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51248.3 No. Street Lot No. %
a" OF cu1amo CITY OF CUPERTINO (:-2— ,-?G/B6/
APPLICATION FOR BUILDING PERMIT /j'y
MAYp1e7197Z _ Sanitary No. r G s2
v
19 Penni No.
Ys hereby dfit t
y mae or a permit 3 ot] Ii t� � i h
� T
a story,Type / ✓ Building
L)
to be occupied only as in accordance with
o «". Plans,Specifications and Plot-Plan led herewith. PI Ck Fee
T
iO m Estimated Value of Improvements,$ Fee$
d t
0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to he construction location, and use of buildings within the City of
m Cu ertingwill be com li with.
C P %' p ��
.; o Owner� Address
BY Address
%
E Phone 3 —� Approved r
^ U ilding Inspector
State License
� K
/o?as I�&?� 04L �qr .
N < NO. STREET LOT NO.
2 = .
I o CITY OF CUPERTINO
0 'CITY OF CUMTtNOAPPLICATION FOR ELECTRICAL PERMIT
G `27ap 7 7 1972S i ti ►�$.
19 _ Permit No.
a
'z in U A I D
Fee w�_
w
Application is 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
0 o wiring and/or fixtures in accordanre with the provisions of the Electrical Code of the
S City of Cupertino, and all other laws applicable thereto.
_J Use of Premises SINGLE FAMILY RESIDENCE.
J Z
3 < Owner 6r1w x4oz4rir Address
a By ZEE ELECTRIC address A X S.Cr
0E CONTRACTOR, AGENT
<U Phonc: :;f6 '�.t���//©7� AppC� ELBCIRIaL, IMPS
State License
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures •OO
Ranges or Ovens K.W. • BO
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryers
Motors:
H-P-Phase
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees
/0903 1 zz'tx &4 4 z LOT NO. 41
NO. / STREET
CITY OF CUPERTINO
" < etrr OF Cum tu+APPLICATION FOR PLUMBING PERMIT
r - JUN 71972 Sanitaryi�n. 9, fog-
0
S'
0a Date 19 Permit No .�L�yi1�•3
WLL P Fee $ z3•So
O Application is hereby made to the City of Cupertino for a permit to install plumbing
o Q pnd/ipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> r
an fixtures in accordance with the provisions of the Plumbing Code of the City of
'a W Cupertino, and all other laws applicable thereto.
W I
W Use of Premises
00
> W �0 3 Owner Address/tea
ZJ /
� z Byn '4 e Address
O CONTRACTOR,AGENT
3 �
- 0 Phone
W Z
W W
a o / 11537 Approved - � �
State License
-s
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units I Fees
Water Heater 15.03
o Water Closet SMrial
.Il
Bath Tub 77SO To Curb
Shower / /•So To Pro .Line
Lavatories 100 o Existin
1(itchen SinkS0
Dish Washer '
Waste Disposal
,Wash Tray STORM DRAINAGE
Wagiing Machine j ASO I 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 1 1.To-
Sand
Sand Tra TOTAL FEES
Urinal Fixture Fee .50
Area Drain Main Drain Fee 6-00
Water Leader qt— Fee
Sprinkler System Water Sys.Fee ,30
so
Vac Breaker
Skimmer
Filter
Pool Sweeper_
PemritFee •00
Total Total Fee 3•SO
10703 r ®At4 67 LOT NO.
NO. STREET
CITY Of CUPERnNo
CITY OF CUPERTINO
r = OCT 10 197APPLICATION FOR APPLIANCE PERMIT
19 & Permit No.
X
Tn Fee•S
, o Application is hereby merle to the City-of Cupertino for a permit to
o i install gas appliances as listed on the reverse side hereof, and agrees to
ito install said appliances in:accordance with the provisions of the Plumbing
„ = Code of the City of Cupertino; and all other laws applicable thereto.
5 ~ Use of Premises Z0vel�4_1_Lo�
00
i (h ��r�mer ±4'W bAl Kit S Address AUCZ14,0 IS4)Z —
�
Z gy M/
tl�a tL'.lG. moi do Address ;5le2!tl
�'O CONTRACTOR,A NT
2B'7_�raa
a Phone
—
iaL 23 Go�2.
State License Approve /
() PLUMING INSPHCiOA ` .
APPLIANCE UNITS FEES
Lias 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. I nst.K i t.
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'Ifigh
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 CUPERTINO
j Date .............................................19).3
Building Pe'mtNo�
The Budding Locitted at ..PT.
. 0-5, 1,
..............................................E:
...
................................ ...................................
Owned by ...... .......
HasBeen For Us s: ...........---........ .1Y...........,.............................
(Altere
.............—......................................................... ..........................................................
-----------------------------................*-------------
---- --
--------- ------------- --
-------------------- --------
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-----------------------
a
----------------- ....................... -------------- ..............*—. ... .... .
........... ...... D&�-- INi roi
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION �
UNDERFLOOR [
FRAME /
^� y `<
LATH & PLASTER
GRADING FINAL
FINAL BLDG. — ,
U�Cit 6"D
w ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING t'
FINISHED WIRING
ca
FIXTURES
MOTORS
�t—p
FINAL
PLUMBING. GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. Y-
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE 7y
MAIN DRAIN 7 _
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE 7
DATE INSPECTOR MISC.
MISic
MISC
MISC
Lot No-e-12.
Ao. Street G ��L p
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT 9/s
Sanitary No.
����//����� �� ��..�� Fila No._� avg. 3
Data C,(J.f�!_i_L-19
Z�
(( Application is hereby made for a permit to
Cr"S4-nuc- a story, T pe
to be occupied only as
in accordant with Plot plan, Plans ann Specifiication filed herewit
� h
Estimated Volae of Improvements f V/ioeo D�
�
( C s
FEES V Os ✓ Plan Check $ ,w•'. 1
Owne Address
Contr. Address APs
Phone 3 2y -- if State License - 12 4101
Approved 4S L
APPLICATION FOR ELECTRICAL PERMIT
pp a
Date O 19 L FEES �� 7
Contr. '-MQA- CX<-c�F�_. Address -P-u,
Phone License '23 S"-/ rs
Approved
/ APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE f nen 3• ��
Contr. Address 'CL, a
Phone -�, � - "S-S�o State License /7(I-; 7 -
p .�
Approved 1Q
,b
(e/ APPLICATION FOR APPLIANCE RMIT �.
Date !� 19 ? -4- FEEf /j —
Contr. Ay,- ^ - - Address q
Phone d J S--a State Licensee//3
Approved ,
Applicants agree not to violate any of the ty
Workman's Campertsation haws of the
State of California
PD-1