51273 /07q / IDA - LOT NO. 1 -7 I
NO. STREE
w z CFFY OP Ob CITY OF CUPERTINO
Yo
SEPAPPLICATIONFOR BUILDING PERMIT _
mO J . 7,? Bu its, Per. No.
U eta 1977— Sanitary Par.No.
r o App iAof) -s hereby made for a permit to �rTT������''fr
LL W
O H a 2 story, Type
F p Structure
¢m to be occupied only as 2Ldae lA P in accordance with
wW
a F Plans,Specifications and Plot-Plan fil d herewith. PI Ck Fee$
20 Estimated Value of Improvements,$ Oaf- 0-0 Fee$ 7S
1 N �L rt0
0 3 Total Fee$ < IG le D
�
Z It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
Z
and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cuperp tino will be complied with.
W w Owner Address 22Q5-Jdt
¢e ✓
QBAddrese
( Contr.or sant.
Phone 244-2510 Approved )a
State License ;& 1 73 Building Inspector
10791 I Northforde 0r. LOT NO. 171
NO. STREET Plan 9—A
Z a CITY OF CUPERTINO
V ocity of eurecTAVPLICATION FOR ELECTRICAL PERMIT
¢LL g� 3
'II z lb%3 �^
?i U MAY Permit e
�U oete1r'AY ,s Fee
p F Aplicatitlon is hereby made to the City of Cupertino for a permit to install electrical
>F 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
WW City of Cupertino, and all other laws applicable thereto.
ar
J
00 Use of Work To Be
>y Premises AOA- Performed - J-e'c1 / InLl p•
Oowner LCA/ P,A0 PU Address .I'�L/Lk&, C`00 AQ-
Z —
Cj
o ByWANDERER ELECTRIC, INC,L.' Ada�ea'
Contractor,Agent
3Q Phone
N
W Za7f�b7t}
w State License Approved
¢n
O E Electrical Inspector
QO
_U r%
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures , o
Ranges or-everts-K-W-
Size of Main Service Oo%�
Number of Meters
Number of Panels
-Signs - Transformers
Dryers
Motors: 5
'H.P. Phase `l.r
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees 16.60
LOT NO.
NO, snF '
CITY OF CUPERTINO
< ern or cuPERnnoAPPLICATION FOR PLUMBING PERMIT
Zi
s o OCT 1 0 Sanitary No.
LL JF 5 1972
30 a Pare 19 — Permit No
w C P A--j-
Fee $—/��-
2 4
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
°o < pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a m Cupertino, and all other laws applicable thereto.
wx
f r
j Use of Premises Single Dwelling
00 2295 De La Cruz Blvd. S. C.
3 Owner Ditz Crane Co. Address
oa
ZJ L. C. Bohart Plumbing 167 E. Fremont Ave., SIvale
� z By g Co. Address
O CONTRACTOR, AGENT
3 � 245-2323
- Z :Phone
a a State License 186579 Approved
U PLUMBING INSPECTOR
k >r
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size `/
Water Closet Material G/
Bath Tub I To Curb
Shower To Prom Line
Lavatories To Existing
Not Co
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
WasWng Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
•Floor Drain WATER SYSTEM
Hopper Size
Reitaurant Sink Material
-Sand Trap TOTAL FEES
Urinal Fixture Fee 7 Q'D
Area Drain Main Drain FeelszrD
Water Leader Storm D Fee
Sprinkler System Water Sys.Fee
Relmef Valve 11 Ga�Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
PerFee
mit ?d'a
Total Total Fee / 9, o?)
le 179/ 7/i�>�_ �.�.�/<_ '.� l. ' LOT NO, /12%
NO, STREET . ' A
APPLICATION FOR APPLIANCE PERMIT
c ,Gr'cur_r kik CITY OF CUPERTINO
M5 r < //`° 1,� r 73
0 < Date W \ 19. _ Permit No.
=0 1 11 Fee•$ /��•�
Mp�lication is hereby made to the City-of Cupertino for a permit to
o install gas appliances as listed on the reverse side hereof, and agrees to
i N install said appliances in accordance with the provisions of the Plumbing
= Code of the City ofCupertino, and all other laws applicable thereto.
S Use of Premises -- �o
00
OwnerZZ
o < Address, Address -'0�S(s l A �«�
2J � Gs
d z By /I ���>Z /`yl9fe I`71a Address /,Ya Lam' rte_
CONTRACTOR,AGENT
3r
- a Phones s l8-y 9,3N
W Z
W W
a v State License �S� �S
R - Approved _
-U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Leas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. J o v
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent Svstem
Com.. Indust., Inst.Kit.
Hood&Vent System / 0O
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM '
Ind. Ventilation System Do
(WithoutConiforl Cool.)
Forced Air. Mech.each Power _
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks.Misc. Equip.
Under IS' Iligh
Over H'
gh
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500.000 BTU or less
Com .over 20 HP& Under 50 HP
&Absorp.units with input
of 500,001 &Under 1,000.000
Permit Fee 1 6O
Total Total Fee 14&0
CERTIFICATE OF -COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........_@ .9....................... 19 : .B Build' g Permit No. -
The Building Located at .....(.�7..Q�.....f�(ov.—� 'yvr��----rLl�.'............_.
Owned by .......d fa-:f.._Z..-.... �AP4� ......................
...........................................
Has Been (pr Use As: ....... .. ...:.5:lut7 _._ ...........................
................................................................................................................................................
..................................................................................................................................................
.:................................................................................ ....... ................ .................'---'--........
............... ..--=--5!`�!�' `t._.......---.............
UILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTO _ MISC.
PAD FINAL 1 11 1.
FOUNDATION f 7 �7
UNDERFLOOR --7
FRAME
AT & PL
GRADING FINAL 49
FINAL BLDG.
U. ELECTRICAL
C d DATE INSPECTOR MISC.
UNDERGROUND ROUGH _
ROUGH WIRING 5 ��
FINISHED WIRING
FIXTURES �� 3
MOTORS -7
FINAL !
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MI5
BACK FLOW REQ. !!12 3'
SANITARY NO.
UNDERGROUND ROUGH U
PARTIAL ROUGH
ROUGH COMPLETE V -7
MAIN DRAIN- D 7
FINAL PLBG. 73
FINAL GAS 7j- 73w__
yj "
FINAL APPLIANCE d -73
DATE INSPECTOR MISC.
MI
SC
MISC
MISC
/Q79/ I // toi Lot No.
No. Street &V
CITY OF CUPERTINO � Y
APPLICATION FOR BUILDING PERMIT (�[ GG//
Sanitary No.--// P17b
File No.
Date 19
Application is hereby made for a permit to
t
a � story, Ty e
to he occupied only as
in arcord ce with 4161 Plan, Plans
`an ,pecificalion filed here h,
Estimated Value of Improvements S 'R! 6 .6A
FEES Plan Check $
Owner Address Z 29 S QrtL, a CAA4
Contr. Address
Phone / ! eZ t 0 State License 2 is 12 34'
Approved wQds
j773 l �
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
J o
Dote 7a - �� 19 /� GAS FEE $ C/ /
PLUMBING FEE $ yZ
Contr, Address /` 7 �y q
Phone —a rr��- 7'-3 �'" j State License
Approved
J�
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws ofthe
State of California
PD-1