51273 1 O 9613 LOT NO. C17 Z 5�
NO. STREET C U.41_4
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w z CITY OF CUPERTINO CITY OF CUPERTINO
VO APPLICATION FOR BUILDING PERMIT
0O_i AUG 14 1972 Building Per. No.
WU Date (• ,19 7Z A San fury Per.No. Q co S
I o Application h hereby mad fora permit to
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0 F a 2 story, Type Structure
¢" to be occupied only as "A in accordance with
W I
F Plans,Specifications and Plot-Plan filed herewith- PI Ck Fee$ o
/�
20 Estimated Value of Improvements,$ �23/C"O-C Fee$ 2- o-o
o< Total Fee$
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
A Z and all other laws applicable to the construction, location, and use of buildings within
the City of Cu ertino will be complied with.
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H 9
W w Owner // "mss"" Address Z 7'/-S O0.
02 By'w6,4 C Address r�
¢p
—5 Contr.IVAgent.
�,�/ Phone 2LFq lzlq/0 Ad s
C State License pprove
X& / 734 Bwlding Inspector '
I09(o3 I Alr)Nh.ia.Yl IIorP
ZQ NO. STREET LOT NO. 91
s � • • Plan C
o ° av�t°�APPLICATION FOR ELECTRICAL PERMIT
wo +�N 415i� CITY OF CUPERTINO
1 J 5 I Y
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Date 19 Permit No.
of
Fee
a m Application is hereby made to the City of Cupertino for a permit to insta electrical
W I wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
h Y
0 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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z_j Use of Premises 1 M /Y'S
J Z
J p
3 < Owner Qts _CiQVIP, Address
WZ WANDERER ELECTRIC lNr' U v
W W By
1CONTRACTOR, AGENT
<V Phone: 736,..l�a I ApprOV ELECTRICAL tMP1
State License a7a67L/ G/
ITEM - NEW RPL FEES
Number of Outlets 11
Number of Switches /
Number of Receptacles a3
Number of Fixtures —11
Ranges or49ve -W-
Size of Main Service
Number of Meters
Number of Panels
Signs-Tmnsformers
Dryers
Motors:
H.P-Phase
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Tot Fees -7
/n 9 6 3 LOT NO.
NO. VREET
CITY OF CUPERTINO
i < C" Of Cu"PPLICATION FOR PLUMBING PERMIT
Z —
x oSanitary No.
SEP 2 01972 A /
o Uate�_I_I f 17 1(174 19 _ Permit No. 6'/ 73
3 u r, /��4'L��fJT�'
w LL Fee $ .2-3, 6-0
= 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
r r 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.
Use of Premises Single Dwelling
00
� 3 Owner Ditz Crane Co. AMP De La Cruz Blvd-, S. C-
oa
ZJ
z By L. C. Bohart Plumbing Co- AJ&AsE. Fremont AVe.. S'vale
O CONTRACTOR, AGENT
3 r
a Phone 245-2323
- Z
w z
w w
ao State License 18059 Approved
—u
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size r�
Water Closet Z Material
Bath Tub t To Curb
Shower To—Prop. Line
Lavatories To Existing
Kitchen Sink Not
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Wastling Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FBES
Urinal Fixture Fee /
Area Drain Main Drain Fee
Water Leader Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve (.Aq Fee
iS D
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 6r2>
Total 1 7 1 11 Total Fee 3. 15-40
/0910 3 7/lna. i �A• LOT NO. / 12
NO. STREET C
„ < cITT of PLICATION FOR APPLIANCE PERMIT`
Y0
JAN 9 1973 MY OF CUPERTINO
O� D$te ash; 6 1972 19' _ Permit No. Y-/ 2 7 3
i a Fee$
WApplication is hereby nm* to the City-of Cupertino for a permit to
0 i install gas appliances as listed on the reverse side hereof, and agrees to
ia install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
5 ' Gc�
Use of Premises -
00
5 0 Owner ,` '� —fin Address �� R3"
2J
Z By 299 6�t�Y1 Address
O CO CTOR,AGENT /✓ o/>
- w Phone •��R o93�S1
W W/
a o � Q
State License ' 2 -7d_ Approved
-U PLUMING INSPECTOR
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 Y
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
without Comfort I
Forced Air. Mech.each Power
Gravity System '
No.of Air Outlets,No,of Flues orJ
Stacks for Metal Fire laces
Smoke Stacks,Misc. Equip.
Under 15' High
Over 15' 1 igh
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
&Absorp. units with input
of 500,001 &Under 1,000,000
Permit Fee c3�
Total Total Fee nrJ
CERTIFICATE' 00 COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...................... 19.... Building Permit No.
The Building Located at ...
(k..Sym s?tw..........d.1._::....----
Owned
.1. 1.............Owned by ....... ............ .......................................................................
His Been (q(Alt
� or Use As: ...... ...
.......... ..................
ered)
.................................................................... ........................................................................
................................................................................................................................................
................................I..................................... 1 . ........*............*..............................2DNGINSPECrOR
-------------
RECORD OF INSPECTION APPROVALS
BUILDING
'DATE I NSPECTiARISC.
PAD FINAL •�L
FOUNDATION ^
UNDERFLOOR � ,
FRAME
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG.
+/ ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING s y
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTORMISC.
BACK FLOW REQ. ,? — -J3
SANITARY NO.
UNDERGROUND ROUGH '�' 7
PARTIAL ROUGH 3 2
ROUGH COMPLETE l �/
MAIN DRAIN 72
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE '1
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No'.7 7
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT /
Sanitary No. zo' -
File No.,`/ 0,-Z3
2
Dote 79
Application is hereby made for a permit to
a 2— St.o y, Type
to be occupied only as vn
in accord ce with plot plan, Plans a Specification filed herewith,
nn
Estimated Volue of Improvements $ nCODD . 6�
FEE$ - - Q0 Plan Check^$
Owner _�/TI — �Gl/J'�-�� Addressa/��7
Contr. Address
Phone � y - aState Lice ns a / 23V
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dote .1-�. 19 ';(3 FEES 7r
Contr. / Address �9,o�S / _ /-�� U
Phone-7,3 ` -S�� State License 7 tFL J
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Dote 19 7 L GAS FEE $ ��JZ
// T PLUMBING FEE $ -- �C;223- 5
Contr. —Gh7-/-A-tif' Address /( 7
Phone '� Jl ' 1' 2 -3 State License //rc r 7 r�
Approved 4e-, -Z
/ APPLICATION FOR APPLIANCE PERMIT �—
Date �z 119 �j 2 FEES
//on
/
Contr. /' -tLe/'�-a--C-+-f� Address /-Ze
Phone / �-�'� g�T State License
Approved
Applicants agree not to violate any of the ,!-
Workman's Compensation Latus of the
State of California
PD-1