51248.3 //lea
No. Street Lot No.
CITY OF CUPERTINO �_3& ' �,
City °F °�etltnwo APPLICATION FOR BUILDING PERMIT a 3/
11 a 10172 Sanitary No. 756
5
•�
AU GD , 19 _ Pe 't N `� 3
YApp
alicitio fV hereby made for a permit to
3 _ t, AA
story,Type Building
Wo to be occupied only as m accordance with
0 Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
N9If�„ Estimated Value of Improvements,$ .���/�tJ�� Fee$
m L
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
0
> all other laws applicable to the construction, location, and use of buildings within the City of
AM' Cupertino will be complie with.y "dress B .�
dress Ao?-42/ -,: Z/
d By Address
v a
o Phone Approved
v
State License uilding Inspector
x
//D.�--)- IPetr epxw
NO. STREET LOT NO.
Z Z
e o CITY OF CUPERTINO
0 :1
u �n Of° APPLICATION FOR ELECTRICAL PERMIT
W Date �oi'3 , 19 L Permit No.
o �
Q Fee $
a Application is hereby made to the City of Cupertino for a permit to instal ectrical
W
W w wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
A o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 W City of Cupertino, and all other laws applicable thereto.
03
zJ Use of Premises CINGI R FA{1AI1 Y IG
J Z
° /17i41t��r �riE6 ld
3 a Owner � � Address _
N I RIC
W W By Address
0 f CONTRACTOR, AGENT
{ PP
U Phone: ��` 5a r LRCTR ugspx
I� State License WIPP
-A -
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures D
Rarmes or Ovens K.W.
Size of Main Service UD A /• D 0
Number of Meters /
Number of Panels
S' -Transformers
Dryers / /.00
Motors:
H.P.Phase
H.P.Phase
Power Poles -
D - Z) - FANS S 0
r!
Permit Fee 2.00
H.P.Charm
ToW Fea
/IO Zo7/ Z"(;f— &' LOT NO.4—/
NO. / RTREET • ' R
MY OF CUPERhNO CITY OF CUPERTINO
w !AUG 3 0 1972 APPLICATION FOR PLUMBING PERMIT
x LL Sanitary No.
3 a PI)afh /912- 19 /7J-- Permit No
U
i `o Fee$�z-$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 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. i
w x
� f
w Use of Premises
> N /
a a
Owner MAtd Address
z ' �A
By C e Address 4,26 t "<( i
3 Q
CONTRACTOR,AGENT '
w i
af State License L��S� Approved
_�� 4 PLUMBING INSPECTOR `__
FIXTURES NUMBER MAIN DRAIN
Units I Fees I Units I Fees
Water Heater ,571 1 Size 3 �� % •Cf0
Water Closet Material
Bath Tub 1 /,56 To Curb
Shower To ProD.Line
Lavatories 44,5Z To Existing
Kitchen Sink 5Z Not
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine 50 1 Size
Water Softener Material
ar Sink To Main Drain.
Comb.Sink&Tray To Curb
Dental Unit
prinking Fountain
Floor Drain WATER SYSTEM
Hopper " Size /'A' i SZ
Restaurant Sink Material
Sand Trap TOTAWFEES
Urinal Fixture Fee ..SU
Area Drain Main Drain Fee 0
Water Leader t Fee -�
Sprinkler System Water Sys.Fee
Relief Valve Gaq Fee
$�
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total —56 Total Fee .5"O
1/02 .S6UF�r Di9x d7;PEST Lor No.
NO. &MEET
z ` cffv CP COPUMNO CrrY OF CUPERTINO
W ZZ APPLICATION FOR APPLIANCE PERMIT
gCT
I1972
a'�BE.� 19 7
0 U are 1 Permit No:s/a �� 3
_ Fee•$
' 0 Application is hereby made to the City-of Cupertino for a permit to
L i install gas appliances as listed on the reverse side hereof, and agrees to
<m install said appliances in accordance with the provisions of the Plumbing
W = Code of the. City yyf Cupertino, and all other laws applicable thereto.
3; Use of Premises OU E L-i k) 9-
00
0 Owner M"kB w hl07rlz7S Address k1E'7ULO AKK
J z BY
Address CS/971J X03 E
-4 o
`O CONTRACTOR,AGENT
3` � a �-fan
-z Phone
Y Z ,{
W W �..3lU91
I State License Approve �
kummG iNsPECTOR l
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Fumace
Gravity Fum.
Forced Air Fum.
Gas Fired Boilers
Warming Ovens
Susp.Units
Dwelling Kit./Bath
Inde end..Vents stem -
Com. Indust.,Inst.Kit.
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 Fireplaces
Smoke Stacks,Misc.Equip.
Under 15'High
Over 15'fliah
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
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERnNO
Date ........ .......*........•.......... 19. Building Permit No.
The Building Located at ..
% ? t .........
. .5-r!..................
....... . .. ........
........................
Owned by ..... 7*0 � -4-- .. .. .
In i C(Altered)
Has Been d2t�,For Use As: ...... ... ..................................
............................................... ........................................
..................................-....................................................... ..................-...............................
..............I............................................................ . ..... .....:...........--./....--------.....................
Ii i
DING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL ' 7 t
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. I 3>
ELECTRICAL
DATE INSPECT MISC.
UNDERGROUND ROUGH
ROUGH WIRING 0 �a
FINISHED WIRING57.
P
FIXTURES
MOTORS 09*
FINAL sg irc i7
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR I MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN 1��
FINAL PLBG. ✓ - -;p
FINAL GAS
FINAL APPLIANCE -7
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.(p
No. Street CITY OF CUPERTINO Z 3
APPLICATION FOR BUILDING PERMIT
Sanitary No.
-7� 77 File No. Z
Do to 19
Application is hereby made for a permit to
S/ a st ry, Ty e =—f
to be occupied only as t..
in accordaa with Plot Plan, Plans and ecification filed herewit
Estimated Value of Improvements $ G �.
FEES ' D
Plan Check $
Owner rc '���� Address
Contr. / Address
Phone — �`� State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dote L 19 7�. FEES 3 Ste_
d y�
Contr, `�
Address �`� r/'s�c
Phone ���� S� 7 State License o2 /
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 7 GAS FEE $
PLUMBING FEE $ 69`6e
Contr. =-.=p^--:�p , 6 � Address N
Phone - — � '•�`-t '! State License
Approved •�
APPLICATION FOR APPLIANCE PERMIT ,�
Date t1 /Z _19 7 7i FEES !3
Contr, Address
Phone -R-S 7 2 d f-0 State License '-a,P
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of Califnmia
PD-1