51248.3 Kp1PEfl1tN0
ary OF Street Lot No
PU� a ,CJ"�Z CITY OF CUPERTINO 33,�Doo
APPLICATION FOR BUILDING PERMIT a ��
to $ n Sanitary No. 7 �0
E 19 /a2 6[5:z-
,x Application is hereby made fora permit to
o _ �^
3 _ a story,T pe �7 Building
m O
to be occupied.only as i!1 / �i�r/� /,semaccordance- with
4 0 —�-
0 y Plans,Specifications and Plot-Plan filed herewith.
PI Ck Fee p
u s Estimated Value of Improvements,$. � p-�Q� Fee$
o `o It is hereby agreed that the requirements of the Cupertino Budding and Zoning Ordinances and
all other laws applicable to the construction,_location, and use of buildings within the City of
Cupertino will be complie tth.
.3 � Owne Address!
n /
d y By ' Address
E Phone Approved
U
State License ._1 udding Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
t CITY OF CUPERTINO
Date .......... ....1._•--•------.....f..----
., -<:. Building Permit No.
The Building Located at .... ` .....o1J1....... ..........
. : .Owned by .............................. ......
Has 'Been P et � or Use As: ..........--
...................--------..............---...........-------- .. .. ..........-......:.........................................
..........-............::..... ... ......_....................._..---........:,.. .:........:•----------...................}..
............ i .:..............
iJILDING,-INSPECTOR
Bio as I �ureer OAK ST
STREET LOT NO.
w Z
z o _ CITY OF CUPERTINO
3 < dt°f►"WATION FOR ELECTRICAL PERMIT
W 4 Gly
o10 - �
F Date 19 Z� Permit No. _
> Fee S
a W Application eISS hereby made to the City of Cupertino for a permit to install electrical
I 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
> 0 City of Cupertino, and .111 SlN IGLESF�i�hiV�l�:` e�i�SIDENCE
oa
z Use of Premises
J Z
3 a` Owner 2&6M dMM Address "46 6A &C
Q a By ZEE ELECTRIC Address S
<u CONTRACTOR, AGENT 40 _
.Phone �3'h —6e 96 [eC1Il 1NSPH
State License aS��9�le
-H
ITEM NEW RPL FEES
Number of Outlets /Z.
Number of Switches
Number of Receptacles
Number of Fixtures d
Ran es or Ovens K.W.
Size of Main Service /00,4
Number of Meters
Number of Panels
Signs-Transformers
Dryers .
Motors:
H.P.Phase
H.P.Phase
Power Poles
vS
Permit Fee 2.00
H.P.Ch es
Tot ees /-
Z/O -13 IL1'O/t " V. LOT NO.-7
No- STREET
CITY OF CUPLYINO CITY OF CUPERTINO �T
f U G 3 0 1972 APPLICATION. FOR PLUMBING PERMIT
o Sanitary No.
3 V QDJV u 19 Permit No
W W Fee S o26-
° Application is hereby made to the City of Cupertino for a permit to install plumbing
o c pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> 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.
~
J F Use of Premises
LL
OO I 1 D
z� Ow/n�et CL��lnu KL9s D� Address 3A If*LT nA-WI 'Ifl4�
� o By- -fO�L .St4r ,`Cr �. AddresszdSrK .ST,�A��
3 F CONTRACTOR, AGENT
— m Phone
W Z
W W
rc a
a a ` State License ���5�� Approved /-
—u l -- — V
`I- PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / •S Size '6�
Water Closet 3 Material
Bath Tub -5 To Curb
Shower D To Pro .Line
v t .50 T.E c' tin
Dish Washer
Waste Dis sal
WashTra STORM DRAINAGE
Washin .Machine / •S Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tra To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Holiper Size I " I -�
Restaurant Sink Material .
Sand Trap TOTAC FEES
Urinal Fixture Fee
Area Drain Main Drain Fee .c—
Water Leader I Storm Drain F
Sprinkler System Water Sys.Fee
Relmef Valve Fee
Vac Breaker
Skimmer
Filter _
Pool Sweeper
Permit Fee o?-a9
Total Total Fee 5v
&0,23 I .S106fT OP.0 LOT No. 7
NO. STREET
n Cw OP CV CITY OF CUPERTINO
xo AICATION FOR APPLIANCE PERMIT
fo OCT12197 '
3 U Dated ri CrOd C 19 71. Permit No.sY. �/g' 3
" 1 13
Ow Fee•$AVW
Ow
Application is hereby made to the City-Of Cupertino for a permit to
O C install gas appliances as listed on the reverse side hereof, and agrees to
i N install said appliances in accordance with the provisions of the Plumbing
F F Code of the City of Cupertino, and all other laws applicable thereto.
S , Use of Premises 1WE-1-41AM4
oc
o ; Uwnerlt2n:& Y I*A*� s Address A10940 MR&
�
'O By �J/ >f CO Address f/4-rt(tra4r
F CONTRACTOR,AGENT
- m Phone_.e2B/7-/AV0
0 2
¢a
°a �9�O9a.F State License Approve r2
I'`'�EF d- PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Well Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warring Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent System
Com. Indust. I nst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
4without
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Slacks,Misc.E ui .
_Under 15'Hi
Over 15'11*
—
Comfort Cooling
Comp.of 20 HP or less
&ubsorp.units with input
of 500,000 BTU or less
Comp.over 20 HP&Under 50 HP
&Absoru units with input
of 500,001 &Under 1.000.000
IPermit Fee
Total Total Fee
Lot No.7
11623
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT 7
Sanitary No.
File No. f Z Y
Do to m19 7_
Application is herr by made for a permit to
asto , Type
as be occupied only a /"v
in accord a with Plot Plan, Plans and eciifiic/caa�tion filed herewit
Estimated Value o4 Improvements E 33. (.SYN'. OD
FEES - ny Plan Check E
Owner c� Q Address / ° ��/�1 TLis
Contr. Address
Phone 2 �- �.� � State License
Approved -J /
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
/r
Contr. Address -;2 >'03^2 pd"C�'
Phone �� �d 7�_ State License �2 /6//��
Approved Lam""" /
{� APPLICATION FOR PLUMBING & GAS PERMIT
Date •o 19 �'� GAS FEE E ('/ J )��
PLUMBING FEE E ��-+
Contr. _ -t-[i-•-c�� Address a,1—o(��9 o94-x-, ✓�
Phone 'S State License
Approved
Date /V// L -7APPLICATION FOR APPLIANCE PERMIT
/19 Z FEES
Contr. -A ^ �c Address
Phone - C24 7- 70 S-33 Stara License �2 -;L-,
Approved ',,4/
Applicants agree not to violate any of the �(L
Workman's Compensation Laws of the
State of California
PD.]
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
0
PAD FINAL '7
FOUNDATION c17
UNDERFLOOR P42
FRAME-
LATH
RAME LATH & PLASTER
GRADING FINAL '
FINAL BLDG. _27
ELECTRICAL
u. �' DATE INSPECTOR MISC.
UNDERGROUND ROUGH j�/
ROUGH WIRING 1 � "
FINISHED WIRING
FIXTURES 4
MOTORS
FINAL
PLUMBING. GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO. p
UNDERGROUND ROUGH
PARTIAL ROUGH v - Y
ROUGH COMPLETE S `
MAIN DRAIN
FINAL PLBG. ` 7
FINAL GAS -/
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC ' 7
MISC
MISC
I