NO PERMIT NUMBER (3) 7` _
2 981 ColTmibua Agve. . p . '' o , (Pool)
-NO. STREET LOT NO.
1ii CITY OF CUPERTINO 56
APPLICATION FOR BUILDING PERMIT
i
SANITARY NO.
FILE NO. 51.167
DATE 6/1/76 19_
Application is hereby made for a permit to
Cnn atrnr•t a -- story,type I — Gunite
to be occupied only as Rwi mmi ne Pnol (16 r x 12 r)
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS T 8.nnn
FEE A 44-nn PLAN CHECKS 22'.00
OWNER FrlwanA Hnna+nn ADDRESS
PHONE oSS_0019
CONTR. Hawaiian Pnnl a ADDRESS 5837 CemdeII Ave.
PHONE 377-395n STATE LICENSE l 46—i 9707
APPROVED .Tampa H_ Sialc/h
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION I FLOOR STEEL
q I�
PRE-GUNITE )qI/I f I� Aa%.--tFRAME
BOND BEAMS I LATH
�. ,� IWALLBOARDS
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS I -MISC-
DIAPHRAMS I,
I I I I I
I I I
I I I
I I I I I
I I I
I I I I I
I I I I I
M OORf BUSINESS FORMS INC LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL �, ATE, D PECTOR COAVfERCIAL DATE INSPECTOR
UNDERGROUND ROUGH I UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISZELLANEOU�INSPECTIONS
V
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED �• c �DU,CTS&INSULATION
UGH UNDERGROUND RO 1p�r(� 1 6Z'�TLUES&COMB.AIR
PARTIAL ROUGH I CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
.2/.5R/ I (..� //(/J// Lot No.
No. Street 1
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary N- _
-7� File No.�/ l�
Date �19 .!�_
Application is hereby made for a permit to
story, Type _
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ _
FEES S 5�/ Plan Check $
0w r.er >7 (l Gl S7f"GJ'1. Address�j• / '
ContrZ)7/;!-� ���sGp�t/Gi Addressf J`y Phone /g� 3 _ / 3 R State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address _
Phone State License _
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $ -
PLUMBING FEE $ -
Contr. Address
Phone State License _
Approved _
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
Contr. Address _
Phone State License _
Approved _
.Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
P D-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL it -
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER I
GRADING FINAI
FINAL BLDr-
ELECTRICAL
D T.E INSPECTOR MISC.
UNDERGROUND ROUT/
ROUGH WIRING
//
FINISHED WIRING \
FIXTURES
I
MOTOR
FINAI
PLUMBING, GAS $ APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. {�
SANITARY NO II
UNDERGROUND ROUGH _ II
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN tl I II
FINAL PLBG. E I II
FINAL GAS Y�
FINAL APPLIANCE Y I
I �
1DATE INSPECTOR MISC.
_ II _
MISC
MISC I -
MISC I I�
Gf(Ijs/ �LTo LOT Nn
NO STREET
CV OF CUpETZMO CITY OF CUPERTINO
A?PIICATION FOR PLUMBING PERMIT
JUN 1
1 n
Sanitary No.
Dot- 19_ Permit No;
5
Application is hereby made to the City of Cupertino for a permit too to 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 ig Work To Be
Premise( LE / r / PerformecLG
Owner -L (r i r9.L r 1'r1 US7717'1 Address.�'�SO I �.OG G ph bUS �Y.""�
By Address 'Tr-r�7 a y
Contractor,Agent
Phone 3-7?- 3 a-S-D
State license Approved
MI'Ve'see"E=��PlurWbing
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
LA
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 Size I '
Restaurant Sink Material _
Sand Trap TOTS 1L FEES
Urinal Fixture Fee 1,
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Relief Value i i ? Gas Fee 200
Voc Breaker /
Skimmer
Filter Z
Pool Sweeper ,� I
Permit Fee _
Total I Total Fee /j��
LOT NO
,NO '4 STREET r
< ' nq
cuP+KTIND ; ., CITY OF CIIPERTINO
r jLI Chi
AYION FOR ELECTRICAL PERMIT
41
r e kPermit No
Date A.IyR /k .1 .. ,19 Fee$' 7� .
i4'1 �� 1 Ilii � I•.S
Apphcatlon Whereby made to the City of Cupertino for a permit to install electrical
wiring*and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring an'd%or fixtures in accordance with the provisions of the Electrical Cade of the
'R
City. upertino,and all other laws applicable thereto.
Use of `+'` ` '%�/� Work To Bs
Premises - / 5[-�� Performe I hh Ilea 0"0 L
OwneiRk rAAw rGaz� AUX/20 Addrn.
T i' r Contractor,Agent
Addreu._
Phone X�i+,c i1m iL�l , - 3 '�-�-n . .
Srate�Llcany��iu� ����� /-�"�a'Z Approved'
tx IQ Electrical Inspector
` 1a,AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
�tw 4j m ce
r ":ITEM , „ -NEW RPL FEES xv
Number of Outlets
Numbepof Swdches,.; .'
It Number of Receptacles
z , Numbe of Fratures;:V", • �.:pit z�vi >5
v " .
