51273 90077- 4Nua Le�
LOT NO.
NO. STREET y- x-
w Z CITY OF CUPERTINO
Yo em of cuPernNoAPPLICATION FOR BUILDING PERMIT
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Building Per.No_.r� �'�3
W U AU 972 7 . 19 7y Sanitary Per.No. O °Z_
LLo &pliraticm �gerebv made for a permit to AIL' ��-
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0 F a 'story, Type Structure
Q w to be occupied only as C=- in accordance with
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F Plans,Specifications and Plot-Plan filed erewith. PI Ck Fee$ °�
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o o Estimated Value of Improvements,$ 23. carFee$ 72.0-0
3 Total Fee$ 7.3.6 1
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Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with. ^,� ( /� p/� ,{ (�J//,�
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w Owner —"-•,L�- Adtlroea 2'25S- .1CF r/q C✓l,t�' �l�N"ft' '�C7'(' ww
By Address
Contr. Agent.
Phone a'4'l- ;Lei 10 Approvetl
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State License '2'0' 1 7 3 l .�C. f Building Inspector \,j
NQ NO. STREET LOT NO.
z z P)an 8
i CITY OF CUPERTINO
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3 crt'�' LICATION FOR ELECTRICAL PERMIT
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Date ' 191) Permit No.
`a �) Fce 3 177 7� —
N Application is hereby made to the City of Cupertino for a permit t in tall electrical
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W w wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
j LL wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
5 0 City of Cupertino, and all other laws applicable thereto.
z-1Use of Premises — ram res
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J3 a Owner hi-t3 Crane Address r
W W BYWANDLNEN LLWIRIC, INC.r %•a'--� 1
Q �7 CONTRACTOR, AGENT
O ' Approve _.
—U Phone: / 1pp C7RrCA[ INSPHC[Ol
�Y State License J 19 AN
ITEM NEW RPL FEES '
Number of Outlets
Number of Switches
Number of Receptacles as
Number of Fixtures J./
Rin es or$vera-K-W. 1 1
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges cp
Total Fees /Z 70
7Z �v✓fit /%reams S C LOT No.
No. an EET
CITY OF CUPERTINO
a Ctrl Of CU ",RPPLICATION FOR PLUMBING PERMIT
r o SEP 2019772 Sanitary No.
aLL 3
0 f)ate19 _ Permit No .��a�
3 u` r, A I 91 Fee $ 3, so
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O Application is hereby made to the City of Cupertino for a permit to install plumbing
o a 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
a w Cupertino, and all other laws applicable thereto.
a Use of Premises Single Dwelling
00
3 Owner Ditz Crane Co. AQsLDe La Cruz Blvd., S. C.
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Jz By L. C. Bohart Plumbing Co. AM&E• Fremont Ave., S'vale
0 CONTRACTOR, AGENT
- `0 Phone 245-2323 /�
a o State License 186579�— Approved &� Azo
U PLUMBING INSPECTOR
10La,n - 6
FIXTURES NUMBER MAIN DRAIN
Units Fees Units I Fees
Water Heater ( Size
Water Closet Z Material
Bath Tub To Curb
Shower / To Pro .Line
Lavatories o Exi t'
Kitchen Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Wadung Machine / Size
Water Softener Material
Bar Sink To Main Drain
Gomb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
:R
7Io r Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee /. •.S0
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys. Fee
Relief Valve Ga.%Fee
!SO
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permi[Fee yd7J
Total Total Fee 3.S
BOO'f Ent" LOT NO. 9�f'
NO. STREET204 r g
un ofAkPPLlFCATION FOR APPLIANCE PERMIT
SAN 9 1913 CRY OF CUPERfINO
LL DEC 2 6 1972
3 -C
0 U Dat 191 — Permit No.
_ Fee•$ /&
' 0 Application is hereby made to the City-of Cupertino for a permit to
o ` install gas appliances as listed on the reverse side hereof, and agrees to
<m install said appliances in accordance with the provisions of the Plumbing
X Code of the City of Cupertino, and all other laws applicable thereto.
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S 4 Use of Premises
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8" Owner /I! - h , za v_ _
s. ; /g Address 9s Q
10 j,z By Address �,1&D�-- ,
O NT1IA OR,AGENT
- H Phone 3�1fi-o93R/
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ON LState License-�PY� Approved- i/
<V �0 PLUMBING INSPECTOR
APPLIANCE UNITS FEES
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TT p-
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent S stem
Com., Indust.,Inst.Kit.
Hood& Vent System /
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without on I
Forced Air.Mech.each Power
Gravit •System '
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks.Misc. Equip.
Under IS' High
Over15'llidi
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
&Abso .units with input
of 500.001 &Under 1,000,000
Permit Fee
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
V0 1 CITY OF CUPERTINO
Date ...........6........ 0?........... is Building Permit No.
The Building Located at ......./,.C1.0....I..............&A��...............................I
Ownedby ......... ----------Cv'Z'A1.,0.gC..............................................................-
.............
Has Been 0��Al
tered Use As: ...... —. 1........... .........
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WING INSPECTOR