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NO PERMIT NUMBER (2)as
^1 ,
0100110 I ��� _ Lot No. g
No.Z.o sob FOR03 r Avi.
ys APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
� sanitary Na. 5�L3
,� U File No.
sT
Date 196 CA
((�� Application is hereby made for a permit to
L k1"L �`ll_, a story,
to be occupied only as s • PAN s
in accordance with
Estimated Value of Improvements
FEE$ _��Q
Owner ,�f1i1n �rvY�On �M
Contr, 1�V1/'(hDjGly�l
Phone fi3 8 • folio
Type 5 - ll-1 - -5
Plan, plans and Specification filed herewith,
$ 3ty,000
Plan Check $ o
Address % ` ram+
Address
State License
Approved W►Lr rem in RENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Sl Data 19672
Contr.
Phone _ a.s o� / 3
FEES��..----
Address
State License, c"k-
q!
Approved
v
p -' APPLICATION FOR PLUMBING & GAS PERMIT
Date A- I � 196 GAS FEE $ a.00
(�r�..�.`PLUMBING FFF $ _55
C ontr.Utr1`�VI•\/'w Address U-A"� ' `3'�13
Phone 0, State License I ri 11�s -a�'7
Approved
WILLIAM
Date / /S APPLICATION FOR APPLIANCE PERMIT�� 3�
196 FEE$
Contr 11 L[wCs-✓,�4=-(
Phone a �� O State License,
Approved`
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
Stale of Caii (nrni�
RECORD OF INSPECTION APPROVALS
PAD FINAL,__
FOUNDATION
UNDERFLOOR _
FRAME
�T PLASTER
GRADING FINAL_
FINAL BLDG.—
BUILDING
DATE INSPECTOR
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES v s
MOTOR S
FINAL D o
PLUMBING, GAS & APPLIANCE
- DATE MISC.
ABACK FLOW REQ.
yINSPECTOR
/O
SANITARY NO.
UNDERGROUND ROUGH
9
PARTIAL ROUGH
/ •
��
/0
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
ERTMICATE OF COMPLETI.O.Wj
BUILDING INSPECTOR'S OFFICE
7 TINBOuild ingpefmif No.CITY OF CUPER
Date ....r......ig.I
The Bdjtng Located at ........
.............. ..... ........................... .......................
Owned by ................ 2c-d!.' —
Use . As:.:_........... 1........ ...
Has Been (Completed) .
z...................... I ...........................................
ERTIFICATE OF COMPLETION
Ali BUILDING INSPECTOR'S OFFICE
CITY OF CUPEliTIN0
Date ..... ........ 9' ... 7 Building Permit No. 6/41�—/. t
1�1, -1
7
The Build' g Located at.A, lte2 . ............................ 7
L
.......... ......................... ......................
Owned by .... .........
Has Been (Completed) For Use As: ------ ..... 1.961.4aer.
....................................................... ............ 4,- ...........................................
... ................. .... . I .......................... ............................................................ -.-; 7
......................... ............................. .......... ......................................
NT �INSPECTOR
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC ,SERVICE NOTICE
.................. 976.
You are hereby aut orized. to conned ele%r' al service for
Owner or Tenant .........
.....C-�_...-.---�: ...
No. of Wires ...... Size of Wires .............Y Size of SW924;4-
Motor Load ............... Voltage ....... ...... Phase ..... t...........:....±: ..
'Heating Load .....:.................. K. W.............'.................... Voltage ......
?: /:� _. .. _. ?face Scnvc...........
. No. of Meters.... Heat [..:._�' I10.... /TewSen¢r...... � .... Mme Metrr......... ..
8
No. of Add. Meters...........(Light.:
�.......... -
Power.... ........... 'I'h P c. I ..._. ..
1.1.ECT0.!Cd! INS!'FCTCA
ROUTE SLIP
File No.
Date R 7d
Lo/caa/It i on_
Subject O - -----
Notes
... -. r /�d/�.�...�
ROUTE SLIP
File No. �i 1 /3
Date
Location
Subject —
Notes
Approved
Date spector
-�< s '- ��
�,,,�.,�%�V fc.9, .
�K� 3—v-o
COR
CITY OF CUPERTINO
1'0300 Torre Ave.
CTION NOTICE
5A--- QK/ --------------
...................... . .. . ............. .... - .... .................
......... OT ---- EUVZ&-� ............. - ------- ----------
B� ...........
