51248.3 _VQ S Oee,� o#& 5:jXams L°TNO. 13
No. STREET
Ott OP CUPUTINO
Y i CITY OF CUPERTTNO
a OCT 12 1972APPLICATION FOR APPLIANCE PERMIT
' 0
3 U
Dat
UC 1/ll f6�YDgt �P 19 7z Permit No.
Y LL Fee$
LL W Application is hereby rrm-de to the Ci ty of Cupertino for permit to
°i install gas appliances as listed on the reverse side hereof, and agrees to
iN install said appliances in accordance with the provisions of the Plumbing
t F Code of the City of Cupertino, and all other laws applicable thereto.
S Use of Premises DUl FL LiAI t4
oc
o i Uwner /bIRCCAi� NdflIES Address 2X01-0 1064t
;'O sy cly�Cr L'� Address Sf+AI erek
3 F .y�CONTRACTOR,AGENT
— m Phone o)A 7 �SC�
Y 2
C o State Licence o�3LO Q.Z App ve _
-ly PLUMBING 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./Oath
Inde end.Vent System
Com..Indust. 1 nsl.K it.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(Without
Forced Air.Mcch.each Power
Gravity System
No.or Air Outlets,No.of Flues
Stacks Tor Metal Fireplaces
Smoke Stacks,Misc. Equip.
_Under IS' igh
Over 15'Iliel
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 OTU or less
Comp.over 20 HP&Under 50 HP
&Absor .units with in ut
of 500,001 &Under 1 000,000
Permit.Fee
Total Total Fee
y'
/09 3 �
No. - Street Lot No.
Ot'1 CR rung"o CITY OF CUPERTINO
8 1911►PPLICATION FOR BUILDING PERMIT
AUG Sanitary No.
Date 11 19
,Ee 'C Opp.&atidn Is ereby made for a permit to
`o ,o /
3 _ a story,Type Building
U
to be occupied only a �
/1ilr, in accordance with
Gy Plans,Specifications and Plo4lan..filed herewith. PI Ck Fe q
`a
m Estimated Value of Improvements,.$ Z0 Fee$ 9�D0
60 It 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 m Cupertino ill be complie with.
.3 .2 Owner
,d, a By �-- - Address
�^ o Phone �� Approved
U uildinB Inspector
State License [� \ p
/ V
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CU PERTINO
ing,
Date ......)........ ..................... 19). Build' Permit N 0. .............
The Building,Located at .....J..Q....I....63 . ........
- -------------- .....................
Ownedby ........ -------------------------------.............
Has Been OL Use As: ........ ..........I..........
........................................................................................................................
...............................................I............................................................................o.................
..
------•' ...................................................... ----------------------- ...................
....................... .............
BU INC INSPECTOR
11
ION-? I oow&LA Al" �.�
STREET LOT NO.
W Z _
Y o - CITY OF CUPERTINO
3 < cRr °P "J� L7CATION FOR' ELECTRICAL PERMIT
= 0
OCT 24 1972
° /0-iG
`o F Date I 19 Permit No,
Q Fee
a W Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
oo 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.
zJ Use of Premises SINGLE FAMILY RESIDENCE
J Z
O
3Q Owner /l/ ( li Address
Wz D
W 2 �
a BY Address
O I CONTRACTOR, AGENT
A 0 Phmie: _ 2?6 -SD76� Approv
eLecrxrur. rNare
State License f1/916 e�
l-
00—z . N•
ITEM NEW RPL FEES
Number of Outlets /
Number of Switches
Number of Receptacles
Number of Fixtures /
Ran es or Ovens K.W. •�'"0
Size of Main Service
Number of Meters
Number of Panels y trd
Si -Transformers
Dryers
Motors:
H P.Phase
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Cha es
Total Fees x/.35
io963 I Z.r, &A LOT NO.
NO. STREET
tttr e ;•ii CITY OF CUPERTINO
W AUG 3 0 1972 APPLICATION FOR PLUMBING PERMIT
x,o Sanitary No.
13 ah Uz}te o �- 19 21-- Permit No
U
W LL Fee $,24,5 _
" ° Application is hcreliy 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 accordancr with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
w Z �
F Y
o 'o Use of Premises
o.a Ow r Address—A ^
Z J / t..i/lt
(fie ✓� , d-z 5
� P By - CO ACTOR, AGENT Address
W z Phone 2.101- D 5-.5--6
a o , State License 1,71S32 Appr/oved /
�� I'( PLUMBING INSPECTOR /
FIXTURES NUMBER MAIN DRAIN I
.Units Fees Units Fees
Water Heater . 5t Size
Water Closet Sa Materia
Bath Tub ),SD To Curb
Shower •S To Pro .Line
vat 'es LA T kti
Dish Washer
Waste Dis sal
Wash Tra STORM DRAINAGE
Washin 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
Restaurant Sink Material
Sand Trap TOT FEES
Urinal Fixture Fee &•5Z
Area Drain Main Drain Fee
Water
Sprinkler System 11 Water Sys.Fee
Relief Valve Gas Fee
S0
Vac Breaker
Skimmer
Filter
Pool.Sweeper
Permit Fee .tg0
Total Total Fee .,SQ
Lot No./3
No. Street
CITY OF CUPERTINO �' 3
APPLICATION FOR BUILDING PERMIT
Sanitary No. /—7 q �V
File No.z;'i, 2S/T3
Do to 19
Application is hereby made for a permit to
//'' /-
` ozq �T/I/G.C. e5' ' 7'. YP r-7 �y
to be occupied only as 1'42'C62- a� t'��j Jsto ��� �/
in aces ante with Plot Plan, Pl s and 9pecification filed heree th.
Estimated Value of Improvements E —3 Q Q
FEES - n���d Plan Check'S J
Owner ��//T/s
Contr• gg// l/ Address
'7�
Phone r�Y — � cl� State License 4,
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date. �nJZ19 22-- FEES - C,2S_✓� /J /f��
Contr. t".J�1 /�'�--�- -�-c_J Address a `�'t ..c '�"4sY
Phone State License a �q/6 (J
Approved f� a-z_ /
APPLICATION FOR PLUMBING & GAS PERMIT
>r+'
Data 19 7'7 GAS FEE j
�J ivti`._-t�F: PLUMBING FEE $ a'
Contr. -.—e^>-f' ft-CAddress Cd S—
Phone - C>LiG� O S.�(e State License S�
Approved
�a APPLICATION FOR APPLIANCE PERMIT —
Date �!� 19 7Z FEES
Contr. t -� t Address
Phone 7— 70 S-1 State License a
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 MIS-
PAD FINAL ,,tt
FOUNDATION
UNDERFLOOR V4
FRAME
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG. Z
�eAA L ELECTRICAL
A, 6pa�CIATE INSP OR MISC.
UNDERGROUNls�11-8
ROUGH WIRINk
FINISHED WIRI
FIXTURESMOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUCH
PARTIAL ROUGH
ROUGH COMPLETE s 7
MAIN DRAIN Y
FINAL PLBG.
FINAL GAS-:!C-
FINAL
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC 71
MISC
MISC