51248.3 My"
19W I&OECT- 020-ft X726W LOT NO_/o
NO. STREET
n Crry OP CUPERfMO CITY OF CUPERTINO
i
° 0
O OCT-12 'grLICATION FOR APPLIANCE PERMIT
F
� LL
o Date // Aie�iF3ER
3 O +� 19 � Permit No.
" LL Fee$
4 m Application is hereby matte to the City-of Cupertino for a permit.to
o F install gas appliances as listed on the reverse side hereof, and agrees to
Z a install said appliances in accordance with the provisions of the Plumbing
F' Code of the. City Qf Cupertino, and all other laws applicable thereto. .
S e Use of Premises LIIVLL/Ali
Oo
o i Owner/1/> 9� f/lJ.t7 5 Address /// Alt-0 Pf-k
o By �iG1JlC� 6/!� Address `47t) L7[111:::'
F CONTRACTOR,AGENT
W =
Phone 2f--02— �Q
ea /
°a o State License r fD9a-' Approve
O _ -j-PLING INSPECTOR
APPLIANCE UNITS FEES
Lias lop
Cas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
susp. Units
Dwelling.Kit./Bat h
Inde end.Vent System
Com. Indust. I nst.K i t.
Flood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
w'thout
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,.Misc. Equip,
Under 15'High
Over 15'11
Comfort Cooling
Comp.of 20 HP or less
&ab3orp.units with input
of 500,000 BTU or less
Comp.over 20 HP&Under 50 HP
&Absorp.units with in ut
of 500,001 &Under 1,000,000
Permit Fee
Tot;d Total Fee
z v�y
/60
No. Street Lot No. /D
co, of CITY OF CUPERTINO a6C% o�D=
pUG g 1312 APPLICATION FOR BUILDING PERMITDate / �L
Sanitary No. .3
E '� !A'pplication is hereby made for a permit to ��-
`o o
3a a story,Type �-�� Building
12
v ti - ®
« to be occupied only as, �L�� �r� ,, /vd Q_._itn accordance with
o
T Plans,Specifications and Plot-P an filed herewith. PI Ck Fee
v v Estimated Value of Improvements,S440"-,qFee$
.o `o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
0
3 all other laws applicable to the construct- n, Ideation, and use of buildings within the City of
:? Cupertin will be comped with.
c / J
'3 _° Owne fess
c By Address
ttE
Phone
V - �//Q /y APProved
State License pl(� /�if / wilding Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
I-zvl�
Date .............7.... ............ Building Permit No.
The Building Located at ---(9:71-13...... .........
........
Owned by ......?:..%h... . ------ :--- ---------�,7-------------------------------------------------
Has Bee. ( mpleted ----------------
E or Use r: ---- ..c:....
((A�ffmdl
.............-.—............................... ...... .................I...................--..............................
........................ ...................................................... .............. ...................
................................................--.............I.... . ......
.. BUILDING
W BUA a
J ' I d ryEf.T' e*,e �T.
• Q
Z NO. STREET LOT NO.
s �
0 CITY OF
o Of P�P�CATION FORcUPERTINO ELECTRICAL PERMIT
zo oEV
W Date a �� 19 Z� Permit No.
O t
Fee S
aW 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
o '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.
SINc:LE FAMILY RESIDENCE
z_j Use of Premises
J 0
3 < Owner //�1J-7/df�lf/ /VIYYIEd Address
ZEE ELECTRIC Addr"LE'CTRICAIMPE
W W By
2 6
O F nA CONTRACTOR,
<U Phone: ayl —51496 APpr
Sta
te License— e2f/191G
1`
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures �°•d
Ranstes or Ovens K.W
Size of Main Service
Number of Meters
Number of Panels /•
S' -Transformers
Dryers a D
Motors:
H P Phar
H.P.Phase
H.P.Phase •�
Power Poles
Permit Fee 2.00
H.P.Ch es
Totees /1- 707a
l
Z46 -�-'lop
ST—L �lC LOT'NO.EET
../
CRY OF CU"RPNO CITY OF CUPERTINO C
f: UG 3 0 197E APPLICATION FOR PLUMBING PERMIT
ro Sanitary No.
3 , �U;{�e 197L- Permit No
= LL Pee $ aSC7
O Application is hereby made to the City of Cupertino for a permit to install plumbing
oa pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
'z m` and/or fixtures in accordance with the provisions of the Plumbing Codeof the City of
a W Cupertino, and all other ws applicable thereto.
r
a Use of Premises
o o
_
N /e
� 3 Owner M�� Address/6,36 C�up'�-75�YniAa
ZJ (
o` By L .aE/Z// Co �N Addres S .0 - '
F CONTRACTOR, AGE
— w Phone 1�2 q— 0—CSG
m z
W W
aa State License / W-E 3'7 Approved
—O
PLUMBING.INSPECTOA Zj'
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater I Size 3 r�
Water Closet 2 .v0 Material
Bath Tub .50 To Curb
Shower To Pro .Line _
vat 'e o2 T E i t'
nl —
11 140,–0111
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine -.i.' Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Ho ' er I Size / '
Restaurant Sink Material
Sand Trap TOT 4.FEES
Uridal Fixture Fee • SD
Area Drain Main Drain Fee >
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee , SSD
Relqef Valve na�Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee .C9-9
Total 13 S ToW Fee
/D -11V3 Sl, � ��/c. S� Lot No./D
No. Street /, 00 ?-
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
.Sanitary No. 7 l33
� 77 File No. r
Do to 19 L
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accord6Ve with Plot plan, Plans and // cificutioa filed herewith,
Estimatedm
Value of Improvements $ -4 z-7z-'o.•[�G
FEE$ (9,6 Plan Check E /j !/.
Ow ner�6C CG (J Address 1-Q 3L CUA��� ! v/
11
Contr. �j Address
2
Phone ✓ Zy- -7 �� State License
Approved
16x"'.0 /z �a J
APPLICATION FOR ELECTRICAL PERMIT
Date /6l-// 79 Y
/7 FEES
Contr, �et.c_.Q.� i Address It' �33
Phone - C�- �� c)__4 7 ,6 State License <=;-
Approved %
APPLICATION FOR PLUMBING & GAS PPiERMIT
Dore lq cZ GAS FEE E —1
Q �j� PLUMBING FEE $ - r�
Contr. _ eok-+-'�-�..�rr9ti � Address 6o1-.s-'-�`-.ci.�C,[.� 4-+"
Phone d ,i.C-T State License /?/'Lr3/f7
Approved
Dare 02 AP KATION FOR APPLIANCE PERMI/�S P�
— _ 19 FEES
' I
Contr. / Address
Phone �4 7- 7d d State License , 6 2�
Approved 'e"`-t�
Applicants agree not to violate any of the
Workman's Compensation Laws:of the
Slate of California
PD.1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL -7
FOUNDATION ' o'-w-1
UNDERFLOOR
FRAME 1 �'
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
U 44'
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING 1`2' 1 o ,
FINISHED WIRING
FIXTURES Y;
MOTORS loon
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUG
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. --73
FINAL GAS
FINAL APPLIANCE
r
DATE INSPECTOR MISC.
MISC
MISC
MISC