__I_Q .. 6,741
-
--
---------------------------
......... 0#§'V`ef ----------------------------
--------------- t 0. � ...... ... ............. .. ...................... ----------
You are hti�re y notified that no more work shall be
done until the above violations are corrected. When
corrections have been made cap th inspector,
252-4505 Date:
City Telephone Inspector . ......................
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
....................... :------------------------------------ --------------------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252.4505 Date:--7--13 —70
City Telephone. Inspector:
0 Q
�2 a :z / o 11Yooq4,,b nz�
NO. sTR6[T LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
�✓�� CITY OF CUPERTINO
6ua iu
i , ]94 Permit No.
Dat —
/N jj qq Pee $14 / V
Application is herebly6gade ntht: City of Cupertino for a permit to install electrical
wrei� nd ��jF�.. fixtures as listed on the reverse side hereof, and agrees' to install said
wiimg ane��"r fi@UffjTjR0nre with the provisions of the Electrical Code of the
City of Cupertino, an 11 i��{{ laws applicable thereto. A
Use of Premises/11d—Ot—
t
Own Addres� r
By -
T Addres.
CONTRACTOR, AGENT
,2 r2 —/3 7A Approv
r hn net Er.ECTRICAI INSPa
State License'?
d
P
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches
Number of Receptacles
'f-
Number of Fixtures
/
,
Ranget or Ovcn-
�/. /i
Size of Main Service
ClU
Number of Meters
Number of Panels
Si -Transformers
Dryers
r/0
Motors:
Cd
H.P. Phase
H.P. Phase
Power Poles
Misc
Permit Fee
2.00
H.P. awges
Total Fees
N Q
J_
3
LOT NO.
NO. STREET
FOR PLUMBING PERMIT
OI? CUPERTINO
Sanitary No.
Dai U 196 Permit No .S
nn11,, CCDD [p��,((�� -Pee $ 38..SZi
�'f�'Q ti Crs lQj?laAHT�b Qc City of Cupertino for a permit to install plumbing
pi pbl or IXtures 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 Premises UAL E X
Owner I/7-ol !L 7 c
Address Si 7 d, /71llTN e.��A f%Vt.
/l
Address-4-Is- L//AS Si' S,-
License 1 7/ 53 / Approved
PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heatei
.2
j
Size
S —
Water Closetf.I—N
al
[',
Bath Tub
rb
Shower
Prop. Line
Lavatories
istin
Kitchennn.
Dish Washer
Waste Dis osal
Wash TraTORM
DRAINAGE
WMachine
Water Softenerl
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
,-✓
Restaurant Sink
Material
TOTAL FEES
Fixture Fee
1ain
Main Drain Feeeader
LSanda
Storm Drain Fee
er System
Water Sys. Fee
/
aclief Valve
G as Fee
Vac Breaker
.y .L; ,,,•t-�
j
Skimmer
Filter
Pool Sweeper
Permit Fee
2
Total
/
Total Fee
3 . ST.`,
20210 Forest Ave'.
No. - Street Lot No. 8
APPLICATION FOR APPLIANCE PERMIT
x' City of Cupertino
Dale 196_ Permit No.
Fees 4V,SD
r
r
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 Premises Res.
Owner 11tAh Homes, Inc. Address P•0. BOIL #1405
By San Carlos Sheet Metal Address 779 Old County Rd.
Contractor, Agent
Phone 591-2605
State License 110828
Approved
rlPKmbing Inspector
APPLIANCE
UNITS
FEES
Gas lop
Gas Oven
Wall Furnace
Gravity Fum.
Forced Air Fum.
608
Gas Fired Boilers
Warning Ovens
I
_
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 Svstem
(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' Hieh
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
2,00
Total
I Total Fee
go.50
I�IOr NO. ►eg. Li0 (pe0
NO. STREET
w z APPLICATION FOR BUILDING PERMIT
la
/m �, CITY OF CUPF.RTINO
oa anitary No. G S.1�73 � �—
3u
196-1 Permit No. S k tS k
Of
LL F Application is hereby made for a permit to `�u.w'TN
0
iUCITY f* r! PFRTmnn6 Building
to be occupied only ain accordance with
00 Plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee
" Estimated Value of Improvements, $ Oed Fee j f d
0 IF
°=
F Q
z J It Is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
J o CupertinnoA be on tplied with. J
3 < Ow Address�8� Vl �`�1���9%gV�,
N
Wa B f A
a u Phone �3�— 4� Y! Approved t
{1 State License �e�J T BUILDING INSPECTOR
` ✓