51248.3 No. ' Street Lot No.
OTT OF WFERTINO CITY OF CUPERTINO
MAY 7 i97�PPLICATION FOR BUILDING PERMIT
Sanitary No.
Date , 19 S _
.F A A 1 /� — Pe�itslo. f
E ' ApplicAJA hereby made for a permit to ('
`0 0
3 . a story,Type S Building
W to be occupied only as in accordance with
w °
° °' Plans,Specifications and Plot-P91 filed herewith. I Ck Fee
T
c h
A � Estimated Value of Improvements,$ ���p�� Fee$
v
0 `~0 It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construct' n, location, and use of Duildi�s within the City of
Cuperti will be co�ted with.
_ c
° Ownef%( / dress/v
d d BY Address
d a
o Phone Approved
u uilding Inspector
( State License ,�
Q
. /a895 16A�MoAt q- 3
N Q NO. STREET LOT NO.
Z Z ..
r o CITY OF CUPERTINO
etrr of eue>utAiPPLICATION FOR ELECTRICAL PERMIT
o DAUG A� x9727 1972
W W 19 — Permit No.
a r
0 Application is hereby made to the City of Cupertino for permit to install electrical
W
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
5 W City of Cupertino, and all other laws applicable thereto.
z J Use of Premises SINGLE FAMILY RESIDENCE
J z _
Owner 7
a f
Address
3 < ress CU_
- " By ZEE LECTRIC Address — C
0 /CCONTRACTO�R,,/AGENT A roved
—U Phone: -;W �O/(:/ PP
pp // gLeCIR1GL rNflHC7�OZ
State License ��I/lf% / / 3IVY\
ITEM NEW RPL FEES
Number of Outlets 0
Number of Switches
Number of Receptacles ` tc
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service ..mO
Number of Meters
Number of Panels 0
S' -Transformers
Dryers 1, 00
Motors:
H -Phar
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Chmes
Total klm
IOU* 4y-4 ` LOT NO.
NO. Sn EP.T �
CITY OF CUPERTINO
z4 emr OF euPEant+'APPLICATION FOR PLUMBING PERMIT
W Z
x 0 JUN 2 1972 Sanitary No. 7 y
aDate 19,a Permit No
P
W A Fee $ 7-5-5'0
W LL
I 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 rices
I and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
wCupertino, and all other laws applicable thereto.
WI
a, W Use of Premises
00 n -
W
0 3 Owner Address/030
Z J
� LBy l/ xl�Itt �� w<f/ae Address GZb C "
0 C 6NTRACTOR, AGENT
3 P
— 0 Phone
EState License 17fs-57 Appro d � M-4
ao
—U PLUMBING INSPECTOR
•
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater SO Size 41
Water Closet .&0 Material e.,r
Bath Tub .Sb To Curb
Shower / /SO To Prop.Line
Lavatories .0o To Existing
Kitchen .SO Not Conn.
Dish Washer
Waste Disposal .00
Wash Tray STORM DRAINAGE
Washing Machine / /.5-0 Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size OL
Restaurant Sink Material :SO
Sand Trap TOTAL FEES
Urinal Fixture Fee ASO
Area Drain Main Drain Fee 67.00
Water der qtnrm Dmi.F
Sprinkler System Water Sys.Fee .,SO
Relief Valve Gat Fee So
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee .OO
Total Total Fee .$O
/b896 1 �1���.sir &; Y �5,' LOT NO. 15L
-NO. STREET '
a ` Cr" Op CUPERWO CITY OF CUPERTINO
ZPLICATION FOR APPLIANCE PERMIT
xo OCT1019'�
c i Date 19 Permit No.
WX LL n n Fee S L�
• 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
V) install said appliances in accordance with the provisions of the Plumbing
„ s Code of the City of Cupertino, and all other laws applicable thereto.
Su
Use of Premises
oO
$ ; Owner A,0494V_~�� 9,gir,�6 Address
A z By-,&Z61&&, Address
3O coNTRAcroR.AFGENT
'►
Y i Phone l�T74:260
W m
v I State License �3� � Approvedu-
VJ—PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced AG 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 Comfort Cool.)
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 Is,Iligh
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 54a,
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERnNO
Date .....
.. ..:.I.-3. ....................... 19 Building Permit No. ...................
The BuilLocated at .... ------ ........
.................
Owned by ..... ........................................
. ...................
Has Been lt �57 Ise As: .............................
..................................I......................................................................................................
............
.......................................................................................................•--------............----
............................ .:
.........................
....................................................... ............ .............
RECORD OFINSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION04
UNDERFLOOR
FRAME `/
^ ��we
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
�^/ ELECTRICAL
�/_f..
^ " DAT/ E INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING O
t
FINISHED WIRING _ _
FIXTURES
MOTORS
FINAL
PLUMBING, GAS 8 APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE 9 7 �
MAIN DRAIN 7 Y
FINAL PLBG. 3-3D- 3
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC Y
MISC
MISC
10 8 4 S1 D.. k 5,4 Lot No,y/
No. Street CITY OF CUPERTINO G A4 4060 0V
4
APPLICATION FOR BUILDING PERMIT
Sanitary No.79��
�j File
Date J44-!,-t7-19
Application is hereby made for a permit to
u a story, Tye Z7J�
to be occupied only as 4elL
t
in accordance ith Plot Plan, Plans norpecificalionffieiled herewith,
Estimated Value of Improvements $ 2-1, J606
FEES - r Plan Check $
Owner Address!
I
Conor. Address
�j
Phone tS 2!V ..� / 3 411
State Licen a
Approve
APPLICATION FOR ELECTRICAL PERMIT
Date -�-t� 19 7 �� FEES y
Cont,, Address a �5`S 3 �4
J
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date oZ 19 7 •Z- GAS FEE $ ( t:a )
PLUMBING FEE f 8
Contr. Address C" S- L4-1-41--)
Phone �9�- G S Seo State License
Approved
eSc
1FEES
APPLICATION FOR IANCE VE
Data
Cont,. �1^�"- / Address
Phoney' 7- State License a , e
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1