51248.3 le
No. Street Lot No.
QTY OP CUPERTINO CITY OF CUPERTINO'I � �L
8 197�PPLICATION FOR BUILDING PERMIT
r Sanitary No. 7 9 2C
p atibn Dereby made for a permit t° �J'��
E A2 plx
i9
;° = a story,Type Building
sem, U to be occupied only n accordance with
o
° y Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
c ti
� z Estimated Value of Improvements, Fee
0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
A Cupertino will be compli d with.
c
dress d
3 ° Own _
„ BY /ILS / Address
m a ""/�
o Phone .�o'�c��/-5y-� Approved
u �y �a y/ Bding Inspecto\ \
Slate License X V
IScu ser-
!n < NO. STREET . LOT NO.
Z Z _
x o CM OF CUPEPnNO CITY OF CUPERTINO
3 j DEC 15 141PLICATION FOR ELECTRICAL PERMIT
W 0
o Dates± A 9 / �
4 F 19 Permit No.
Fee $
N w Application is hereby made to the City of Cupertino for a permit to install electrical
Z wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
o 'o wiring and/or fixtures in accordanre with the provisions of the Electrical Code of the
30 City of Cupertino, and all other laws applicable thereto.
03
z_j Use of Premises SINGLE FAMILY grgiomme�w
�
z
0
3 < Owner T Address Z k"aelc
By - ZEE ELECTRIC W Address S•C•
CONTRACTOR, AGENT
W
U Phone: 6Y� o�"/� ApprO 8L8C[Rr AL rNSPE ^/
{ State License
ITEM NEW RPL FEES
Number of Outlets 9
Number of Switches /370
Number of Receptacles a-(o
Number of Fixtures a•00'
Ranges.or Ovens K.W.
Size'of Main Service 100A -00
Number of Meters
Number of Paneb d'0
S' -Transformers
Dryers /•
Motors:
H.P.Phase
H.P.Phase
Power Poles
t/G•1V A GrCi
Permit Fee 2.00
H.P.Charm
To T ees /8. 70
/of 5.� ( K YJf 51 ( LOT NO. SJR
CITY OF EURfiido sraeer CITY OF CUPERTINO e
;z fU G 3 0 1972 APPLICATION FOR PLUMBING PERMIT
w R
x o Sanitary No.
Jp
W q 1
3 a. Date • -2_. 19/�3 Permit No
0 .
0
= W
Fee $ a?3.50
O 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 rices
i
an fixtures in accordance with the provisions of the Plumbing Code of the City of
w W Cupertino, and all other laws applicable thereto.
LL Use of Premises
00
0 /L
o a Owner Address J030 �rrt . /
z� r //
z By ` OliLc�C� i e Address
O C TRACTOR,AGENT
3 �
— Phone '�7-98' 055e
W 2
W W
a o state License J7iS3 Approved
-U NL` PLUMBINGINSPECrOR v
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / ,SO Size
Water Closet 2 ,Oo 1 MaterialJ 6 5
Bath Tub J,511To Curb
Shower j,56 1 To Pro ..Line
Lavatories 01 To Existing
Kitchen Sink / /,5-0 Not Conn-
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
WasIft Machine j,SV I Size
Water Softener Material
Bar Sink To Main Drain
ComblSink&Tray - To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
H ' r Size -$a
Restaurant Sink Material�
SandTrap TOT EES
Urinal .Fixture Fee •$v
Area Drain Main Drain Fee -.'�•D u
Water Leader Storm Drain Fee
c:
Sprinkler System Water Sys.Fee , SO
Relief Valve
SO
Vac Breaker
Skimmer
Filter
Pool Sweeper '
Permit Fee �2 '00,
Total aS4 Total Fee
/0g4tz I swcer 0#x STREET Lar NO.
NO. STREET
Z 'i Ctfv OP CUPERTNO CITY OF CUPERTINO
W = APPLICATION FOR APPLIANCE PERMIT
ZV 2
1972
o i aC� �/r OCTOBE� 19 1-;L, Permit No. ��� 3
W s uO N t n Fee$ /S
' o Application is hereby mstle to the City-of Cupertino for a permit to
00 ` install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
FCode of the City of Cupertino, and all other laws applicable thereto.
S Use of Premises _- hLOC' C/A1 U
00
" Owner f 1A{1 M K #QA1 ES Address k 6A)t O 614RU'
-1 zS It
By Bus/C',r Ana L70 Address sff�SE
a CONTRACTOR,AGENT
3 Phone. 7"0
0 z
W W 2316t d'
I State License Approv u
PLUMBING rNSPECfOR
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. /
Gas Fired Boilers
Warming Ovens
Susp.Units
Dwelling Kit./Bath
r Inde end.Vent System
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 IS'Hiph
Over IS'High
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 1000,000
Permit Fee 3
Total Total Fee
•
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
Y% MY OF CUPERTINO
Date ........ ..............7 .............. 19.... t
Pudding Permit No.
The Building Lowed at ..... ......
Owned by ........ .......
..........................................................
filet Has Been or se As: .....: ........................
4ere
..................................................................................................................................
.................................-................................................................................. ..........................
............................ .............................................. . .... /......................
..........................
. ,BUILDING &S?Ecrm
RECORD OF INSPECTIONAPPROVALS
BUILDING
DATE INSPECTOR MIS
PAD FINAL
FOUNDATION -
UNDERFLOOR
FRAME j
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
i
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL -�
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH W • if0'71'"
L
PARTIAROUGH
1p
ro
ROUGH COMPLETE w
MAIN DRAIN `v
✓ IV
FINAL PLBG. y�
FINAL GAS -G- 3
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/_I/ Z?e/ z I ✓C/1 D(-/ /� Lot No.
No. Street GZ
CITY OF CUPERTINO O
APPLICATION FOR BUILDING PERMIT
Sanitary No. i '
`-//� �7
File No Z 1 - S
Dote.��19 Z�.
Application is hereby made for a permit to
a story, Ty c7 7-
to be occupied only as
in acco a with Plot Plan, Plans and ecification filed herewith,
Estimated Value of Improvements S ';;
FEES D• D Plan Check $
Owner Address / `��') "(
Contr. f� Address
Phone —/�y/ State
Llcens
Approved
�1171173 ( L'
APPLICATION FOR ELECTRICAL PERMIT
Date i S 19 7'L/ FEES /" 7
Contr. ��i-C// 0 < o . _ / Address -"-. - '3
Phone �t� 6 —SV 7 G State License
CP-
Approved C
APPLICATION FOR PLUMBING & GAS PERMIT
3�
Dote 19 7 'Z- GAS FEE $
PLUMBING FEE $ cz 3,
Contr, p � /"�-'t-" - / Address � 'S--a^+-"� `I✓_�
Phone -/ _.G -r`s� State License 7 S
i
Approved �-
Id APPLICATION FOR APPLIANCE PERMIT >�
Date / /Z- 19 7 L FEES
Contr. ld�J Address
Phone --- 17- 7 0-S State License �3 to
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1