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NO PERMIT NUMBERId• Drive _ 1" 23
'.` .. LOT NO.
CITY OF CUPERTINO 2.80
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9238
FILE No. 51,345
DATE 4/l8/75 19
Application is hereby made for a permit to
Cons .�(PlAn A—T) a 2 story, type 5 N. Hr.
(1440 sq. ft. Liv. & 454 sq. ft. Gar.)_
to be occupied only as I & J Single Family & Garage
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 40, 000
FEE $ 157.06 PLAN CHECK $
PHONE 7ZQ_544Fi
CONTR, May o ions .. Co- ADDRESS
PHONE 733-9093 STATE LICENSE P847177
APPROVED .Tampa H. Si E+k,/h
BUILDING INSPECTION RECORD
DATE I
INSPECTOR
FLOOR STEEL
PRE-GUNITE
FRAME
RDATEI��RFOUNDATION
BOND BEAMS
LATH
WALLBOARDS - INT. 8 EXT.
FIREWALLS
MEMBRANE
L
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR
TIEDOWNS
C-
DIAPHRAMS
n
MOORESUSINESS FORM5INC.. LE
ELECTRICAL INSPECTION RECORD
RE5IDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
2-
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
j
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL y
MOTORS
FINAL
c.-u ?S-"L, ,
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
-j.p_
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
APPLIA CE .0
ROOF DRAIN & LEADERS
L
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
r�
'pCFRTIFICATE)OF COMPLETI014
BUILDINGIKIPECTOR'S OFFICE
CITY OF, CUPERTINO,,
DATE a 3 / , 1 9�� BLDG. PERMIT NO.
THE BLDG. LOCATED AT 11y
OWNED BY _ f
HAS BEEN )COMPLETED( FOR USE AS�^"
(ALTERED)
ROUTE SLIP
File No
�\ Date ' d d
ocat:_on
rotes
�DDr^V8�
Date Ins ctor
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
x Sewer. Connection Sanitary Permit No.
�
Plumbing Final Plumbing Permit No.
Lot No...... '. 3 ........
Owner or Ter
CITY OF'CUPERT . INO OFFICE COPY
ELECTRIC SERVICE'NOTICE
You are hereby authorized to connect electrical service for
Owner or Tenant ...
No. of Wires .... — ................. Size of Wires .................... .. Size of Switch
Motor Load ...... - ................. . Voltage ..... .......... .... -- ..... - Phase .... - - ...... .........
HeatingLoad ...................... - K. W . ...... — ...... ....... - ...... Voltage . ............. - ......
No. of Meters......_
Lig h ....... 110 ... New Service- .... .4� Rvwonect.... ....
/' � 'I lite, Wire ............ ... Mo,c Sem,� ......... ..
No. of Add. Meters............
Power ......... Three Phase- M, Mot
F.LKOWCAL INSPI-CT"R
%3 CITY OF CUPERTINO COPY
GAS SERVICE NO CE
To
You are hereby authorized to connect the GAS service for
r
Owner or Tenant .... %;G..................
New Service .... ..............
OPPICIE
No. of Meters ......... J......... Reconnects .............................
Move Service .......................
No. of Add. Meters .... ..._..... Move Meter .............
..............................I Yt ... .................
PLUMBING INSPECTOR
• CITY OF CUPERTINO
CAP.
VAL. �=
4�
Q
on o< <'APPLICATION FOR BUILDING PERMIT
FEE
z Z
82
Building Per. No.
Date:
Sa nary Per. No.
_r ays
>< O
i19
1� V K j.F"
9,pl�pliicca(ti�on is hereby made for a permit to
3 u
.a . storry, Type�7fy�� 9L �97 �4/IIQ�Structure
=LL
a
�O
w
to be occupied only a - in
accordance with
OQ
Z w
Plans, Specifications and Plot -Plan filed herewith.
a w
OY!
Estimated Value of Improvements, $
a LL
PI Ck Fee $
O O
It is hereby agreed that the requirements of the
/ou
——
> vt
Cupertino Building and Zoning Ordinances and all
Fee $_/_J0!
3
other laws applicable to the construction, location, and40-1
Total Fee $
Z
use of buildings within the City of Cupertino will be
=z
JO
complied with.
