51248.3 1 -113/
No. Street Lot No. 1z
INO U
F Y
CITOCPERT
qry OF GUPEIRMO -
Aub a �gPPucnTION FOR BUILDING PERMIT
Sanitary No.
e
119 — Pe it No. /e2 �y 3
v
E .E IAppWatibn f)ereby made for a permit to
0 0 -�
3 _ a story.T pe"-fr p Building
to be occupied only as /m accordance with
0
° P' Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
T A
Estimated Value of Improvements, Fee$ -e-257
m F
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 Cuperti o will be compli d with.
.3 ° Owne - / fess coo
�
A
BY ress
m a
E Phone sl�z Approved a
State License s uilding Inspector
I� �fl 9 � y ��
/0R 7.2 1 S-Weer dbi� sd
!R Q NO. STREET LOT NO.
Z Z
I
�p CITY OF CUPERTINO
3 Olt��� 9`r�APPLICATION FOR ELECTRICAL PERMIT
WU r y�
� 0 1
°o ]lfe��_n I "3 , 19 Z Permit No,
r Fee de
i N AppliW cation is hereby made to the City of Cupertino for a permit to instaU.eredrical
* : 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
W City of Cupertino, and all other laws applicable thereto.
z_j Use of Premises SINGLE FAMILY RESIDENCE
_
z
0
3 `a Owner -Z&d 819U I&PS AddressMA-71-44
W 3 By 7EE ELECTRIC Addre �• C•
( O CONTRACTOR, AGENT A
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Phone: �7//I --�CCr�9� PP ELEClRI L mal
State License ZqI //R/6 y
/\.
-A-
ITEM NEW RPL FEES
Number of Outlets
Number of Switches 5
Number of Receptacles a 9
Number of Fixtures / D
Ranaps or Ovens.K.W. / /• Dd
Size of Main Service
Number of Meters /
Number of Panels /. ,06
S' -Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
mbw
L TANS
1-74',eAjfi de,
a 5Q
Pemrit Fee 2.00
H.P.Charges
Total ees g/.35
/0172-- dUhCLOT NO,5v
MY OP du0i'3 b sraEEr CITY OF CUPERTINO
w � u G 3 0 1972 APPLICATION FOR PLUMBING PERMIT
X
oSanitary No
3 u pUart� I 2 19 Permit No
= w pee ffi,,1-4 SO
o 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
i N
an fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
wx
r r
w Use of Premises
00
r 3 Owne Address /030
2J //
o By �/ev-C CA .�xe • Address 6Z.S i
F ONTRACTOA,AGENT -
W = Phoneq�" OS66
W w
ao State License Approved. v
/� PLUMBING INSPECTOR (�
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater .50 Size .88
Water Closet q,To I Material
Bath Tub /. 5-0 To Curb
Shower /. S'O To Prop.Line
Lavatories 1,0 To Existing
Kitchen / /.576 Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener I Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size r'
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Ieader Storm Drain Fee
Sprinkler System Water Sys.Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee e2.00
Total .S I Total Fee
11092 SUJEET JAS( sTt'EE i LOTNO.
NO. STREET
Ori OP CUPER MO CITY OF CUPERTINO
Z _ OCT 12 JWPLICATION 'FOR APPLIANCE PERMIT
O : Dale 14 OaV66M 1979., Permit
LL gee. /S°-0
° 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
,za install said appliances in accordance with the provisions of the Plumbing
W
Code of the. City of Cupertino, and all other laws applicable thereto.
Use of Premises DZQ6*U1dJ64-
00
5:; Address LICA LD .O"k'
O<
�Z By Address hS' ao�
!'O CONTRACTOR,AGENT
a� �d7- 7aSo
a Phone
_Na Z
a a
° State Licensen23�40'1
Z
Approved-
0
PLUMBING INSPECTOR ��
APPLIANCE UNITS FEES
as lop
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. ea
Gas Fired Boilers
Warming Ovens
Susp.Units
Dwelling Kit./Bath 3 '
Inde-end.Vent System
Com. Indust.,Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without Comfort
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fire laces
Smoke Stacks,Misc.Equip.
Under IS'Hiph
Over 15'ffi2h
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 i5'�
CERTIFICATE OF COMPLETION
.(� BUILDING INSPECTOR'S OFFICE
f CITY OF CUPERTINO
Date ......... 19---�•'' Bnilding,Permit No. ........
t
The Building Located at ......1 ..7 ...........
Owned by ........rlE?-4-...1.tTl'- ..............
Has Been of se As: .......l.. �'.,.---- .-
................................................................................................................................................
..........._..._...... .................-......-----`---............................ ...............................................
..............................:...............................-.................. -------------
..--. .. --------------
ILDING INSPECTOR
RECORD dF 'INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MI
PAD FINAL
FOUNDATION 7Z
UNDERFLOOR
FRAME / • L
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING 1 feww��
FIXTURES IA
-
MOTORS `
FINAL v
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR 09 MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND R:0UGHJp' C A
PARTIAL ROUGH
ROUGH COMPLETE v
MAIN DRAIN f J y� /
FINALPLBG.
FINAL GAS - 3
FINAL APPLIANCE �� 3
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot Nolsze
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.f 7 7! �
File No.,�/
Dote �;A 19 2
Application is hereby made for a permit to
6"'q"'q S / A-'f ---"f a story, T e
--7YP
to be occupied only as `S T: " A�
in accordancAb4th Plot Plan, Plans
and Sp fication filed herewit
�jEstimateed' Value of Improvements $ 7K' G
FEE$ _ ` i- . y 0 Plan Check $
Owrwr 6tAddress
Contr. Address
Phone :2- - •��� $tate4'
Lieanao /l ,
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date ys 19 7,).- - FEES CP- -LL:
,y!-f
Contr. �" Address �-`'C� 'Oe-
C
Phone a-� G -SZ 7 k State License -'2, /
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 GAS FEE $ 1 1-4
PLUMBING FEE $
�-
Contr. e—='_0 /c� Address � '1 1
Phone " 9�- O S�J G State License S
Approved
/e APPLICATION FOR APPLIANCE PERMIT/,,--Z,.—
Date / Y 19 :2 L FEES
Contr. —d". Address
Phone 0 .0 State License ;2 /O �—�
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1