NO PERMIT NUMBER (2)/f) A % �t�rs-1 •�i�w..�/ Lot No. (s O
No. Street IF / 6 /,, Ci
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. % V
Date 196 -.`—
Application is hereby made for a permit to
to be occupied only as
a
File No. �,r//! 71
story, Type S I J
in accordance 4Wth Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements
FEES - W[2'=
Owner Eq=i C---�
Contr.
Plan Check $ -y /1
Address e2 L9= 1— Je��J/fJ� t oy� cu .r
Address f.G
Phone 2 S e1 - .:- `: f '? State License 4s / 7 9'-
Approved 0ILI-I: ,,q D. EEIVEVICH
APPLICATION FOR ELECTRICAL PERMIT
Dare / 196 % D
FEE$
Contr.
Address
Phone 73 i� -S
State License .L y'L l--�
Approved<'t+`—"'r
yZ61 �
�.
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 ,' a
GAS FEE $ G3=°i
PLUMBING FEE $ 023 3�
/ T
C antr. e- N,
Address /6 7
Phone — ;2 "/6 'aj
State License
Approved
APPLICATION FOR
APPLIANCE PERMIT S o
Date S 196
FEE$
/'Z'y
Contr.
Address
Phone - 3
State License
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of California
t fi'
u
RECORD OF INSPECTION APPROVALS
PAD FINAL _
FOUNDATION,
UNDERFLOOR
FRAME
GRADING FINAL
FINAL BLDG.-
UNDERGROUND ROU
ROUGH WIRING_
FINISHED WIRING _
FIXTURES
MOTORS
BACK I-LUW KCV•_
SANITARY NO.
UNDERGROUND ROUGH
r
PARTIAL ROUGH
ROUGH COMPLETE
__
MAIN DRAIN r
FINAL PLBG.
FINAL GASH
7-1
FINAL APPLIANCE j
BUILDING
DATE INSPECTOR
ri
ELECTRICAL
DATE INSPECTOR MISC.
7
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
n ATm INSPFCTOR MISC.
MISC W IGK SGR1J.
Z
- 76
MISC
MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... � . . ..... 1.�..................... Building Permit No.
The Building Located at ..... ...... D.E-ti(P53ZE ...... Od
Ownedby ...... .... N—M.K.114AT ......................................................................
Has Been
(6m�prlle�ed or Use As:... ................................... ....................
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
i
SEWER -PLUMBING NOTICE
i
i
Sewer Connection Sanitary Permit No.677Q ...........
Plumbing Final Plumbing Permit No. /. j 5.L.L —72......
Lot No....fl o....................
I J
Owner or Tenant .... ..�. rL.......... ..R R NC -` --- ---................................:......
I: At --- I_U...4.z4:......
Ge ...................
Tract
Date Connected ....... ... .. ..'........ ZO ............................. ................ 19..........
Date Final .............. 7...-.. Z..-q........ ./. 0 19..........--
PLUMBING INSPECTOR
�" G0
GAS SERVICE NOTICE OFFICECOPY
BUILDING INSPECTOR'S OFFICE
CITY: OF CUPERTINO
!A .......... I ........ .. .............. 196 ......
To
You are hereby authorized to connect the GAS service for
Owner or .... ..
At ...
New Service .-r. ........ .......
No,. of Meters ....I ............ Reconnect .............................
I . Move Service .......................
No. of Add. Meters .............. 1. . -
Move er ........................
.....................................................cA,� ..
PLUMBING INSPECTOR
I .
OFFICE COPY
!•_ �[}`� CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
i
To . (�
You are hereby ugror t cat electrical service for
Owner or Tenant .}• �` , .y.
�,. !!,"r
i� No, of Wires ........................ Size of Wires ........./............ Size of Switch
MotorLoad .......................... Voltage ................................ Phase .... ............................
HeatingLoad ........................ K. W/.................................. Voltage ..............................
Meters
NNo. ofo. of Meters�Light........C..... ll(1../N Sen ice- .............. I mra..__........ _
t Heat ................. ?2(/..... .... ' re Wire..'..... .. U:me $c•rvicc..........
............ Power ............... •I� Phis ..,. .... \Ln'c hlctrtt.. ....
r� \c,V .:
............ ............ :..............
...//< ...�......
KLECra!CAL INSPECTOR
ROUTE SLIP
File No.
Date %1' %0
Locatioz�r�Mtl'S�T -may
LeT-G�
Subject
Note
Approved lip- 11101—
ata Tn. na ntnr -
ROUTEt; SLI11
File No.
Date -/s
Location
Subject 7`�uCZ
Note
L
Approved
Date Iris pe or
A 7 L �L LOT NO. (Of/2
NO. STRERT�
i
OPTION
Y �1d
FOR PLUMBING PERMIT
Or CUPERTINO
Sanitary Ida.
Dat ( M A R , _ h 196 70 Permit No. 5—/ / 7 7. /
Eee $ 02&. SI
�1{Catj��is �}tgrebyLtQfg11e City of Cupertino fora permit to install plumbing
p a d r fixt t . i {h� 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 Premises Dwelling
Owner Ditz Crane Co.
L. Ce Bohart Plumbing Co.
245-5NTRACTOR,AGENT
23
__-
State License 186579
2295 De La Cruz Blvd., S. C.
Address
16d71 Ess' Fremont Ave., Stvale
Approved
%C PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units '
Fees
Units
Fees
Water Heater
/
Size
Water Closet
—2-
Material
Bath Tub
/
To Curb
Shower
/
To Prop. Line
v
Lavatories
Z
To Existing
Kitchen
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
/
Size
Water Softener
Material
Bar Sink
To Main Drain
CombSink & 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 Fee
Sprinkler System
Water Sys. Fee
Relief Valve
Gas Fee
1<%
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee--+�'t�
Total
Total Fce
/off I/� D�rIPsT�� �vF A.
