51248.3 No. Street Lot No. �O
CITY OF CUPERTINO -f_,
prr of eumn"APPLICATION FOR BUILDING PERMIT Z
Sanitary No.
1q7? ig Pe
YApplication is hereby made for a permit to _
E
3 n1 story
Xype �'�_ Building
U to be occupied only as Z, 1 � in accordance with
0
° =' Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
T lra9.
AN n
m
s Estimated Value o(Improvements,$ vfc�D�1' Fee$
0 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 m
Cupertino will be complied with.
.3 o Own4' peas U LL .
BY "_ee4 / Address
a
0 o Phone Approved
Stale License uilding Inspector
.5cUELr- LV/4K Sr �0
!A Q STREET LOT NO.
r o cn ° 5 �g12 CITY OF CUPERTINO
3 u� �C ' C APPLICATION FOR ELECTRICAL PERMIT
° P /�3
w w Date ' 19 Z. Permit No.
O
a Fee S
> r
<W w Application is hereby made to the City of Cupertino for a permit t install electrical
* Z 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
S 0 City of Cupertino, and all other laws applicable thereto.
z_j Use of Premises SINGLE FAMILY RESIDENCE
Jo
1�.9Phl4i(, fVM7E� -'W o?" ee
� a Owner Address
W W By ZEE ELECTRIC Address At4l
O CONTRACTOR, AGENT
Appro
Phone: /9910 `509b , er.e re r. mare a
/� State License as�i9i�
-A6-
fl'EM NEW RPL FEES
Number of Outlets /3
Number of Switches /-3 5
Number of Receptacles a
Number of Fixtures /
Ranges or Ovens K.W. / • d e
Size of Main Service /0O/i •B e
Number of Meters /
Number of Panels
S' -Transformers
Dryers
Motors:
H -Pbas
H.P.Phase
H.P.Phase
Power Poles
w- I--ACUS
C/2 BE .50
Permit Fee 2.00
H.P.Chmes
I otw Fees /9, S/6
LOT NO./0 0
NO. SMEFT
CITY 0� cyr r+i^ CITY OF CUPERTINd g
w�UG 3 0 1972 APPLICATION FOR PLUMBING PERMIT
r n° Sanitary No
3 a� UttQe 1 i'1 fl , 19 2•— Permit No
W / Fee $13,So
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
o < pipes and/or fixtures listed on the reverse side hereof, and agrees to install said rices
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.
w x
� r
W Use of Premises -�-
00 ( � �
o a Owne Jird C_�' Address lg '
Z J / LAze�
o By ' � a
Address fDaS
3 0 C RAC70RAGENT
- W Phone '.2w- OSS(
w z
W W
ao State Licensees Approved
-U X PLUMBING INSPECTOR
t
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet � Mate
Bath Tub / .SO To Curb
Shower d To Prop. Line
Lavatorie &d To Ex' tin
Kitchen Sink 7 b 51 Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine d Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size I ,'
Restaurant Sink Material
Sand Trap TOT FEES
Urinal Fixture Fee
Ares Drain Main Drain Fee 0-0
Water Leader Storm Drain Fee
Sprinkler System Water Sys..Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit:Fee c, .�
Total 0.-54 Total Fee 23.
J16h& x7tEE�/ Lor No. 60
No. MEET
CITY OF CUPERTINO
ce cven1O2 APPLICATION FOR APPLIANCE PERMIT
3 jpt1 19 7j, Permit No.
Feet 13
o Application is hereby made to the City-of Cupertino for a permit to
00 i install gas appliances as listed on the reverse side hereof, and agrees to
za install said appliances in accordance with the provisions of the Plumbing
0 i Code of the City of Cupertino, and all other laws applicable thereto.
5; Use of Premises DWEW AJ Li-
00
SOwnef_OM &1065 Address 41EA)Cd OfPK
�
z By Nf r'� /7& Li0 Address J /AAI TOT
G CONTRACTOR.AGENT
3 m Phone
a o State License 9� Approved-----,��
_()\; \I PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace _
Gravity Fum.
Forced Air Fum.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent System
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'High
Over IS'11
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
CERTIFICATE OF' COMPLETION
bo BUILDING INSPECTOR'S OFFICE
1
{ o'f CITY OF CUPERTINO Date ........:4j..... .:. ................ 19. ,., Building Permit No:!h--V.3u
...
The Building Located at ..J.:(':0?(_'L. Lads .4 �'&..... ::....................
' n
Ownedby -----.... ... - ......-- ........................................................
Has Been d o Us As: ..... a J ............................
----------...................------...................-----------........ -----.........--..................------....---
....----....................................----------...............-----..........................................----"......---
................................... -.............................. ....- - ._ -...-..:.._..........._...................
ie�6 1 .....r...-....
DING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL ^ 7i
FOUNDATION
UNDERFLOOR pOf
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL ' - ? I
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. 1 - -JY
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE fro
MAIN DRAIN �P
IV
FINAL PLBG. /� -7111 212[I Z17-
FINAL GASdw
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
� 0 Z I ✓�A/'W( ! /�'/L �� Lot No. l.0 V
No. Street - Imo/
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. ����
;7 ��__ File Nodi
Date�Z19 L
Application is hereby made for a permit to
C" LtL4' a tory. T e
to be occupied only asLz
in acittrilance with Plot Plan, Plans an .pecification filed herewi ,
Estimated Value of Improvements $ Z 2,600
FEES • 0 D � Plan Check $
Owner C ry`v�Address
Contr. Address
Phone ��`� l State Licensee
Approved
/
APPLICATION FOR ELECTRICAL PERMIT
Date 19 701, FEES
Contr. 2c,ti (-Ce-c-Q.�-�� Address
Phone 4--V-7 P State License
Approved -
APPLICATION FOR PLUMBING & GAS PERMIT`
Date 3T 19 Z' GAS FEE $ l/, )
PLUMBING FEE S(`c'`''3. 0�
Contr. �C�"'rr-c-t-..�. /re-�...ti-�-t/ Address 6�-/7"" -".
Phone �J 6`U S-3�. State License J 1, 3 7'^
Approved '
APPLICATION FOR APPLIANCE PERMIT �!d
Dare O �9 � FEES /`3 : —
Contr. 411,0cl Address
Phone e'-� 7 74 S Z State License
Approved
Applicants agree not to violate any of the l-L-
Workman's Compensation Laws of the
State of California
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