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NO PERMIT NUMBER20255 - 20257yiata•Ct. 11
NO. STREET .. c, LOT NO.
4.76,..
CITY OF CUPERTINO Const. tax:l2I
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9244
FILE NO. 51,353
DATE 4/28/75 19_
1
Application is hereby made for a permit to
Construct (Plan A) a 1 story, type 5 N. Hr.
(2496 sq.ft. Liv. - 660 sq. ft. Gar.)
to be occupied only as I—J Duplex
in accordance with plot pion, plans and specification filed herewith.
0
ESTIMATED VALUE OF IMPROVEMENTS.s 68, 000
FEE s 223.00 . PLAN CHECK s
OWNER Dividend Industries ADDRESS 2160 Forest Ave. S.J.
PHONE 275-84m
PHONE
LICENSE 275733
APPROVED_ James H. Sisk/h
RI III nINr Iwlc Dcr'Tlnkl
DATE
I ECTOR
DATE
INSPECTOR
FOUNDATION
•21•)
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
WALLBOAR -IN . & EXT.
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BIDG.
�C
UNDER -FLOOR
TIE OWNS
-MISC-
DI PHRAMS
Nr`
MOORE BUSINESS iORuciu„ is
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDER ND ROUG
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
,
i
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
7MOTORS
FINAL
�� MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
%
'FLUES & COMB. AIR
PARTIAL ROUGH
i
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
FINAL GAS
J
FINAL PLUMBING
MISCELLANEOUS
I( ACE61FICQTE OF COMPLETION(;
BUILDING INSPECTOR'S OFFICE
/} ../. CITY OFCUPERTINO
DATE r /T'A d 19� BLDG. PERMIT NO. ✓��� 3s.3
THE BLDG. LOCATED AT ;�6d 5-3 - -Oa Ss %
OWNED BY
(COMPLETED)
HAS BEEN �TEREDI OR USE AS oC/ i
Da 'I- /d
Locatim
Sub;;ect:
Note` --
Floorove'd �lh. /� AA _
P e s �c
OFFICE
CITY OF'C UPERTINO COPY'
GAS SERVICE NOTICE
.................... � 1974-
To You are hereby authorized to connect the GAS 7icc for
. 4�J�Owner or Tenant..1:.... il. ..... ......... .........
At
New Service � ......
No. of Meters ....... -� Reconnect ............. --- .........
Move Service
No. of Add. Meters .............. Move Meter ... ....... ........
............... ....... . ..........
PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
der
CITY OF CUPERTINO
............... .._ 4..........,
To
You are hereby authorized to connect electrical service for
Owner or Tenant....�z_sf-wr..<Y.........¢...:-.c�-s
...............................'...
No. of Wires ........................
Size of Wires ...................... Size of Switch
Motor Load Load ..........................
Voltage ................................ Phase ..................................
Heating Load ........................`K.
W........................... ........ Voltage ................................
No. of Meters ...... ......:.......
Light ............... 110....v New Sesvice...... //.... Reconnect..................
t/
No. of Add. Meters............
Heat ................ 220............ Three Wire................ Move Service............
Power ............... Three Phase..:............. Move MeseI............. .
ELECTRICAL INSPECTOR
Bldg. Dept.
Office copy
BIJILDIW, INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No . ....... ........
Plumbing Final Plumbing Permit No. --- 3--5 .......
LotNo.....--...... -------------
Owner or Tenant ...... - -- — -------
At--- - — ----- - --- -- --- i .................. .. I...... ...:------------
Tract .......................
Date Connected
Date Final
19 ------------
19.— --------
PLUMBING INSPECTOR
u2-y eZ s S =aO a2.1 % ✓r 3
LOT NO. &
NO. STREET
vgt.6.
,rnNO CITY OF CUPERTINO '-
CAP; I
l PEE
i d
env o,AOCI FOR BUILDING PERMIT
(CTATION
Building Per. No. F,.FU
O 1 '
' 0
Date^(� O 19
L'c K tJ
anitory Per. No. !el
e�
3 V
Application is h�re�y made for a permit to I
1�'iVd i0
_ate'
�,^Q /
—story TYPe-� `ifr'�� �Lw `
����� Structure
�O
O .w-
¢
to be occupied only as-T"r% .%iliOT&T
- in
i u"
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements,
S u
PI Ck Fee $
O O
w
It is hereby agreed that the requirements of the
Cupertino Building
ap
3
and Zoning Ordinances and all
Fee $=
p 5
other laws applicable to the construction, location, and
Z
use of buildings within the City of Cupertino will be
Total Fee $
OZ
complied with.
n
w W
K a
OWNER .�¢¢-- PHONE
ADDRESS
r- i(i..��
¢ O _ CONiR.OR AGENT _DRESS
PHONE STATE LICE SE
BUILDING INSPE
LA
,w ai Ob2 S%? i//s;/i G]�'' - -LOT NO.
NO. - STREET
F' �OF'CUeE6TINo CITY OF CUPERTINO
CITY - .. . r
APPL,9�4I0N FOR ELECTRICAL PERMIT ;
Permit No
Date �. : s� +jq%) -_ Fee S.
-� 1 7-
Application" is hereby made to the City. of ;Cupertino for a permit to install -electrical
-
wiring`and/orifixtures as listed on the reverse Side'.hereof, and-agrees'to Insiallisaiil' ;--
wiring-andfixtures in accordance with the provisions:,ofithe Electrical Code of'tfie-
City of Cupertiriojand all other lawapplicable Thereto •w.i .