LOT NO.
NO. >O STREET
g.
CITY OF CUPERTINO
ZAPPRATION FOR ELECTRICAL PERMIT
Permit No.
Date , 19 �� 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 Code of the
City of Cupertino, and all other laws applicable thereto.
Use of //../ t/__ ./(.11 ."Ofki To Be
Address
Phone <,7 Z — UJ b X h
By FA fn/F FI_P('%aQ (" %f% Address—/W CIZ:STi✓& / C—
Contractor, Agent
Phone 289— e 22^^
State License a 7a 2 ) ^ /' Approved
Electrical Inspector
` I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
l� COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ® Le
ITEM I NEW f RPL I FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W.
.Size of Main Service
Number of Meters
Number of Panels
Signs - Transformers
Dryers
Motors:
37 H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
R.P. Charges
Total Fees
® c. ��
10474 Dempster Ave.
No. srar.rr LOT No. F,0
An, Plan 1612
® LI�I O R ELECTRICAL PERMIT
�[dlA 11.A. 970C1 IOr• CUPERTINO
9d_
Date 19 _ Permit No.
OF CUPERTINO
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on We reverse side hereof, and agrees to install said
wiring and/or fixtures in agordanre with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of premises
Owner Ditz-Crane
1-fam, res.
By H. a. vuat.tpr: &H
Pa19rKAc[URke4to
"04YVALE, CALIFORNI/
Phone
_ uo.ang 7
State License 12422
Address
Address
ELEC FU,AL
I
TEEM
Number of
Service
H.P. Phase
Inn(� /✓��/�/yam
7 7V �L LOT NO.
NO. —STREET
CITY OF CUPERTINO
C�>
too APPLICATION FOR APPLIANCE PERMIT
Cr'.G �Yr'
17� Permit No.,-� //77
Dote - Fee S %
Appl'ryati(hn 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 lowsj9pplicable thereto.
Use of Work To Be
Premises Performed
Owner W Address...
Phone
By Address /� Z �• ��
C nttrr�!/ actor, Agent r
Phone 2 /—?
h^^7
ate License "> Approved
{ PlumbirrApector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
APPLIANCE 11 UNITS I FEES
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
100,000 B.T.U.'S
2) FORCED AIR OR GRAVITY FURN. OVER 100,0D0 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, A55CIRP. UNIT,
COMFORT HEATING, COOLING, ABSORP., OR EVAP.
COOLING SYSTEM
7) BOILER =IF
OMP. TO 4-HP. ABSORP. SYSTEM i 9-Ci0 lOD,.T.U.'S8) BOILER OMP. TO i6HP. ABSORP. SYSTEM100,000D0,001 B.T.U.'S9) BOILER OMP. TO 15-HP. TO 31-HP. ABSORP.SYSTEM000 TO 1,000,001 B.T.U.'S10) BOILER OMP. 30-HP. TO 51-HP. ABSORP.SYSTEM0,D01 TO 1,750,007 B.T.U.'S'iT)AIR HAR 10,000 CU?FT.12) AIR HAR OVER 10,000 CU. FT.13) EVAP. CER PORTABLE14) VENT. FON. TO SINGLE DUCT15) VENT. SM NOT A PART OF HEATING ORAIR COIONING16) HOOD HANICAL EXHAUST
L7) DOMEJIK. INuNERAI OR
TB) COM OR INDUST INCINERATOR
191 EQUIPMENT NOT COVERED BY THE ABOVE
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LOT NO. Lo t)
NO.
STREET
/6/2
APPLI A ON FOR APPLIANCE PERMIT
OF CUPERTINO
Date r 196_ Permit No. S // 7 7
JJU
FEE$/0-S�
A plicatio{s,}Z�}je to the City of Cupertino fora permit to
iE�l}ga®pp ( I 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 Premises t(R QQ. A PAm-
Owner
BY
C TRACTOR, AGENT
Phone o eA a
PLOG SHEET METAL CO.
State License eANIPSELL. CALIF.
LICENSE #252825
Address
Address 1 rN\\ _Y tf VY "
Approved �- L
PLUMBING INSPECTOR
Type of Appliance
Units Fees
Remarks (Check V)
New
Replace
Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Wanning Ovens
Percolators
Griddles
Steam Tables
1
Gravity Furnaces
Suspended Unit
Floor Furnace
1liscellaneous
(NAME TYPE)
t
1 OU
I
Appliance Fees
�
14-
/ 0 4 -) `{ 1�-e.,. ,o CZL� 61—Q . %D f S-
LOT NO.
NO, STREETI Pe,, 11. 1 2 L
APPLICATION FOR BUILDING PERMITTeAP T 4731l
CITY OF CUPERTINO
Sanitary No. 4 770
9-M920 Permit No. �3 / / 7 7, /
tAApiusp t is hgraq/iQtdej'o a permit to ✓B-Gt.i-Qe.Q
a //�� TT� (n�[Csto(r1y, Type
pT S Building
to brallyieffly A9UUL`-R41 � ,- °-y /L.¢G-t.cQ��-c__ in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee ' °—•
Estimated Value of Improvements, $ Z Z) MOV r t70 Fee $ 61• 00
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
Owner - C^ A Address 2255,vi
By �LLw�rrGJ �crM oG 9 Cpa t
Phone 25 2 - 2 ro S
Approved
State License S 17 �/ J BUILDING INSPECTOR