Ranges or Ovens�KV >[
Sae ot*omySerncc
Numbef of Meters ;: I .,
Number of Panels
_.
Signs.=.Transformem.
MotorO
b i �aH:Pxpahase, -
�
" 'F[".P Phasei
PowehPoles "+ "`- '' ". I "^' EI
Mist
p a v
ti
JPermi_ 'YI�L ;
tit PCliarges sr g r 'z
t
4' 3.TofaleFeesa°- " '�` �N ��- i;'F 'S a • .:�.
LOT NO
O
UT't OT ~ r. CITY'OF CUPERTINO
J� 1 APPLICATION FOR APPLIANCE PERMIT �J
Permit No.
Dot. C" 19_ Fee$—.,01A0%
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 /Vf�C Work Toed `� /%I
Premises ���jQe 77 Performed �n7 /lam
Owner Enos A1Q0 AI)L6S� 21 Address 2/,79t l0,(.AttM7/nuS 6Y
Phoneq o)55 5 9 3�7�_
gy—' "'�.''-i c, ''4t j'"&n Address s )Iv.3 7 LsrnY✓X-a�n�i .f.
Contractor,Agent
Phon- :?-7 72� � � L����' �
State License— /L4 ,)L-7,1 � Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
LA
APPLIANCE UNITS FEES
1)FORCED AIR OR GRAVITY FURN.TO AND INCLUDING
100,000 B.T.U.'S
- 21 FORCED AIR OR GRAVITY FURN.OVER 100,000 B.T.U.'S
3)FLOOR FURNACE
4)SUSPENDED,REC.WALL,FLOOR HEATER
5)INSTALLATION OF APPL-VENT
6)REPAIR OF,ALTERATION OF,OR ADDITION TO
HEATING APPL,REFRIG.UNIT,ABSORP.UNIT,
COMFORT HEATING,COOLING,ABSORP„OR EVAP.
COOLING SYSTEM
7)BOILER OR COMP.TO 4-HP.ABSORP. SYSTEM
TO 100,001 B.T.U.'S
8)BOILER OR COMP.TO 16-HP.ABSORP.SYSTEM
100,000 TO 500,OD1 B.T.U.'S I
9)BOILER OR COMP.TO 15-HP.TO 31-HP.ABSORP.
SYSTEM 500,000 TO 1,000,001 B.T.U.'S
101 BOILER OR COMP.'30-HP.TO 51-HP.ABSORP.
SYSTEM I,OD0,001 TO 1,750,001 B.T.U.'S
11)AIR HANDLER 10.000 CU.FT. _
12)AIR HANDLER OVER 10,000 CU.FT. '
13)EVAP.COOLER PORTABLE
14)VENT.FAN CON.TO SINGLE DUCT
15)VENT.SYSTEM NOT A PART OF HEATING OR -
AIR CONDITIONING
16)HOOD-MECHANICAL EXHAUST
17)DOMESTIC INCINERATOR
18)COM.OR INDUST.INCINERATOR
19)EQUIPMENT NOT COVERED BY THE ABOVE
I
P
PaaMrt rct 'R.G✓�
TOTAI iH �
T
LOT NO
z „ NR {+ STREET, Sr
CITY OFCUPERTINO
ATION FOR ELECTRICAL PERMIT
4 _
P
Permit No 15
Date " - ,19 �' '' Fee$ S'
Application 11 is he made to the City of Cupertino for a permit to install electrical
wiringI',and/or fixtures as listed on the reverse side hereof, and agrees to install said
wi�ingan'd/or.,fixtures in accordance with the provisions of the Electrical Code of the,
City of,Cupertino,and all other laws applicable thereto.
Use of S - Work To Be
Premise# / P//:S� / Performed
Owner x FiAG✓LI LL O/'A5&e Address
Phone `J .S.'S--�79'� �;Z'
q t ��
gy-� Y✓/.S NG Addreu �, S i n�,nV/!�7Ul-7�
:,Contractor;Agent 1
Phone
State Ucenss i� � '/rT !n Approved
_�..' - r//Elem&h nspector
I.AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
v eYY COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
FEES
Number of Outlets _ a+13
Numberof Swdcher fn 11 +
Numberof ReceptaEles . � '� -` "�
Number of3fiiaturest:'`
$Ize of-Morn Service_
Numbel;.Of:Meters` a� >
r p
c NdmfSet-of Panels'"
s" Srgns-.Transformersti
'Dryers
r Motois:'
�_ r FI:P Phase .- .� C 'y"��'.J3,' •' �,,
t HP0 6se
PawerPol es:
PNSC
'PermifiFee�
N -
Qi& &pt�,a►AVx LOT NO.
°i
ih
O� Ofi CV°ERTEbT CITYOFCUPERTINO CAP (VAL•
a APRII2ATION FOR BUILDING PERMIT {l FEE
19_.. Building Per.No. e3i�ljL
a
O $anitory Per.Na.
