51248.3 16Q, 3 1 suJr-F7-OAK 1;207—ET LOT No /9
No. STREET
a< pn Op CUPERTINO CITY OF CUPERTINO
Z1972APPLICATION FOR APPLIANCE PERMIT
f o OCT 12
3 V DDate^ t�[�Q�708 _ 19 ZZ- Permit No.
x n t! Fee S/349
n W Application is hereby made to the City of Cupertino for a permit to
O 4 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
F F Code of the City of Cupertino, and all other laws applicable thereto.
3 b Use of Premises DlOELUA)
G
o
o Owner_ .Oftt Y 1140A71-S Address 0qA7 .&
o By 6elJ1C� �- Address S�iU 10S E
;.f CONTRACTOR,AGENT
—m Ph.., �� �0�0
Y 2
W d
io State License 4316C/� Approve
U LUMBING INSPECTOR
APPLIANCE UNITS FEES
fins I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Waning Ovens
Susp. Units
Dwelling Kit./Balh
Inde end.Vent.System
Com.,Indust.,Inst.Kit.
Hood &Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation S stem
wi
Forced.Air. Mech.each Power
Gravit S stem
No.of Air Outlets,No.of Flues
Stacks for Metal Fire daces
Smoke Stacks,Misc. E ui .
_Under IS'High
Over 15'Ilial
Comfort Cooling
Comp.of 20.HP oc less
&absorp.units with input
of 500,000 BTU or less
Comp,over 20 IIP&Under 50 HP
&Absor .units with in ul
of 500,001 &Under 1000.000
I Permit Fee
Total Total Fee
1o9as I 'zwgt�- 0/9& si-,Lf l
ZQ NO. STREET - � LOT NO. /7
w Z
C
00 0 uf�t pp CUPEaTIN0 CITY OF CUPERTINO
< PPLICATION FOR ELECTRICAL PERMIT
W LL
OCT 24 1971
0 Date
°o t^te 19 Za- Permit No. f F1
> n Fee S _
i W Application is hereby made to the City of Cupertino for a permit to install electrical
ar wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
_oJ o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> W City of Cupertino, and all other laws applicable thereto.
03
zJ Use of Premises SINGLE FAMILY RESIDENCE
J Z
O
3 a Owner ajt Ve3� Address A a
N
W Z
� eBY �-� Address
07 CONTRACTOR, AGENT d
_` A rove
u Phone: Bid 3�910 PP ELL CAL INSPEAM
State License PeIll91/0
& . _
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles a
Number of Fixtures
VS--
Ranites or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
6 d
Permit Fee -2.00
H.P.C es
Total Fees / •�4
No: Street Lot No. 17
CITY OF CUPERTINO
of woE LICATION FOR BUILDING PERMIT I
Date SanitaryNo.
A
m "c A cation he made fora pemiit to
`o o
3 = a Ct ^ story_Tyk4e Building
r
0
to be occupied only as ,/ �,in accordance with
r y Plans,Specifications and Plot-Plan tiled herewith PI Ck Fee /n�
0 Estimated Value of Improvements,$ �� Fee$ 47�eqo
o `o It is 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
= Cupertino will be`.complie ith. -
3 ° Owner a �Gt�P r O3D
N
o 0 By Address
E Phone /��� roved
tN4- State License �� uilding Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... ...... ........... jq.�.73 Building Permit No
..... ... . ... .. .. . .......
The Building Located at........ ........0. 1. !044
Ownedby ...... e::: .................................... ------------------------------------
........ ...
0
Has Been or7seAs: ...........<
(Allteffi) ? .....
...............................................------.......------........._`------"................`---°;...................... ..........................................................
..........................................................................W..................... ....................................
...................................................................L........ -;k
.... -- -----------
------------ ........
-----------
DING IN
/ I Jv "z I TRIS-v LOT NO.//
NO. STREET n
CITY OF CUPERTINO !J
z d Qrr OP CUPEId1N0 APPLICATION FOR PLUMBING PERMIT
r MAUG 3 0 1972 Sanitary No.
3 U Psz,
Wia ' 19 ��— - Permit No
LL Fee $ 023, 5a
LL W 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
=m 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 2
F f -
0 o Use of Premises /)
> 0
o a Ownert B'., Addre
zJ y
Z
a ,S" •N =c. Address6zSU2aa�
F
CONTRACTOR,.AGENT t�
Phoneo298Wz
- QS«
WW
aa State License Approved
U _ f
I7�\ PWMEING INSPECTOR ��
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size 3 q
Water Closet Material dS
Bath Tub To Curb
Shower / To Pro .Line
vato 'es To E ' N
. D
Dish Washer
Waste.Dis oral
Wash Tra STORM DRAINAGE
Washin Machine / •5o Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size U
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee SO-4
Water Leader Storm Drain Fee _
Sprinkler System 11 Water Sys. Fee •$O
Relief Valve r.Rq Fee.
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total IS,<C Total Fee a -sD
10 '?,23 I Lot No. /J
No. Street
CITY OF CUPERTINO s
APPLICATION FOR BUILDING PERMIT 79 yO
Sanitary No.
File No-L14 ZZff. 3
Date _ 19
Application is hereby made for a,permit to
a story, Type
to be occupied only as
in accordCd1ce with Plat Plan, Plans andd ecification filed herewit
Estimated Value of Improvements $ -_ p'-Z, '.'� o�
FEES /-'o /Es'6:� G Plan Check$ y,
Owner 6 NG � Address � �51� '0'
Contr. Address
Phone State License
Approved
4
APPLICATION FOR ELECTRICAL PERMIT
� J/, �=� D
Data �q—T� 79 7a'-' FEE$ /9
Contr. _]o 'J Address t72
Phone - e296 - -Z -2 6 �C
State License -df���y/9/�b�
Approved
APPLICATION FOR PLUMBING& GAS PERMIT
Date �- 19 GAS FEE $
/ PLUMBING FEE $ 3 �
Contr. Address e�.5� c' "-`-'.'-i d-+'
Phone State License
i
Approved '"-`
APPLICATION FOR APPLIANCE PERMIT
Date p 19 7 2i FEES
Contr. A�1_--> � Address
Phone 7 - 76 J--2) State License o23/ ° 9 2i
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-7
o ..
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
Jae;,
ELECTRICAL
�G+ DATE INSPECTOR MISC.
UNDERGROUND ROUGH 6 *
ROUGH WIRING I` 'r i-),,/
FINISHED WIRING
FIXTURES 'XO
MOTORS
Ftib�7
FINAL-
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH Rf
ROUGH COMPLETEs 7
AL
MAIN DRAIN 017
FINAL PLBG.
FINAL GAS �'2� -
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC