51248.3 No. Street Lot No.
CITY OF CUPERTINO �j ,a9�Byp
etrr of cuveRnao APPLICATION FOR BUILDING PERMIT
Sanitary No. 797
Y EDate 7�' 19 Permit No.
G jfi�QiCLtldn s hereby made for a permit to C7�—
`o 0
story,Type Building
$ to be occupied only as1fn accordance with
o Q
T Plans,Specifications and Plot-Plan tiled herewith. PI Ck Fee
Estimated Value of Improvements,$ Fee$ & 'GSD
s
0 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
A Cupertino will be compled with.
.3 Own
�✓ ��'i��L- G�X�/ of/�
.3 %H{fldress
v By K,iGC/ Address
u a
EPhone �� � /� Approved
U State License �6�s�/ uilding Inspector
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09a, —:�EUEdT ®A,e ST s/
NO. STREET LOT NO.
Z Z ..
x o pN OP CUPERTEiO ' CITY OF CUPERTINO
0s DEC 15 MI.LICATION FOR ELECTRICAL PERMIT
W LL
' 0 A
Date 9 1 /a�3 Ufa
W W ; 19 — Permit No. a 1A _
Fee S
< W Application is hereby made to the City of Cupertino for a permit to install 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.
03
z Use of Premises SINGLE FAMILY RESIDENCE
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0
`< Owner ff 11aj Addres
W W By ZEE ELECTRIC Add s
R.LL CONTRACTOR AGENT
a 0de / A p —.
Phone: afl, - W�r� ELECTRICAL IMPE
State License
lie -
[TEM NEW RPL FEES
Number of Outlets /3
Number of Switches /3
Number of Receptacles $
Number of Fixtures
Ranges or Ovens K.W. 1-496
Sizeof Main Service /DOA /.00
Number of Meters /
Number of Panels /•0 0
S' -Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
- 01 FANS rj
lz-
R Awls
Permit Fee 2.00
H.P.Ch es
Toees /9•�U
/O LOT NO.
SnEP.T
CITY OF CUP��'.f10
CITY OF CUPERTINO
Z AUG 3 0 1972 APPLICATION FOR PLUMBING PERMIT
W z
R
o Sanitary No.
3 a Uate a 19�a� Permit NO
W W / Fee$a3.SO
O Application is hereby made to the City of Cupertino fora permit to install plumbing
oa pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
'z N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
< W Cupertino, and all other laws applicable thereto.
W I
J LL Use of Premises
O O
> 0
, 3 Owner Address/030 &2�
, By LriY,e[J Address 2.9'C >k
O C TRACTOR,AGENT
3P
- m Phone -2- 4957,5-6
WZ
W W
ao State License 53 Approved
-0 x PLUMBING INSPECTOR c/
FIXTURES NUMBER MAIN DRAIN
Units Fees - Units Fees
Water Heater / 1,5-0 Size " ,OO
Water Closet ,Oa Material A 8.5
Bath Tub / /-50 To Curb
Shower /-5-0 To Prop.Line
Lavatories O To Existing
Kitchen Sink / Sb
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine ,SD Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size 1 /
Restaurant Sink Materi
Sand Trap TOTAE FEES
Urinal Fixture Fee ,SO
Area Drain Main Drain Fee 5.0
Water Leader StorrnFee
Sprinkler System 11 Water Sys.Fee /- SO
Relief Valve 11 can Fee
SO
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee a?-00
Total Total Fce -,23.5_0
W0,2 's-Weer— O/TA C / LOT NO t�/
NO. STREET -
CITY OF CUPERTINO
3 a a" or curAMAPPLICATION FOR APPLIANCE PERMIT
. 1972- Permit No. .�-11 f/10—3
X0Fee•$
°
Application is hereby marls to.the City-of Cupertino for a permit to
°o q install gas appliances as listed on the reverse side hereof, and agrees to
ia install said appliances in accordance with the provisions of the Plumbing
`F Code of the City of Cupertino, and all other laws applicable thereto.
S use of Premises �LCIELL//VG
oa
'd �" Uwner M' l4�G4Y //(JNIFS Address IWA24.0 10W_9K
0
j z By BU !e/� R^ 40 Address 6W A) r�OJ E
CONTRACTOR,AGENT
Phone a d7- 7-o so
YZ
°< o State License -13 / 0 9'X - A pprove
_U PLUMBING INSPECTOR
B
APPLIANCE UNITS FEES
as top
Gas Oven
Wall Furnace
Gravity Furn. '
Forced Air Fum.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath o e
Inde end. Vent System 2
Com. Indust.,Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without
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 15'tlipft
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
&Abso .units with input
of 500,001 &Under 1,000,000
uPermi[Fee J"
Total Total Fee V.
r { }: CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
Ifr CITY OF CUPERTINO
Due ......:... ..... 2 -- - 119-7-3. Building Permit No.
"y
The Building Located at .. ` ` -'.:�-,...s ........_ G'. .........:...,
Owned by ....... ---......�
Has Been n' l For Use As: .....C.r.. _.. ` `�" :.'-
(Altered) - ......................
.......-------................
......................I..................................................... ...........................
.... .............. .................... .............---....I...................-.. - -........ -.................
..........
UILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPFiCTOR MISC.
PAD FINAL 7�
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES 1�
MOTORS I
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH C X71'
PARTIAL ROUGH
Toe
ROUGH COMPLETE w
MAIN DRAIN 'G
1 �
FINAL PLBG. 73
FINAL GAS 3
FINAL APPLIANCES - - 7-
DATE INSPECTOR MISC.
MISC
MISC
MISC
2Z' I ,S( /T 04 �• S� Lot Nos/
No. Street / f//
CITY OF CUPERT►NO 7
APPLICATION FOR BUILDING PERMIT 7lj�/�
Sanitary No.LL 2.
File No.SI, 1(a.
Dote 19 �7
Application is hereby made for a permit to
G a story S
Type
to be occupied only as
in accoraf&4ce with Plot Plan, Plans annd ecification filed herewith„
Estimated
Value of Improvements $ iG . 6ri .
FEE$ - C!� V d Plan Check $
Owr,er Address
Contr. Address moi/
Phone l�'r" •��� State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
/ v
Date ''� 19 -2 YFEES
Contr. 4C v /- Address c ' �
Phone r�—�lO �0 7 /o State License 'j "--Z" '6
Approved C '
61
APPLICATION FOR PLUMBING & GAS PERMIT
{
Dote a/� 79 702_ GAS FEE f (/,3 a
PLUMBING FEE $ - J�
Contr. Address L
Phone State License�//
Approved
.�G
�s APPLICATION FOR APPLIANCE PE
DateZ� 19 � 7i FEET
Cont,. Address
Phone - �� 7— '7 D fZ State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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