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51248.3 (2) No. Street Lot No. o CITY OF CUPERTINO dGi B-p-f9/ y` APPLICATION FOR BUILDING PERMIT c ` -,-Co ObWen""'o 19 Sanitary No. 3 e r��r' _ No. .S- oI- x�GAp(®ica�Yis hereby made for a permit o 3 = aA story,Type Building w..0 t6 be occupied only asi.✓�./ v-�G> ��ccordance with ° n Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee - T N y Estimated Value of Improvements, $ �6��--0 Fee$ US� ooIt 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 c m Cupe/rt�i9,o will be complie with. Ownaf/7 v v By Addresstb v a o Phone 3a�ice/r Approved U State License �E 7�0% uilding Inspector \ \ V Z NO. STREET LOT NO. Z d x o. CITY OF CUPERTINO 3 u of o�'�APPLICATION FOR ELECTRICAL PERMIT W � 'i519�2' = 0 19 Permit No. °o y r Fee S <N Application is hereby made to the City of Cupertino for a permit t Install electrical W W = 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 > City of Cupertino, and all other laws applicable thereto. O Use of Premises SINGLE FAMILY RESIDENCE J Z 0 3 a Owner ///„ T Address �4 NKH W u By Address 0 CONTRACTOR, AGENT A [O 1-144—U Phone: 94- Se 9/o pp ELE rNEPE 6 State License IW19/41 - e - ITEM NEW RPL FEES Number of Outlets Number of Switches / b Number of Receptacles Number of Fixtures - - 60 Ranmes or Ovens K.W. Size of Main Service Af1* •0� Number of Meters / Number of Panels / /•0 d S' -Transformers Dryers Motors: H p Phasa H.P.Phase H.P.Phase Power Poles u2u �e Permit Fee 2.00 H.P.Charges Total Fees / 70 0 Occ�-•y l�e rE .X LOT NO. S� NO. STREET CRY OF cupvlMo CITY OF CUPERTMO w CAU G 3 0 1972 APPLICATION FOR PLUMBING PERMIT Y o Sanitary No. 3.0 P)at'A 1 19�-f� Permit No = LL Fee $023,50 o Application is hereby made to the City of Cupertino for a permit to install plumbing `o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices i and/or fixtures in accordance with the provisions of the Plumbing Code of the City of a W Cupertino, and all other laws applicable thereto. W 2 F F J LL Use of Premises 00 ., 3 OOwner Address ' i-1 J o By Address 6.Z-1- b1 kt to ;dc ' 0 C NTRACTOR,AGENT — 0 Phone c�?—?Y- 0556 W z W w a o State License /7/53 7 Approved -U A PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater / /, Size 3 ' Water Closet ,2 3- Material Bath Tub / /.5Z To Curb Shower / J•56 To Prov.Line Lav atrics ToExi lKitchen SinkNot Conn. Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine Size Water Softener Material Bar Sink To Main Drain Comb.Sink&Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size / " Restaurant Sink Material Sand Trap TOTALLIFEES Urinal i Fixture Fee J�• O Area Drain I Main Drain Fee .6A Water Leader I Stom Drain Fee Sprinkler System 11 Water Sys.Fee /.5-0 Relief Valve 11 G..F� SD Vac Breaker Skimmer Filter Pool Sweeper Permit Fee _ �e- Total •SD Total Fee . SO W21 SLITar 0" ,r7 ece-r LOT NO.__1�9 NO. STREET Cff OF MfR7MG CITY OF CUPERTINO b z Z OCT 2 19XPPLICATION FOR APPLIANCE PERMIT Y � C 3A Dpte -Q17SDBE/p 19 -11, Permit No. U Fee$ eft u � o Application is hereby made to the City-of Cupertino for a permltto o ` 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 W Code of the. City of Cupertino, and all other laws applicable thereto. 3 o rise of Premises bWECL-OWE,T 00 (hmer�l/1/1 P.il'A 1� �/OdiJ ES Address J By AUJ rte ,y��.ea Address sA7U ,re c E 'O CONTRACTOR,AGENT 3 m d Phone 01 7-7©,fQ 3 4 ppi State License co nse Approved_--§22� nUMBI do nlsrecTOR APPLIANCE UNITS FEES Lias lop Gas Oven Wall Furnace Gravity Furn. Forced Air Fum. / Gas Fired Boilers Warming Ovens Susp.Units Dwelling Kit./Bath Independ. Vent System Com. Indust. I nst.K i t. 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 IF High Over 15'lligh 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 IC CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO 000 Date ....................................:........... 19..?-�.. Building Permit No., The Building Located atJf!�P. -6-------4#-------SAT ------ ............ Ownedby . .. . .=(I ...................................................................................etedr. As: .... ...................... ... ......... His Been (Altered) oor ....................................................................................................................--....................... .................................-....-----------...........•••-----._.........•..........--................................................ ............................................................................ . .. ....... .............................................. . . . ........ .. . UTtDiNGiNSPkMi RECORD OFINSPEGTION APPROVALS BUILDING DATE INSPECTOR MI5 PAD FINAL FOUNDATION ' UNDERFLOOR FRAME e' LATH & PLASTER GRADING FINAL _ FINAL BLDG. J -.7 / -) ) ELECTRICAL DATE INSP R MISC. UNDERGROUND ROUGH ROUGH WIRING , v FINISHED WIRING FIXTURES MOTORS FINAL �^ ' Oe PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REO. .2 - -)1- SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN FINAL PLBG. -/ �7 FINAL GAS o? -lc - 73 FINAL APPLIANCE DATE INSPECTOR - MISC. MISC MISC MISC -f-+11002— /C Lot No.,�-q c No. Street CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT Sanitary No. Z J �J File No�/2.f.3 Dote . _19 L �mA�pplication is hereby made for a permit to a story, T e to be occupied only as in accatUnce with Plot Plan, Plans Wd Speecification filed herewit Estimated Value of Improvements $ 6' /O UO FEES �D ' �O Plan Check $ Owner 'r Address ( O 5 b ��� �" t •� Contr. Address Phone /-r/ / State License Approved APPLICATION FOR ELECTRICAL PERMIT Data 41 S 19 7 L.— FEES 6 jO- Contr. Address 7 Phone State License Approved �L APPLICATION FOR PLUMBING 8 GAS PERMIT Date / rj 19 7-2, GAS FEE S PLUMBING FEE $ v 3- Ja Contr. l".L,—�L � / Address Phone - c� /� - Q '��7 State License i Approved ,e APPLICATION FOR APPLIANCE PERMIT Date `} tb 19 7 ti FEES Contr. - � Address Phone State License /02..3 / V ;7 -; — Approved Applicants agree not to violate any of the 16— Workman's Compensation Laws of the State of California , PD-1