51248.3 /073 I SWL0I U/7,l J F f LOT NO.
NO. STREET '
CITY pe CUMre70 - CITY OF CUPERTINO
g OCT 12 197APPLICATION FOR APPLIANCE PERMIT
3 U 17'afe t0lZ'YDBf�.E� 19 Z� Permit No.
z LL Fee-S
W W Application is hereby made to the City-of Cupertino for a permit to
oF 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
Code of the City of Cupertino, and all other laws applicable thereto.
on Use of Premises
> 0
Owner. 0,10 y # A?625 Address RaW AM&
ZJ
�,o
By >� Address —SA) cTGIrE
coNTRAG70&AGENT
— m Phone
10 0,510
03109-1
_
°a o State LicenseApproved
-U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. G
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit. Bath
Inde end. Vent System
Com. Indust. I nst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation Systen
with
Forced Air.Mech.each Power
Gravit S stem
No,of Air Outlets,No.of Flues
Stacks for Metal Fire laces
Smoke Slacks,Misc.E ui .
_Under 15'Hiph
Over 15'Ilial
Comfort Cooling
Comp.of 20 HP or less
&ahsorp.units with input
of 500,000 BTU or less
Comp.over 20 HP&Under 50 HP
&Absor r.units with input
t
of 500 001 &Under 1,000,000_
I Permit Fee
Total
Total Fee '�
1'4/4'
QK OP&OWWO Street a Lot No.
CITY OF CUPERTINO pp
AUG 61912 APPLICATION FOR BUILDING PERMIT
Sanitary No.
DAte
' 19 _7
E
.m E Application is hereby made fora permit to
O uo. T
3 _ a story,Type Building
F
U
to be occupied only as in accordance with
ao, � Plans,Specifications and Plot-Plan filed herewith PI Ck Fee G
sEstimated Value of Improvements,S -eV Fee S
60 It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construct' n, location, and use of buildings within the City of
A Cupertino will be compf d'with.
c
Owner
3 '2° �� I ddress
aBy Address ok
ffi E Phone
U o �� Approved
State License -7C,�, uilding\Insppector
V
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CIT
,�( Y OF CUPERTINO
Date ......... ..l/...................... Building Permit ......
/ O 7 gyp c_ `2
The Building Located at -----+------�--....�.-----.h..�.—.�.{....t/.... .. _ -"--•--------------
Ownedby ..... d..................... ..-------.........._.._.....
Has Been ltared) For Use As: ......�x .... .......`----•---------------
............ ................. - .._-...:...` - _::...._......... .................."-- .........
ILD• G INSPECTOR
io9�3 1 SVI"4—
Q NO. STREET
Z LOT NO. �Z
w Z
Y o CITY OF CUPERTINO '
0 ,
W LICATION FOR ELECTRICAL PERMIT
3V CVy OF 03l
w
Datep C� 151912
o �
45A 19 Z Permit No.
E ,d Fee y
a w Applidtion is hereby made to the City of Cupertino for a permit to insta I electrical
W r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 , wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
'> m City of Cupertino, and all other laws applicable thereto.
z _j Use of Premises SINGLE FAMILY RESIDENCE
Z
0
3 a` Ownerf>' Address _Al3 ��"�"�
WW
By ZEE ELECTRIC Address t
O YCONTRACTOR, AGENT n
/� q / App rove
<U Phonc: 1/VA -SD'/ 61 'e7rpr r• 1NSveCr01/•
State License -P411wo
_ y
• ITEM NEW RPL FEES
Number of Outlets d
Number of Switches 5
Number of Receptacles 4
Number of Fixtures
Ranges or Oven K.W
Sizeof Main Service /d
Number of Meters
Number of Panels • Di'
S' -Transformers
Dryers / �•0 Q
Motors:
H.P.Phase
H.P.Phase
Power Poles
G - . - rAus 5
u u
Permit Fee 2.00
H.P.Ch es
Total Ilees a/
LSL9 3 I Vrx1 FF`�' L1M, �'I• LOT NO. Ids
NCL STREET
N CITY bP Eiji- Tato CITY OF CUPERTINO
W `- APPLICATION FOR PLUMBING PERMIT
E �U G 3 0 1972
r Sanitary No.
3 Tal{ 197 Permit No
= W Fee$ -V4•.S0
o Application is hereby made to the City of Cupertino for a permit to install plumbing
0 a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i a and/or fixtures in accordance with the provisions of the Plumbing Code of the City,of
a W Cupertino, and all other laws applicable thereto.
~ ~ Use of Premises
a
00
> W /nJ �Y1
o3a Owner 40i<'Aw a€F5 Address/056/liQ'fr`5 Y/'/i•CKo APe
z-j //�J
o
By �� TA/� Address&d S N9 S✓ S
3 CONTRACTOR,AG
- Phone- /J SL
W Z
'W W
a.�o1 State License /7�S3Z_ Approved
\t— P(� PLUMBINGINSPECTOR , /
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet O Material dS
Bath Tub / To Curb
Shower To Pro . Line
Lavatories 144 c T Exi
Kitche 9t onn...
Dish Washer
Waste Dis osal
Wash Tra STORM DRAINAGE
Washing Machine / •5Z) Size
Water Softener Materiel
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinkin Fountain
Floor Drain I WATER SYSTEM
Hopper I Size P 1 1 .457)
Restaurant Sink Material
Sand Trap TOVA4,FEES
Urinal Fixture Fee
Area Drain I Main Drain Fee
Water LeaderDrain Fee
Sprinkler System Water Sys.Fee
Relief Valve C.Aq Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 2.cO
Total Total Fee oZI ..So
/G 9 13 I S� 04 Lot No. /2
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No-22S
File No-�y�•2�� 3
Do to 19 L
Application is herebymade for a permit to
T a story, Type
to be occupied only as
in accord¢ a with plot plan, Plans and
7Sp ' ication filed herewith„
Estimated Value of Improvements $ 5
FEES _ G 6 Plan Check$
Owner Address �� S (] � 7l�
Contr. Address
Phone j - �J '7( State License,�� 5
p Approved
1173
APPLICATION FOR ELECTRICAL PERMIT
Dote / 19 -7 7� FEES _ _s�-t�G�-;,-- C� n
Cont'. Address �/ ''j'3 14 ct-r-i-
C//
Phone State License
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Dore / 19 72-- GAS FEE $ C/s° J
PLUMBING FEE $
Qr---- q
Contr. �-
Phone — -7���'O ,r.�ro State License '
� tin.z 7
Approved v�d. D �
/d /d
APPLICATION
Date TION FOR APPLIANCE PERMIT—.p-v`
�_ 19 FEES
Contr. Address
Phone - (f 7 ' 75 Cy State License 3 .L.J
Approved
Applicants agree not to violate any of the
Workman's Compensation Lotus of the
State of California
PD-1
RECORD OF'INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL ^ • q
FOUNDATION 0 • ��
UNDERFLOOR
FRAME
LATH &PLASTER
GRADING FINAL
FINAL BLDG. ' <<�
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING O 1 ti
J
FINISHED WIRING
FIXTURES 3
MOTORS
FINAL F,-7"23
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH �'•� �� �� 7'Y
PARTIAL ROUGH
ROUGH COMPLETE '
MAIN DRAIN
FINAL PLBG. -�
FINAL GAS l
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC T
MISC
MISC