
hFile No.�t,2 . 3
Dote_ n 19 7
Application is hereby made for a permit to
C"'z- a story, Type --77J
to be occupied only as
in act ante with Plot Plan, PlansAd Specification filed here ith.
Estimated Value o4 Improvements $ X006• 0 o
FEES G d Plan Check $'{
Owr,er a Address/ d 3a7�� �"l •/
Contr. / / // Address
Phone 7 -��'7" ISta to License
Approved
APPLICATION FOR ELECTRICAL PERMIT,
Dote /s6//J— 1�97-��� FEE$
Contr. _/ (I1 9 'q-�C EI Address
Phone �2 , - S—V 7 to State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
z
Dote � 19 7--L/ GAS FEE $ (/
,, /� // ) PLUMBING FEE S v/ 3-0
Contr. 4� .c_L� Address - 6 c)- �C- -✓-��-�i
Phone —a' � a'1 3 State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date d/'�- 19_ Z FEES %�
Cont,. Address
Phone a ' 7 State License �'3 a 0o� ' L—
Approved
Applicants agree not to violate any of the ie[.
Workman's Compensation Laws of the
State of California
PD-1