51273 20002 "
Northcrest Sq. 65
a NO. STREET LOT NO.
z - _
pn of cupsnm Plan A
, 0 CITY OF CUPERTINO
3 < JAN 4 1WOLICATION FOR ELECTRICAL PERMIT
W P 121-1] 72 �� 7,Z3
'o : Date 19 _ Permit No.
a
Fee S
a W 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
0 o wiring and/or fixtures in accordanre with the provisions of the Electrical Code of the
> 0 City of Cupertino, and all other laws applicable thereto.
ri
z_j Use of Premises 1—fam. res.
J Z
20
aN Owner Oitz-Crane Address Santa Clara
3 BIARER ELECTRI IN vale
O I CONTRACTOR, AGENT
`u 736-5421 APpro
PELECTRC7
IUL NS} 0791State License 278674 +�
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles /to
Number of Fixtures J7-
Ranges opQ*@g&*-W-
Size of Main Service
Number of Meters
Number of Panels
Signs-Transformers
Dryers
Motors:
H Phase
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Char as
Total Fees
0/000 I NO.PT/I DF�T LOT NO S
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
d a Ott OF opwmb ary OF CUPERTINO
, 4
3 U Date.—nLAf�� 19. — Permit No. :� 1 cj 73
m ° Fee$
4 m A�pphA ati'n is hereby merle to the City-of Cupertino for a permit to ,
C install gas appliances as listed on the reverse side hereof, and agrees to
Z a install said appliances in accordance with the provisions of the.Plumbing
►F Cade of the City of Cupertino, and all other laws applicable thereto.
00 Use of Premises e,
j N
tr 3 Owner y42 -(�i,f, 1, e Address
ZJ
�,o By-" //LI Address/30
;,t• O CO CIOR,AGHNf
m Phonc 32-FtI7341
dz /
ao State License .29'40 Approved—
1
_U ` n 41NG INSPECr'OR
1
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. o
Gas Fired Boilers
Wanning Ovens
Sus . Units
Dwelling hi 1Bath +L Al
Independ. Vent System
Com., Indust.,Inst.Kit.
Hood &Vent System
Forced Air Under 4000 CFM _
Forced Air Over 4000 CFM
Ind.Ventilations stem
(witilout
;V2
d Air.Mech.each Power
s System
No. f Air Outlets,No.of Flues o
s for Metal Fire laces
e Stacks,Misc. Equip.
r 15'tli
I5'11ie1
Comfort Cooling
.of 20 HP or lessorp.units with input0 000 BTU or less.over 20 HP& Under 50 HPsu �.units with in ut0,001 & Under 1 000,000Permit Fee 3'Dol Total'Fee ,od
LOT NO.
aoo s
NO. STREET '
�11)' OF OWPU MO CITY OFC ERTINO 14
- APPLICATION FOR PLUMBING .PERMIT
P z o 1972AU G 1 i 1972 Sanitary No. P673
Spat —, 19 — Permit No ala 73
x W Fee$ �lr
LL W Application is hereby, made to the City of Cupertino for a permit to install plumbing
o pipes and/or fixtures listed on the reverse side hereof, and ;agrees to install said rices
> r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicably thereto.
W 2
a Use of Premises
J 4
� W /U
z'-( Owner Address
3 ° Bd rens
CONTRACTOR,AGENT A
a Phone -2
— z
W
W W
a o State License /J2� r,79' Approved
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet / Material
Bath Tub / To Curb
Shower To Pro . Line
av t 'e To Exist
Kitch /
Dish Washer
Waste Dis osal
Wash Tra STORM DRAINAGE
Washin Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain - WATER SYSTEM
Hoover Size
Restaurant Sink Material
!Dn
Trap TOTAL FEB
Fixture Fee ld
in Main Drain Fee
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee
akerreeper Total Fee
CERTIFICATE OF COMPLETION
BUILDING mspwrows OFFICE
crry OF cupmnNo
Date .....................r.._ .............. Building Permit No. >
e
Ilie Building Located at ......4�- tit, 0�'� S Q.
.........................................--...........................................7
Ownedby ...........................................................
,Has Been (4C—Ofn�Iet- For'UseAs: ..... .............................
(Altered)
..................................................................................................... ...........................................
................a..................................................................................................................................
............................................................................�*.. ......... ........... ...... ------------------
.. .
..............................
HDING INSPECTOR
cit C/�a ! SEtap1Q
or c..::7r,+o S
t�iTfR pEpr, Street Lot No.
CITY OF CUPERTINO
AUG 1 1972APPLICATION FOR BUILDING PERMIT
^ Sanitary No.
•v .P �e 7, 19 72 Permit No.
- .E
,! Application is hereby made fora permit to
`o o Z
3a_ story,Type I Building
to be occupied only as in acc�r to cc with
o — s—r
a. Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee `
n Z,
z Estimated Value of Improvements,S 9 yr CT-0. .Fee S 7S• O
c o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordm ances and
all other laws applicable to the construction, location, and use of buildings within the City of
m Cupertino will be� complied with.
.3 a Owner -1.1�.ux_ Address ZZ`/5 t `-1-i-''S "'"G>�A
0
� ti WIKs
v m By ✓M-2&e[ Address - a
E Phone ,21.41 710 Approved
•j,U
qV� State License (c 1-] 3 uilding Inspector t-J-
I J
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECT
PAD FINAL � t
i7
FOUNDATION T •� �'7
UNDERFLOOR 1�
FRAME
8 PLASTER Z� Z
GRADING FINAL
FINAL BLDG. V 47!1
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING 2'
FINISHED WIRING 2.1 L
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
'DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH 7
PARTIAL ROUGH
ttn'
ROUGH COMPLETE } 7
MAIN DRAIN
FINAL PLBG. 1173
FINAL GAS
FINAL APPLIANCE '
DATE INSPECTOR MISC.
MISC
MISC
MISC
6 00 ZI
22je 4—/" _.4—Lot No.
No. Street A (D Q'
CITY OF CUPERTINO A Guru
APPLICATION FOR BUILDING PERMIT r{�
Sanitary No. 6773
File No. X73
Date 19
Application is hereby made for a permit to
a story, Type
to be occupied only as
in acc6d4nce with Olot plan, Plans d Specification filed herewith.
Estimated Value of Improvements $ UDO O�
FEES ' Plan Check E
Owner D� 2 Address
! +
Conti, n / Address
Phone -��� - �y!O State Licenso
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 71 3 FEES
Contr. ��.—se'�-"'t"vJ Address
ell
Phone 7 36 State License 2 7 k 7 ��
Approved7J'i
v
APPLICATION FOR PLUMBING 8, GAS PERMIT
Dote 19 7 Y GAS FEE $ `—SP�,-
PLUMBING FEE $
,r
Conti. Address ��
Phone —2)-0 2..3 3 3 State License
Approved, -
APPLICATION FOR APPLIANCE PERMIT/3 d9
Date 19 A R FEES
Contr. /`^ Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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