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NO PERMIT NUMBER (2)CITY OF CUI APPLICATION FOR BI 4.76 10 Const. Tax: 126.88 PERMIT -� SANITARY NO. 9249 FILE NO. 51,353 DATE 4/28/75 19 Application is hereby made for a permit to Conat. - (Plan H) a 1 story, type 5 N. Hr. to be occupied only as I-J Duplex ( 503 q ft Liv. 660 so ft Gar in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 68,00() FEE $ pp3-no PLAN CHECK $ OWNER—➢ivilf PnA Tndngtri Pg ADDRESS 2160 Forest Ave S.J. PHONE _275-8430 PHONE STATE LICENSE _ 27577 i APPROVED .Tam Ps H- Rigk/h BUILDING INSPFC'TInN orr-non - MWI MWI JIM FIREWAIIS INSPECTION tftj� ��'B DIAi�7, rmrra. _- ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROU -f UNDERGROUND ROUGH ROUGH WIRING R INI WIRING FINISH WIRING Q FIXTURES 7 INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR I DATE INSPECTOR BACK FLOW REQUIRED UN RFLOOR S.M. BACK FLOW INSTALLED DUCTS 81NSULATI0N UNDERGROUND ROUGH FLUES COMB. AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE - j. % FINAL APPLIANCE LO ROOF DRAIN & LEADERS MAIN DRAIN FINAL GAS FINAL PLUMBING p MISCELLANEOUS ROUTE T i i.ie BTU Date Location � Sub,ect�t ?Votes -- Approve" '= CEk'TIFICATE OF CORRPLETION.., BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO i DATE ? /5 19 BLDG. PERMIT NO. THE BLDG. OWNED BY i _ HAS BEEN CCOMPLETED FOR USE AS 4ALIERED)� �I� e _ BUILDING INSPECTOR c orna COPY .' + ELECTRIC -SERVICE NOTICE / BUILDING INSPBCTOA'S OFFICE CITY OF CUPERTWO { G - ' . 5......, To You are hemby avtborized to a"'d unKo for Owner or Tenant .OS- -�`. — -7 ..- ..... �� ........ ................ Z No. of Wires ......................... Size of Wires ...................... Size of Switch .. z:T/.. : MotorLoad ........................... voltage ................................ Phase .................................. HatingLead ........................ K. W . .................................. VoltW................................ No df >Ifereee .._._ _ UAW-_............ 110.._.'� New Sada.._IE�..... xecoonect.................. No. aE Add. lt(etere....._..... Elect ...._......_ zzo.' Yheee wises .........:.... Move service ........... Power..._.._.._.. lriwe MAIL ....._....... Mon .......... ........................................1..9':�r.....: M meec ruotcror g Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No . ........../...� ... .... Plumbing Final Plumbing Permit No....... .. 5'1-p --- 35.'. Lot No........./,P.... ........ Owner or Tenant ....... AZ—zt-,K��Je_lj- At ................................................ Tract Date Connected ----- K.- -)c, - 25— 1 - - ---------------------------------- "I --------- "I ------I-------...- ........ 19......... Date Final ---------------KG.- ;' 3- '757- . ......................... ---------------------------- 7 ------------------I...... 19.......... Anel . .......... INSPECTOR CITY OF CUPERTINO OFFICE COPY GAS SERVICE NO CE _...._ .. 3.......... 197 S.- To You are hereby authorized to conned the GAS service for Owner or Tenant ..... .....`...� . New Service ..� . No. of Meters ..:....:.:. Z— No. of Add. Meters .............. Reconnect ......... ...... ............. Move Service ....................... Move Meter ........................ .... l.... ......... ............... PLUMBING INSPECTOR STy ,•V ...,.-Ttvto CITY 07 CUPERTINO CAP. (VAL. 1 x cac OAPPLIC(�ATTION FOR BUILDING PERMIT FEE .3 Date - n 0 � I {J 19Building Per. No. . Sanitary Per. two. � App tltl cation is hereby made for a permit to cGyyz r 131� d 1. 1 a /2 story, Type If~� ,JC/L/ - -GD 0216� Structure to be occupied only as ,I-e% -&'d 1lfz in rdan a wit Plans, Specifications and Plot -Plan filed herewith. Estimated Value of Improvements, $ ��_�� O O It is hereby agreed that the requirements of the rn Cupertino Building and Zoning Ordinances and all O- a other laws applicable to the construction, location, and Z use of buildings within the City of Cupertino will be Z complied with. 3° PI Ck Fee $ Fee $nC .?