51273 0 O 23 LOT NO. I S( 2- -5/y
NO. S01 EET +' B CLntL�
wON OP OOPEkTINO CITY OF CUPERTINO
Y �G141912 APPLICATION FOR BUILDING PERMIT
O Building Per.No.
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wU DaSe�`s`^�'Y�, v 19� Sanitary Par.No.
ILL 1'1 P
1-o Application is hereby maw for a permit to �Jr-t.u�CC
w
oo a a Z story, Type -�✓ Structure
Z
N to be occupied only as2QK� in accordance with
W
F Plans,Specifications and Plot-Plan filed erewith. PI Ck Fee$_
o o Estimated Value of Improvements,$ 3/ QLrCI Fee$ 7 2 c'O
c Total Fee$
73.(, 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.
DP2 a Owner —`"""'-" Address -2�9s
Q O By `• Address
_U Contr. Agent.
Phone 211U 1910 Approved
State License 2117 3 Lf � ff Building Inspector
loSa3 I A101-4-hf7vid /
N Q NO. STREET LOT NO.
x a Of CIO CITY OF CUPERTINO PfQ.h
o < k'14PPLICATION .FbR ELECTRICAL PERMIT
3U CPN'
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r Date,O ��–� —',19'2.2 Permit No
o
-Ece 5
a n Application is hereby,made to the City of Cupertino; fora permit tori-n-t l
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
m City of Cupertino, and all other laws applicable thereto.
z Use of Premises f - lam• res.
J Z
J O v,
3 < Owner l �"� ' CIQr,� Address dra_
- 0 - v
By1NANDERER ELECTRIC. INC i. fat VQ�
QCONTRACTOR, AGENT
–O Phony: PP a16Crn1UL Pe
l� State License $L 7`�
ITEM NEW RPL FEES
Number of Outlets l l
Number of Switches
Number of Receptacles d
Number of Fixtures /I
ei-
Ranaes om I(-W. /
Size of Main Service
Number of Meters
Number of Panels
S' -Transformer;
Dryers —
Motors: 1>
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Toees
��s. . df iwiw�tJ LOT NO. I
NO. STREF
CITY OF CUPERTINO J
W Z art of W "'91PPLICATION FOR PLUMBING PERMIT
KCP 2 U 1972 Sanitary No.
Y ! C
3 a U.iteWIG
r 1q72 19 _ Permit No. -61-)-73
0 ^
W Fee $ a 3,3
W t)
= O
Application is hereby made to 'he City of Cupertino for a permit to install plumbing
o e pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> . and/or fixtures in accord with the provisions of the Plumbing Code of the City of
<W Cupertino, and all other laws applicable thereto.
W x
00 Use of Premises Single Dwelling
> m 299 De La Cruz Blvd., S. C.
0 3i Owner Ditz Crane Co A3dre s
ZJ L. C. Bohart Plumbing Co, 167 E. Fremont Ave., Srvale
o By S Address
O CONTRACTOR, AGENT
Phone 245-2323
WZ
W W
a o State License 186579 Approved
U PLUMBING INSPECTOR
PZc- - S
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material G/
Bath Tub To Curb -
Shower / To Prop.Line l/
Lavatories Z To Fxistinit '
Kitchen Sink NotC
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washina Machine 1 Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Ijupper Size V
Restaurant.Sink Material
- Sand Trap TOTAL FEES
_ Urinal Fixture Fee
Area Drain Main Drain Fee
ate Fp.
Sprinkler System Water Sys.Fee /
Relief Valve r...Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee Z 3. S7�
LOT NO. ZIE7
NODir OF CUFT IJ
t]ON FOR APPLIANCE PERM
s z CPI Y OF C[1FERYINO
u j Daten� r"3 19• _ Permit No. 73
3V '
F 0
' o Application
,/ 3?�
Application is hereby made to the City-of Cupertino for a permit to
0 < install gas appliances as listed on the reverse side hereof, and agrees to
iin install said appliances in accordance with the provisions of the Plumbing
„ = Code of the City of C ertino, and all other laws applicable thereto.
SUse of Premises
00
;
Owners Address /�
z
Z sy Address lU
'O CO a,AGENT
3r
m Pho
CO:
a d '13�dtiS.i , CALIF.
APProv�
i o State Li
_U LICENSE 252 / Psin®uaG DWECTOa Ci"
APPLIANCE' UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./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
Forced Air.Mech.each Power '
Gravity System
No,of Air Outlets,No.of Flues
Stacks for Metal Fire places
Smoke Stacks,Mise. Equip.
Under 15'High
Over 15'lliell
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
L�Absorp.units within ui
0,001 &Under 1,000,000
Permit Fee' Total Fee I ! 1)ti
CERTIFICATE OF" COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... -- -=,..................... 19..t...t. Building Peanut No.
The Building Located at .....�.�j.�rR..' 'e....... r ,- . 6 :.r.'--:
Ownedby ... .....- -- : yr..►r. -............................................................
17_ ^ (�
Has Been m let ) For Use As: .....t'';...i`._ .?-
(�^ueaea/ '
...............'.................................................................................................................................
. ...........................•-------................................................................................-----..:......
....._---- ------------....................................-----......... -- .......j...
----------..
/ . .
WI DING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTO MIS
PAD FINAL
FOUNDATION ' O' �"��
UNDERFLOORw
FRAME
- A
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
U•��f DATE INSPECTOR MISC.
UNDERGROUND ROUGH `]
ROUGH WIRING .,
FINISHED WIRING '
FIXTURES
MOTORS �7
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGHYA
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN /0 '7
FINAL PLBG. - -�
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.)-5
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. �//
File No.
Date �� 19 —L�7�
Application is hereby made for a permit to
o story, Type
to be occupied only as
in accordalree with plot plan, Plans a Specification filed herewith,
0 6 G 6.
Estimated Value of Improvements E 2 �`
FEES - /77Ja • D/b) Plan Check S
Owner n!//iL (/��iiJ�y Address ^+ 2
Contr, � Address
Phone State License '2 7
Approved
APPLICATION FOR ELECTRICAL PERMIT
o
Date / /r 19 � 12
� FEES �
Contr. IIIJ4-1 -4A-� Address A4k"-�
Phone - 7.3 ` '4�J-/ State License - 'F
`
Approved
�f APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 7.2- GAS FEE E (/ 5--)
PLUMBING FEE E Yoh 3' J--
Contr, _SL F+--mow Address /6 7 ✓�/-s.-..�
Phone �5�03'- z 3 2-3 State License
Approved
APPLICATION FOR APPLIANCE PERMIT Co
Date `3 19 %3 FEES /3
Contr. Address Is /"""'-"'-�•— C---
Phone1`-'
U � - State License -c,)-
Approved
)-Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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