51248.3 X9 6
No. Street Lot No.
Ctt'r Of curERT040 CITY OF CUPERTINO (�
PLICATION FOR BUILDING PERMIT
MAY 17 19 Sanitary No. 7 yJL
•� Date 19 _ Permit No. 6�ld SGS;3
A�pli�atioA i�made for a permit to
x E
o` w
3 - a story,Type Building
w to be occupied only as in accordance with
Plans,Specifications and Plot-Plan filed herewith PI Ck Fee
T A
u Estimated Value of Improvements,$ o�O�41- flg Fee$
dee
u L
0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the constr ction, cation, d se of buildings within the City of
m Cupertino 'll be compl� with. /O L
c ice,,cGUAP
.3 ° Owner ddress
A
5 BY Addres
v a
o Phone �� Approved
1 u
Stale License uilding Inspector
,�
N < NO. STREET LOT NO.
y Z
r o CITY OF CUPERTINO. CITY OF CUPERTINO
o < APPLICATION FOR ELECTRICAL PERMIT
o AUG AR2 7 1972 lZ��
W W DD 19 _ Permit No.
o `
Fee ,S
<N W Application is hereby made to the City of Cupertino for a permit to install electrical
* : 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
-> W City of Cupertino, and all other laws applicable thereto.
Z_j Use of Premises SINGLE FAMILY RESIDENCE
J Z /�Jj,,'/� '
3 N Owner ��1 �!/7 Addressj69 _ 44
f By ZEECONTRAcELECTRIC Address �03 ft "C
AGENT
< 0 / r / Approved
—U Phone: b �^C7D�(!/ ELECTRICAL IMP11CM11
State License __d4/916
ITEM NEW RPL FEES
Number of Outlets
Number of Switches n
Number of Receptacles
Number of Fixtures •m0
Rames or Ovens K.W. /
Size of Main Service •0 0
Number of Meters
Number of Panels
S' -Transformers
Dryers /. D
Motors:
H.P.Phase
H.P.Phase
Power Poles '
misc
r rsO
Permit Fee 2.00
H.P.Charges
Total Fees h
/OI,d LOT NO' 35'
MY OF eftMdO SnEF.T _
CITY OF CUPERTINO
Z < JUN 2 7 1972APPLICATION FOR PLUMBING PERMIT
x o Sanitary No. 29.5"S
UCate 1 '' n 19 ./aC Permit No ���!t�9•
w a / Fee $a3• `�O
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
r and/or fixtures in accordance with the provisions of the Plumbing Code of the City Of
a in Cupertino, and all other laws applicable thereto.
w x
LL Use of Premises
00
3 Owner Lt✓ Address
2J {
z By Address u
O CONTRACTOR,AGENT
3 ` aqf- i ss�
— m Phone
W w
oState License f Approved
\U PLUMBING INSPECTOR
d \.
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / O Size '
Water Closet Z ," Material r
Bath Tub / J-50 To Curb
Shower / .SO To Prop. Line
Lavatories ;5.00 To Ex' Ling
Kitchen Sink / .5'0 N
Dish Washer
Waste DisposalS,pp
Wash Tray STORM DRAINAGE
Washing Machine I].!;-Oil Size
Water Softener Material
BarSink To Main Drain
Comb.Sink&Tray To.Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size '
Restaurant Sink Material .S'U
Sand Trap TOTAL FEJES
Urinal Fixture Fee ,SO
Area Drain Main Drain Fee .'�•�
Water er Rt— Drain Fee
Sprinkler System Water Sys.Fee .SO
Relief Valve an.F.
so
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee •�•P-0
Total Total Fee j,SO
E ET Lo,No.NO. STR
.D
CRY OP CUM11"o CITY OF CUPERTINO
OCT101
LICATION FOR APPLIANCE PERMIT
3 i Datry �T 191-7- Permit No.
t) Fees
Y LL
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
iN install said appliances in accordance with the provisions of the Plumbing
Y i Code of the Ci/(y'��of�Cupertino, and all other laws applicable thereto.
3 Use of Premises
00
5�; Owner "AeZ:K� AkNTfES Address YMIS-.0-/L-O J0490�L-
0
c �� �By_ Zi5__t �i � Address 6�1 LA2_dE?
CONTRACTOR,AG
��l- 'Lomb
C
- Phone
V i State License Approve
PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wa6 Furnace
Gravity Furn.
Forced Air Furn.
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 15'High
Over 15'Ifi2h
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 —'
I
I; CERTIFICATE OF COMPLETION
ti BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
ra. Date ..... ..:..................... 19 - - Building Permit No. >..1: ..
i
The Building Located at --�� �:.�--.�?L�74�t-.. K..- -t-............^............
Ownedby ...._ .. . ..... _. ................ .....---
Has Been (AIS �' For Use As: ...•-,�„_� c:.- ....;..•-":.. .....:.........
------------------------• ••----.-------..........---.-...........--........---..........................................---..................
......... ........--.......................................-•..................................---•-------..........................
.............................. .......
.._.... ..... ..
B G INSPECTOR
RECORD OF INSOECT16N APPROVALS
BUILDING
DATE INSPECTOR 141SC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL p
FINAL BLDG. S
�`/� ELECTRICAL
p�" DATE NSPECT9qMISC.
UNDERGROUND ROUGH
ROUGH WIRING b _
FINISHED WIRING
FIXTURES / 74
MOTORS
FINAL /
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. -)Y
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH �Q
ROUGH COMPLETE /`/
MAIN DRAIN
FINAL PLBG. -7
FINAL GAS �7
FINAL APPLIANCE 3-
DATE INSPECTOR MISC.
MISC
MISC
MISC
1097 .5 S Lot No--35
Na. Street
G. � L, dao
CITY OF CUPERTINO �• g L
APPLICATION FOR BUILDING PERMIT
Sanitary No, r�
File No. S/ !f 8. 3
Date Qy /7 19
//�'A�p�plication//is hereby made for a permit to
_-7-S rj' U CL� n �1Lstory, Type xbitr r"Iq. �J
to be occupied only as S /A Q � 1)L...1 Y� *%AC
in accordance wit Plot Plan, Plans and,pecification filed herewi
Estimated Value of Improvements $
02 (4 ' o b O
7
FEES - 0• .0 Plan Check E 1
Owner L•_1 Q t71h1Q32 Address r U Q (fu 41.s
1.s S� IK17
Contr. .p Address
Phone J Zt�� / State Lica se
Approve L
S Q:Gv
APPLICATION FOR ELECTRICAL PERMIT
Dote 19 7oZ FEES I
Contr. _ 1.� —._� Address "2'�-�3
Phone �� 6' 7 g' State License r2 s:!5
Approved ` eLa�
J'
APPLICATION FOR PLUMBING & GAS PERMIT
GGz
Date Y9.2 19 -7oZ GAS FEES o23. Ste/
PLUMBING FEE $
Contr. _ �- X �`-'c/� Address �e"Z s Q �` �'rT
Phone _c� �— 0 J-J ` State License rj 7
Approved
APPLICATION FOR APPLIANCE PERMIT
Date //d d 19 7 �' FEES
Contr. Address
Phone —_497-70 f Z State License
Approved
Applicants agree not to violate any of the .�—
Workman's Compensation Laws of the
State of California
PDA