51273 r !1
O Q NO. STREET LOT NO. Q
Z _ TT��
r o 04 CtO CITY OF CUPERTINO �Y)Qh /"I//��
M < b"6 4PPLICATION FOR ELECTRICAL PERMIT
5� CPN
W 0
oW Date ��'� 19 Permit No. SZ/ Z71
a Fee $ _
<W Application is hereby made to the City of Cupertino for a permit to install electrical
w = wiring and/or fixtures as listed on (lie reverse side hereof, and agrees to install said
F K
o 'o wiring, and/or fixtures in accordance with the provisions of the Electrical Code of the
> W City of Cupertino, and all other laws applicable thereto.
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oa
z_j Use of Premises - dam res.
J
J O
3 N Owner aran L Address �a
w z By
W w A_ddre
¢ n
Q O ] CONTRACTOR, t
_C) Ph,,ne: I p ELEC17nGL INE►H
�.y �s6
�'- State License zy
ITEM NEW RPL FEES
Number of Outlets 1
Number of Switches p
Number of Receptacles /6
Number of Fixtures 3
Ranges or-9vaaa-IC.W.
Size of Main Service
Number of Meters
Number of Panels
Signs-Transformers
Dryers
Motors:
u o Phase 1/4
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2'00
H.P.Ch es a'
Total ees �� bo
2d/S3 'ItcLKt✓I LOTNO. LO t/SS
a NO. STREET d Com,
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W¢ CITY OF CUPERTINO CITY OF CUPERTINO
VO APPLICATION FOR BUILDINGPERMIT
o� AUG 14 1972 s i 2�3
Building Per. No. r,
w U Dote 19 72- Sanitary Per.No. V
LLo 'ApAcatlon is hereby ma a for a permit to
w
o< a 2 story, Type Structure
a N to be occupied only as AL!i -, 2Q-4-t• in accordance with
I U
a Plans,Specifications and Plot-Plan fileerewith. PI Ck Fee$
Jw I• !oL
20 Estimated Value of Improvements,$ A y i Ct'o • Fee$ mss•rc
>y
04 Total Fee$ �'6 B
zJ It ishereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J o and all other laws applicable to the construction, location, and use of buildings within
-4the City of Cupertino will be complied with. pp S �
W
W Owner lu C1 t zz950, Oc �t f3 n ,
Address - �vt-L4
¢a
(7
_
n „°
0 Atltlrass
— , n r �
V Contr.or A nt.
Phone v4 J _ 2 g 1 0
Approved
lV��"
t State License_Z& 17_ 3� s` Building Inspector \
LOT NO. O !/
h0. STREET
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT�
W o. Ony OF CUFF.UMO
X LL Sanitary No.
3� U � 2,�1P �, 19 — Permit No lr/1 73
i_w Fee$ e-
` 0 IiaAtio_ Is
w wf reby.made to the Cit 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
im 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.
w x
a Use of Premises Single Dwelling
00
3 Owner Ditz Crane Co. Atgsl� De La Cruz Blvd., S. C:
oa
zj
; o By. L. C. Bohart Plumbing Co. Aj#17ssE. Fremont Ave., S'vala
3.F CONTRACTOR,AGENT
- PhAe 2! 5-2323
wZ
w w
rca•
c o State License 186579 Approved
- u
7c PLUMBING INSPECTOR �/
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater
Size `
Water Closet / Material
Bath Tub To Curb
Shower To Pro .Line
Lavato ' E
INotCon
Dish Washer
Waste Dis oral
Wash fa STORM DRAINAGE
Wash Machine / Size
Water Softener Material
Bar Sink To Main Drain
•Comb.Sink&Tra To Curb
Dental Unit
Drinkin Fountain
Floor Drain I il WATER SYSTEM
Hopper 1 11 Size 114,11
Restaurant.Sink 1 11 Material
Sand Trap TOTAL FEES
Urinal Fixture Fee Oa
Area Drain Main Drain Fee S
Water a' Fee
Sprinkler System Weter Sys.Fee SD
Relief
Vac Breaker
Skimmer
Filter
Pool Sweeper
PermitFee O�
Total To[al Fee )4. J 6
aO dS3 I LOT NO. C•�
NO. STREET ^
APPLICATION FOR APPLIANCE PERMIT /"J
MY OF CUPEIMO CITY OF CUPERTINO
Y 4
3 < Date � 9?+ ei W 12
19. _ Permit No.
