51273 /0922 VLG( 1K6f LOT NO.
yCITY OF C.*90140 STREET
Z_ CITY OF CUPERTINO
Yo AUG 14 1972 APPLICATION FOR BUILDING PERMIT
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3 Q l,li 77- Building Per.No.
w U 'Detd` 19_, Senitery Per.No.
r o Application is hereby made permit to
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° a 1.story, Type
a Structure
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0 to be occupied only as in accordance with
w
aF Plans,Specifications and Plot-Plan file herewith. PI Ck Fee$
20 Estimated Value of Improvements,$ 231�Cr"O ' Fee$ Zz ,e--
04 Total Fee$
7 3 (c I
z'' 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
3 a the City of Cupertino will be complied with. (/�a "��
Ww Owner � � Address'2295 '04 A " /� ''• (26 c
QBy '�"'"r Atltlreu /r fr
_U
conu.M Agent. s
Phone lqyy` Zq 10 Appd
State License 2� t7 3L/ rPyeBuilding Inspector
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l o8aa Vrr4hj2jP,1d SLI tArP.
N Q NO. STREET -� LOT NO.
w ¢ pf GtIFQTtNO I��QYI C
r ° -#"LICATION FOR ELECTRICAL PERMIT
61
3 < JAN CITY OF CUPERTINO
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o W Dade ^la a 19 Permit No. / Y e73 _
Fee SBt'
a N Application is hereby made to the City of Cupertino for a permit tb irjtalYErectrical
W
W : wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code Of the
50 City of Cupertino, and all other laws applicable thereto.
03
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Use of Premises I ' #'Q,Y1'I t"2S
JZ
O
a Owner f — Address ! r�
W W ByWANDERER E CfRIC, INC. . VQ�
M & r
O 1 CONTRACTOR, AGENT
a Appro _.
Phone: :Jy� I eeeerxI L eaetoa
�� State License -179-17 7`-{ 7
ITEM NEW RPL FEES
Number of Outlets 11
Number of Switches 1-5 7.2v
Number of Receptacles -7).l
Number of Fixtures 11 Z•/.r
Ranges orOvenrlk-K. _
Size of Main Service
Number of Meters
Number of Panels
S" -Transformers
Dryers
Motors: 6
/4
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees
LOT NO.
NO. STFIEFA
01 Of Wpptit o CITY OF CUPERTINO
Z < PPLICATION FOR PLUMBING PERMIT
wQ 2p19i2°'
0 SEP Sanitary No.—
?o
.
o Q Ute .t t,^ 7 1 7� 19 — Permit No.
3 6 -�v97 1972
w w Fees 23 Sa
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
oa pipes and/or fixtures listed oil 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
wCupertino, and all other laws applicable thereto.
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LL Use of Premises Single Dwelling
00 2295 De La Cruz Blvd., S. C.
. 3 Owner Dit2 Crane Co. Address
0a
Z ` By L. C. Bohart Plumbing Co. Address Fremont Ave., S'vale
O CONTRACTOR, AGENT
; = 245-2323
— W Phone
ao State License 186579 Approved —
U L PLUMBING INSPECTOR
Lam — G
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet 2 Material G I
Bath Tub I To Curb
Shower To Prop.Line r/
Lavatories To Existing
Kitchen 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
Hbppet Size
Restaurant Sink 'Material o
Sand Trap TOTAL FEES
Urinal Fixture Fee .fa
Area Drain lMainDrainFee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve Ga�Fee /,>-7)
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee 3.
lbk" I , Lor No. / D
NO. sraeer Lo
APPLICATION FOR APPLIANCE PERMIT
p < S
zw of �UF_ g�3 CITY OF CUPERTINO
go
3 u tAt �LIAR 1 5 191319. _ Permit No. S 7
' 0 `_I ,+. � � Fee•S3 of
Application is hereby nsde to the City-of Cupertino for a permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
z a install said appliances in accordance with the provisions of the Plumbing
W Code of the Cit of ertino, and all other laws applicable thereto.
S ~
„ Use of Premises _
00
ak&A4 Owner Address
Z J (�
� z By �� Address
G ON7 CI• AGENT
3 PLOD SHEET PLOSHEET METAL CO.
z I F.
a LICENSE 1125,2825,
°< o ( � State License Approve
U i PLUMBING iNSPBCroR G�
APPLIANCE UNITS FEES
as lop
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath ti tt rrJ
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 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'lfigh
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
&Absorn.[nits with input
of 500,001 & Under 1,000,000 x
Permit Fee ✓0&
Total Total Fee //
CERTIFICATE OF - COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... .................... 19..7-3. Building Permit No.
The Building Located at ... ...................p.
.......... .........
Ownedby ....... . ............................................................. .............
�mPlet
Has Been (C"' t For Use As: ....................................................................
ter
(A teredl
.............................I....................................................................................................................
......................................................... ..................I.................................................................
.................................................................................
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......
. ...............*...............................
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....................
-----)Bi;,,LDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC
PAD FINAL
FOUNDATION
UNDERFLOOR a a
FRAME
LATH & PLASTER
GRADING FINAL Oct
FINAL BLDG.— S447n.2-r
ELECTRICAL
Ca . DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING 001,p�
FINISHED WIRING O - `
FIXTURES -
MOTORS Q
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR ASC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH -Sri
PARTIAL ROUGH - -7
ROUGH COMPLETE
MAIN DRAIN-10
FINAL PLBG.
FINA/L GAS - 7
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/,.,f 2 2- I yai . Lot No.)SI
No. Street
CITY OF CUPERTINO CO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No. - 2 7
Do to 19 7
Application isherebymade for a permit to
a story, Type
to he occupied only as / J� /
in accordaige with plot plan, plans and 44cification filed herewith„
-Estimated Value of Improvements y 23jOG'�
FEES //` Plan Check $
Owner 42-/ Z Address
Contr. /1 ' Address
Phone ';?11/ State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date // 19 FEES 12
Contr. y//lll llal- i_ Address �'
Phone - . �736' State License
Approved /
g APPLICATION FOR PLUMBING & GAS PERMIT
Date //10 19 7oL GAS FEE $ �� l
PLUMBING FEE E 3 J
Contr. _ ''77 Address /G7
Phone s/ �'r" d-3 1.� State License /J �` - 7
Approved
APPLICATION FOR APPLIANCE PERMI j d T
Date 19 ; FEES -
p/I
Contr. -"T� Address /,36
Phone o 5t3 State License o14
IL �
� - S�
Approved c �"- ,e+-r-Cg' /
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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