�L_ '^ g d Total Fee $0 w w o OWNER �— t PHONE ADDRESS _ CcPOiIN✓/T•rR•.•O� OR AGENT AD DR — V d A t%ar, a %,--i 7 3 , PHONE STATE LICENSE !/ BUILDING NS ECTOR / © LA 3oa LOT NO. A/1 NO. STREET i a CITY OF CUPI RTINO m Z CITY O CL'r°.".TINO 2 o APPLICATION FOR APPLIANCE PERMIT ¢" D :i JUL 21 1975 Permit No. WU Date la "/i% 19Tf Fee $ 'Z (p o pApplicaliorps hereby made to the City of Cupertino for a permit to install gas o F appliances as listed on the reverse side hereof, and agrees to install said appliances in Q accordance with the provisions of the Plumbing Code of the City of Cupertino, and all a 0 other laws applicable thereto. wW Q 1- Use of Work to Be OPremises—jd /.C/ Performs �{po ur owner i > • D, LiS� o� U elC.i F 3 Address Pl ej� Cprlciifienim y z ev ' µ"�� Address 13270 Depot Avenue J o ontract r, Agent San Martin, California 9 - 3 F Phon 5 (408) 6 3-4101 w Z state License C 20 Ll O. 0 279D31 Approved rt i CLA55 C-20 LIE. d 27.903f Pfumbing Inspector Oi QO —O M APPLIANCE UNITS FEES Gas Top Gas Oven .� .. Wall, Gravity or Forced Air Furn. C Gas Fired Boilers Warming Ovens Susp. Units DWelling Kit./Bath Independ. Vent System Com., Indust., Inst. Kit. Hood & Vent System Forced Air Under 4000 CFM Forced Air Over 4000 CFM Ind. Ventilation System r (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 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 aoa�y ao a�G I/is L t LOT NO. /" NO. •STREET CITY OF CUPILTINO CITY OF CUP.ERTINO JUL 1 ( jLICATION FOR ELECTRICAL PERMIT �D Permit No Data �, 191j Fee $ 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 fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino, and all other laws applicable thereto. Use of N Premises owner•L_= _A.pinn(y..-��-G�ix/tJ By r C tractor, Agent Phone --57yl'-20/0 State License 945�10%15zs- 167- /� B ITEM NEW RPL FEES Number of Outlets It Number of Switches ak, a Number of Receptacles Number of Fixtures 3 Ranges or Ovens K.W. o?% Size of Main Service 000.4 9be.4 g2 Number of Meters a Number of Panels Signs - Transformers Dryers Motors: /#-H.P. Phase - H.P. Phase H.P. Phase Power Poles Misc. Permit Fee 2.00 H.P. Charges Total Fees 3 LOT NO. l� NO STREET /3 _Sttto CITY OF CUPERTINO �tt1 0 APPLICATION FOR PLUMBING PERMIT Z 19Is ( Sanitary No. Date S ,19� Permit No. Fees��— 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 t Performed Address Address_/L�C/jLf///�///I , Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. \, FIXTURES NUMBER MAIN DRAIN Units F es Units Fees Water Heater Size Water Closet Material Bath Tub — To Curb Shower I To Prop. Line Lavatories To Existing Kitchen Sink Not Conn. Dish Washer �- w Waste Disposal L Wash Tray STORM DRAINAGE Washing Machine Size Water Softener Material Bar Sink To Main Drain Comb. Sink & 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 Voc Breaker Skimmer Filter Pool Sweeper Permit Fee Total Total Fee ,J /, LOT I CITY O- CU;27TLN0 CITY OF CUPERTINO t3Cj IrT ICATION FOR PLUMBING PERMIT [D Sanitary No. ' , 19_ Permit No. Fee s G O 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 Owner/ /Z?ZZA!--e%7/2 Address. Phone By �+�>��, %s�i-l/,(RYJC Address �JL/%7-----='I,���e+�f Contractor, Agent Phone - State License llz�'b Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® '. 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 Restaurant Sink Material Sand Trap TOTAL FEES Urinal re Fee Area Drain Drain Fee Water Leader m Drain Fee NGas Sprinkler System er Sys. Fee Relief Value Fee Vac Breaker Skimmer Filter Pool Sweeper Permit Fee 3 Total Total Fee % J