51248.3 No. Street . ' ' Lot No.
Crry Of CUPEATINO CITY OF CUPERTINO
AUG g 197ZAPPLICATION FOR BUILDING PERMIT a. 3�
Sanitary No.
•� Date 19 _ Permit No. ioL
E Application is hereby made for a permit to��B
3 a story,T pe Building
d
W to be occupied only as _ /a��f in accordance with
C
o ° Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
T m
„
Estimated Value of Improvements,$_:�31 S--" Fee$
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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
Cupertino will be complied with. /J
Owne �Q/ L_
.3 ddress -�C'-CL
_ A
„ v By / Address .2�
o� �� / PP E Phone i A roved
u ` uilding Inspector
State License x\ \ 1
V
1471,2 -tUE-ET ewe ST. 55
N Q NO. STREET LOT NO.
rcCITY OF CUPERTINO
0 u of 1" ,o.11-APPLICATION FOR ELECTRICAL PERMIT
I oC'
oF `Date , 19 Permit No. _
< O F c e 'S
<N Application is hereby made to the City of Cupertino for a permit to inst electrical
W
wiring and/or fixtures as listed on the reverse side hereof, and agrees t install said
00 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.
h 3
z Use of Premises SINGLE F
Z
0
3 < OwnerZEC IY� E Address
N
W W By Addres
CONTRACTOR, AGENT
_`u° a9l aB96 APPr v d
Phone: � eLBC[Rt tL [iEPBQi
State License ��9�L
ITEM NEW RPL FEES
Number of Outlets
Number of Switches /
Number of Receptacles a
Number of Fixtures /G 0
Ranges or Ovens K.W. /0
Size of Main Service /GOR •00
Number of Meters /
Number of Panels / /•0
S' -Transformers
Dryers / O4
Motors:
H P.Pham
H.P.Phase .
H.P.Phase
Power Poles
D.- - 2rA VJ Al
2
Pemut Fee 2.00
H.P.Charm
Total Fem x.35
/0 96'Z L"'t, &-'t ylt, LUT Nn sr
CITY OF CUPL4dw sraEEr CITY OF CUPERTINO
w Z AUG 3 0 1972 APPLICATION FOR PLUMBING PERMIT
x o Sanitary No.
LL p
a Bite -u-a� 19 Permit No
U
I LL Fee$ -2Z,-5-0
0 Application is hereby made to the City of Cupertino for a permit Co install plumbing
o' a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said rices
z m and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
< w Cupertino, and all other laws applicable thereto.
wx
LL Use of Premises
00
3 Owne Address O
z I
By X Address /,-ZS
3 �
C$3NTRACTOR,AGENT
/
ao State License 3 Approved l
U\�' '04- PLUMBING INSPECTOR r
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater f, So Size 3 ' $• 00
Water Closet 114,Se, Material
Bath Tub -5,01 To Curb
Shower •5-01 To Prop.Line
Lavatories 44Sa To Ex' ting
Kitchen Sink 5-0 N Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size /It /•SO
Restaurant Sink 11 Mate
Sand Trap TOTAV FEES
Urinal 11 Fixture Fee
Area Drain Main Drain Fee -'V-,00
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee 1_50
Relief Vahre Gaq Fm
SO
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee .O o
Total 6• Tota1 Fce •S b
%09(02 I SWC67 OA-A..siR EE i LOT NO 6s
NO. STREET
CITY OP CUPERTINO '
CITY OF CUPERTINO
p`
mOCT 12190PLICATION FOR APPLIANCE PERMIT
Q
s
c j MIR 19 ZZ Permit No.
3
X U, Fee•S /S, G o
o Application is hereby wirde to the City-of Cupertino for a permit to
°o` install gas appliances as listed on the reverse side hereof, and agrees to
<N install said appliances in accordance with the provisions of the Plumbing
W Code of the City of Cupertino, and all other laws applicable thereto.
3 Use of Premises .DG4; WWA)lt-
00
Owner_AY#d & KONIES Address ,li/E Uea Pf kr
z By Iqla/C& 11fil! M Address Sf�iU tT01' E
'O CONTRACTOR,AGENT
Phone 9(f 7— `7040
WE
To o State License a3 /O92. App
rov
_U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
WallFurnace
Gravity Fum.
Forced Air Fum.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath Od
Inde end. Vent System OQ
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 IS'High
Over 15'lligh
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
&Absorp.units with input
of 500,001 &Under 1,000,000
Permit Fee .�
Total Total Fee /s
I i
i
CERTIFICATE OF *COMPLETION
BUILDING INSPECTOR'S OFFICE
�.� CITY OF CUPERTINO
ZG� Ya
it Date ....------.�-....:.-.......:-••k------�-•.y 19...7. .- Bouii�' gPeppr�mit No. ...................
The Building Located at ...1'.QJ.... Z. --- ............... V�•��'=::�:Tt ..
Owned by .... ......_................:...: :..1... ....... .... .............. ............ ..................
... -• .
Has BeenAlt`- ' For U As: ....? -iL....' ....`�� -................--
---..............._....------.......---...------------..................................................I.....................................
........................................................................---..................................................................
..............................:..........I.................................. . ....._... .-- -- ... .....................................
-- ... SISl. -......----
ILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTO MIS
PAD FINAL Z
FOUNDATION
UNDERFLOOR 7
FRAME ' ' J
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE .' INSPECTOR MISC.
UNDERGROUND ROUGH JV-
ROUGH WIRING 14-
FINISHED WIRING y
FIXTURES
MOTOR S
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH 7/ Y
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN y
FINAL PLBG. �/'7 3
FINAL GAS � f0� 73
FINAL APPLIANCE - 7
DATE INSPECTOR . MISC.
MISC
MISC
MISC
Lot No.
No. Street n . � 2
CITY OF CUPERTINO G
APPLICATION FOR BUILDING PERMIT
Sanitary No. 7
File No. Z . 3
Da to ...�19 � Z
Application is hereby made for a permit to
s i
C_14a story, T e J L
to be occupied only as
in acco nce with Plot Plan, Plans andj1pecification filed herewith
Estimated Volvo of Improvements $ 00• Q
i
FEES 0 Plan Check $
Owner �� Q Address //7`' ,,�( r -ty/'{/"�
,
f�
Contr- Address
Phone l 1-? ( _ State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date S� 19 - 7 A, FEES a/� 1_
Conry. 4e4— L{
�4� � Address a �`j_j
Phone o'-�6 ^�5�1 7 6 State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
9/1 C�3-0
Dote 19 :;2 2,s GAS FEE $
PLUMBING FEE $ p �k
Contr. _ Address
c
Phone � � ^G J •S G State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data Z 19 7 7— FEES
Contr. M1Address
Phone —dam '7 —70SZ State License -�2- 3l O
Approved
Applicants agree not to violate any of the
Workman's Compensation laws of the
State of California
PD-1