51273 1 O D Mr�CCrL� �'�1.11NlZ� LOT NO.04
NO. V ST EET ' " • • P49� D G
f e CITY OF Cl/p� 0 CITY OF CUPERTINO
Yo SEP 1 APPLICATION FOR BUILDING PERMIT _
e
O_i J Building Per.No.
W4 72-
pDate 19 Ben ltary Par.No.
11-o ApAcalori) hereby ade for a permit to
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of a L story, Type oo Structure
m to be occupied only as •?Tf' 4 !t-2dL�r-°u-� in accordance with
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aPlans, Specifications and Plot-Plan filed herewith. PI Ck Fee$
20 Estimated Value of Improvements,$ aS(yo• 00 Fee$
Total Fee$
oa
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 Ci of Cupertino will be complied with. p �e n [��` a /,,�/J
W w owner Address'-29S
6 / ii
020 BY Gh CSL Address
U qContr, Agent.
P
Phone yq- X9/0 Approved
State License a(p l-7 3 4 X Building Inspector J
10821 I Northforde^Dr. }: LOT NO. 168
NO. STREET
Plan .9-D
i a CITY OF CUPERTINO
f� Ott OF CUPE[RN%PPLICATION FOR ELECTRICAL PERMIT
yo
$-1
MAY 14 1973
(1 Permit No.
f O Da n 1, 1973 19 Fee$
o F Application is hereby made to the City of Cupertino for a permit to install electrical
Z F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
f City of Cupertino, and all other laws applicable thereto.
a
0 0
0 O Use of Work To Be n
> Premises Performed 1 0
/I�4.17J(�,(.Pall.
F 1 .CLO< owner 'SFA -N NaM,D , Address- xL.IJ IN-L> Al2
Z
J S.WANDERER ELECTRIC, GcC. :_�"'"""-- "'°
Address--+�
o
Contractor,Agent
a Phone 1 -34,9 I
WZ
W State l.icanse. a7��_14 APProved
W 0 f Electrical inspector
40
_O
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or-9vensyEW. —
_Size of Main Service
Number of Meters
Number of Panels
$i0s - Transformers
Dryers
Motors:
.-H.P. Phase
H.P. Phase
H.P. Phase_
Power Poles
Misc:
Permit Fee 2.00
H.P. Charges 3.
Total Fees j SAD
✓%'LIQ^' LOT NO. Z"
sraeer
CITY or CUPERTINO CITY OF CUPERTINO
z = OCT 10 19-& FOR PLUMBING PERMIT
yo Sanitary No.
3 u U;Pe A DT Q 19 — Permit No. Sia 73
W w I Fee S IF
° Application is hereby made to the City of Cupertino for a permit to install plumbing
° a 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 w Cupertino, and all other laws applicable thereto.
w x
Use of Premises Single Dwelling_
g w Ditz Crane Co. 2295 De La°';Cruz Blvd., S. C.
� 3 Owner Address
zJ 167 E. Fremont Ave., Sivale
J z By L. C. Bohart Plumbing Co. Address
° CONTRACTOR,AGENT
3 � 245-2323
— 0 Phone
ao State License 186579 Approved
t —O PLUMBING INSPECTOR V
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / I Size
Water Closet 2 Material
Bath Tub To Curb
Shower I To Prop.Line ✓
Lavatories To Existing
Kitchen Sink Not
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washma Machine 1 Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
I?ental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
fjopper Size
Restaurant Sink Material
and Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water
Sprinkler System Water Sys.Fee
O
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 42)
Total Total Fee
LOT NO,
NO. sraee ,D
APPLIC#VON FOR APPLIANCE PERMIT
d z
co 0?
cjrz
CITY OF CUPERTINO'
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e
LL Wv 2 l3
30
A.
Date flL� 19 — Permit No.
u /y
:"0 41 f ' r1 Feel
Application is hereby made to the City-of Cupertino,for a permit to
°0 i install gas appliances as listed on the reverse side hereof, and agrees to
.z N install said appliances in accordance, with the provisions of the Plumbing
W i Code of the City of Cupertino, and all other laws applicable thereto.
S �
a Use of Premises _- 12,
00
cOwner 46 – �� P . Address
:S
z By '"�D� 6�/1 opt Ler ®' Address /.-Td
�'O CONTRACTOR,AGENT
3 0 Phone,��R
We
W W
01 State License!ira r a.r q.pproved y
U 47 PLUMBING INSPECTOR
as I op.APPLIANCE UNITS FEES
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. x/60
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Com. Indust.,Inst.Kit.
Hood&Vent System 30a
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System B"o
without Comfort
Forced Air.Mech.each Power
Gravit•System -
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks.Misc. E ui .
Under 15'High
Over 15'llish
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
.
&A bso .units with innut
of 500,001 & Under 1,000.000
Permit Fee �Oo
Total Total Fee 00
(� Bldg. Dept.
} (Cf IS - • Office Copy
t BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ......ref 3........
[7 Plumbing Final Plumbing Permit No. ��.. i3.......
Lot No...........&&k-
Owner or Tenant ....... ....... s
- - ..
if /.. a Lk ^ L 4.... .... 4..U..-....._...-'--_`......----`......-----------
At .....,14...9.2.1----- -
Tract ........................... .............. -- ......--------------.................................................
�i
Date Connected ...... i�i„ 2.
....-----------------------........................ ............................. 19...........
DateFinal .... -----•7------....P..:............................................. /-..---............---
.......................... .... ........ C .....---•----
PLUMBING INSPECTOR
is CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
Date ........ -- ..CC.---------------------
. 19.7
Building Permit No.
.
The Building Located at ...... ......1?!..,.................
Ownedby ..... ..................................................................
(C4o:,Gled F ( ......................
Has Been or Use ......—...........................
............................................................................................................................
.......... .......I......................................................................................................................
---------------------------------.......................... ...... .----------------....................--
I
......................................
.....................
unDiNG iNspEcroR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECO MI
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
PLASTER
GRADING FINAL
i
FINAL BLDG.
ELECTRICAL
U ` DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
7 7
FIXTURES
MOTORS
FINAL �� 3
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE ^�
MAIN DRAIN
FINAL PLBG. - O 73
FINAL GAS-
FINAL
��•
FINAL APPLIANCE / - 713
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No. (0$
No. Street !s 5�
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. Z-
File No.
Dote 19 �
Application is hereby made for a permit to
a st ry, Type
to be occupied only as
in accor0ce with P41VPlan, Plans and 4ecificalion filed herewith,
Estimated Value of Improvements S 04)
FEES - nn 79, ob Plan Check $
Owner _ III/ ` C"0-41Address ZZIg �
11 11 11 11
Contr, e� /� Q Address
Phone L 1/� ~ q to State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote �4 a 19 7 -IN GAS FEE E (./'J
/j PLUMBING FEE $
Contr. _ L&-4 Address /6 7 C/ l/'c-
Phone —0150.x " 1,J 7r) State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 19 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1