NO PERMIT NUMBERwill t -
NO3.0227-1022
STR ET - +• LOT NO.
CITY OF CUPERTINO 4.76
APPLICATION FOR BUILDING PERMIT
.SANITARY NO. 9260
FILE NO. 51 353 e fi
DATE 4/28/75 - 19
Application is hereby made for a'permit to
Const. (Plan B) a ] story, type 5 N. Hr.
to be occupied only as I-J Duplex (2503 sO ft T i V 660 sq . ft Gar
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $68 s 000
FEE $ 223.00 PLAN CHECK $
OWNER Dividend Tndtc ri c ADDRESS 2160 Forest Avp. 4 T
PHONE 275-8430
CONTR, ADDRESS
ATE LICENSE 275773
APPROVED .Tamar H Si k /h
BUILDING INSPECTION RFCORr1
DA E
SPECTOR
DATE
INSPECTOR
FOUNDATION
OR STEEL
PRE-GUNITE
FRAME
•7�
BOND BEAMS
LATH
�.LY
WALLBOAR - INT. EXT
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR 7-
TIEDOWNS
-MISC-
DIAPHRAMS
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
i �7
UNDERGROUND ROUGH
ROUGH WIRING
,�
ROUGH WIRING
FINISH WIRING /
FINISH WIRING
FIXTURES i�
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL (
7
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE I
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS & INSULATION�1�
UNDERGROUND ROUGH
FLUES & COMB. AIR
PARTIAL ROUGH
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN 7- 7-7
FINAL GAS /0
- 7
FINAL PLUMBING
o/ cam- 2 CERTIFICATE OF/80MPLETI0N
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
DATE // �7 �� 1 q_ BLDG. PERMIT NO.
THE BLDG. LOCATED AT //i 2 y j,/%��,e�
OWNED BY
' (COMPLETED) .
HAS BEEN "—hALTEREC)I ) FOR USE AS
,
rolul B SLIP
Tile No.
p, Date /�a
ocat' on
otes
rip_ oved
Date LnsDcCi:or
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No...... '410
.................
S`i
[� Plumbing Final Plumbing Permit No......... /.3s-3
.................
LotNo- ------------- 8-----------
Own
At
Tract
Date Connected -----.�.'-=..------------ ----------------- -------- 1,9 ------------
Date Final--------/-L-
7- 25-
19............
PLUMBING INSPECTOR
, 10
CITY OF CUPERT INO OFFICE COPY
ELECTRIC SERVICE NOTICE
19
You are hereby authorized to connect electrical service for
Owner or Tenant ... P& -elene,
- l;r0)
At ...
No. of Wires .. ...................... Size of Wires .... Size of Switch .,/(/v /a
Motor Load ..... - --- --------- Voltage - - - ... Ph . . . .............
Heating Load .. . .................. K. W. ........ ....... .. Voltage . ....... ...... .. .....
No. of Meters ..... Light ................ 1 10 ..... 4 New
No. of Add. Meters............ Heat ................. 220 ... 41
Three Wire_....._....... Mo,c Sumc,
Power ............... Three Phase— ... Meter...._.
i.LECTR!CAL INSPECT114
OFFIC17
CITY OF CUPERTINO COPY
GAS SERVICE NOTICE
TO
You are hereby authorized to connect the GAS service for
Owner or Tenant ... 0(,6,j ss--�--X
At
New Service .........
No. of Meters ..... - 2;Z=. Reconnect .. ....... .......
Move Service .......................
No. of Add. Meters ..... - ...... Move Meter ........................
................... oe ... . ................
PLUMBING INSPECT —OR
/0az7-i0.)_i3 L¢Z.9lyl,!F_O C7
LOT NO.
NO. STREET' I '• -. '.
CITY OF CUPERTINO -
VAl G O u
J
CAP.
{ Al 76
a
APPLICATION FOR BUILDING PERMIT
t FEE
11%-1. Building
Per. No. 3
F Daft C 9.
