51248.1 '7-'u8
-No. Street Lot No��.// �
CtFy OF CUFERTW0 CITY OF CUPERTINO
PPLICATION FOR BUILDING PERMIT 3/
MAI ] 719 Sanitary No. 7`7
-� ate , 19 _ Permit No.
x � 6pplkati4n i�ereby made for a permit to
3 a story,Type S� Building
$ u to be occupied only as in accordance with
o
° Plans,Specifications and Plot-Plan ilcd herewith. PI Ck Fee
T Y
ep �� (, Fee$
i° Estimated Value of Improvements,$ �B d
m s
0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
w
> all other laws applicable to the construct'on, location, and use of buildings within the City of
A Cupertin will be com lied witl .
_ c
.3 ° Owne address ��
m
„ BY Address
c Phone IQ5 Approved '
'• v �J� wilding Inspector
State License—zf
f
I /
N ` NO. STREET 107 NO.
Z Z
W o CITY OF CUPERTINO
o j MY of curotltHo APPLICATION FOR ELECTRICAL PERMIT
4
AUG 7 1,� 7 1972
Xo
Date , 19 _ Permit No.
oQ D A 1
i N Fee tS _
W
Application is hereby made to the City of Cupertino for a permit to install electrical
r r wiring and/or fixtures as listed on'the reverse side hereof, and agrees to install said
00 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.
Z < SINGLE FAMILY RESIDENCE
Use of Premises
mOwner Address� .0"U/�'
w Z ZEE ELECTRIC a a By Address
CONTRACTOR,� Approved
U Phone: O� _.
f198Le7IGL nP870
State License. o�L'mT-37
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures-
Ranges
ixturesR es.or Ovens K.W.
Size of Main Service -�
Number of Meters
Number of Panels
S' -Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Totalees S
,
lots-3,
LOT NO.��
NO. STREET '
61TY OF CUPERTINO •A`
W Z etrr of euPeRTtnoAPPLICATION FOR PLUMBING PERMIT
r o A Sanitary No. 74G
3 a .�h1fd 19 Permit No. SA, y71•;
i U � Fee$�4,.5-0
0 �AI icalio f'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
> and/or fixtures in accordance with the provisions of the Plumbing Code Of the City of
<W Cupertino, and all other laws applicable thereto.
Wx
W Use of Premises
00
> 0
`- 3 Owner Address04
J "L By jpp , qq Address 25 >�
O C NTRACTOR,AGLNT
� r
— Phone n2 05'�(o
W 2
W W
a o State License �5 App roved
U� PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units I Fees Units Fees
Water Heater I j.5z Size
Water Closet .50 Material C.I
Bath Tub 1 /.50 To Curb
Shower i /..S O I To Prom Line
Lavatories .4;0 1 To Existing
Kitchen Sink I Z '0 Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine .SO Size
Water Softener Material
Bar Sink To Main Drain
Corgb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floot Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material Kzpp I/.g-0
Sand Trap TOTAL FEES
Urinal Fixture Fee jL S-0
Area Drain Main Drain Fee •S.do
Water Leader t F
Sprinkler System Water Sys.Fee ). 5-0
Relief Vatyc
Sp
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 7.0,0
Total Total Fee a .S'70
oAd4
NO. STREET '
a'jC" OF CUMTINO CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
=IOC T 1042��,
o Date 19 IS Permit No.
n O D A t
TFee f
W&
Application is hereby made to the City of Cupertino for a permit to
a < 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
F ' Code of the City' of Cupertino, and all other laws applicable thereto.
S „ Use of Premises
00
' ; OwnerAddress
5
�= ByZ!5f4 Address
O CONTRACTOR,A HNT
3 'r
— Phone
NZ
aState License 2 3 l�Q2 Approve
- 0 PL mjNG.INSPECTOR
APPLIANCE UNITS FEES
Lias o�T p
Gas Oven
Wall Furnace
Gravity Furn.
do
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Sus p.Units
Dwelling Kit./Bath
Inde end.Vent System
Com. Indust. I nst.K i t.
Hood&Vent System
Forted Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation.System
(without Com fort Cool.)
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fire laces
Smoke Stacks,Mise. Equip.
Under.l5'Hi
Over 15'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
. BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
�Date ........ ...................... 19.2l... Building Permit No*
The Building Located at ..... ................................
......................................... .
...................... ...........
Owned by ...... ysf
Has Been Qkgn(Altered)4or Use As: ...::..... .f . .................................
.......................................................I....................... ........................-----......-......•-------.........
.........................................................................................................................................
...................................----------------------------.............................. X.......................
...........
..
0;13G...IN'S'PECTOR.............
... .... ........
RECORD OF WPECSION APPROVALS
BUILDING
DATE INSPEC R 114.��
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAMEZ
LATH & PLAS1;7
GRADING FIN
FINAL BLDG.
or- ELECTRICAL
DATE INSPECT R MISC.
UNDERGROUND ROUGH
ROUGH WIRING-
FINISHED
IRING FINISHED WIRING \\
FIXTURES �d
MOTORS 1
FINAL
n
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW RAIJ
SANITARY NO
UNDERGROUN
PARTIAL ROUROUGH COMPMAIN DRAINFINAL PLBG.FINAL GASFINAL APPLIA
D ATE INSPECTOR MISC.
MISC
MISC
MISC
1,01 ,951 s mcg-. a, k s�: Lot No. 3!2
No. Street A y'v00
CITY OF CUPERTINO ,z, S/
APPLICATION FOR BUILDING PERMIT
Sanitary No.
'^^ File No ?/__. i t+W�_1
Date / 19 -22, _'7T_'
Application is hereby made for a permit to
a story Type,
to be occupied only as r
64
in accordance w th Plot plan, Plans and Sp cification filed herewith,
/
FEES 3 5 ¢-
Estimated Value of Improvements j _ G00
Q !Zr
- -/ plan Check E L
Owr.er Address f O�� "�Y �I� MI
Contr. [� Address
Phone 3� y .... �3 T/ State Lice a
App rov
3�407j (g-Ots
APPLICATION FOR ELECTRICAL PERMIT
dy '�)-Y j s
Date 19 FEES I
n
Contr. / Address 33 e6p-04 V
Phone '" �� 7 b State License y-'/ / G
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date - 19 7-2, GAS FEES ..5f J
nn �t PLUMBING FEE f
Contr. (/ Address 6a 5- '
Phone a - S 3 �o State License
Approved
GeL
�6 APPLICATION FOR APPLIANCE RMIT —7v
Date /J 1.9 7� FEEf s
Contr. Address
Phone arf State License
Approved
Applicants agree agree not to violate any of the
Workman's Compensation Laws of the
State of California _
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