51248.3 NO. STREET .. ..
0 'j CITY OF CUPERITNO CITY OF CUPERTINO
o OCT 12 19-?�PPLICATION FOR APPLIANCE PERMIT
4
° A D e� (QQ7�,� •.P
19 Zg, Permit No.
oW Fee•$IST
4W Application is hereby made to the City-of Cupertino for a permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
zW install said appliances in accordance with the provisions of the Plumbing
W i Code of the City of Cupertino, and all other laws applicable thereto.
W h
o c Use of Premises AUJ rZ 11AI/rr
o'< (hvner�/1A11L'A}/ ff/1/✓7�S Address /YIELD Of}jek
ZJ A
JZ By—A/If/ (70 Address J MU %Z0.P'
3 CONTRACTOR AGENT
d = Phone- olf1— b$0
W W
ao State License �QQ� Approve /
_V / 64EUNG INSPECTOR �/
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent System
Com. Indust. 1 nst.Kit.
Hood &Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind Ventilation System
w'
Forced Air..Mech.each ['ower
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. L ui m,
Under I ' iith
Over 15llig
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Comp.over 20 HP&Under 50 HP
&Abso m.units with in ul
of 500,001 &Under 1000,000
Permit Fee
Total Total Fee
/4? 1- 4tq
No, Street Lot No.co
CITY OF CUPERTINO
Qp (;UPE0.11N0 e APPLICATION FOR BUILDING PERMIT pa 6'��a
1872 Sanitary No.
`jDat� ' 19 Pe it No. J eL �•
-E E Appli�ti rt's hereby made for a permit toT L' i(ri
/��
story, pe Building
Off_ , /j a//� .
to be occupied only as: /y � _. -, _ __ in accordance with
r Plans,Specifications and Plot-Plan herewith PI Ck Fee411
Estimated Value of Improvements,$ ����90 Fee
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
c A Cupertino ill be complied vith.
.3 - Owner Ad r'ess
Ul
d a By Address
°E Phone Approved
u
State License 4ouilding Inspector
CERTIFICATE - OV COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .............>------�...L!............ B 'Idi Permit No
'F 0, � 40-,
The Building Located at ......(.9.7 L -
Owned
-------------------.......
-*-------------------
Owned by ............I..."............. .....__13 .....
...................... .......... ............. .......
His Bee, (Cll!�r Wks 775 -'- f7
(Altered) .. . .................................................................................
..................................------..........._.._........----••................................................ ..............
................................... .................... .......................------......................................
................................................................................ ------- -------- ----- ............
.. ......... ............
.Z Q NO. STREET LOT NO.
W Z
Y o Ctry OP CUPERnNO CITY OF CUPERTINO
0OCT 24 19APPLICATION FOR ELECTRICAL PERMIT
W U
o Darin
o` r 19 Permit No,
Q Fee S
a W Application is hereby made to the City of Cupertino for a permit to install electrical
W
s, wiring and/or Iixtures 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
3:0 City of Cupertino, and all other laws applicable thereto.
Z'_j Use of Premises— SINGLE FAMILY RESIDENCE
Z
0
3 a Owner f S / ld Address �d "M
W BY9. Address a
0 FCCONI ACTOR, AGENT A roved
Q,U Phone. , c9n -.971(a pp E ECTRIUL rN1Bi
State License. --l"WPIw "
plyk t L
ITEM NEW RPL FEES
Number of Outlets 9
Number of Switches !3 .W
Number of Receptacles`
Number of Fixtures
Ranges or Ovens K.W /-0-0
Size of Main Service UB •a'0
Number of Meters
Number of Panels
Sims-Transfonners
Dryers
Motors:
H P.Phase
H.P.Phase
H.P.Phase
Power Poles
�o
Permit Fee 2.00
H.P.Cha es
Total tleeS
1D7 TJ I �( y�L �✓J//lI LOT NO. I S
NO. STREET
VfY of ELIV Y416 CITY OF CUPERTINO e
i `- APPLICATION FOR PLUMBING PERMIT
x gpUG 3 0 1972 / Sanitary No.
3 U 19 Permit No
LL Fee $ 2— -SJ
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
> and/or fixtures in accordance with the provisions of the Plumbing Code of the (aty_oC
a w Cupertino, and all other laws applicable thereto.
w x
a Use of Premises
00
o a Owne Address—Z
Y J (//O
J 0 By 144L. A
c NTRACTOR, AGE Address 1,267
3
w,0 Phone 4t1`' PJ S3�
a o tate Licence Approved
—U f
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / I Size
Water Closet .&t Materi
Bath Tub ,511 To Curb
Shower . 02 To Pro .Line
Lavatories 64 Tn Existi
.J�1
Dish Washer
Waste Dis oral
Wash Tra STORM DRAINAGE
Wash' Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit11
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size /-, /•
Restaurant Sink I Materi
Sand Trap TO FEES
Urinal Fixture Fee
Area Drain Main Drain Fee 0 0
Water
Sprinkler System Water Sys.Fee / S-,1
Relief 5"4
Vac Breaker
Skimmer
Filter
Pool Sweeper
Fee ,6-0
Total 3736ee c93.5'0
l O� �. I ✓l/V`-C--e// C./�rC. Lot No./
No. Street 92-
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
Fila
Do to. �19 -17-101
Application is hereby made for a permit to
C T a story, Types
to be occupied only as '
121 V-e
in accorddece with plot Plan, Plans ann/d pecification filed herewith,
Estimated Value of Improvements $ !D . 6 DL-5_ U o
FEE$ d • � �-y� p�Plan Check $ /
Owr.er < O" `���pddress 16 7y
Contr. Address l t
Phone - T ��Y� State License
Approved
r
APPLICATION FOR ELECTRICAL PERMIT
Date 19 7 )/ �a
FEE$
n7Jn �n
Contr. '`R-L2 i Address a �� A �'aL. 4gaj
Phone
4; jl� State Lice- nse '1-�'�ri� 6
Approved 672 i
tl
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $ .. C/ F-V)
e PLUMBING FEE E -- 2� 3- J�
Contr- _C-�2-1� Address _ C-L,5- `-z+6
r
Phone d,f`� State License
Approved
APPLICATION FOR APPLIANCE PERMI
Date FEES
Contr. bJwa�e�cwt� Address
Phone crli 7- 7 d.y-6 State License a- 6- aC//
Approved C z
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-I-
RECORD OFINSPEC`710N APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION-
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
Upze^- ELECTRI AL
DATE INS PE OR MISC.
UNDERGROUND ROUGH
ROUGH WIRING-
FINISHED
IRING FINISHED WIRING �+
FIXTURES
MOTORS _
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH I�
ROUGH COMPLETE �� �7
MAIN DRAIN /7
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC