51248.3 LW33 I rargra# 'C)�ty LOT NO. �ta
NO. STREET
n i C" OP CUMTNO CITY OF CUPERTINO
o OCT 12 197tPPLICATION FOR APPLIANCE PERMIT
O:
Up e�J7 19 Permit No. S1217-3
Y Fee-.$ e'a0
LL °� Application is hereby Trade to the City-of Cupertino for a permit to
I
F install gas appliances as listed on the reverse side hereof, and agrees to
a install said appliances in accordance with the provisions of the Plumbing
F Code of the City of Cupertino, and all other laws applicable thereto.
3 a Use of Premises Dweal1)&
00
o i ownerlU/f CAV NDtiiES Address ME�f1L0 PA��
J'OBy--&L/dk NI Address SA7UJi9cE
CONTRACTOR,AGENT
3 m Phone
YZ
WW �7 /
& a o98/OgoZ/
°a o State Licence Approve
&hUUNG INSPECTOR
APPLIANCE UNITS FEES
Liaslop
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warning Ovens
Susp.Units
Dwelling Kit./Bath
Inde end. Vent System
Com. Indust. I nst.K it.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
:,-.,, MTotaI
d Air.Mech.each Power
Gravity System
f Air Outlets,No.of Flues
s for Metal Fireplaces
e Slacks,Mise. Equip.
_ r 15' Hi
Over15'Hiel
Comfort Cooling
.of 20 HP or less
orp.units with input
0 000 BTU or less
.over 20 HP&Under 50 HP
so .units with in ut
0 001 &Under 1 000,000
P
Total TFeel
Z' Y 7.4
No. Street Lot No.
fJt't OF Cl1eEFnHo CITY OF CUPERTINO
y AUG 8 197Z APPLICATION FOR BUILDING PERMIT
Sanitary No.
v OAe� , 19 Pe o. 02
.E 'c APFlication is hereby made for a permit to A'
3 a story, pe �L� 9 Building
—,a .�
o to be occupied only as �' in accordance with
Plans,Specifications and Plot-P an.filed herewith PI Ck Fee
Estimated Value of Improvements,$ Fee$ AD,
r
o 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 Cupertin will be complie with.
Owne
dr ss
m By Address
� .o Phone�sa�i�� Approved74.
ti State License 69�� �� \f wilding Inspector /'
io 923 Ate— 'gAev— / i
Q NO. - STREET - L07 NO. A/I
W 2
CITY OF CUPERTINO
a o CtPr Of CUPFATlNO
3 < OCT 24 1gtPPLICATION FOR ELECTRICAL PERMIT
u
W ,
� oo-/G
o . Dal§ A 1. I) 19 3 Permit No,
> Fee
a w Application is.hereby made to the City Of Cupertino for a permit to install electrical
Q.X 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
> 0 City of Cupertino, and all other laws applicable thereto.
03
z J Use of Premises SINGLE FAMILY RESIDENCE
J
J O ` / 1
3 `a Owner �c1HJatl�/ Address �E
N
W a BY Address
ao CONTRACTOR, AGENT Approved.
—u Phone: -r-yd -'D 76
E ¢G1R1GL INSP CZDl
State License aeiyiG
•�� G
ITEM NEW RPL FEES
Number of Outlets
Number of Switches /3 d
Number of Receptacles
Number of Fixtures a
Ran es or Ovens K.W.°b
Sue of Main Service /o-0 /•0'O
Number of Meters
Number of Panels
S' s-Tmnsfonners
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
3
3.
Permit Fee 2.00
H.P. es
To ees 9�
CERTIFICATE' OF COMPLETION
BUILDING iNspFcrbR's OFFICE
CITY O--F^CUPERTINO
7 Date ...........5 - -7—
.........I.......................... 1%.........3 Buil 'n Permit No. .... .........
Cl
1lie Building ...C
Lowed at .... ........ ............. ...................
Ownedby ...... .7:......c�. ...��:✓..... ..... .. ........................ ..............
Has Been For Use As: ....................:n...... ..........................
(Altered)
................_..........--.............----•---........................... ..............................--------...........
..............................................................................................................................................
............. ........................ ................................
----------
.....—-------- ........
ILDING
O lzz LOT NO./L
NO. / STREET - _ e
CITY OF CUPERTINO
z - or euPean"APPLICATION FOR PLUMBING PERMIT
r o AUG 3 0 1972 Sanitary No.
a LL
3U llat� 19 /j- Permit No
= LL 4�� Fee$,23.6-0
` 0 Application is.hereby made to the City of Cupertino for a permit to install Plumbing
ow pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r and/or fixtures,in accordance with the provisions of the Plumbing Code of the City of
a m Cupertino, and all other laws applicable thereto.
W x
LL Use of Premises
0 0
a a Own Address
z J
2 0 By - Address l a s (%(e t C� it '
CNTRACTOR, AGENT
W Phone Dsb�
WW
a.a
a o State License 7is3._T Approved
- U
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size '✓
Water Closet Materia
Bath Tub To Curb
Shower j •,5D To Pro . Line
Laval .O•d To Fxktin
Dish Washer
Waste Dis sal
Wash Tra STORM DRAINAGE
Washin Machine Size
Water Softener Material
Bar Sink To Main Dmin
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
.Hopper Size •S
Restaurant Sink Materi
Sand Trap TOW FEES
.Urinal Fixture Fee 3�5�
Area Drain Main Drain Fee 574X-0
Water t Fe
Sprinkler System Water Sys.Fee /'5—b
D
Relief Valve Ca%Fee J•
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee "9- O
Lot No:/&
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
�/
San ltury No. / 2 3 9
File No.�.24.
Data __Q l 7��9 -22
Application is hereby made for a permit to
astoryz Type �--�
to be occupied only as (^�l . / (/� Oj? w.11
inaccor ce with Plot Plan, Plansandh•,
and Sp ification filed herewit
,E{stim tted Value of ImprovementsO($ 6, QG6 . d o
FEE$ y ' 50 Plan Check S
Owner /�'J�� �� Z/�ddraas //
Contr. Address
Phone � `� - / / State License qYx
CC ��
Approved 7". -
APPLICATION FOR ELECTRICAL PERMIT
Date /E/T 19 ?oa, FEES "'r
-
Contr. /1
Contr. `(1 o Fp Address a� '�`y�J- -� C^u.-u
Phone License -
Approved F � �fit
/
7
APPLICATIONFOR PLUMBING & GAS PERMIT
Dote 19 Tr'Z GAS FEE $
PLUMBING FEE $ p �°'Z •n`;�
Contr. - `oQ.`� Address 6 ��
Phone �� /,-0 .S-C:( State License .j
Approved
APPLICATION FOR APPLIANCE PERMIT
Date Z- 19 Z i./ FEE$
Cont'. Address
Phone —':4e7 - 70sZ) State Lice nsa o2 d
Approved
Applicants agree not to violate, any of the
Workman's Compensation Laws of the
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION Z �'
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
J
ELECTRICAL
(�/^C��•
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING Z
FIXTURES �'+^
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH ���SO-7Y
PARTIAL ROUGH rl
ROUGH COMPLETE
MAIN DRAIN �?
FINAL PLBG. `7
FINAL GAS - 3- j
FINAL APPLIANCE _ -
DATE INSPECTOR MISC.
MISC �7
MISC
MISC