51248.3 1&y I.3 I ,5-Wa aff' LOT NO.J^
NO. STREET
UIP OP CUPERM0
n i CITY OF CUPERT[NO '
= OCT 12 .]UPLICATION FOR APPLIANCE PERMIT
� _
Y LL
3 DatF1� ACf�BF P Iq z� Permit No. 3
F o Fee $
W W Application is hereby nln* to the City-of Cupertino for a permit to
o F install gas appliances as listed on the reverse side hereof, and agrees to
i a install said appliances in accordance with the provisions of the Plumbing
FCode of the City of Cupertino, and all other laws applicable thereto.
Use of Premises _ &0/ C1_L1,V&
00
o
3-, Owner f}f� f'1OAle_5
"CAddress f7E'i0LD PARK
J.o By Address !nS ,TUJ E
CONTRACTOR,AGENT
W Phone
40 QEo State License �'3/C4� Approved
it - PLUMBING INSPECTOR
APPLIANCE UNITS FEES
es I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired boilers
Warming Ovens
Susp. Units
Dwelling Kit./bath .9
PV
Inde end:Vent System
Com. Indust., Inst.Kit.
Hood&Vent System '
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind, Ventilation System
wt
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Slacks,Misc. Equip.
Under 15'HiFJ1
Over 15'11*
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 OTU or less
Comp.over 20 HP&Under 50 HP
&Abso r.units with in ut
of 500,001 &Under 1 000,000
Permit Fee
Total Total Fee
No. StreetLot No.
OF C'UTEW1040 CITY OF CUPERTINO —3131B9D
619�Z APPLICATION FOR BUILDING PERMIT
A,VG
DateSanitary No.
� � 19 _
E '�C1 App salion is hereby made for a permit to
3 ` a
ti story Type . Building
to be occupied only a 1 accordance with
`o
yPlans,Specifications and Plot- an tiled herewith. PI Ck Fee
C N p
Estimated Value of Improvements,$ ��-8�'-1 Fee$
0 o Itis hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
3 all other laws applicable to the construction, location, and use of buildings within the City of
n Cupertin will be compl' with.
c
3
1° Owner
,v, c By Address
'E Phone /�. Approved
U /
State License �jp �� � inkling Inspector
0
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
=� wilding Permit No. ..�`-:ac.-T•
Date -------.57 -- - - -------1 19--.-- i
5 -c.�.ea -..:......
The Building Located at t .t1-3 - .......................�p.......-----.-''..----...._..---•--.
Owned b `I ccu......:<!! :.. .r;. .:. -...............•---
r
Has Been �A tFered or As: �.---'-......-------------.-.-.GO .........................
o-- ---------------_.......--------------...............................---....................-•------.............-----•.--
--
........................................................................................................................... '
-- - - ---
E
PJ� �--
BUILDING IN§PECTOR
1°913 I 'Afg � L -
STREET • LOT NO.
W Z
S
j CtT•r OF CUPERNtO CITY OF CUPERTINO
OCT 24 197tPPLICATION FOR ELECTRICAL PERMIT
SU
W LL
' o �n -i6
°o W Dfte a A (7 19 7a Permit No.
a Fee
a W Application is hereby made to the City of Cupertino. for a permit to install electrical
I wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> x City of Cupertino, and all other laws applicable thereto.
03
Z, Use of Premises—i .1SINGI it FAMILY RESIDENCE
o
J
J O
,3 ~: Owner d ll� Address
Wz BE. .�°�
�� a Y Address
O F (/ CONTRACTOR,//A� GENT PP A roved
0 Phon, _ ���0 —. �{o EL CTRICAL tMPE'
V- State License a9"l //1
a..
ITEM NEW RPL FEES
Number of Outlets
Number of Switches /
Number of Receptacles a 9
Number of Fixtures
Ranges or Ovens K.W. /
Size of Main Service locid
Number of Meters
Number of Panels /
Si -Tmnsformers
Dyers
Motors:
N P Pha
H.P.Phase
H.P.Phase
Power Poles
a s-o
Permit Fee 2.00
H.P.C es
Total 14ces a/.35
LJI—? I \ lG/ Cl!/f�L �/ LOT NO.
NO. STREET
On OF CUPERnN0 CITY OF CUPERTINO
Z iG 3 0 1972 APPLICATION FOR PLUMBING PERMIT
�.0 9 sanitary No.
of
3: ' Ij) U
atq r 7 19;22- Permit No
0
i.a Fee $
° Application is hereby made to the City of Cupertino for a permit to install plumbing
o < pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
>m and/or fixtures in accordance with the provisions of the.Plumbing Codeofthe City of
a w Cupertino, and all othe ws applicable thereto.
00
Use of Premises
> u, /03r�
F 3 Owner O Address�8,
2J
o By --- Address(--L5"
F CONTRACTOR,AGENT
w'Z Phone r'? 'en �
ww
¢ a
a o State License / 7/_S3 '/ .Approved
_<
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater 1// Size
Water Closet Material
Bath Tub To Curb
Shower To Pro . Line
L vat ies 1y To Exist
• c JD N
Dish Washer
Waste Dis oral
Wash Tra STORM DRAINAGE
Washin Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&TrayTo Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
H6ppeT Size " `
Restaurant Sink Material
Sand Trap ioTAYFEES
Urinal Fixture Fee A• Sz)
Area Drain Main Drain Fee
Water Leader I Storm Drain Fee
Sprinkler System Water Sys.Fee . J
Refief Valve I Can Fee
ib
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee cru
Total 6 Total Fee ,5"
AI % 31 Lot No.�b
No. Street 3 /
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT //
Sanitary No. 7 -9 7l
File No_
Dote �-19 _7 Z
Application is hereby made for a permit to
a s{ory. Type
to be occupied only as
in accord67ce with plotplan, plans and eifieation filed herewith.
Estimated Value of Improvements $,
FEES - -1!20 Pion Check S ?/� , ,.
OwnerCw=/'71�J`Y�-Qi�Address J V `�^�L % (�S/�� Y'1 /40
Contr. /L /J Address
Phone �� d State License
Approved
U '
s
APPLICATION FOR ELECTRICAL PERMIT
—o/
Date T 19 7FEES
n � 1 o2/3c�'
Contr. 2O s i /e._-�-•� _ Address a �C'sjpk o`'
Phone 6L 9,- .1Z 7,6 State License --;'- Vl�:Zlla
Approved /
APPLICATION FOR PLUMBING & GAS PERMIT
3v
Date 19 � `Z GAS FEES GS^=
PLUMBING FEE $ 717-�'• <7
Contr. _ �>-�- ,Q /`�-c- ^a i Address 6-D-5—
Phone State License I/S-3 7
Approved
Z APPLICATION FOR APPLIANCE PERMIT
Date 3T_lq Z FEESIt
Contr, �y�s_1� Address
Phone '/ 7- 7U JZ State License
Approved �•"c�
Applicants agree-not to violate any of the
Workman's Compensation Laws of the
State of California
P D.1
RECORD OF INSPECTION APPROVALS
r BUILDING
DATE INSPECTOR MISC.
PAD FINAL pii Z 't
FOUNDATION O
UNDERFLOOR oe
r
FRAME ykj~ (C-Y,
LATH & PLASTER P, eeY
i
GRADING FINAL
FINAL BLDG.
ELECTRICAL
(�Gr liTVA-rE INSP TOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING �7
FINISHED WIRING
FIXTURES /
MOTORS _
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH '7 ' It. pO"0L
PARTIAL ROUGH
ROUGH COMPLETE -7
MAIN ORAIN l
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR • MISC.
MISC
MISC
MISC