51248.3 No. 'Street ' e Lot No.�
CITY OF CUPERTINO 33� P
cm' OF c°rcRTIS 1PPLICATION FOR BUILDING PERMIT
Sanitary No. 7 `/ 73
A196e 8 1972 l9 _ P No.
v A
Y Application i hereby made for a permit to d
3 `E ' story,Type Building
0
to be occupied only as 'n accordance with
Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
c y
a, Estimated Value of Improvements,$ ��b3'�Dy Fee$
u L
c o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
ACupertino will be comp 'ed with.
.3 Owne�JJ L!/ �ieaw�w.r..kddress ��3VL
vBY Address
v a
E Phone ���—���� Approved
ij/9�—�/ wilding Inspector
.State License�16�
2�.
mRlz 1 , (AW ST f
N ( NO. STREET LOT NO. NQ
Z
x o Of GUfr0"0 CITY OF CUPERTINO
3p�C 154,"MCATION FOR ELECTRICAL PERMIT
W \
z Q
n W Date to A 9 /oZ 19 72�- Permit No.
o �
E=ce 1
r O
<m Application is hereby made to the City of Cupertino for a permit to install electrical
rwiring and/or fixtures as listed on the reverse side hereof, and agree3 to install said
00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> N City of Cupertino, and all other laws applicable thereto.
03
z_j Use of Premises SINGLE FAMILY
J Z
3 i' Owner "pmo, Address
By Address
CON
< 0 Phone: 96'R�09lonceNT A rovFELECaTRIWCAL
PP MfPE
State License a`�i9i6
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 OOA /- d 0
Number of Meters /
Number of Panels / I-
S' -Transformers
Dryers / 00
Motors:
H.P.Phase
H.P.Phase
Power Poles
Misc
i 9ACf SO
Permit Fee - 2.00
H.P.Chm es
Total Fees I Pt/. 35
10 912— VL�C'X: AtA. �-'e= LOT NO, 0
NO. STREET
CITY OF CUPERTINO J'�••
W Zan or CUPet.{iFio APPLICATION FOR PLUMBING PERMIT
x o r Q //��yylI� Sanitary No.
3 < ,,tt 0tw•e719 Permit No
U Fee $J 6 •SD
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i a` and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
W Cupertino, and all other laws applicable thereto.
Wx
a W Use of Premises
00
oa Own a� Address AD
Z
z By Address do25 6 41d20 y
��NTRACTO�RAGENT
— m Phone_ !91
W Z
W W
Qo State License / 7537 Approved
� PLUMBING INSPEC[OR v
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater 1.56 Size
Water Closet SO Material S
•Bath Tub ).5-0 To Curb
Shower /,SO To Prop.Line
Lavatories 4,S To Existing
50 Not C
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine G Sa I Size
Water Softener Material
BarSink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size . SU
Restaurant Sink Materi
Sand Trap TOTAL FEES
Urinal Fixture Fee •J�0
Area Drain Main Drain Fee . 9'0
Water Leader F --�
Sprinkler System Water Sys.Fee •SO
Relief Valve Q--Fee
Vac Breaker -
Skimmer
Filter
Pool Sweeper
Permit Fee a2 .00
Total /["Sc Total Fee .SU
!C'/I�"l/ •✓Y'�`-��T fYY/Y+ LOT
NO. ST41ST
ai
Cff'I OP CUPERTE40 CITY OF CUPERTINO
i a OCT 12 1g�PLICATION FOR APPLIANCE PERMIT
: 2
;U DISe oU Pdl7J- „ 19 Vz Permit No. ✓����� 3
mFee$ 115.av
'0 Application is hereby made to the City-of Cupertino for a permit to
W install gas appliances as listed on the reverse side hereof, and agrees to
z o install said appliances in accordance with the provisions of the Plumbing
�.= Code of the City of Cupertino, and all other laws applicable thereto.
S Use of Premises �u�LE1C4
00
Owner/uA:Tf4/ A60462— Address
og
zs �f Ca-
�z By Address 104i$
CONTRACTOR,AGENT
3 Phone AY-/T-12' 55eZ 5-D�
10 State License Approved
u _x PLUMBING INSPECTOR
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 -�
Com. Indust.,Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
twithout Comfort Cool.)
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Firelaces
Smoke Stacks,Misc. Equip.
Under 15'High
Over 15'lfieh
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
CERTIFICATE OF COMPLETION
'Q BUILDING INSPECTORS OFFICE
CITY OF CUPERTINO
Date ----.............. ... - ........... 7 .
19..........:. Building Permit No. ...-..............
The Building Located at ...l.:i`....................................( Z.. .- .,lt .....�" P1�r .. S
11
Owned by ..... :. ...::.��._ ``.
Has Been �AIteFor Use"As: .._.?:;.. _ .
........................................-......------................•..•-----..................-•--•----...........--...........
..............--•----------...------....................................................-...---•................-•••••...............:
..........---.. ............`..........-----.......-----..............•-- - - -- .....-...-..------�...................
........,,� �..
IIILDING` INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR misc.
PAD FINAL
FOUNDATION "
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. rK
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING ` 1
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO. I JI
UNDERGROUND ROUGHI- d -7Z
PARTIAL ROUGH �[
ROUGH COMPLETE 1
MAIN DRAIN Y
FINAL PLBG. , 73
FINAL GAS 73
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
_I J l/2—I > / Lot Nov 5-0
No. Street 0 - 3 /
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.--;2--123
File No. �`C
Dote A�S 19 7 Z
Application is hereby made for a permit to
( a story, Type
to be occupied only as
in accordant with Plot Plan, Plans and Spec' ication filed herewith,
Estimated Value of Improvements $ 3-3, ��Q • Q
FEES ` •D 0 Plan Check $ (a-64
/�� � �M
Owner ��- Address 1O V (a-6 t �;S f/I
Contr. / Address
Phone �� �� C State License`,'
Approvad \
APPLICATION FOR ELECTRICAL PERMIT
Date /L 19 FEES1—�-
Contr. q Address a s 3 "e- L:2--162"
Phone State License .2
CApproved
APPLICATION FOR PLUMBING & GAS PERMIT
-a
Date 19 `2 GAS FEE $ (/ 47— )
PLUMBING FEE $ paz.C- x--7?j
Contr. C-l��-�. a.0 /"t-t =/ Address 0`13
Phone 9- 54— State License 1713—,37
Approved ,/�` °6+-�-C p^
APPLICATION FOR APPLIANCE PERMI v e
Date / 19 Y FEES
Contr. Address
Phone t�� 7 70 J-3 State License /��a pp ��1�
Approved L� /e+-�-r 4
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PDA