Sanitary Per. No.
v
Applll VidMfifiereby made for a permit to CaNS?-
3
/
u. u-
a� / star , Type S W, 6k �3 �Li✓_
yV
— G O 4 B.ac�
�e Structure
—�
^�(
O o
to be�occupied only os T.�% �.fwp s�
in
a
z u,
Plans, Specifications and Plot -Plan filed herewith.
a u,
r
Estimated Value of Improvements, $ 0_0
I
O
PI Ck Fee $
O
It is hereby agreed that the requirements of the
w
Cupertino Building and Zoning Ordinances and all
Fee $ -ld-3
00 a
other laws applicable to the construction, location, and
z
use of buildings within the City of Cupertino will be
Total Fee $
=zz
complied with.
lj OANER PHONE
ADDRESS
^
a O
CONTR. OR AGENT
ADDR S
-U
�Z�3_-�f3° a7s-7�3
PHONE STATE LICENSE
BUILDING INSPECTOR
i'0
NO. LOT NO. STREET ,
CRY OF CUPE177 CITY OF CUPERTINO
SEP Z 9 i97
Date P A9 LICATION FOR ELECTRICAL PERMIT
Permit No.
/ Ig7J Fee E . Application is hereby made to the City of Cupertino for a permit to install e�cal
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 of
PromimsM�-+�
Owner
i
Phone
By
Phone 3
O ntractor, Agent
U
State License
�� 7a4F e-/O
Work To Be q
Performed D�ii�.QY
Address--z;ZZ4ik��!
I AGREE I WILL NOT VIOLATE ANY OF THE WORKM9jS,/ , % d
/� COMPENSATION LAWS OF THE STATE OF CALIFORNIA. X
ITEM
NEW
RPL
FEES
Number of Outlets
/
Number of Switches
Number of Receptacles
Number of Fixtures
,TO
Ranges or Ovens K.W.
09-
Size of Main Service
,Od
Number of Meters
Number of Panels
Signs - Transformers
Dryers
-0 D
Motors:
% H.P. Phase rs�
Q
SD_d
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
p?O
H.P. Charges
Total Fees
O c+
�Uda-7��oxtiq C�J�c��2c� L$ S
LOT NO.
NO. STREET
CITY OF CUPERTINO
o3s^;;cTwAPPLICATION FOR APPLIANCE PERMIT
evil o`
Date Permit No.
"/ , 19 �� Fee $ � r'N
n. �s —
Appliaation 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 Work To Be _ �l/!L
Premises O Performed / ' / V f/i
Owner o"'-+ / 1"{�Qn�.GC. Address
Phone
AbLU r Conditioning
By n Address
C o,
Phone San Martin, California 9j046
State License
(408) 683.4101
O Approved /C��ai
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® '.
APPLIANCE 11 UNITS I FEES
TO
T.U.
10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP. 11 - 1
EXHAUST
BY THE ABOVE
PERMIT FEE
' `/ / (1M6 22 g/ -LOT NO.
NO STREET
CITY OF CUPERTINO
az+ o APPL)CATION FOR PLUMBING PERMIT
Sanitary No.
Date '^ , 19 / - / Permit No.
t Fee$
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
Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S 0 LA
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
FIXTURES
NUMBER
MAIN DRAIN
Units
Fes
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
2
Waste Disposal
a.
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
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee"
Area Drain
Main Drain Fee
Water Leader
Storm Drain he
Sprinkler System
Water Sys. Fee
—'
Relief Value
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Swee er
Permit Fee
Total
Total Fee
LOT NO. r
CITY OF CUPERTINO
C1T' °r cur,
APPLICATION FOR PLUMBING PERMIT
OCT 9 1975
Sanitary No.
Date n FN ,19_ Permit No.
F. E
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
Premises Performed
OwnerAddress
Phone
By C-12 ll7s"J! Address
Contractor, A nt
Phone ':Rr- "P4
State License 2�YT'L7 Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® 1A
FIXTURES
NUMBER
MAIN DRAIN
Unitsl
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
F;.—tar
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
-
Restaurant Sink
Material
Sond 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 Sweeper
Permit Fee
Total
Total Fee
dO