U
- Fee$�/.3
W 0 p Application is hereby made to the City-of Cupertino for a permit to
Finstall gas appliances as listed on the reverse side hereof, and agrees to
i to install said appliances in accordance with the provisions of the Plumbing
►F Code of the City o� Cupertino, and all other laws applicable thereto.
3 . Use of Premises50
o < Clwner /f/iT �i2 o Address dr-99L-f- .&2V 6/4� _
2J
a Address_ 09
CONTRACTOR,AGENT �//
- 0 Phone `i P'-o 4 5,1/
Y 2
WW
a !�l.S'aP.7� /
a° o State License Approved
—U 04-PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Gas Fop
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warniing Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent System
Com.. Indust. I nsl.K i t.
Hood&Vent System oZ-cn`
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
Without
Forced Air.Mech.each Power
Gravit S stem
No.of Air Outlets,No.of Flues - I a°f
Stacks Ibr Metal Firc.laces
Smoke Slacks,Misc. Equip.
Under 15' Iligh
Over 15'1 I*oh
Comfort Cooling
Comp.of 20 IiP or less
&ubsorp.units with input
of 500 000 B7'U or less
Com .over 20 HP& Under 50 HP
&Absorn unitswilhinnut
of 500,001 &Under 1.000,000
Pemtit Fee J
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
Date ..... ...... .....!........I............ 19......✓. Building Permit No.
The Building Located at .... .. -3.......
Owned by ....
.....................................................................
9.
Has Been ew) f— /� _-1v
(fit
For Use As: ...S, ..... ..................................................
t^1ForT ..I'- �
.......................................................................................................'.......---•----------......--......--
...... ..
.... ..........W...................................................................................... .......................... ...............---------------**.............•......•-......----
... .......
......*........................... ............... ......................................... 7- i- -.- .................I1...5... —? j
1L1ING INSPECTOR
.-..1
...-.-.--..-.-.-.-.-.-.-
Lot No.g�
No. Street /
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT �_ �c�{
Sanitary No.— r/0
File No. L/�'273
Do to _.ILL�.19
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordane with Plot Plan, Plans and Spe t cation filed herewith,.
Estimated Value of Improvements $ C�r /i1DO�
FEES Q�n/J Plan Check $
Owner Address
Contr. Address 1 /r
Phone tx`f'L� v� �� State License ,2la / '7,�3
Approved (");t,
APPLICATION FOR ELECTRICAL PERMIT
Date 19 -7`j FEE$ /G `C..
t-' /
Cont'. _- r/LJL-...c el Address (9e2�it^-ala/ "+"` (/
Phone - 6 SK' d/
State License
Approved 4�;''r � -
APPLICATION FOR PLUMBING & GAS PERMIT ll
Date 19 7� GAS FEE $ C/ 6!-)
/ -�- PLUMBING FEE
S$+ Z;z o`
Contr, Address,/(.
Phone e>Z. r-�..3 Z� State License ��C�-7�f-7 f
Approved.
APPLICATION FOR APPLIANCE PERMIT
Data �
19 --42 FEE$ rltr
Contr. Address &e �.�
Phone -
��� Stare License
I&A Jr—
Approved
Applicants agree not to violate any of the
Workman's Cnaipensation Laws of the
State of Co liforn is
P D.1
RECORD OF INSPECTION APPROVALS
BUILDING ^^ /
DATE INSPECTOR
PAD FINAL �Z
FOUNDATION n
UNDERFLOOR
FRAME
LAT & PLASTER
GRADING FINAL
FINAL BLDG.
&'oL 09 Jr ELECTRICAL
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING ' I
FIXTURES ^ ��
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COM PLETE �� 3
MAIN DRAIN a
FINAL PLBG. -?3
FINAL GAS - -
FINAL APPLIANCE -'L-
! �7
DATE INSPECTOR - MISC.
MISC ' Z
MISC
MISC