51248.1 2-J.[5
No. Street Lot No.
CITY OF CUPERTINOceff Gy ��
/�tyy6P �`�r7APPLICATION FOR BUILDING PERMIT
�rDall OM 7 1?!ZSanitary No. 2 9:S
19 — Petit No. -
m E � � 1 M p Hca on0hereby made for a permit to
o `
a _ - story,T Building
w to be occupied only as ccordance with
o �—
o ."- Plans,Specifications and Plot-Plan ed herewith. PI Ck Fee
, Fee$
s Estimated Value of Improvements,$ 'jr
0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
'> all other laws applicable to the constructi �n, location, and use of buildings within the City of
A Cuperti will be cornled,-with.
-
.3 o Own r 't��"�/ / dtess o
A
m By Address
v E-
EPhone �� — / Approved
—��
State License
uilding Inspector
y `/
N < NO. STREET LOT NO.
i C Qf► Ofcup"TWO
CITY OF CUPERTINO
3< AUG 7 14ffLICATION FOR ELECTRICAL PERMIT
U l
4 Dat R� p7 1972 19 _ Permit No. `� L 7
o <
y Fee 5
i m 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
> m City of Cupertino, and all other laws applicable thereto.
z J Use of Premises SINGLE FAMILY RESIDENCE
J Z
O
3 iOwner Address A
ZBy ZE
W W ELECTRIC Address
CONTRACTOR,
K 4
r
<U � _ ` Approve
Phone: .l G/0 8ELECTRICAL I
� NfP8LT01
State License e 7 lk °�
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranaes or Ovens K.W. i •
Size of Main Service 9 .O >
Number of Meters /
Number of Panels O
S' -Transformers
Dryen O
Motors:
H.P.Phase
H.P.Phase
Power Poles
1-14A2 z-7
O
Permit Fee 2.00
H.P.ChMes
Total Fm / 70
Ak
Z413-5 LOT NO. b
NO. STREET
CITY OF CUPERTINO
`- of cup&WICATION FOR PLUMBING PERMIT
W G �6
Y O n,, ' Sanitary No. !�—>
3 a Date 7 19 "L✓� Permit No �p.
U / Fee$ .3•SD
W , I r�
O Applicata n 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
a W Cupertino, and all other laws applicable thereto.
W I
F f
j 4 Use of Premises
-00
o a Owner Address /03o
ZJ /J �
� z By 625'&44.A625'&44.
CONTRACTOR,AGENT
—.w Phone
a9P
- ossb
W Z
W W /
a o State License fs3 Approved.
J J� PLUMBING INSPECTOR
�.
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater .SU Size
Water Closet 3•°'0 Material
Bath Tub / S1 To Curb
Shower / 5'0 To Prop.Line
Lavatories 300 ToEx' tin
Kitchen Sials / /.SU Not
Dish Washer
Waste Disposal ,p0
Wash Tray STORM DRAINAGE
Washing Machine •SU Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Druilcing Fountain
Floor Drain WATER SYSTEM
Ho r Size °
Restaurant Sink Material /.S-0
Sand Trap TOTAL F
Urinal Fixture Fee 31
Area Drain Main Drain Fee _0-6
Water Leader Stom Drain Fee
Sprinkler System 11 Water Sys.Fee ,SO
Relief Valve •,$
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee a7 •�
Total Total Fee a3.SG
`4B L� iEI ear dI . LOT NO.
NO. GREET
Y < Cn Op CUKRTE40 CITY OF CUPERTINO
d 4 7 APPLICATION FOR APPLIANCE PERMIT
OCT101gLG
H Date �2 �F+�r 19 B?- Permit No.
= o D ^ ' Fee•$
o- Application is hereby narle to the City-of Cupertino'for a permit to
o i install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
Y = Code of theCity of Cupertino, and all other laws applicable thereto.
SUse of Premises /�ul�L- kAl6r
u
00
Owner��ILA,-ItU46f ,/ /AbW4ESAddress AWK5"L-e7 JoA'��
Z By /�YL f L�.lC� f�/� ( r4- Address 161
O QCO�NTRAC�OR,A
Y Phone
NZ
2
o i State License �+ ��� Approve
�U
VPLUMBn9G INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Fum.
Gas Fired Boilers
WarmingOvens
Susp.Units
Dwelling Kit./Bath d'O
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 o
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 15'lfd2h
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
r CITY OF CUPERTINO
0
Date ............... _f...... ................. 19 ' -_;S Building Permit
J.
The Building Located at .... .U.aC.�..1.3.....5ff - --e-t a4L S: .
Owned by ............
...
..................... ................
.........
Has Been forUseAs- -----�" - . :.....
(Altered) ------- _ ......
.............................................................................................- ..........................................
............_....--............................................---..............---------.--------•---.....................---..........
................................................................7------------------•- ------- -------------
-----
:.-------
.. ...
B ING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL. ��7�'•
FOUNDATION � • Z '
UNDERFLOOR
FRAME �•Z •� L.
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING �—
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. E4-fd 11-C,
1 — — 7Y
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN 1
FINAL PLBG. — '7
FINAL GAS � 7Y
FINAL APPLIANCE —L
DATE INSPE TOR MISC.
MISC /-O
MISC
MISC
Lot No. 3
No. Street
CITY OF CUPERTINO 6.-,z4..Oa0
APPLICATION FOR BUILDING PERMIT A Q Z
So n ito ry No.7CY 5 9
-� ' File No.CL 12q$_._,3
Dote A&M-17-19 Z
Applications is hereby made for a permit to r T �•
s j4r Le e :f' a story, Ty a �J.tiC JL
to be occupied only as S/h4/P M A5 ii � h
So
in accordance with Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements f
d G.4 GGO e�
FEES 15 Plan Check $
Owner / • f Address 140 1 0 C"r 1 4M
Contr. (� Address
Phone 2 e.1— / / 02 j
Stote Lica e
Approve
APPLICATION FOR ELECTRICAL PERMIT
Data 79 —Z OL— FEES
Contr, --tet^ - Address -2
/ Sc
Phone —2-5v M ^ iS71 7 as State License
Approved
/, _ APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 7dL GAS FEE $ SL'
//� o PLUMBING FEE $ -1 A -R �7r-
Contr. Address
Phone C21 OS .}11.m StateLico ns
e ��� —3
Approve
APPLICATION
Date �� .o APPLICATION FOR APPLIAN ERMIT Jyt
pn{ /19 FEE$
Contr. Address
Phone -;'1 7 71 to State License O
f
Approved
Applicants agree riot to violate any of the
Workman's Compensation Laws of the
State of California
PD-I