51273 �0092 LOTNO. '5�3 2 {y(
Lfi49.CUPER71NO STREET
N
W AUG 14 1972 CITY OF CUPERTINO
Yo APPLICATION FOR BUILDING PERMIT
'—
O:J 1] 1'1 Building Per.No.
W4
Date r ! _ ,B77, .S,anitpary Par.No. a 0
�u.
0 Application is hereby mgoe for a permit to /v
w
0 F a z story, Type ✓ Structure
Z
y to be occupied only as < in accordance with
a Plans,Specifications and Plot-Plan filed Arewith. PI Ck Fee$— —
67 YT
,�3 aop .
20 Estimated Value of Improvements,$ r Fee$ 7 Z • [ro
3 .6
o a Total Fee$
7
z'' It 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 Cupertino will be complied with. pp
w w owns. �� Atltlraee229S Qo fit") <Y
Q 0 By Address rI rf
—U Contr.o Agent.
Pflone'24�- 2�j/ Approved s
State License 2 17�� Building Inspector
. 1�1DSTRUT Lh�rPS� LOT NO. 93 7�
x o
co
�}y OFg;I¢to CITY OF CUPERTINO Plan r,]
p LL
0 SAN 47�48PLICATION FOR ELECTRICAL PERMIT
u
r Date /� � , 19 Permit No.
Fee y 07
0
a W Application is hereby made to the City of Cupertino for a permit to i sta�lectrical
W
* w wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
o 'o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
" City of Cupertino, and all other laws applicable thereto.
r3
n ` / - 4arrl. reS .
J Use of Premises
y
3 a Owner Lift Craae, AddreMELIECTIM
" OWANDERER ECTRIC, INC. . 1 UW W 1 y Acl reCONTRACTOR, AGENT
aU Ph..: 73b-54,�� APPrO
PB
State License .2 7$167'-/ d/
ITEM NEW RPL FEES
Number of Outlets I
Number of Switches
Number of Receptacles JI
Number of Fixtures l 1 I
Ranges orOvens- -W. 1
Size of Main Service
Number of Meters
Number of Panels
Signs-Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees 17.7p
ZUL+S Z ////l'��AC!%(C2� LOT NO.
NO. STREET' ,
CITY OF CUPERTINO
" < arr°P C0PE1TAPPLICATION FOR 'PLUMBING PERMIT
W Sanitary No. d'�0
o SEP 20 1972
RLL
° a Date 19 — Permit No.
3 U r:. q Fee $
10 0
° 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
> r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
<w Cupertino, and all other laws applicable thereto.
Use of Premises Single Dwelling
00 pS
1- 3 Owner Ditz Crane Co. AAM De La Cruz Blvd., S. C.
0a
ZJ
jL By L. C. Bohart Plumbing Co. AJ&?ssE. Fremont Ave., S'vale
° CONTRACTOR, AGENT
3 �
- 0 Phone 245-2323
W Z
a o State License 186579 Approved
—U PLUMBING INSPECTOR
/Z,Z,2� - G
FIXTURES _ NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size 0
Water Closet 2 Material G
Bath Tub / To Curb
Shower / To Prop.Line r/
Lavatories 2- To Existing
Kitchen Sink Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Wadiing 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
Sand Trap TOTAL FEES
Urinal. Fixture Fee
Area Drain Main Drain Fee
Wate§System
Leader St rm Drain Fee
SprinWater Sys.Fee IS—D
Vac B
Skim
Filter
Pool
Permit Fee 7 Ob
Total Total Fee 2 3. cS 17
LOT NO.
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
Z
a CITY OF CUPERTINO
f p cay OF CUPERn"O
Y 4
05 Date 19. _ Permit No.
W
LL Fee $ IS'
' 0 Olpplication is hereby nAde to the City-of Cupertino for a permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
= Code of the Cityopertino, and all other laws applicable thereto.
� F
„ Use of Premises _
00 //////
c � Owner,4 ���✓ -�A Address
Z J ev
Z By 'e6 S/rYi Address
O NTRACIOR,AGENT
— 4
Phone .x -093✓
Wz
ao State License e2Se7A2S— Approved (/
—U �� PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn,
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath �' 2
Inde end. Vent System
Com.. Indust., Inst.Kit. -
Hood& Vent System i
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues u7/
Stacks for Metal Fire laces
Smoke Slacks,Misc. E ui .
Under 15' High
Over 15'11ie1
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
&Absorp. units with input
of 500,001 &Under 1,000,000
Permit Fee j?tvrl
Total Total Fee �.�/
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
Date ........(..................I...............119.. Building Permit No.
The Building Located at ....... .......-;>A,
..............
Ownedby ....................................................................
-499petedj>
Has Been , (Altered) For Use As: ....... ................ ........................................
...........................................................................................................I..................................
.............................................................................. ...............................................................
................. ..... ..... ......
...................
............................................................
..........
DING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPEC ^'
PAD FINAL1"
�� a
eZr
FOUNDATION
UNDERFLOOR ��
FRAME Z� -Lt 3
LATH & 136464lee
GRADING FINAL
FINAL BLDG.
or- c n- ELECTRICAL
�-pgTE � INSPECTOR .MISC.
UNDERGROUND ROUGH
ROUGH WIRING 3
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. 1�
SANITARY NO.
UNDERGROUND ROUGH 7 Y
PARTIAL ROUGH
ROUGH COMPLETE j7,A
-p-
MAIN DRAIN
FINAL PLBG. 73
FINAL GAS 7 j
FINAL APPLIANCE
DATE INSPECTOR - MISC.
MISC
MISC
MISC
d Q H L04 (/LZ62� � � Lot No.f�
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT Q
Sanitary No.
/, — File No. ���•� 7-3
Dote 19
Applicattiionis hereby made for a permit to
a dostory, Type
to be occupied only as l
in accords with Plot plan, Plans a ecification filed herewith,
Estimated Value of Improvements
$
FEES �la- ®O Plan Check E
Owner ✓//7% Address
t' n yn
Contr. Address
Phone �7 `7 - C/�� State License � '
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 19 '�-� FEES /7
Contr. / Address f,Q � /
Phone 7�6 �S—��'1"� State Li nse 7 P V 7/
APPLICATION FOR PLUMBING & GAS PERMIT
/ -a
Date Zo 19 GAS FEE E 6 J/
PLUMBING FEE E Z
Contr. Address � Z
Phone r2 �aS- 3 L State License
Approved rCl�
// n APPLICATION FOR APPLIANCE PERMIT-o
Date �----. 19 X73 FEES
Contr. '" ~'�-✓ Address I-ld
i
Phone 37d'-03P3 C State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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