3 <
If7la Y TyJ CD. i3L3-S`��I6 lobo Hv-pl FST£AD itti
w Z
pWNER ���- PMONE
ADDRESS
si
/71/4 YC.o C0N5M Uc 77 ON
—.—
O i
¢pv
CONTR. OR AGENT
AD SS
733-4613 , -g737
PHONE STATE LICENSE
BUILDING I SPECTOR u✓
0 L.
(✓ �z -7 e" LOT NO.
NO STREET
CITY OF CUPERTINO.
2,,.z,jAgPLICATION FOR PLUMBING PERMIT
l©C ",11 1975 Sanitary No.
Date / �~ �� ,197E Permit No.
Application is hereby made to the City of Cupertino for a permit to install 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 Work To Be
PremF ises �C. Performed
Owner �Gj/v Addressl_,
Phone %� 1 A, V
itf/•✓y.�� �7 Address
By /cant�ract Agent �Qr � �/l� Gar
Phone 2-- `////- /��//� /
State LicenseLL�J ��— Approvad-
1, Plufffbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® c.
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 8 Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
L Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
o —
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fees
/W/,-, — LOT NO. "?3
NO.. , ' STREET
O CITY OF CUPERTINO
o�
C°F APPLICATION FOR R ELECTRICAL PERMIT
AU 1 ��7 Permit No.
Dote r (.l 1 I � , 19_ Fee E
Applicat^,fon 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 fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use Work rmed / / _ _ �
TOZ
Premises Pedame- '
� J/
Owners Address
Phone �.
W F Mecnw. Address
BY CCOO tractor Apen4 f�Q�—
G4� UNIVERSITY
Phone LL,. pp77��s
State License `StOfB LICAIVO SV016 Approved
Electrica n actor
I AGREE I WILL NOT VIOLATE ANY OF THE WORK N'
COMPENSATION LAWS OF THE STATE OF CALIF A.
® s+
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches.
O
.00
Number of Receptacles
Number of Fixtures 3 FL
S
Ranges ar Ovens K.W.
[7
Size of MoiSe Service
�A
Number of Meters
Number of Panels
/ O 0
Signs - Transformers
Dryers
/ O-0
H.P. Phase
H.P. Phase
H.P. Phone
Power Poles
Misc.
Permit Fee
OD
H.P. Charges
Total Fees '
rt ..
y312 19 ag A C( tlX4 LOT NO.
NO. STREET
a2, z CITY CCUCE:.ttri0 CITY OF CUPERTINO
;
' APPLICATION FOR APPLIANCE PERMIT
0
JUL 2l 19(b _
0 -1 Permit No.
3a Date ,19 /�] Fee$
1- p Application is hereby made to the City of Cupertino for a permit to install gas
of appliances as listed on the reverse side hereof, and agrees to install said appliances in
a accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
a 0 other laws applicable thereto.
WW vvQ Use of Work to 8e
J u Premise Portormad
00
owner Addres�� O i ondition'ng
r 13270 Depot Avenue
Zj By - Address
ontractor, Agent an Martin, a I crnia 97046
_J o I (408) 68 -4101
Phone
3 Q MASS' C•20 LIC. d 27Sic, Approved
m m Ste to L..onae
irLg5S C-20 L1� YZ7903'[ Pl�urr binB Inspector
02
QO
_u
Ar
APPLIANCE
UNITS
FEES
Gas Top
Gas Oven
Wall, Gravity or Forced Air Furn.
D D
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
'
Independ. Vent System
Com., Indust., Inst. Kit.
Hood & Vent System43
O Lo
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without Comfort Cool.)
Forced Air. Mach. each Power
Gravity System
No. of Air Outlets
No. of Flues
Stacks for Metal Fireplaces
—Smoke
Stacks, Misc. Equip.
Under 15' High
Over 15' High
j
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
O D
�a—t J ..�—A--r�.P K.L'.�1� LOT NO. 42./
NO •• 'STREET
CITY OF PE: INC CITY OF CUPERTINO
I APPLICATION FOR PLUMBING PERMIT
'JUN'1'�
D.t.p A 1 3 19 Permn No.
Fee$ 3g �
Application is hereby made to the City of Cupertino for a permit to install 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.
Work To Be
Performed
Address
Address
�/%
1 7A
Approved /
Plum ing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® u
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 8 Troy
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Swee er
3
r,, 11
Permit Fee
Total
Total Fee