51248.1 No. Street Lo[ No.
ply OF affe"o CITY OF CUPERTINO
MAY 17 197APPLICATION FOR BUILDING PERMIT
Sanitary No.
-� Date 19 _ Permit No.
E A C1ppkat oP n Vhereby made for a permit to
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30 a story,Tye S Building
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o
to be occupied only as in accordance with
Plans,Specifications and Plot-PI filed herewith- PI Ck Fee
rEstimated Value of Improvements,S 4T Fee$ d//7• ��
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 Cupertin will be compli with.
o B Owner .J Address
3 5
By �/ Address
E Phone _3,p�Y'��7 _. Approved r
^ u ��' ilding Inspector
State License ,L
IfZ11141- 17(
N Q NO. STREET LOT NO. � _
W Z CITY OP CUFEFTINO
3 o AUG
G 7 CITY OF CUPERTINO
V 197zAPfLICATION FOR ELECTRICAL PERMIT
u
o P n I OG 7 19721
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Date 19 — Permit No.
o ` 1®
Fee S
a to
N Application is hereby made to the City of Cupertino for a permit to install electrical
W
ar wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 0` wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> W City of Cupertino, and all other laws applicable thereto.
r 3
z-1 Use of Premises SINGLE FAMILY RESIDENCE
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o
3 `a Owner S Address/,QRn
W W By ZE ELECTRIC Address �C•
s7 CONTRACTOR, AGENT pppro
—0 Phone: 15�— ELECnUCAL INSP CTOR
State License
ITEM NEW RPL FEES
Number of Outlets
Number of Switches S
Number of Receptacles 77
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service '1670
Number of Meters
Number of Panels 1,490
Signs-Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
f
Permit Fee 2.00
H.P.Charges
Total Fees
i
LOT NO.
NO. STREET
CITY OF CUPERTINO
cm OF CUMMOPLICATION FOR PLUMBING PERMIT
wZ 7fae
Y ° JU T/ �/ / Sanitary N°.
3 , Date 719x/ 19 2 Permit No��`����•
WLL P ^ A (� / Fee $a�.SO
° Application Pereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a'w Cupertino, and all other laws applicable thereto.
W I
Use of Premises
00 `}� L
F 3 Owner Address lb$O '/moo /
o By & Address
F CONTRACTOR, AGENT
— 0 Phone 02 99
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ww
aJ State License 17153 App/Oved /
a Y\ PLUMBING INSPECTOR ✓
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater .$D Size ^
Water Closet 00 Material
Bath Tub So To Curb
Shower .SV To Pm . Line
Lavatories To Existin
Kitchen L So N t
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Sb 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 Material .SO
Sand Trap TOTAL F
Urinal Fixture Fee / SO
Area Drain Main Drain Fee 0 0
Water Leader Stom Drain Fe •�
Sprinkler System Water Sys.Fee .SO
Relief Valve Gaq Fee
SO
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee .O-O
Total Total Fee
NO. STREET
CITY OF CUPERTINO
MY °P '9MLICATION FOR APPLIANCE PERMIT
3 LLL o i r �2
Date 19 Permit No. �y�
u U O A ! (� Fees /� `
n XW
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
<ia install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
5 . _ 111 C.C�6sLlCg
3 Use of Premises
oc
k', ; Owner�iLs��G/l�r[/ �' AddressA44 -010i5W4
Z By �� � �- �- Address '!5AO d c,6��
O CONTRAZ.11GENT
��S®
_ W Phone
Y 2
a o State License 2 �g2 Approved
—U PLUMBING INSPECTOR
asop APPLIANCE UNITS FEES
Gas Oven
WaB Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Bailers
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 Comfort Co I _
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
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Com .over 20 HP& Under 50 HP
&Absor .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
"No.
Date .. .................119 Building Pe�t
....... ...........
The Building Located at .... ...........5t
.. .......- - -----
Owned by ......;AR_e�------ ...................................................................
Has Been (If��e As: .... .........................
................................................................................................................................................
......................... ............. ........-------------------------............. .........
........................................................................ :--�.............. ...........
...... . .. .. . .. 4. .
r.. ...................
DING INSPECTOR
RECORD OF INSPECRTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION A ✓
UNDERFLOOR
FRAME 10
LATH & PLASTER
GRADING FINAL
FINAL BLDG. '
U "Cti 6�La ELECT CAL
�_ DATE INSPE OR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH - a
PARTIAL ROUGH �'Y
ROUGH COMPLETE (/
MAIN DRAIN 1 6 7
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC. .
MISC .w[..� .
MISC
MISC
lU G5 SW t 1i�(� S�. Lot Na.37
No. Street /Z r ZZ" 400
CITY OF CUPERTINO �✓ /„rN
APPLICATION FOR BUILDING PERMIT Q / ^,
Sanitary No.-7 !9 y
File No.-g'4&a a
Da to Z 19 72,
//11 Application is hereby made for a permit to
C'm 5 ANA al a story, Type '5T j-
to be occupied only as �/ h r/ /"�C► Iw ��i... -pe�1 ig
in accordance with Plot Plan, Plans adf Specification filed hereivitt„
Estimated Value of Improvements $ ZZ. DGd
FEE$ 9 Plan Check $ 1
Owner Address 4016 t--��r s S7 Ale
Contr, yy Address
Phone •S Z�l State License
Approved -
APPLICATION FOR ELECTRICAL PERMIT
L /9
Data o 19 7_1 FEE$ � /1�
Contr. �R” -PL- p.. -- _ l Address �>`` -� �C '''�"
Phone 6,' S--a 7 b State License c:;l'
Approved f
APPLICATION FOR PLUMBING & GAS PERMIT
Date t� 2 19 701- GAS FEE $ C/`1a J
PLUMBING FEE $ oz '.S-a
Contr. (`-'- -...-L= -P Address 3 L4''�-�7 T
Phone �� F 'dZfI 6 State License J-3
f7 �-
Approved �-
APPLICATION FOR APPLIANCEER IJ
Date tt a ly 7 L FEE$
Contr. Address
Phone 7 - 7 a 3 State License -2��'}//�//���pp6����
Approved
Applicants agree not to violate any of the
Workman's Compensation laws of the
State of California
PD-I