51248.3 No. Street Lot No.
CITY OF CUPERTINO
orf Of euro APPLICATION FOR BUILDING PERMIT /J
Da� 1 Sanitary No. 7 cf�O
G , 19 _ Permit NO.
E 'A Appl�atjpp is hereby made for a permit to
o` A
3 story,Type`f Building
e w to be occupied only as., � t!`te _:::;i .—!� i �J'��!accordance with
0
° P= Plans,Specifications and Plot-Plan filed herewith- PI Ck Fee
T m
A Estimated Value of Improvements,$ "a Fee$
d
0o 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
I Cupertino will be complied with.
.3 .° Owne�//JJ ^ y� i„( /' �.LILT�Address
u d
By Add Address .
d a
5 o Phone .— Approved
^ C� Ll
uilding Inspector
State License h
m
419'h I 31V6
0 Q NO. STjtEET LOT NO. '57
Z 2 _
W rc CITY OF CUPERTINO
o < ��cAPPLICATION FOR ELECTRICAL PERMIT
3
wuu of
O
o ba e _ j3 ' 19 2?- Permit No.
a' Fce Szo /
W pApplication is hereby made to the City of Cupertino for a permit to install electrical
I
W wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
F
o 'o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
S N City of Cupertino, and all oilier laws applicable thereto.
=� Use of Premises SINGLE FAMILY RESIDENCE
J Z
O
3 aOwner A Address /03d
Z By ZEE rL"ECTRIC Address
a C Phone; d7 GiAOR-T-w 96 Approved
pp Et tLICA17INSYE /
�" State License
ITEM NEW RPL FEES
Number of Outlets /3
Number of Switches
Number of Receptacles S
Number of Fixtures /3 5
Ranns or Ovens K.W.
Sue of Main Service
Number of Meters /
Number of Panels /•
Signs-Transformer;
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
l arra 6 50
Permit Fee 2.00
H.P.Charges
Total Fees 19-116
IO .1-� �+�^'�^-! ` (!�-✓� LOT NO.-57
NO. STREET
CITY OF CUPERTINO
i wrr OF ZUPEI:TINO APPLICATION FOR PLUMBING PERMIT
W Z
2 AUG 3 0 1972 unitary No.
0Dare y 197,�� Permit No
3 o p A1 97 Fee$ -2-3,570
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
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
W Cupertino, and all other laws applicable thereto.
w x
a W Use of Premises
0 0 /'
o a Owner Address/0 —16 j&i
Z J
- Address
ByCONTRACTOR, AGENT
— 0 Phone -2-9p" 0.55'A
W 2
W W
W
o State License 5� Approved
U ✓ PLUMBING INSPECTOR L�
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater S1 Size 3 5 0000
Water Closet e2.i Mat '
Bath Tub / •SD To Curb
Shower / Sb To Prot).Line
Laval o Ex'
Kitchen Sink 1, 5-6 Com.
Dish Washer
Waste Disposal
Wish Tray STORM DRAINAGE
Washing Machine 1I.SVI 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 Mate
Sand Trap TOM FEES
Urinal Fixture Fee .SO
Area Drain Main Drain Fee ye d
Water LeadeF
Sprinkler System Water Sys.Fee ,S�
Relief Valve F.
5ZJ
Vac Breaker
Skimmer
Filter
Pool Sweeper
Penni[Fee ,d'�
Total ToW Fee $�
"F2, , Lar NO, T7
NO. STREET
CITY OF CUPERTINO
b
°e CUtER ° APPLICATION FOR APPLIANCE PERMIT
®� Oi 1 �rC� 19 Z2, Permit No. S�y��• 3
i 1 Fee,$
' 0
0 r Application is hereby mitde to the City-of Cupertino for a permit to
o i install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
„ i Code of the City of Cupertino, and all other laws applicable thereto.
S ; Use of Premises - jW ELL1A)e-
0 0
PA�
$� Owner /Md&41� NOl7ES Address AC&) e,C
�z By 601a ifa- Ll0 Address ShAl 2XV 6
-0 CONTRACTOR,AGENT
3 r
Phony �JA7_ 74V50
m
0x State License �3�09�' pproved
Ti
rursn;nrG rNsracroa
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Fum.
Forced Air Fum.
Gas Fired Boilers
Warming Ovens
Soap.Units
Dwelling Kit./Bath 41"
Inde end.Vent System
Com. Indust. I nst.K it.
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 Firelaces
Smoke Slacks,Misc. Equip.
Under 15'High
Over 15'llqgh
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
&Absoro.units with input
of 500,001 &Under 1,000,000
Permit Fee OLO
Total 11 Total Fee 3
CERTIFICATE' OF,
COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......... ...........119......).Y. Building Permit No. ...........
4-.P-.t....'PAS....*:2.
The Building Located at .....
....................
. .. . ..... . ........ .... ............................
Owned by ......
Has Been (IagazRor U As: ..........
d)
(Altere
................................................... Il .....---........... ................................------......-.:.--........
......................... ..........................................................................................................
...............................----......----••----........................................................................................
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL, 7-/) u
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING-
FINISHED
IRING FINISHED WIRING ' -73
FIXTURES
MOTORS
FINAL ^�
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR i, MISC.
BACK FLOW REO. -Jy
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE %A IAJ
MAIN DRAIN 19
1 L
FINAL PLBG. SSS J'�,
FINAL GAS FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No L7
No. Street / Cy
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.--2
File No. a
Dote 19
Application is hereby made for a permit to
a stoYT. Type
to be occupied only as '
in accordant with plot plan, plans and ecification filed herewith
Estimated Value of Improvements $
FEES /n��O U d J Plan Check
/S/'�
Owner //Gr�� //�JX-�� Address
Contr. (� Address
Phone ( — / 3 W State License'
Approved
23
APPLICATION FOR ELECTRICAL PERMIT
Date 19 -7a, FEES
Contr, Address >=32 Z Com'_ U
Phone State License o1
Approved L� �
APPLICATION FOR PLUMBING & GAS PERMIT
Date �,/.it/ 19 72 GAS FEE $
��JJ PLUMBING FEE $
Contr. 1`'`�''`✓.._,A - Address C-1- 4e ?' r�
Phone �/ - O 1 S7o State License
Approved
�o APPLICATION FOR APPLIANCE PERMIT/j
Date Tl2, 19 7 FEES
C ontr. Address
Phone 2-1 7- O SZ State License -2 3 /� U Approved
Applicants
Applicants agree not to violate any of the ,rr
Workman's Compensation Laws of the -
State of California
PD-1