51273 R"P132 Lll� o i r',� LOT NO. FIR
NO. STREET - g
q cn„ btrag,ATION FOR APPLIANCE PERMn
_ CRY OF CUPERTWO
Y 4
0 Date—IC it�Z2 19.,_ Permit No. S%17 3
= LL 4 P, t .,l Fee $
4 ,°n Application is hereby made to the City-of Cupertino for a permit to '
0 F install gas appliances as listed on the reverse side hereof, and agrees to
z m install said appliances in accordance with the provisions of the Plumbing
W Code of the City of Cupertino, and all other laws applicable thereto.
f :
S Use of Premises _ �e
00
a ////
c g Owner ,� �� _nt�.._ e Address e 9S /I&oy-A.,_
z
a.o By "e' Address
;F` NTRACTORAGENT
— 0 Phone
aa - a F,.2 _—f*� !/
°a o State License 4!s- 5" Approved
-U Le
oG PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Wanting Ovens
susp. Units
Dwelling Kit./Bath Y
Inde end. Vent S stern
Com. Indust. I nst.K it.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
Iwithout Comfort Cool
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues °y
Stacks for Metal Fireplaces
Smoke.Stacks.Misc.Equip.
Under
Over 15'Ili
Comfort Cooling
Comp.of 20 IIP or less
&uhsogt.units with 'ort
of 50U 000 BTU or less
Comp.over 20 HP&Under 50 HP
&Ahso .units with in ut
of 500.001 &Under 1 000,000
Permit Fee vo
Total Total Fee rnJ
CERTIFICATE ' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .....1,,.4.......:::...... ..... 19 .f Building Permit,No. -!Jfa7
The Building Located at ...... r
Owned by fi; '� 7s>'iq Lt
Has BeenP�) Use As: -..---'-- -.-. -.--.
/
------------------------------------------------------................................---...........
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.............. ........I..................... ------------------------ ......... .................
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• YfiILDING�IN9PECTOR
x0/32 A W(L C/-P-d LOT NO. " 2 ( /
m NO. STREET ID LLL
Q
W Z CrfY OF CUPEERTINO CITY OF CUPERTINO
YO AU14 1 I_ LICATION FOR BUILDING PERMIT
Q LL 'JP
0 3 Building Per.No. 7
3a o 6
m V Data_ �' 19�� Sanitary Per.No.
1O Application isIhelP y made for a permit to
LL
DF
Z a a 2 story, Type Structure
Z
o to be occupied only as in accordance with
w a'
a Plans,Specifications and Plot-Plan filed erewith. PI Ck Fee$ _ c
2 u /. /eI97.
Estimated Value of Improvements,.$ 3� MO Fee$ 72- crU
>y
o a Total Fee$, _73.61
Z J 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
P the City of Cupertino will be complied with.
W w wner ✓-LL —t/�ttik.t_.. AL2
OAddress
40 BV L'�'•-rte+�L Address rr r r
—V Conu.o Agent
Phone ,a- Z9/01
Approved
State Limnse.2 to f 7 3 Lf KBuilding Inspector \�
a NO. SI%N° srREET LOT NO.
i z a" of `� Pla n 8
r o 4.1�j j CITY OF CUPERTINO
0 , APPLICATION FOR ELECTRICAL PERMIT
iLLQ
n w Date]
oiia'-� 19 .] Permit No. _
Q
Fee S
a w Application is hereby made to the City of Cupertino for a permit tJ in al electrical
W = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordanre with the provisions of the Electrical Code of the
> W City of Cupertino, and all other laws applicable thereto.
03
oa
z _j Use of Premises — Pt Y)'). res-
J Z
J O
3 a Owner ]l1 (ItAne Address
W i B WANUEKtH LLLCIKIC, INC.
W
0 W y
d
O F �r CONTRACTOR, AGENT
pprov
<U Phonc: /.3h' o�-� R
EEEC_rktG1 (NS}E
`� State License a3867y �• ��
ITEM NEW RPL FEES
Number of Outlets l l
Number of Switches
Number of Receptacles as
Number of Fixtures 1 �—
Ranges orOvem-K-W. 1
Size of Main Service
Number of Meters
Number of Panels
Signs-Transformers
Dryers
Motors:
H P-Phase
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Ch as 0
Total rees )-7.-7
ZO/ J Z I , y im LOT NO, na
NO. SnEET '
CITY of CUPOMO CITY OF CUPERTINO
f BSEP 2 0 1972 APPLICATION FOR KUMBING PERMIT
a Sanitary No.
3 U f!�at(4--I 19 _ Permit No S��2 73
W `0 72 Fee
n W Application is hereby made to the City of Cupertinofora permit to install plumbing
0 a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said rices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a
in
Cupertino, and all other laws applicable thereto.
W i
j4 Use of Premises Single Dwelling
0 0
b < Owner Ditz Crane Co. AM?. De La Cruz Blvd., S. C.
ZJ
o By. L. C. Bohart Plumbing Co. Atf1gssE. Fremont Ave., Sivale
3 r CONTRACTOR, AGENT
— Phone_ 245-2323
W Z
W .
a o Stale License_ 186579 Approved l /'
—U v
,, PLUMBING INSPECTOR
L -
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material
Bath Tub To Curb
Shower To Pro . Line ✓
Lavatories E i
Kitch
Dish Washer
Waste Dis osal
Wash Tra STORM DRAINAGE
Washin Machine / Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&TrayTo Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Ho er Size
Restautant Sink Material
Sand Tra TOTAL FE
Urinal Fixture Fee / 3
Area Drain Ma' Drain Fee
Ala
Fe
S rinkler System Water Sys.Fee
Rellef Valve raq F"
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee "D
Lot No. T 7t
No. Street (4
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. y ��
�� File No..-T�
Date �L�_19 7�-
Application is hereby made for a permit to
C a story. Type
to be occupied only as l r• V-/, ��N in accordanceZwith Plot Plan, Plans and SpIldfication filed herewith,
O
Estimated Value of Improvements f t��. ���O . a—
FEE$ - / /7��b/�� Plan Check
t $
Owner _/7/f�. C//C?i/�1�2.� Address 1 A C/ AO
-('
Contr. Address
Phone State License A 7 7
Approved /r
----- --
APPLICATION FOR ELECTRICAL PERMIT
a
Date 19 FEES' ,{�✓l/J r t
Contr. // Address
Phone 7j i(-s-��o.L/ State License
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Dote � 19 7-L- GAS FEE $ C/J��
PLUMBING FEE $ -�-3• <�
Conor. Address - �6 7 f/��`-�-n•.���t
Phone - �-�- 1 .2 Z�� State License 'F/(��^� Jp �7 S�
Approved /' -/
APPLICATION FOR APPLIANCE PERMIT
Do to 79 73 FEES
/ Aa
Contr. 22� � Address 1$d
Phone 3 -U 2Store License J- A-- f'
Approved 4:&=4
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTw -LOX v ill
PAD FINAL •�1• 9 I _7
FOUNDATION -•7 Tv•
i
UNDERFLOOR (0' 274"`'
FRAME
w
LATH & PtWYPeR'-
GRADING FINAL
FINAL BLDG.
h 61Z� ELECTRICAL
vpe
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING 0% �7
FINISHED WIRING
FIXTURES Z
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. - 7
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE 7
MAIN DRAIN
FINAL PLBG. —
FINAL GAS _ 3
FINAL APPLIANCE T
DATE INSPECTORS MISC.
MISC
MISC
MISC