51273168(52- LOT NO. 163
NO. STREE 11 �-
w Z CITY OF QJPERTINO 7
o cm OF ruyE0"' APPLICATION FOR BUILDING PERMIT
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3 a 912Building Per. No. Sl 123
m U , 19 �% Sanitary Per. No. l'Y� •��
1-0 A`pplicAtio�1 i"reby made fgr a permit to to
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F a story, Type Structure
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" to be occupied only as ' t� ' _ in accordance with
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a F Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee $_
20 Estimated Value of Improvements, $ O'L1'0 Fee $ 75,00
o a Total Fee $
710.68
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.
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z O - G z27 -Fs-
W wner Address
C 0 G�ew'Pr�a 0'+.e �f rt /
ey Address
— U contr. or k6ent. ow
Phone A Ef 2'1 /Q Approved jamwa,,III2e AA
State License ')-61734 \ Building Inspector
NO. 0 STREE toy No. 183
33 P)arn R
dod'
OkICATION FOR ELECTRICAL PERMIT
10 ` V CITY OF CUPERTINO
Date 19':72 Permit No. ( ��
Fee S Q
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Use of Premises I
Owner Df +� — eray)L Address
By Address
CONTRACTOR, AGENT
Phone: '73h -,24d
l State License 2 -7FS bW
ELECTRICAL
YMM
Number of
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to
LOT NO. / 23
No, STREET/ '
m CITY Of CIlMID40 CITY OFCUPERTINO
PPLICATION FOR PLUMBING PERMIT
x o SEP 20191 sanitary No./a`/
o Q l)a[e .lt1IIJl dl+� '7 1079 �9 _ Permit No�.�3 7 3
3 U - t Fee $ �!7• a -o
* o 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/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 I
W Use of Premises Single Dwelling
00 2295 De La Cruz Blvd. S. C.
3 Owner Ditz Crane Co. Address
oL By L. C. Bohart Plumbing Co. AddesE. Fremont Ave., S'vale
O CONTRACTOR,AGENT
3a
— Phone 245-2323
W z
W W
a a ( State License 1861579 �o Approved L,
U I%� IL PLUMBING INSPECTOR v
Wash
Dental
Fee
Y 0&) -k, -
NO.
No. STREET
21`� � �'�/Q�i►TION
g MAR 2 61973
LoT No. ( e
A -
FOR /APPLIANCE PERMIT
CITY OF CUPERTINO
LL
0 < Date 10 197 _ 19.— Permit No. 5—/3 73
w n t Fee, $
'o Application is hereby nrade to the City -of Cupertino for t to
P permit
o F install gas appliances as listed on the reverse side hereof, and agrees to
i a install said appliances in accordance with the provisions of the Plumbing
„ = Code of the City of Cu ino, and all other laws applicable thereto.
Use of Premises
00
> 0
Owner �7
A�
ISy.Z
O CONTRA OR, <GENT
m Phone FLOG SHEET METAL CO:
wO CAMPBELL, CALIF:
o f State LicensPLICENSE #25282M
c0
U lj�
Address
Address `� G
Approve
PLUMBING INSPECTOR
APPLIANCE
UNITS
FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Form.
/
ov
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Y
�,ou
Inde end. Vent Svstem
'
Com., Indust.. Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
Iwitbout Comfort Cool.)
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets, No. of Flues
Stacks for Metal Fireplaces
Smoke Stacks, Mise. Equip.
Under 15' Hi
Over 15' lliel
Corn fort 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 5 00.00 1 & Under 1,000.000
Permit Fee
Total
Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
8- 2 19 BLDG. PERMIT NO.
THE BLDG. LOCATED AT 0 go 4"
i�rLTF/Fi�=�D �X1 r
OWNED BY��%�C2AN4-
HAS BEE C MPLETEDI FOR USE AS
(ALTERED)
RECORD OF INSPECTIOWAPPROVALS
BUILDING
BACK FLOW REO._
SANITARY NO.
UNDERGROUND ROU
PARTIAL ROUGH_
ROUGH COMPLETE.
MAIN DRAIN
FINAL PLBG. /
FINAL GAS �(
FINAL APPLIANCE _
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
DAT
INSPECTOR
DATE INSPECTJWkR
W.Lsc.
PAD FINAL
i � -L
FOUNDATION
't
iAgt'Z
UNDERFLOOR �1'
'-4O -723
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
Z'
ELECTRICAL
DATE INSPECTOR
MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
Q
FIXTURES
MOTORS
FINAL
2
BACK FLOW REO._
SANITARY NO.
UNDERGROUND ROU
PARTIAL ROUGH_
ROUGH COMPLETE.
MAIN DRAIN
FINAL PLBG. /
FINAL GAS �(
FINAL APPLIANCE _
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
DAT
INSPECTOR
No.
Street
Lot No.
CITY OF CUPERTINO / 69
APPLICATION FOR BUILDING PERMIT
Sanitary No.�/J
Date 19 7
((!!
Application is he
r
eby made for a permit to
a
to be occupied only as / 7), _
in accordmge¢ with Plot Plan, Plans and
Estimated Value of Improvements
FEE$ - %.h, el 6
Owner
Contr,
File No.L� .. -..
Type
L7 --
filed herewith„
$
Plan Check $
Address
(1 IL
//'' Address
Phone a 7 y - '/1'e/'/Q State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
/ ✓°°
Data � 19 %,3 FEE$
Contr. /0 Address 9�-d
Phone %3h/ -moi SL d"f State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
L
Date 0 19 -7 ?-� GAS FEE $
6z":7--
� a PLUMBING FEE $
Contr. Address / 6 2 � lTti-ter.
Phone __sl -a-9+ ^2,3 State License
Approved �r
APPLICATION FOR APPLIANCE PERMI
Date 3/ 19 13 FEE$ .7nL
Contr. Address 1-30 ✓�
Phone - . 3 7� - D 9 3 State License -2S
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD -1