51248.1 No. Street Lot No. �
CITY OF CUPERTINO e / !�
°^tlofGO� APPLICATION FOR BUILDING PERMITv��fl�
•� MlbYtel71972 19 _ Sanitary No. 79:s 7
m Permit No. .511.1
Y " '�ppl atipn "ereby made for a permit to
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3 a story,Type Building
U to be occupied only as in accordance with
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Plans,Specifications and Plot-Plan filed herewith PI Ck Fee
L, Estimated Value of Improvements,$�� Fee$ � • Z59�
o .. It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
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'> all other laws applicable to the construction, location, and use of buildings within the City of
m Cupertino will be com fQd with. _ /I
3 Owne Qd i y ress
3 'N
v d By Address
d a ' !
Eo Phone �� Approved
U� wilding Inspector
State License
H < NO. STREET LOT NO.
Z 2
s W CITY OF CUPERTINO
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CRY OF CUPEant+OAPPLICATION FOR ELECTRICAL PERMIT
Io AUG 719G 71972 b—Ia� � •$
Date , 19 _ Permit No.
o P A I (� 0
a Fee S�
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a Application is hereby made to the City of Cupertino for a permit to install electrical
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W = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
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0 o wiring and/or fixtures in accordanre 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
ZJO
aOwner /fs
W Z ZEE ELECTRIC
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By Address r x �-
QCONTRACTOR, AGENT A roved
C 2f�Sdn4 PP
Phony. ! ELECTRICAL rNSPRf701
State License 9zx /� ,/
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels
Si Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees
PV LOT NO.
NO. STREET B.
CITY OF CUPERTINO
Z < city OF CUPERn"O APPLICATION FOR PLUMBING PERMIT
o.a J N 2 -/ry,.' Sanitary No. , g.f 7
3 U Uate ([: 19�y Permit No�/� ! -3_
= n p A D Fee$ �23.Sd
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 W Cupertino, and all other laws applicable thereto.
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Use of Premises
00
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o J Owner Address/O. 0 L"
� o By l t� A �, �`+ ` Address
3 F CONTRACTOR, AGENT
— `m Phone—y>7g�' 055
C
a o
V \` State License �7fS3� Approved
- �A_' PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater f /.SO Size
Water Closet .Z 3-" Material
Bath Tub / J.S-0 To Curb
Shower •SO To Prop. Line
Lavatories 3.a0 To Existing
Kitchen Sink Not Conn,
Dish Washer
Waste Disposal $.t0
Wash Tray STORM DRAINAGE
Washing Machine / J.S-011 Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Trey To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size /
Reitaurant Sink Material .S'O
Sand Trap TOTAL FE
Urinal Fixture Fee .So
Area Drain Main Drain Fee
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee .S�
Relief Valve Gaq Fpp.
S�
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee a,"
Total Total Fee 073•Sb
/•266!* �u Fv r' 4hzw . 1*r, LOT NO. '
NO. STREET
pIpERTMO CITY OF CUPERTINO
Z
APPLICATION FOR APPLIANCE PERMIT
C 192
Yg OCT
oi Z2 Date n 19 Permit No.
= o D A ' Fee.d
• Application is hereby made to the Cityof Cupertino for a permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
z install said appliances in accordance with the provisions of the Plumbing
W i Code of the City of Cupertino, and all other laws applicable thereto.
F ,
S0 Use of Premises
00
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3 Owner � ����1 LGIE`J Address IfAEAlL-QL-
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Az By C Address 1:511P" c
O CONTRACTOR, AGENT
3 �
_ <Phoned "� n
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o s State License ��2 Approve
40 0 \� PLUMBING INSPECMR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System 92
Com. Indust.,Inst.Kit.
Hood &Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without Comfort Cool
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Slacks.Misc. Equip.
_Under 15'High
Over 15'11u
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
i LOCITY OF CUPERTINO
Date .......... ... .._-�- z $.
..:�. -'. . 19..23 Building Permit No. .............::...•
................ C, 6
The Building Located at ....r .sZ _:.. W r I----- /:'.R"—. ....S�....
Ownedby .-.-A.A�.t1..A.. ........ .. .... . -. ...................................................
Has Been mpleted)' or Use As: ............ � ..'.::................._.
_......................._....---------•-------------- -- .... - ........ ..........._.-....... --.....:..
..-- ..........................•----..........--------------...................._...................................................
..............................:._.............. .. —................. -- ......... ......N1.
............. ._ .... .........................
LAMING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
VP ar Kl / �� ELECTRICAL
CEJ DATE INSPEcy6R MISC.
UNDERGROUND ROUGH--
ROUGH
OUGH ROUGH WIRING O- Io. Iv
FINISHED WIRING -
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH `l
PARTIAL ROUGH 7
ROUGH COMPLETE 7
MAIN DRAIN
FINAL PLBG.
FINAL GAS 9 Z
FINAL APPLIANCE
L
DATE INSPECTOR MISC.
MISC / y
MISC
MISC
Z40 7131 J w- CJAlc� Lot No.3 y
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.-7-9.!C2
File No- .'z -C
a
Date 12.19 _
.Application
is hereby made for a permit to
a rstory, Ty e.
to he occupied only as
in accordance with Plot plan, Plans and Sfecification filed herewitAp
Estimated Value of Improvements $ 2 2.0 DdO UZI
FEE$ - � & ea Plan Check $ 7 1
Ow nar / jg oj1�t.6+ �'�4 Address Zy -S
Contr• n l Address
Phone z / State Licen
Approved
r•, T��
AAPPLICATION FOR ELECTRICAL PERMIT
Dote19 � FEES
Contr. ( Address
Phone to/-s-V 7.fa State License a u�y�fD
r
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote Z 19 72-- GAS FEE E /SCJ
PLUMBING FEE E • J�
Contr. G if' ��'ti-+-v Address6a 'T '�-./r-�-�--� J fJ
Phone State License �7/S-a' 7
Approved G
�a APPLICATION FOR APPLIAN PERMIT
Date �° X1.9 7 l/ FEEE
Cont'. ` --r-�'�/ Address
a'-p
Phone — 7 7 State License
�r����/
Approved "V
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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