51273 Ld -Q, LOT NO.
Vl NO. STREET V
w!CRY OF CUPERTINO CITY OF CUPERTINO
2
�Lo APPLICATION FOR BUILDING PERMIT
o CAU G 14 1972 ewlaing P.,.Ne.
w<
Date ( 1g 7y Sanitary Par.No. p O O
o I�Application is hereby e for a permit to
LL W
ofa Zstory, Type ,, Q `n Structure
Ww to be occupied only as in accordance with
a F Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$
JLL775 017.
20 Estimated Value of Improvements,$ 25,. Fee$ 73? •&V
oTotal Fee$ 7
J Z It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
-+D and all other laws applicable to the construction, location, and use of buildings within
3 m the City of Cupertino will be complied with. Sit.
w z tZ 7t -Ctip+ t 2255 110 o�i At!u 1544 ePo.a�
W z OwMe. nner p (^� Address /
C7 f By/ c l` (�,"e Z' Address
Q O o00f-44444,E
_U Contr. Agent. �
Phone 2U 4- Z ci f O Approved s
/ Bute License 2-6 1 ?3 L# Building Inspector
/
N
N < NO.. STREETLOT NO. q�
s a CITY OF CUPERTINO Plan D
o ,
Eto of u�jL1O APPLICATION FOR ELECTRICAL PERMIT
W LL N 41973
' ° �)�ate ' 1922 Permit No. `
° < A 5 Fee y O
a N W Application is hereby made to the City of Cupertino for a permit to n Iltlectrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
S N City of Cupertino, and all other laws applicable thereto. ,
03
z J Use of Premises 1 - =(am res .
J
J O
3 < Owner lIrar)e. Address
— N
gyWANDERER ELECTRIC, INC. - ,
Q Q CONTRA
,C
/TOR, AGENT Aroved
—U Phnnc: -7&,-544-DI PP ZBCfal i INSlHf,70R
�� 674
State License 71-
ITEM NEW RPL FEES
Number of Outlets 1
Number of Switches
Number of Receptacles �3
Number of Fixtures
Ranges or9venslt-W. )
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
Total Fees
26D / Z LOT NO.
NO. STREET
CITY OF CUPERTINO
Myoe eu"RR"LICATION FOR PLUMBING PERMIT
Z = � d v
r0 SEP 201972 Sanitary No.
aa Date.'��� 19 _ Permit No. .5-��-73
3LL h I'd tE- Fee $ a3- Sa
I0
� 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 prices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
U)
Cupertino, and all other laws applicable thereto.
Use of Premises
Single Dwelling
00
r3 Owner Ritz Crane Co. AAM De La Cruz Blvd., S. C.
oa
ZJ
J ` By L. C. Bohart Plumbing Co. At�&E. Fremont Ave., SIvale
0 CONTRACTOR, AGENT
3 r=
a Phone 245-2323
- Z
wz
cow
ao State License Approved ///
U y PLUMBING INSPECTOR
Az
- D
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size q 0
Water Closet L Material
Bath Tub To Curb
Shower / To Prot). Line
Lavatories 2 To Existing
Kitchen ink I Not Conn
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
WasWng Machine t' Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
-
Hopper Size u
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee '—
Water Leader Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve Gaq F�.
S�
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee 3.
a(oa9oZ //B'j,t/L(if 1�,1 LOT NO. 91-1
CITYN9F CUPERTINO STREET
a .i JANAq ATION FOR APPLIANCE PERMIP
i CITY OF CUPERTI'NO
s 06C ,2 6 1972
3 i Date 19. _ Permit No.
_U,
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
ito install said appliances in accordance with the provisions of the Plumbing
= Cade of the City of Cupertino, and all other laws applicable thereto.
3 ~ Use of Premises —
00
Owner �n
Address �'19s t�_ l/
i_ /�� ss
� z By� CS �/YJ Address /3D
O CONTRA OR,AGENT
3
Y 1 Phone y 4/JS''o 93A1
W W
aOo State License x538 Approved
-
CO
plev X, PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath yL°Y
Inde end. Vent System
Com.,Indust.,Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFU
Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort
Forced Air.Mech.each Power
Gravity System
No. of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Slacks.Misc. Equip.
Under 15'High
Over
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 3�
Total Total Fee
CERTIFICATE' 00 COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
7-
Date ..... ........ 7................. ............Buildin Permit No. ............
e-X
. ... ... . ......
The Building Located at ................ .... .... .•..... ...
Ownedby t..L .c......... .............................................................
His Been (CO��. orUseAs: ........ . ....................................
(Altered)
......................................................................................................................I..................
..................................................................................................................................................
...........
.................................................................................. ............? .......... ...............
..,.................
OD-&C INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTO �Z�Z
PAD FINAL '1.1' Z'
FOUNDATION Z 1 -�-
UNDERFLOOR l
FRAME
LATH &
GRADING FINAL
FINAL BLDG.
/ J�. 6 �q ELECTRICAL
lJ DATE INSPECTOR MISC.
UNDERGROUND ROUGH-
ROUGH
OUGH
ROUGH WIRING--22 v
FINISHED WIRING
FIXTURES 0,000-
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. • 7- 7
SANITARY NO.
UNDERGROUND ROUGH 1
PARTIAL ROUGH a- - 7
ROUGH COMPLETE J' X73
MAIN DRAIN
FINAL PLBG. 7 �7
FINAL GAS - 3
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.
No. Street / 75
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. 41
� File No. 01 3
Date 7g --77 1=
Application is hereby made for a permit to
- a czZ story, Type
to be occupied only os
in actor ce with Plot Plan, Plans 4 d pecification filed herewith„
O�
Estimated Value of Improvements $ r�J{ -:)
—7 O
FEES Plan Check $
py-; `��,
Owner _ //� — ��iLn-2- Address ao`'7-� z—)
Contr. Address
Phone Clo State Licen
Approved
APPLICATION FOR ELECTRICAL PERMIT
'L� 3 0
Date 19 7`3 FEES �y �
Contr. l� // Address g� J
Phone --2,3 �.� �j/ State License .1 219 7
i
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 L GAS FEE $ r 52
y� a PLUMBING FEE S 3 t'?J
Contr. �C✓s -�--✓r Address
Phone — �- J- 1 L 3 State License �/ZG�T7
Approved ' "^-r'
i
APPLICATION FOR APPLIANCE PERMIT
Date 19 3 FEE$ —
Contr, q Address I3
Phone y�7 J: U 9 State License '2-J-2 p
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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