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NO PERMIT NUMBER (2)_Willy, Ct. 10 ET .., • . • T ,.N LOT NO. 4.76 CITY CIF CUPERT+N�'f Const. Tax: 126.88 APPLICATION FOR BUILDING PERMIT 9262 FILE NO. 51,353 DATE 4/;>8/75 19_ Application is hereby made for a permit to CAn Gt (,PTAn 0) a 1 story, type5 N. Hr. to be occupied only as T—J Duplex 496 sg . ft . Liy. 660 sa . ft . Gar.) in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 68.000 FEE $__ i93 - M PLAN CHECK $ OWNER Dividend Industries ADDRgS 2160 Forest Ave. S.J. PHONE 275-8430 CONTR, ADDRESS PHOONNE�• n "Ill-dh S STATE LICENSE 275773 APPROVED James H. Sisk/h BUILDING INSPECTION RFCORD DATE 1 CTOR DATE INSPECTOR FOUNDATION IOOR STEEL PRE-GUNITE FRAME Ir_d BOND BEAMS LATH WALLBOAR - INT. B %T. JIG+ FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. UNDER -FLOOR %- -7 TIEDOWNS - ISC- DIAPHRAMS _ ELECTRICAL. INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROI UNDERGROUND ROUGH -ROUGH WI ROUGH WIRING FINISH WIR FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL i 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 ol UNDERGROUND ROUGH o-7 FLUES 8 COMB. AIR ff PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE ROOF DRAIN & LEADERS MAIN DRAIN _ jf FINAL GAS FINAL PLUMBING �� - TO f CERTJFI AT�OF COMPLETION BOIL ING I SPECTOR'S OFFICEh _ EITY OF CUPERTINO DATE ra r Z 1 , I� 9-71,-- BLDG. PERMIT NO. THE BLDG. LOCATED AT_/O,,lVV7-/aa✓5' AI Jn OWNED BY ,,0_�.�,(� (COMPLETED) \ n HAS BEEN, IALTEREDr- FOR USE AS BUILDING INSPECTOR ROUTE SLIP File No Da e ocat_onP,42) 9 votes tag»oved� � ate Ir_ oector Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO 0' Sewer Connection Sanitary Permit No. ...... :'./.. JG` It / Plumbing Final Plumbing Permit No...'Si.3.~.3...-. Lot No. ......... zo-------------- -�— Owner or Tenant .. sz..^Pr....... .... � � ...: < :.c :� �:tea..- -....... - ........... Tract------------------------- DateConnected ----------7 ---1 - �....... -....... --------------------- --------------------- 19-----------` Date Final ...---.....��.:. / 7- iS. ------ 19............ PLUMBING INSPECTOR ClLa CITY OF CUPERTINO OFFICE COPY ELECTRIC SERVICE NOTICE You are hereby authorized to connect electrical service for Owner or Tenant At No. of Wires ...... - ................ Size of Wires ........ -- ... ..... Size of ....... . Switch Motor Load ..... ------------------ Voltage - - ........ ..... — Phase ....... ...... ..... ....... Heating Load ........................ K. W. ...... ..... Voltage ....... — No. of Meters........ . J No. ........ . New Smice.,.'. No. of Add. Mete Heat ... ............. 220 .... 4: — .... Three Wire Mc,, &n-i( Power_..._._..... 'I hrve Phise \i , . M ELECTWCAL 1NSPFCT,1.X OFFICH, CITY OF CUPERTINO COPY GAS SERVICE NOTICE ........ ------ ...... IgZs' To You are hereby authorized to connect the GAS service for Owner or Tenant .-I&I At New Service ...... 41.-� No. of Meters ....... Reconnect .. .............. Move Service ............. No. of Add, Meters ... — ........ Move Meter ....... ............ PLUM �1�INSPEC�o /Q--2Sz7 /0 ZS�9 LgzA�v�o e-7- LOT NO. 