51248.1 No. Street - Lot No.
CITY OF CUPERTINO
My of curERTINAPPLICATION FOR BUILDING PERMIT a �/
Sanitary No. 7 9 L
MA*el 71972 19 _ A Permit No. d
E2 c Application is hereby made for a permit to
0 0
3 _ ^ ( story,Type -S' / ,./ Building
2
U to be occupied only as in accordance with
o
o Plans,Specifications and Plot-Pla fled herewith. PI Ck Fee
T w
`G° u Estimated Value of Improvements,$ �3�Ba7J Fee$ e
o 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
G ! Cupertino will be com lied wit t.
3 ° Owner l/Qp (� / duress
A
d BY Address
m a �� Y7
E Phone Approved
-y U �/ / uikling Inspector
N State License � p f
�j/��.OG, yam/
N < NO. STREET LOT NO.
s a AMY OF CUFEnrwo CITY OF CUPERTINO
3UAUG 71{9�72APPLICATION FOR ELECTRICAL PERMIT �(
W Date 13 G 7 1972 19 — Permit No.
o �
Fee l
`N W Application is hereby made to the City of Cupertino for a permit to install electrical
* r wiring and/or fixtures ias 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 lacus applicable thereto.
z Use of Premises SINGLE FAMILY RESIDENCE
J Z
O
3 i- Owner k � Address Am � s
W w` By ZEE LECTRIC Address z Si e.
V F CONTRACTOR, AGENT
a �6 / Approve
Phone: !9/ ELECrRt L H;W6
rCIW
l�State License
ITEM NEW RPL FEES
Number of Outlets �(U
Number of Switches
Number of Receptacles
Number of Fixtures
es or Ovens K.W.
Size of Main Service za
Number of Meters
Number of Panels •B�
Signs-Transformers
Dryers Bf�
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 12.00
H.P.Charges
Total Fees
086 ( lam COT N0.3�
NO. STREET �.
CRY OF CUPERTINO CITY OF CQPERTINO
" a APPLICATION FOR PLUMBING PERMIT
Y O JUN 2 1972 - Sanitary No. if/
LL
3 a
Jate 19 Permit No z.*%YR• 3
w LL Fee U-261 5-0
O Application is hereby, made to the City of Cupertino for a permit to install plumbing
0 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
a W Cupertino, and all other laws applicable thereto.
w i
a Use of Premises
00 � •
r 3 Owner Address 030
o By Address
OCONTRACTOR.AGENT -
3 F
— m Phone -?9p- ossa
W W
State License 15� Approved-
40 * ]
_U�6 4. N/-� /
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / SO Size
Water Closet o Material
Bath Tub / J$b To Curb
Shower / 16-o To Prom Line
Lavatories o Existing
Kitchen Sink / I-S-0 Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
.
Washing Machine / l!;'b Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinkin Fountain
Floor Drain WATER.SYSTEM
Ho r Size
Restaurant Side Material I.s—c
Sand Trap TOTAL FEWSP
Urinal .Fixture Fee j(�•S d
Area Drain Main Drain Fee S.trU
Water Leader StomDrain Fee
S rinkler System Water Sys.Fee I.SO
Relief Valve rAq Fp,
S—O
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee. .o-o
Total 11 Total Fee 0".So So
lag( •1 ck aT LOT NO
NO. STREET -
CITY OF CUPERTINO
a tar/ op curEan9PPLICATION FOR APPLIANCE PERMIT
L 4
o i Dac IW+p7 19 L2 Permit No.
i4 A t Fee$ -1.5s,'o Vlicattiion 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
ia install said appliances in accordance with the provisions of the Plumbing
i Code of the Ci of Cupertino, and all other laws applicable thereto.
�~
Use of Premises EL.L_-lr1G
00
� ; OwnerJLtfLG�1G�� f 7AiJF�S Address �-ff C l�.d4
J z B1• A",55444_'A:, AX j 444 Address `aL4-/
!'O CONTRACTOR AGENT
a P Z6 72 Sy
— 0 Phone
nz
o i State License 2W.0�l2 Approve
<U 4c -�—�' PLUMBING INSPRCTOR l
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. a�
Gas Fired Boilers
Warming 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
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc.Equip.
Under IS'High
Over IS'I ligh
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
'0300 BUUDINGINSPECTOR'S OFFICE
MY OF CUPERTINO
Date ... ...... .................. 19...1. . Building Permit No. 51149
The Building Located at ..... 43..P......
.........•...........
Ownedby ..MA4VAq---------- .... ...... .cl................ ................................-------------
mpleted':" k I
Has Been P) or Use .................
................................................................................. .........................................................
......................--...............................................................................................................
.............................................................................................................................. .......
.. . . ......
BILD G INSPECTOR
7
RECORD OFIN51PECtIbN APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR j ! !� ~-
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.-
6a
LDG. 6 ELECTRICAL
DATE INSPE OR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. -a
FINAL GAS -
FINAL APPLIANCE
D-STE INSPECTOR MISC.
MISC (O 7
MISC
MISC
1.0� e5 7 Lot No. 3 D
No. Street / ` 3
CITY OF CUPERTINO Lr /
APPLICATION FOR BUILDING PERMIT
Sanitary No.7 (Q
e '
File No.
Do to 19 -2-2.&.-
Application
Za_Application is hereby made for a permit to
�r
a story, Ty e -
to be occupied only as
in accordance with plot plan, Plans Ad Specification filed herewe
Estimated Value of Improvements $ 3
FEES L O oo0 Plan Check $ 1 c l
Owner M612=1492do 14008161M Address �y 3ts Kir TIS S Aw
Contr. Address R
Phone �� I ~" State Lica a S "
Approved
• S� 3/3
APPLICATION FOR ELECTRICAL PERMIT _
Dote ./ ? � 19 ��- FEES
Contr Address
Picone - -" ('717 G State License
Approved �.
APPLICATION FOR PLUMBING & GAS PERMIT
DoteZ19 7GAS FEES (" !:,6 /
PLUMBING FEE $ 2 • 6--5
Contr. �t�i�i.�XA� Address 6aS -C'-'0—
Phone d _ O J, SZ State License 3
ApptbveA
d-
u APPLICATION FOR APPLIANCE 44T
Data v 19 -2 FEES
Contr. Address
Phone State License 133,
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1