3 U Application Is h reby made for a permit to/�N
_ a story, Type�CL� e ' Structure
J:ria ant� F to be occupied only as � �GlJ� -in accordance with
a r
'Z un Plans,Specifications and Plot-Plan filed herewith.
a W
x Estimated Value of Improvements,
5LL
` PI Ck Fee$
O O It is hereby agreedthat the requirements of the a
w Cupertiho. Building and Zoning Ordinances and all Fee$
Z 5 otheildingls,within of Cupertino icable othe City the construction,location,
use of buildings, will be Total Fee c
OZ complied with.
w w WNER PHONE ^ ADDRESS
X. ��
a FO CONTR.O
- - T? _AAGGEENNr � i A DRESS
u PHONE STATE L IEN$E BUILDING7N CTOR
O L.
No. Street Lot No.
CRY CF CUPERTNO APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPERTINO
'bate. �G , 19b Permit No. // G
° w
P A"e 1! Fee$
3 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 wiring and/or
w ° fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino,and
° d applicable thereto.
I � « all other laws a PP �
4 Use of Premises ��,�,�riw/9�r .rc s✓� �v 4
m 0 / J
0 0
> y Owner Addre��
o° By ,(/ �sL�.-/.,.� Addressq�Co.v�Ll�ati�^��D,'
3 91 Contractor,Agent
u o Approved
Q Phone 2 S3 9?X L / lectricallnspector
0
�� U State License 2 73?9Y I
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranees or Ovens K.W.
Size of Main Servi komL
Number of Meters
Number of Panels /
Sims-Transformers
Dryers
Mot-ors;
,-MoH P Phase . .S-a
H.P.Phase
H.P.Phase
Power Poles
Mk,
Permit Fee 2.00
H.P.Charges
Total Fees
/�,J n / I ( /JL�(/)TL/.�Lv.�/ lMti�• LOTNf,
NO. STREET
p4 PLUMBING PERMIT
PERTINO
= z
s o Sanitary No -
u UN 1 1 1969 s,�/
Ili o a Date —�� 196 Permit No
3U
w LL Pee
o ApplicatioTYhetQFm& RER0NQ I J(7
Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> r and/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 T
0 o Use of Premises I �.a A 1r ,A ---P —
m C r l V1 _O� 1(�AJ� Addres04
J
o y CONTRACTOR, GENT
w z Phone l �' � n
u I State Licensee �7 ApprovPd
ao
—U� PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
UNITS FEES UNITS FEES,,
Water Heatc Size
Water Closets Material
Bath Tubs To Curb
Showers - To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers I Sewer Boxes -
Waste Disposals
Was1i Trays STORM DRAINAGE
Washing Machines Size ( _
Water Softeners I Material
Bar Sinks To Main Drain
Comb.Sink m Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size I I -
Restaurant Sinks Material !I
Sand Traps TOTAL FEES
Urinals - Fixture Fee' 0
Area Drains Main Drain Fee
Water Leaders - Storm Drain Fee
Sprinkler Valves I Water Sys. Fee ' -CO
Permit Fee 150
'TOTAL i TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough--
Rough. Complete_
Main Drain
Final--- 7 —�9��✓�
LOT W,
€t CP CUior;Mp STREET
<JUN 2 APPLICATION FOR APPLIANCE PERMIT
v CITY OF CUPERTWO
z p 7,
3 < a D at- / fL4,y 19, Permit No '// 6
u
Fee ��•
= LL $
LL m Application is hereby mArle to the City of Cupertino for a permit to
O F install gas appliances as listed on the reverse side hereof, and agrees to
z In install said appliances in accordance with the provisions of the Plumbing
= Code of the Cit�Jof Cupertino, and all other laws applicable thereto.
F Use of Premises
20 r
> N
oa U caner in�tl-fC� Addresses/—'-i/
zJ C e�C1�f�it Q/E
J z By S/�'�K;i r ` 'L���=/i<_/ Address.P95/-
!,o NTAA R, AY=:
— < Phor ]� ��
W.
W (ZIC;E �mr„a'n�+'.,
ao State License aSG0.Tv ApprovP� ; 1f
U c PLUMBING INSPECTOR
APPLIANCE I UNITS I FEES
Gas I op
Gas Oven I
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers _
Warming Ovens
Susp.Units
Dwelling Kit./Bath
Independ. Vent Svstem
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 Flue$.e
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under 15'Hieh
Over I5'Hieh
Comfort Cooling
Comp.of 20 HP or less / 3 C[-d
&absorp.units with input
of 500,000 BTU or less
Comp.over 20 HP&Under 50 HP
&Absoro.units with input
of 500,001 &Under 1,000,000
Permit Fee a-'s"�
Total Total Fee
CITY,OF CUPERTINO
ENCROACHMENT PERMIT
Date....— .1-.;'................ 19.. N 2 0655
Bond Deposit
PERMISSION IS HEREBY GRANTED TO OPEN Fee $..... .........
Street............ Sidewalk........... Driveway Approach............ --j
Applicant .......W4�� ....................I...............................
Location ....... .......4 .....
(' -X� ......................... ....................
Purpose ... .... .................. .. .... .........-..............................................—....................
Contractor ............................................. .......................................................................
Conditions:
CITY OF CUPERTINO
DIRECTOR OF PUBLIC WORKS
10300 TORRE AVENUE
CUPERTINO, CA. 950T4