51248.3 ioe3 .1Wo LOT NU"_,/' z
NO. STREET „
e i pP q veRilsO CITY OF CUPERTINO
a OCT 12 -*PPLICATION FOR APPLIANCE PERMIT
a LL
oV .Date� ���E'/Z 19 -Zi.. Permit No. f�a `��• 3
" LL Feet
4 W Application is hereby merle to the City-of Cupertino for a permit to
o C install gas appliances as listed on the reverse side hereof, and agrees to
z a 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 �I!)t✓LL/�(1(rr
0
o: Owner_ Address i1E,ULD p/7R�Y
�
.o Hy— r7 Address ShN Ir E
F CONTRACTOR,AGENT
m Phone_ 4 0�-00eO
ez
W W
ao State License Approve
l__U PLUMBING INSPECTOR /
V
APPLIANCE UNITS FEES
Gas lop
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath AL
Independ.Vent System__
Com. Indust. Inst-Kit
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without Comfort Cool
Forced Air.Mech.each Power
Gravity System
No,of Air Outlets,No.of I'lues
Stacks for Metal Fim-121aces
Smoke Stacks,Misc.E ui>.
_Under 15'Hi h
Over IS'lligh
Comfort Cooling
Comp.of 20 HP or less
&absorpunits with input
of 500,000 BTU or less
Comp,over 20 HP&Under 50 HP
&Also .units with in ut
of 500,001 &Under 1,000,000
Permit Fee
Total Total Fee ,3
No. Street Lot No. �7
CMO �
F CUCITY OF CUPERTINO ��6GM0�
AUG $ 1972 APPLICATION FOR BUILDING PERMIT
'c Date T' Sanitary No.
v ' 19 — Permit No.
m
y '`p Application is hereby made fora permit to
`oo /
.3 U a story Type Building
`o to be occupied only in accordance with
cy Plans,Specifications and Plot- an filed herewith �PIJCkeeEstimated Value.of Improvements,$moi Fee$ 10 :z'9e2
o `o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to construction location, and use of buildings within the City of
Cupertino ill be complie rth.
'3 A Owner u. em
y By C Address
o Phone —� _ 3 �/ Approved a
�� 5 �/
/ State License � j, \uild\ing Inspector
j CERTIFICATE 'OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
Due .......g--.' (.. ..I........ 19. _ Building Permit
The Building Located at ... - --.Q....(:�: ....... <<:......_.
Owned by .....-` --.:--
�^ '
Has Bern ( feted or As. ............. :_-1'........ .�^ `...:...........-.....
(Altered)
..........._........ •---------.._......................................................
......--- .. ..---......................................._.... ...............................
- - - --
UILDING INSPECPOR
/(J93—& 1 'Z6'r-�
NO. STREET
WLOS NO.
Z /
r o CITY OF CUPERTINO
< CITY °P COM...APPLICATION FOR ELECTRICAL PERMIT
Wu OCT 2 41912
W o
� o
4 W Date 19 2'�' Permit No. _
o l' ^ Fee
i W Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> b City of Cupertino, and all other laws anDlicable thereto
z SINGLE 04MILY RtSIDENCE
Use of Premises
_ 0
3 a Owner [ Tv� Address 44 !/1/+tCa lf6tf�
N ^n
W n BY Address
O F CONTRACTOR, AGENT
U Phone: -24 -JZF7lo APProved —.
LECL7UGL (NS 8Q77R
l State License - 2,411/9/!0
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles a
Number of Fixtures a•
Ranges or Ovens K.W. /
Sue of Main Service /o Lf
Number of Meters
Number of Panels
S" s-Transformers
Dryers
Motors:
H P Phase
H.P.Phase
H.P.Phase "
Power Poles
56
Permit Fee 2.00
H.P.Charstes
To ees /9.4Q
/�L?? I .t.. h ✓/Li{ .( LOT NO. T
NO. - STREET
CRY OP CUPecTit4O CITY OF CUPERTINO -
W = NUG 3 0 1972 APPLICATION FOR PLUMBING PERMIT
o Sanitary No.
: Date\ � 19 Z;I— Permit No
U
W LL
Fee go23. Sd
LL W Application is hereby made to the City of Cupertino for a permit to install plumbing
0 `a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said primes
rand/or fixtures in accordance with the provisions of the Plumbing.,Code of the.City of
a W Cupertino, and all other laws applicable thereto.
W Z
r F
i o Use of remises
o a Own r rte a Address—JO-30
z
p
3-F By ,C NTRACTOR• AGENT Address
w z
Phone_ Z0- 05S 6
W W
A o State License_ �7/67,57
App
roved
PLUMBING INSPECTOR
7�
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size 4 d
Water Closet ,Fd Materia
Bath Tub To Curb
Shower .s"D To Pro .Line
Lavatories To ci in
c e
Dish Washer
Waste Dis osal
Wash Tra STORM DRAINAGE
Was
InMachinc Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper 11 Size
Restaurant Sink Materia
Sand Trap TOTALjjFEES
^Urinal Fixture Fee 3.6
Area Drain I Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys. Fee
Relief Valve Gas,pee-
sa
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee .0 0
Total Total Fee 0
P' IG S4 Lot No. /7
No. Street
CITY OF CUPERTINO / Sy
APPLICATION FOR BUILDING PERMIT p ?
Sanitary No.7-/ J -2p
File No.
Do to 19 72
Application is hereby made for a permit to
a story, Type
to be occupied only as /
in act ante with Plot Plan, Plans,/and Specification filed her -th,
ff Estimated Value of Improvements $
FEES —!D 15p, Q d Plan Check S �l, ^
Owner ��G/L`� �7�6�'n O� Address LO �� v`"' c 7�7
Contr. Address
Phone State License^
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 119 7r'-" FEES
Contr. 4 eA/ C � i Address 2't-./[./�.dti
11
Phone o2 2ilz- j� 7� State License ��'/�� �C
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 7`� GAS FEE $ C/X
PLUMBING FEE $ -m2 3, S-P
Cont,. _ `�--��_�/"�'""�^-e."� Address r/GaS_
Phone ��Q .�✓ 6 State License
Approved
/Z APPLICATION FOR APPLIANCE PERM -
Data ! 19 7 ?/ FEES
Contr, d �J Address
Phone - �p7- -70,1_2) State License 7.4_"l
Approved
Applicants agree not to violate any of the r�
Workman's Compensation Laws of the
State,of California
PDA
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTORMI C.
PAD FINAL Q
FOUNDATION v Z ~
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
JF(!:fL (�2'� ELECTRICAL
DATE INSPE OR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS-
FINAL-
PLUMBING,
OTORSFINALPLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. 17
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE f ��
MAIN DRAIN
FINAL PLBG. �"' ^�
FINAL GAS / - 3- 73
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC P1
MISC
MISC