51248.3 /ora 'z
No. Street Lot No.
CITY OF CUPERTINO
an of cvrptra+o APPLICATION FOR BUILDING PERMIT
•�
AUC 191.2 , 19 Sanitary No. 7.9
E IJ ARplxFti(ns hereby made for a permit t �/
o ,o
3 _ a story,Type J-17
y" Building
to he occupied only as i accordance with
0
Plans,Specifications and Plot-Plan Filed herewith. PI C.Fee
c
u Estimated Value of Improvements,$ 2?6~ Fee
.. z
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 Cupertiinnq will be compli d with.
3 ddress
A
B Address
d a
th o Phone . Approved
— u
State License of 96 911y� uilding Inspector
I
is 992 I SWE.v tAw ,sT
N Q NO. STREET LOT NO.
Z2
o Cf 0 CITY OF CUPERTINO
3c<. 5 19�Z APPLICATION FOR ELECTRICAL PERMIT
W o13 1
W Dat4 b �1 /a/3 19 Z Permit No.
o 4 p /�
Fee :+
> a
N W Application is hereby made to the City of Cupertino for a permit to install electrical
W = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
r w
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 $INrI_E FAMILY RESID CE
J Z
J ° /I�e r
3 Owner Address
W 2gy ZEE °LECTRICWW Address S e
U f CONTRACTOR, AGENT
<0 �9� `5e'�6 Approve _.
Phone: 8L8CTRICAL rmpz
State License.
/1/o '1
e
ITEM NEW RPL FEES
Number of Outlets -
Number of Switches / 91,7j
Number of Receptacles a�e
Number of Fixtures 1011
Ranaes or Ovens K.W. / /• d
Size of Main Service
Number of Meters l
Number of Panels -U 6
S' -Transformers
Dryers /•d
Motors:
HP hase
H.P.Phase
H.P.Phase
Power Poles
A,uS uO
-urfai a -
Permit Fee 2.00
H.P.Charges
Total ees a 7D
io q/.?__ I"e,t- 4M% � LOT NO. 50
NO. STREET
m . CITY, OP EUPE..TINO CITY OF CUPERTINO
z APPLICATION FOR PLUMBING PERMIT
r o AUG 3 0 1972 Sanitary No.
3 a uat 19 P Permit No
Fee
$a23,S0
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
°o a pipes and/or fixtures listed on the reverse side hereof, and,agrees to install said prices
'z N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws applicable thereto.
w x
W Use of Premises
00
o3: Own Address. /O.0
zJ p� ^
z By Address 10.2-1- C6[.t� 5&//&•
O Q NTRACTOR,AGENT --
3 r
— `0 Phone 29�" OSS 6
Wz
W W
aa State Licensee 3 Approved
-U (\/' PLUMBING INSPECTOR Z�
FIXTURES NUMBER I MAIN DRAIN
Units I Fees I Units I Fees
Water Heater J,5Z I Size 3 i ao
Water Closet Material
Bath Tub -60 To Curb
Shower / i.-5-01 To Pron.Line
Lavatories To Existing
Kitche Sink 51 Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To.Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size / �v
Restaurant Sink I Materi
Sand Trap TOT EES
Urinal Fixture Fee SO
Area Drain Main Drain Fee .&T
Water Leader Storin Drain Fee
Sprinkler System Water Sys.Fee ,Sa
Relief Valve 11 am Fp�.
Vac Breaker
Skimmer
Filter
Pool Sweeper
Pemdt Fee ,B
Total Total Fee 3,SU
J&&Z, cyEET 0M C?-AEE r lm No.
NO. STREET .,
cm OF curatmo CITY OF CUPERTINO
x o OCT 12 197tPPLICATION FOR APPLIANCE PERMIT
3 i gate 19 Permit No.
_ Fee-$
' o Application is hereby matte to the City-of Cupertino for a permit to
0 install gas appliances as listed on the reverse side hereof, and agrees to
<z install said appliances in accordance with the provisions of the Plumbing
„ = Code of the. City of Cupertino, and all other laws applicable thereto.
S u Use of Premises DkJEu>.e 8-
00
$; Uwner &644 IMPA05 Address , X-014 Aft'
J g B A00— Lb Address JAW XOfif
J.O y CONTRACTOR AGENT
3 ~ a8xyso
— w Phone Is /�
as t7 91
c State License 43/ A p ve /
_U PLUMBING INSPECTOR J
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath (p
Inde end.Vent System OLO
Com. Indust.,Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without Comfort Cool-)
Forced Air.Mech.each Power
Gravity System-
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under 15'Hizh '
Over 15'tfwgh
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 3°'0
Total Total Fee O
CERTIFICATE OF COMPLETION
BUILDING INSPECTORS OFFICE
MY OF CUPERTINO
Date ..........
>.....-..-3-j. 197-.3. ........ ............. Building Permit No.
32..
The Building Located at ............
Owned by ....�44.� ..... "/`^"?-_-:,..---•------------------------------------------------
(AI
His Been or se As: ....... .tF .......W... ..
.............. .
5�)
....................................................................................................................................
.................................................................................................................................................
.............................................. .......................... ......................
- --- ----------------i�.......
giwicrm...........
.SL'DIfNG �.
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION '7
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. 3
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING ' I� Kb
� v
FINISHED WIRING FIXTURES ,
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. /-X-
SANITARY
iSANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. A3 .FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot hl-J5
No. Street �(�
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT 7
Sanitary No. / �7
Fila
Do to�l�19 2z
Application is hereby made for a permit to
story, T pe
to be occupied only as
in accordance(With Plot Plan, Plans and Speci h,
ation filed herewit
�j Estimated Value of Improvements $ - 0 y/
FEESc n^ �-`a Plan Check $
0wner.0 /�%� Address
Contr. / Address
Phone Z a y - .� C// State License c,7
Approved
1
APPLICATION FOR ELECTRICAL PERMIT
/ � 7J
Date / 19 7 -,)- FEES /'j . —
/ �
Contr. \� e-<r L�_L Address -L �" -302L
U
Phone _-iZL Sa 76 State License "419
/(' �
Approved C- -
/ APPLICATION FOR PLUMBING & GAS PERMIT
Data d/•41 19 7ei- GAS FEES
PLUMBING FEE $ • '��
Contr. /,"o_�c �,.�-� t:�-;_;/ Address Got
-
Phone State License 1��1 5
Approved /"
,K
� �/Y APPLICATION FOR APPLIANCE PERM13�_� "
Date T� 19 7 FEES
Contr. ,Cyw-�^_-!��..i Address
Phone State License
Approved
Applicants agree not to violate any of the
X ACI—
Workman's Compensation Laws of the
State of California
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