51273 LOT NO.
NO. S EET • • pea") B
m Z CITY OF CUPERTINO
.0 CITY OF CUPEMNC APPLICATION FOR BUILDING PERMIT
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O D (��p '�j 7Building Per. No. �L 7.3
wU 9'e�er �• 1 ' 19-72- . sanitary Per.No.
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-0 Applic�tioq isreby ma a for a permit to Gl
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a a story, ype Structure
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to be occupied only as in accordance with
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a F Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$
2o Estimated Value of Improvements,$ a 3, 0019. On Fee$ 7
o a Total Fee$ -' �—
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino ino will be complied with. �d n
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w w Owner a. 1/����� Q Address 2295
O a. By /'"•' "'_"_ .d' �Nr L Address
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—U Contr.o gent. `
Phone -244'. 291 C) APProvetl
State License 2 v
(o 173 \ f Building inspector
10811 I Northforde Dr, 169
LOT Nd.
NO. STREET Plan 9_B
h a CITY OF CUPERTINO
w¢CITY OF CUPERTI
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YO 'PLICATION FOR ELECTRICAL PERMIT
2LL MAY 14 1973
3U Permit No. � �
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F o Date M1�Y j 2,1973 1e Fees—� f
LL Application is hereby made to the City of Cupertino for a permit to install electrical
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40 iring 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
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x City of Cupertino, and all other laws applicable thereto.
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00 Use of Work To Be -
>v1 Premises4ArA LAU Performed LP P,(i to (,0-0J
04 Owner - Address ➢LIQ t l4 l O-Aa .
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o By WANDERER ELECTRIC, I:JC. ---_' Addrae:==T-=' - ''
3 F Contractor, Agent
-N Phone
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State License a?Rb-)4 Approved
O Electrical Inspector
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ITEM NEW RPL FEES
Number of Outlets
Number of Switches
14 q,5
Number of Receptacles J�
Number of Fixtures
Ranges or--Ouanc1C ,
Size of Main Service
Number of Meters I
Number of Panels i J
Sigrfs. - Transformers
Dryers _
Motors:
-fi.P. Phase i
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 42.00
H.P. Charges
Total Fees
/eu// ��5 L`G'/ LOT-NO. I fi
NO. STa
CITY OF CUPERTINO
w Z arr or NpMgLICATION FOR PLUMBING PERMIT
s rc
Sanitary No
3 o UateOC ` V11v� 1`172 , 19 _ Permit No
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i s Q A a D Pee 8�3�
° Applicafion 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 rices
> 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.
a r Use of Premises Single Dwelling
J 4
° O2295 De La Cruz Blvd., S. C.
> 3 Owner Ditz Crane Co. Address
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z_J 17� ` By L. C. Bohart Plumbing Co. AddesE. Fremont Ave. S'vale
° CONTRACTOR, AGENT
3245-2323
- W Phone
a a State License 186579 Approved
U ` / PLUMBING INSPECTOR /
e Let, — G
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Z Material
Bath Tub 1 To Curb
Shower ( To Prop.Line
Lavatories 2 To Existing
Kitchen Sink 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
Kopper Size
'Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee / a
Area Drain Main Drain Fee
Water Leader Storm D Fee
Sprinkler System Water Sys.Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee
f :. • LOT•NO. %G 9'
NO. STRzfT k
„ .i AO.rPPLICATION FOR APPLIANCE PERMIT
d = �' CRY OF CUPERTINO
219i�y_7
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01 Date ly / 19 _ Permit No.
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v LL D , Fee•$
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Application is hereby Irtade to the City of Cupertino for a permit to
o F install gas appliances as listed on the reverse side hereof, and agrees to
z m install said appliances in accordance with the provisions of the Plumbing
Y i Code of the. City of Cupertino, and all other laws applicable thereto.
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3 „ Use of Premises y
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0 Owner /Y< < - dc_... C Address -".'29r .(&
2J
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z By ,�O t/.� t L2 7 ,_ a / Address
o �—CONTRACTOR, AGENT
— 0 Phone. 4s -a 9.3N
e o State License -15sa9a5- Approved t
_U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Farm
Forced Air Furn. de d
Gas Fired Boilers '
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Com., Indust., Inst.Kit.
Hood&Vent System o p
Forced Air Under 4000 CFM
Forced Air Over 4000 CFDI
Ind. Ventilation System c c'
(Without Comfort I
Forced Air. Mech.each Power
Gravity Sstem
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under 15'High
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
&Absory.units with input
of 500,001 &Under 1,000.000
Permit Fee 300
Total Total Fee /-yeti
CERTIFICATE 0 COMPLETION
BUILDING INSPECTOR'S OFFICE
Lh CITY OF CUPERTINO
Date ....... C Building Permit No.
The Building Located at .... ......................
.Owned by ...... t..:..... .........................................................
Has Been (Altered)e5gq�;:For Use As: .....I ,------------------
. .........................................................................................................................................
.................................................................................................................................................
.................. ...................................................... . ......................
............ ...........
ILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC
PAD FINAL •�url1
FOUNDATION_
UNDERFLOOR
FRAME
dgr& PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING 7
FINISHED WIRING 73
FIXTURES
MOTORS
FINAL �r _
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. L yrz-1
i
SANITARY NO.
UNDERGROUND ROUGH Y
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN zy
FINAL PLBG. _Ae
73
FINAL GAS ov
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
n2imA7Otd. Z�j ►i.c.. Lot No-10
No. Street ,. WCITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT p
Sanitary No.-a Z9Y
�— Pile No.l X73
Date . - _x_19
2.
Application is hereby made for a permit to .
a sry, type l
to he occupied only as s
in accardan#T with Plo lan, Plans and ecification filed herewith,
'E]stimated Value of Improvements $ L i J *a* _
FEES •1� r Plan Check Sof ('� — y
Owrmr OPA f�� 1A� Address Z2q �+�-IA A"✓
I) Is t� fs
Contr. Address
Phone --� 1 y Z� ► State License ` ►
r
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dote 19 FEES
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
J
Date / � 19 GAS FEES Cl o
PLUMBING FEE $ AA
Contr, Address �/� 7
Phone a,3 s;-. State License 141k
/fs
Approved
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 of the
Slate of California
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