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512483 No. Street Lot No. Cay OF CUFEaTINO CITY OF CUPERTINO 7 1972 APPLICATION FOR BUILDING PERMIT MAY 1 Sanitary No. •� Date 19 _ Permit No. .S�/eL tG`3 E mEn A�plic"a tidfi is hereby made for a permit to 3° = a story,Type Building to be occupied only as in accordance with 0 ° °= Plans,Specifications and Plot-Pla filed herewith PI Ck Fee '— t° m Estimated Value of Improvements, $ � BBO Fee$ r�©� L o `ro It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and > all other laws applicable to the construction, I ationn,�, and use�of buildings within the City /off Cupert' will be compli with. _ G '3 ° Own Address A v v By Address v a UUo Phone Approved I� Stale License ,fi uilding Inspector N < NO. STREET LOT NO. = Z E o OIY OF OjMnNO CITY OF CUPERTINO 3 I AU 7 197z APPLICATION FOR ELECTRICAL PERMIT r'0 �UG 7 1972 LL Wa12 - 19 _ Permit No. 0 � f=ce h - a N Application is hereby made to the City of Cupertino for a permit to instal 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 S N City of Cupertino, and all other laws applicable thereto. z J. Use of Premises SINGLE FAMILY RESIDENCE o Owner ���Al �3 Address " By ZEE/ELECTRIC Address Iz X C• O /gyp/CONTRACTOR, AGENT Approved _. —U Phone. l0 'l7 t7 ELECTRICAL INLf8C7W State License ITEM NEW RPL FEES Number of Outlets X� Number of Switches Number of Receptacles Number of Fixtures Ranaes or Ovens K.W. Size of Main Service /VC2 Number of Meters Number of Panels Signs-Transformers Dryers Motors: H.P.Phase H.P.Phase Power Poles Pemnit Fee 2.00 H.P.Chmes Total Fees 10/05 LOT NO. 43' h0. STREET CITY OF CUPERTNO CITY OF CUPERTINO Z < APPLICATION FOR PLUMBING PERMIT W X JUN 2 71972 Sanitary No. 706 ' 0 3u �jlat 1912 Permit Noy,nW 3 W Fee $ 026'50 = LL 0 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. W x LL Use of Premises 00 3 Owner Address/0 ZJ �^/� n, n � z By� 'Ct %jA. Address 6�S",k- >�✓l W^ O CONTRACTOR, AGENT 3 � — 0 Phone 4,?9f- 0-5 f. W z a o State License 17 Approved- 0 -- U 'x PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN Units I Fees Units I Fees Water Heater / 1/.5011 Size 40 •DO Water Closet :3 14-5011 Material r .7 Bath Tub 11.9-011 To Curb Shbwer / /-SO 11 To Pro ..Line Lavatories •SO 1 To Existing Kitchen Sink SO Not Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine / •SO Size Water Softener Material Bar Sink To Main Drain Comb.Sink&Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size ,$2) Restaurant Sink Material Pfk� Sand Trap TOTAL FEES Urinal Fixture Fee (o•� Area Drain Main Drain Fee .O c Water e Drain Fe Sprinkler System Water Sys.Fee i„SO Relief V,lve F”. O Vac Breaker Skimmer Filter Pool Sweeper Permit Fee ,2.00 Total Total Fee „j O /0905 5(s r 4D" r jgr, Lm No. �3 NO. STREET CITY OF CUPERTINO CITY OF CUPERUNO ` PLICATION FOR APPLIANCE PERMIT F= OCT101 4 UDa- 2 _„ 19 :7�z Permit No. =LL Fee-S • 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 <N install said appliances in accordance with the provisions of the Plumbing W = Code of the City of Cupertino, and all other laws applicable thereto. SUse of Premises �L�lsC ly 00 $ ; Owner"%eZ4e&f/ Address S J ��% Address JY1L Z gy_l�•�v'GC�L. o CONTRACTOR, AtENT —m Phone dz WW �Q9''1- &,,State License Approve / U PLUIdaING INSPHCTOR APPLIANCE UNITS FEES Lias I op Gas Oven Wall Furnace Gravity Furn. Forced Air Fum. g Gas Fired Boilers Warning Ovens Susp. Units Dwelling Kit./Bath Inde end.Vent System 01 Com, Indust. Inst-Kit. Hood&Vent System ' Forced Air Under 4000 CFM Forced Air Over 4000 CFM Ind.Ventilation System (Without Comfort Forced.Air.Mech.each Power Gravity System No.of Air Outlets,No.of Flues Stacks for Metal Fireplaces Smoke Stacks,Misc.Equip. Under IS'High Over 15'lligh 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 'd Total Total Fee CERTIFICATE OF COMPLETION BUILDING INSPECTOWS OFFICE CITY OF CUPERTINO Date .... ........................... ....m.................... 19.. .3 � Building Pemnit.No. The Building Located at ..../.0.1.9.Pj......... .... ...... ............. Owned by ....44"Al...... s...f�.......................................................... Has Been (A0'Use As: .....:5...r-- .. ----- .... ....................... M 0 ......................................................--------.......................I.......... ........................................ ...........................I............................................... .................................................................. .................................................................... f---------- . ........... - . . ....... . r ............. DING INSPECTOR RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTO PAD FINAL _ FOUNDATION 1-7. s UNDERFLOOR FRAME LATH & PLASTER GRADING FINAL FINAL BLDG. 1.7 C R ���• ELECTRICAL DATE INSPECTO MISC. UNDERGROUND ROUGH ROUGH WIRING � U, FINISHED WIRING '`[( �- FIXTURES MOT ORS FINAL 1 PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REG. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE If MAIN DRAIN �� y FINAL PLBG. - -73 FINAL GAS ' FINAL APPLIANCE -7 DATJE INSPECTOR MISC. MISC 7 MISC MISC S /C Lot No. No. Street A e �j•�/OOo CITY OF CUPERTINO � 3 / APPLICATION FOR BUILDING PERMIT Sanitary No.-7 i6d File No. Do to 19 w Application is hereby made for a permit to story, Ty to be occupied only as 6j kj in accordance with Plot Plan, Plans and Sp cification filed herewith, Estimated Value of Improvements $ 15?FEES oto Plan Check $ Owner Address/10 O Ck✓ Contr. ^ Address Phone _ l /1yu State Lice e Approved 7x APPLICATION FOR ELECTRICAL PERMIT Datelny19 7 •L FEES Contr. Address Phone -. �,�do -.S?J '7 (' State License Z' 91 Approved �- APPLICATION FOR PLUMBING & GAS PERMIT a Data 19 7 �� GAS FEE $ J -b PLUMBING FEE E Contr. Address Phone -r-m)-. �z'f' State License Approved lJ APPLICATION FOR APPLIANCE RMIT Date /d �`� 19 Z, FEES /�`- Contr. _A// Address Phone - 7 ' 7d`S State License �.2[/`3��a Approved Applicants agree not to violate any of the /K Workman's Compensation Laws of the Stale of California PDA