51273 go to 2 7T-�.L� 2 e ct�� 1'`(y
�. r LOT NO.
NO. STREET U
( OF CUPERTINO CITY OF CUPERTINO
4s¢ G 14 1APPLICATION FOR BUILDING PERMIT
1 �a-�� � Building Per.No.
wU Date ui "� t9 7-2— Sanitary Per.No.9y 9 9
l o Application is hereby de for a permit to t-�•t-'-�-�Q--
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F a-2--story, Type Structure
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" to be occupied only as in accordance with
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a F Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$ —
/$
oo Estimated Value of Improvements,$ -2`f c7`12 , Fee$ 757 c*o
04 Total Fee$
76 .68
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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Z and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with.
W w Owner �� — v`T"« Address 22yS �rA �/1U (K2 /.eq,
¢n n ' t
O� By Address
40
_O contr. r Agent. a
Phone -ay�T — 2-9( '01 APProved o
State License aCc f 7 3 4 �_ Building Inspector w
N Q NO. STREET LOT NO. 91
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x a CM 0P CUPEr71N0 CITY OF CUPERTINO flan A
41573APPLICATION FOR ELECTRICAL PERMIT
° Date n
19 1� Permit No.
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° ' Fee y �
> �
a Application is hereby made to the City of Cupertino for a permit to install electrical
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W = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
F M
W wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
5; N City of Cupertino, and all other laws applicable thereto.
1- 3
z_j Use of Premises 1 - Cam. res .
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3 a Owner Dlf�j — Ll rale, AddrAELECTRI
W W By WANDERER ELLCIHIC, INC.1 "M M CONTRACTOR, AGENTa o Appr-0 73h-5yJ1 UL/ tesrE
\�, State License _�7�5 h�U vC
ITEM NEW RPL FEES
Number of Outlets 1.2
Number of Switches P4
Number of Receptacles /6
Number of Fixtures 1 a
Ran=orAvens-K 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 (" <<70
D-0/'D-!�— 1 J=yLOT NO. y
NO. STREET G
OF N � CITY OF CUPERTINO
Z _ APPLICATION FOR PLUMBING PERMIT
x �p 20197 �/ 7 Sanitary Na.
o 1)ate 17 l Z , 19 _ Permit No
Fee $
° 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/ur fixtures in accordance with the provisions of the Plumbing Code of the tarty of
<w Cupertino, and all other laws applicable thereto.
LL Use of Premises Single Dwelling
00
3 Owner Ditz Crane Co. Ad7dA1L De La Cruz Blvd., S. C.
oa
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� z By L. C. Bohart Plumbing Co. Aj&&E. Fremont AVe., S'vale
° CONTRACTOR, AGENT
3 �
a Phone 245-2323
ao State License 186,579 Approved
_U PLUMBING INSPECTOR
p4p-n - 4
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet I Material
Bath Tub ( To Curb
Shower To Pron.Line ✓
Lavatories To Existing
t I Not Conn.
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
Sand Trap TOTAL FEES
Urinal 4Fixture Fee TD
Area Drain ain Drain Fee
Water Leader D ain Fee
Sprinkler System ater Sys.Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee Z d7J
Total Total Fee
,!70/61P 7�in���__>- LZ LOT No. 91
C" NO C YMEET 1//Of —
Y < APPSrTATION FOR APPLIANCE PERMIT
e JAN CITY OF CUPERTINO
o i Date0080 '2 6 1972 19. _ Permit No. 2- 7 3
3U w�
_ 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
iN install said appliances in accordance with the provisions of the Plumbing
Y = Code of the City of Cppupertino, and all other laws applicable thereto.
SUse of Premises prv�
00
w
ow
ner
Address
0<
z By 1 .S din Address / o L o;�
"0 CbNTRACT6R,AGENT
- m Phone3rld- o93N
YZ
o s State License ot5e182s' Approved AsAdL
a U PLUMBING 114SPECTOR
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. �^d
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling KiL/Bath
Inde end. Vent System
Com.,Indust.,Inst.Kit.
Hood &Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets.No.of Flues arJ
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
_Under 15'High
Over 15'11 i2
Comfort Coaling
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
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
- -5/ -23.
Date ....._..L... 3...................—, 19..23 Building Permit No. ........2
The Building Located at .... .......... .........
Ownedby .....D.J.-rZ-f:...... .......................................................
Has Been (C4!222i�orUse As: ........ ...... ............................
(Altered)
................I.................................................................................................................................
.............. ...............................................................................................................................
.............................................................................. . ..
... ..........
..
..........
DING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECT Rd. ms's q
PAD FINAL • Y'4
FOUNDATION ®L77-
� �UNDERFLOOR bLA
FRAME 2Z
LATH & P!*S;Fsa
GRADING FINAL
FINAL BLDG.
ca d ELECTRICAL
(Av DATE INSPECTOR A MISC.
UNDERGROUND ROUGH
ROUGH WIRING R- '7
FINISHED WIRING
FIXTURES eb
MOTORS
i
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. - �
SANITARY NO.
UNDERGROUND ROUGH ���� Y
PARTIAL ROUGH ,� �'
ROUGH COMPLETE 3
MAIN DRAIN '7A
FINAL PLBG.
FINAL GAS - 8' - 73
FINAL APPLIANCE--S-&
-
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No. cJ
No. Street CT
CITY OF CUPERTINO b
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File N65r/ a 73
Date .19 Z
J�plicaiion is hereby made for a permit to
a story Type
to be occupied only as
in accn ce with Plot Plan, Plans and Sp fication filed herewith,
Estimated Value of Improvements $ C& o66 ,
FEE$ z5, 6 d Plan Check $ /;
Owner Address 6E Ae � UP'e"'*
Contr. / Address
Phoney y 9/a State License 23
/
Approved ,Ie,
APPLICATION FOR ELECTRICAL PERMIT
Date / �// 197J FEE$ /� CL--
Contr. t Address
Phone 7J4 ��1 State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 7 L GAS FEE $ Sa
?� PLUMBING FEE $ L27
Contr. — /``�`' �-�-'� Address 16 2
r
Phone 'y�'r" L 3 �"-3 State License
Approved
APPLICATION FOR APPLIANCE PERMI j
Date f 19 ' 3 FEES
Contr. Address 11-30 '-/ �"`'`�-.-..1
Phone L d State .License y� oLsoLe.)-J
Approved
Applicants agree not to violate any of the
Worlomtn's Compensation Laws of the
State. of California
PD-1