1'
Use of Work TolBe`- -
'Address 4'12U
Phone
.Address
Contiodor,,Agent - '�y - `o
Phan, -T'75l 2'Old .ikA " _ s . �; � a
SteWe icaaseYA04
PPrdved .°.
.< ElectrRal Ins ctor
I 1 - I AGREE I WILL NOT,VIOLATE ANY OF THE WORKM�N S a
COMPENSATIONLAWS'IOF THE STATE OF CALIFO NIA:
166,
' .CoT,W.
. ITEM'
NEW.
RPL
FEES
T. Number of Outlets:
-Numberof Switcheiecepta'des
' Number of R
5
Number of Fixiu'res"
o
Ranges or Ovens K.W:
�0—
Size of>Mani Services.;,.
-.Numberof,Meters,,,-
- ,Number of,Ponels' - 2
.,,Signs -Transformers - -
i_ Dryers
H.P. Phase -
-
- H.P. Phase All
-
= . H.P. Phase
Power Poles-- -
- -
Misc. -. -
-
Permit Feef `'-4i •
ao -
i
H.P.Lharges- - -
-
Total Fees
ELECTIUC SERVICE NOTICE
WJRDM 8WWrW9 OFFXV
CITY OF CUPMTWO
. . ...................... L ....... ..... . . ....
OFFICE COPY
... 1 196.-A
To
You are hereby qkrrised 109, 'Cal Owner or Tenant ....... \..! ............ . 77--� . . ... .... j --- -------
At X
...........
No. of Vim .........
Molar road ...........
Heating Lead .........
Size of Wires
volteve .........
K. W . ...........
Size of Switch I (At .....
Phase................................
Voltage....... ........................
LWIL- 110 ........... New Service.....
No. of Metes-
FkN20 ............ .
Md. Mom Power
......... ..........
. . . . . .
RLICTRICAl
NO.; '- STREET , -; £? .
r CITY OF CUPERTINO -
APP.LICATIONTOR ELE4 T,xR-'OtRMIT
©M 64
Permit No:
. Date 19_Fee 5 -' 70
Application is hereby made to the CI of�Ct fo
PP Y b � �ilrtmo for a permit to instal( 'elecirical
wiring and/or, fixtures as listed on the., reverse side,;hereof,..and :agrees to install said
wiring and/or fixtures in accordance' - wit h the provisions; of the. Electrical -Cade of the
City'of Cupertino, and all other laws dp'plicable the
We of Work To Be
Premises �=/sV A2 G-rX Performed ?d rt/�
Owner Jr V/ QE
Phone—_225'- Q�30
//y-�7� �/r--fie
,By x tract Aunt Address
.r.
Phone
State Licenie Approved
' Electrical Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS, OF *THE STATE OF CALIFORNIA.rr
,
VVV
ATEW NEW .RPL - FEES,'
Number of -Outlets '
Number of Switches
Number of Receptacles
Numberof Fixtures •` - - -
Ranges or Ovens K.W.
_ Size of Main Service- -
Number of Meters -
Number ofPapels'+r
3' �
A
Signs -`Transformers
Dryers "
R'
p';7-'Moforsr `
H.P.'Phase - -
H.P.Phase - ✓�.>'.
H.P. Phase Rower Poles -1-7
Misc. .. ,
'c.,
ZXctO
OV�
LOT NO.19
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
C�`[or
ys2 �: /7 � Sanitary No.
Data U l , 19 ,/ Permit No.
Fee $
Applibtion is hereby made to the City of Cupertino for a permit to install plumbing
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
Cupertino, and all other laws applicable thereto.
Use of '/-�-C/-!L�
Premise
Owner
Phone
By
on
Phone c
State License
�//� X Work To:: & /1/ y�_ Performed
-�O-160 Address
Address ///r
0
/ / 42 Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. \
/ ® 'e
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Fees
Water Heater
Size
Inis
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
2
Waste Disposal
12
'
Wash Troy
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
TOTAL FEES
Urinal
Fixture Fee
—
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee
I AV,-
LOT
NO STREET
CITY OF CUPERTINO
CIT'r c: CurrAPPLICATION FOR PLUMBING PERMIT
OCT 9 1975
Sanitary No.
Date — ,19_ Permit No.
F.s
Application is hereby made to the City of Cupertino for a permit to install plumbing
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
Cupertino, and all other laws applicable thereto.
Use of Work To Be
Owner
By:26 )x�%il',n>•/U �n�.�i Address%%<L 77�/�2L�NA `d$ �1
Contractor, gent
Phone3a 43A G
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 1.
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not 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
Restaurant Sink
rial
j
Sand Trop
TOTAL FEEStiUrinal
e Fee3Area
Drain
Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gos Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
� —
Total
Total Fee
G
1 O7-S0-.2a.2S7 uf�,7-q c J—
NO. STREET LOT NO.
CITY OF CUPERTINO
C:rr OF CAP RATION FOR APPLIANCE PERMIT
JOL 211975
/ y Permit No.
Data _ Co �O r� , 19 ) Fee $—ew�a
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
other laws applicable thereto.
Use of r�uWork To Be
Premises 1/ 005�L e Performed
Owner P 11) L 0 F J/ l G Address.
By A Can A-/ h t`nN/i Address_?(2. GOY. S!c%
Contractor, Agent nl
Phone
State License .2 7963/ Approved
Plumbing Impec or
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 1\
Bu
HOOD
APPLIANCE II UNITS I FEES
AND
30-HP. TO 5
OF
BY THE ABOVE
PERMIT FEE