'i NO. STREE - • CITY OF e.?ERTWO' CAP VAL. ( �lX a APPLICATION FOR BUILDING PERMIT Sl FEE_ w K C2Y Or CU Building Per. No � Date -rC , 19. � � C` � � \ I " Sanitary Per. 3 V AnPplicdtion is he(rreby made f'orr'aa permit to _ a_/_,psto)y, 9ype,:G�Cd6CGD40 I�W, Structure to be occupied only as_.2 -c% an6ft'llex in _ , Plans, Specifications and Plot -Plan filed herewith. � Estimated Value of Improvements, $ 4eW O O It is hereby agreed that the requirements of the 3 Cupertino Building and Zoning Ordinances and all p < other laws applicable to the construction, location, and z Use of buildings within the City of Cupertino will be z c ° 9Tplied with. PI Ck Fee $ Fee $ OW 3 "0 ��11�� Total Fee $!e[J, do OWNER w w �/-- PHONE ADDRESS 0 _ CONTR. OR AGENT AD ESQ „ PHONE STATE LICENSE BUILDING INSPECTOR 0 L. roa�7 �o /aRV9 o ..ms t� LOT NO. & NO. STR ET CITY• OF CUPERTINO crtr cr APPLICATION FOR ELECTRICAL PERMIT SEP 19 1975 _ Permit No. Date , 1925 Fee E— 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 Cade of the City of Cupertino, and all other laws applicable thereto. Use of Premises Owner � �� Phone .27r— 8y30 By Cont Nor, Agent Phone�7�i State License 496:758 i Work To Be n Performed je,& t' Address ale ZP I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S l COMPENSATION LAWS OF THE STATE OF CALIFORNIA k' ® 4s X„ ITEM NEW RPL FEES Number of Outlets AZ o 7� Number of Switches op Number of Receptacles Number of Fixtures Ranges or Ovens K W. a'r�Od Size of Main Service 0?00 •00 Number of Meters Number of Panels Signs - Transformers Dryers oZ •00 - Motors: / H.P. Phase •SO o2 AU H.P. Phase H.P. Phase Power Poles Misc. Permit Fee H.P. Charges Total Fees ®® L. LOT NO.. I V NO. . STREET CITY Or CUPERTINO CITY op cAFUCATION FOR APPLIANCE PERMIT Data / �/ ��j 1975 Permit No. Date � 19— Fee $1P �'� Qa ._ Applications 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 Premisas Performed /J Owner Address li of Q Phone By ? SCO Air Conditioning Address �mctiMMeAvenue Phone San Martin California 9304A (408) 683-4101 State License e.......sa I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. APPLIANCE 11 UNITS I FEES P. TO 51-HP. ABSORP. ,750,001 B.T.U'S :U. FT. 000 CU. FT. SLE NGLE DUCT 'ART OF HEATING OR EXHAUST OR INERATOR ERED BY THE ABOVE PERMIT FEE At729)L N/ D 077 LOT NO. NO STREET ' RY Oc CbF T1ci0 CITY OF CUPERTINO C 111 APILICATION FOR PLUMBING PERMIT Sanitary No. Data ( 79L Permis No. Fee 5 !7� 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 % I Address / Address�j��i 4 Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® Ls FIXTURES NUMBER MAIN DRAIN Units Fees Un' s Fees Water Heater Size .7 Q Water Closet Material Bath Tub To Curb Shower — To Prop. Line - Lavatories To Existing Kitchen Sink Not Conn. Dish Washer 2' Waste Disposal 7- 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 FEE Urinal Fixture Fee Area Drain Main Drain Fee J o 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 LOT NO. to CITY OF CUPERTINO CiT; c: CupzcnppPLICATION FOR PLUMBING PERMIT OCT 9 1975 Date 19 Application is hereby made to the City of Cupertino pipes and/or fixtures listed on the reverse side hereof, and/or fixtures in accordance with the provisions of th Cupertino, and all other laws applicable thereto. Use of Owner /��%�✓''�� Work To Be e Sanitary No. Permit No. Fee $ 6 �— for a permit to install plumbing and agrees to install said prices Plumbing Code of the City of Phone�� By 2' C `>Z/� i c/ e5LI 157' Address�7i�%`I Contractor, Agent PhoneL 'I State License 6 Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® 'e FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater Size Water Closet Moterial Bath Tub To Curb Shower To Prop. Line Lavatories To Existing Kitchen Sink Not Conn. Dish Washer Waste Disposal Wash Troy 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 r Relief Value Gas Fee Vac Breaker Skimmer Filter Pool Sweeper 11 Permit Fee ' Total 11 Total Fee