51273 as 113 I Nor shaps4 s t my,
N ` NO. STREET LOT NO.
`z a CITY OF CUPERTINO Ad h
0 , of �,?5,1"PLICATION FOR ELECTRICAL PERMIT
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A Permit �oDa� N �
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o16>
> h 1 Fee 5
a App6c tion is hereby made to the City of Cupertino for a permit to install electrical
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wiring and/or futures as listed on the reverse side hereof, and agrees to install said
oo wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> N City of Cupertino, and all other laws applicable thereto.
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z J Use of Premises cam. fL�S .
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3 a Owner
✓ �Y�h0 Address n _
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W a B)WANDERER ELECTRIC, INC,,
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O f CONTRACTOR, AGENT
4 0 ��ln �]y 2 Approve _.
Phone' ELECTRIUL INSP
�Ir State License Zy �_
ITEM NEW RPL FEES
Number of Outlets /
Number of Switches
Number of Receptacles / 6
Number of Fixtures
Size of Main Service
Number of Meters l
Number of Panels
S' -Transformers
Dryers 1.
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Ch es a'SO
TotaC ees 6a
LOT NO. 6
NO. STREET
a CITV OF CUPERTINO
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¢ CITY OF CUF2RTtN0
VO �g fPLICATION FOR BUILDING PERMIT _
¢LL G1 s / 173
3 Q �� @Ll! y Building Per.No.
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O Date 197 Sanitary Par.No.
ll IIJ
MW A lihti 6�u e�SL
pp g is hereby made for a permit to
LL o" a�- story, Type L
Structure
Wwto be occupied only asin accordance with
a Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee$ `
6$
20 Estimated Value of Improvements, $ 2yi 0—Co • Fee$ 74-00
o Total Fee$ -2 g
z zIt is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
O and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cuppertino will be complied with.
m N Dix ('Lt" pp nnnn c ,p 'n
Z n n �• ZY-55 .J2s L1u. ,r3T+��� ..2�•.-C �4
i Owner Aetlress >f a .6U
Q O eY__ ' .1-• C1k.P,6Cu� Address 't M
(� Conn.or gent.
Phone %44 - `} �l I G a
t� Appr tl
State License Z(o 17 3 I Building Inspector
ZO// 3 I re Sa" o LOT NO. 7
Cn'r teeth STREET
7� CITY. OF CUPERTINO
" < SEPPLICATION FOR PLUMBING PERMIT
W C P 2 0 �9ZWq
Y0 9 Sanitary Nig. .�
0 c D: , 19 — Permit No
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W n Pee 8 ��•
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
oa pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i < and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws applicable thereto.
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QLL Use of Premises Single Dwelling
00
oaOwner Ditz Crane Co. AA* De La Cruz Blvd., S. C.
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Z By L. C. Bohart PLtmlbing Co. AJA;sE. Fremont Ave.. Siva le
3 0
CONTRACTOR,.AGENT
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Phone 4
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m a
a(0 State License 1 86 579 Approved
k� `/ PLUMBING INSPECTOR ^�
x -
FIXTURES NUMBER MAIN DRAIN
Units Fees2Size
Units Fees
Water Heater / itWater Closet / G /Bath Tub /Shower Lavatories
Kitchen 1 M t nn
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 -
SandTrap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain F—
Water Leader torm Dr ' ee
Sprinkler System Water Sys.Fee S D
D
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee -
Total 6 Total Fa
,!P6113 I 'Ai/. Lor No. 112e,
No, STREET A
a < q y xffWkirm F®R APPLIANCE PERMIT
d �
SAN 91913 CITY OF CUPERTINO
65 Date QECA 2+ FY 19• _ Permit No. S/d 7.d
U �� v
Fee•$
' 0 Application-is hereby made to the Cityof Cupertino for a permit to
°o install gas appliances as listed on the reverse side hereof, and agrees to
i a install said appliances in accordance with the provisions of the Plumbing
m Code of the City of Cupertino, and all other laws applicable thereto.
it
3 Use of Premises .Qin
00
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o i Owner —�/, - a Address A94S'
z
J Z B �oM, <�/yJ
o Y Address /Rd ,l�lO_ ee
F C AGT a,AGENT ��
— Phone _?29-023y
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¢a /
a a State License _5,r.2A.2� Approved ✓/
—U PLUMBING INSPECrOa
APPLIANCE UNITS FEES
as 7 op
Gas Oven
Wall Furnace
Gravity Furn.
Forccd Air Purn.
Cas Fired 6oilcrs
Warming Ovcns
SUSP. Units
Dwelling Kit./Bath
Inde end.Vents stem
Com..Indust.,Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFDI
.Forced Air Over 4000 CFM
Ind.Ventilation System
without
Forced Air.Mech.each Power
C,Mvity system
No.of Air Outlets,No.of Flues r�
Steck,for Metal Fireplaces
Smoke Stacks,Misc. Equip.
_Under 15'High
Ovcr I5LUWL —
Comfort Cooling
ComP�of
20 HP or less
&absorp. units with input
of 500.000 OTU or less
Cum .over 20 IIP&Under 50 HP
&Abso t.units with input
of 500,001 & Under 1,000.000
Permit Fee 3`0
Total Total Fee Pr1
CERTIFICATE Of COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......................... 197...3. Building-Pemiit.No. ..............
...............
The Building Located at ...... .'q ........
Owned by ..... ..........L.............. ........................................................
. ... ... ............ .. ...........
26 p�ete
Has Been <�:�l
For Use As: ...... .
.. . ................. .........
.....................
tered)
................................................................................................................................................
.......................................................................I............................................... ...................
........................................... ............................... ...... ..................................1�4..............
............... ... ... .... ...............................
ILDING iNspEcroR
Lot No.-;7(;
No. Street G D
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT //
Sanitary No. �o �Y
File No a 7.3
Dote 19 Z
Application is hereby made for a permitto
a 1-Q story, Type
to be occupied only as � `2 - y /4,
in accord with Plot Plan, Plans and Sp ification filed herewith.
Estimated Value of Improvements $
'�;2/
FEE$ G(l()A Plan Check $ '
Owner Address �g'1/?
lr /i ri 1 ,
Contr. Address
Phone
Phone / -A State License -7 ?[�/ � J
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data /;,� 19 :k3 FEE$
Contr. (.t-/ Address
Phone —�� 6 -S -� State License
Approved
9 APPLICATION FOR PLUMBING & GAS PERMIT
Date / 2w 19 7-1, GAS FEE $
PLUMBING FEE $9+ �9 O�-
Contr. Address �� 7
Phone
State License - l�6 J 7 5
Approved
APPLICATION FOR APPLIANCE PERMI j,, o,
Date / 19 FEES ����//
Comr• Address /3d !"'�'ern-n
Phone �7 'd f State License
Approved )
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of Callfnmi.a _
PDA
I
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTO MI
PAD FINAL �
FOUNDATION
UNDERFLOOR
FRAME Z
A 8, PLAS
GRADING FINAL
FINAL BLDG.
E ECTRICAL
DATE ' INSPECTOR MISC.
UNDERGROUND ROUGH -
ROUGH WIRING '
FINISHED WIRING
FIXTURES
1:71-
MOTORS
FINAL a&^ e
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0,
UNDERGROUND ROUGH /y Y`
I
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN _ 72-
FINAL PLBG, "" 3
FINAL GAS
FINAL APPLIANCE 3
DATE INSPECTOR'S • MISC.
MISC 7
MISC
MISC