51273 /093/ !ii# LOT NO. 163
NO. STF1qiT 4 tr44�r
m¢ CITY OF CUPERTINO
Mir rnr of ""'"APPLICATION FOR BUILDING PERMIT
¢" �iz73
O_i }❑{�I7 1912 Building Per.No.
WU uatd / 1 19 7 Sonitery Per.No. je/
�
o Ap ic%on is Wby made for a permit to
LL W
o F a story, Type Structure
N to be occupied only as 4AV- inaccordance with
a 1 1
Plans,Specifications and Plot-Plan filed erewith. PI Ck Fee$ —0
20 Estimated Value of Improvements,$ ani �� Fee$
Total Fee$
7(0 .6$
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< the City of Cupertino be complied with.
W z -`vle 2zys
W W Owner Address r
O By r � Address03
QO
_U contr.O sent.
Phone AY4—2'y/a APproviil
State License 2G r73Building Inspector 111
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V
1 o831 I Nord-h4c'orde Dd yc • 163
N Q NO. STR F.ET LOT NO.
Z a
w " CITY OF CUPERTINO Plan H
LLu cFwS°`�
O 3APPLICATION FOR ELECTRICAL PERMIT
3
° 72 a_I �a l ZZ�
r m 19 T Permit No. _
0Q
i N V9 Fee S
Application is hereby made to the City of Cupertino for a permit to install electrical
wwiring 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
5 N City of Cupertino, and all other laws applicable thereto.
03
z j Use of Premises 1 - -ram res .
J L
0
3 aOwner J-) " CYa ne Address
W By WANDERER ELECTRIC, INC.
R R CONTRACTOR, AGENTI VY
a o �/ / // Appro
—0 Phnne: / 3A 5LI—)I ELEC[RIUL tMPH LO
TJ
State License a796741 /--
ITEM NEW RPL FEES
Number of Outlets /
Number of Switches
Number of Receptacles A
Number of Fixtures
Ranges opQ*ens4-W 11.
Size of Main Service
Number of Meters
Number of Panels 1
S' -Transformers
Dryers
Motors:
H P.Phase
H.P.Phase
H.P.Phase
Power Poles
mise
Permit Fee 2.00
H.P.Charges
Total Fees
h- o
o (bk'�i LOTNo. �
NO. MEET
a APPLICATION 0R APPLIANCE PERMIT
z a em pty CITY OF CUPERTINO
3 Y P p
Date CCtifi�' a4p� 319 _ Permit No. ��� 73
U '' p�
m a Fees
= o
ApplpatA iAhjDby to the City-of Cupertino for a permit to
o < ins 11 gas appliances as list(W on the reverse side hereof, and agrees to
W ins II said appliances in accordance with the provisions of the Plumbing
„ = Code of the. Citoy_ f Cypgrtino, and all other laws applicable thereto.
S0
Use of Premises
00
"0 Owner Address
iJ
Z By I Address
J'O co CIO AGENT —�
3 �
—
Phone
rz
¢a MPBLL, CALIF.
° State Lice
Approved
—
t o LICENSE U
( PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Gas lop
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 CFAt
Forced Air Over 4000 CFM
Ind. Ventilation System
(without Comfort Cool.)
Forced Air.Mech.each Power _
Gravity System
No.of Air Outlets,No,of Flues
Stacks for Metal Fireplaces
Smoke Stacks.Misc.Equip.
Under 15'High
Over 15'lligh
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 3 Oy
Total Total Fee
l z% ,3/ /7 -moi �i of LOT NO. / 6�
NO. STRE[T '
CITY OF CUPERTINO
" < city of CUPW(IPLICATION FOR PLUMBING PERMIT
Z z d/3/
" O SEP 97q Sanitary No. ,
3 a Date�L1] 1.�_, 19 _ Permit No. 51A73
W_0 1) A I D Fee$�
LL
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
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 i
,. Use of Premises Single Dwelling_
00 2295 De La Cruz Blvd.9 S. C.
�
3 Owner Ditz Crane Co. Address
ZJ 167 E. Fremont AVe., Srvale
J z By L. C. Bohart Plumbing Co. Address
O CONTRACTOR. AGENT
m Phone 245-2323
—
W z
0 w State License 186579 Approved /
¢ d v
a0
—U PLUMBING INSPECTOR
t
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater 1 Size el�
Water Closet I Material �.
Bath Tub I To Curb
Shower To Prop.Line LI/
Lavatories To Existing
Kitchen Sink Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine I Size
Water Softener t 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 FEES
Urinal Fixture Fee
'Area Drain Main Drain Fee
Water Lader Storm Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve aa%Fee
i Yb
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee 1 -7 )
CERTIFICATE - OF, COMPLETION
J�j Al BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... .......................... 19-711. Building Permit No.
The Building Located at ...... .......7---&.................
Ownedby .... ........................................................................
Has Been 0�(Altered) Fnr Use As: ....... ..J7...... ------------------------------
.................................................................................................................................................
..................................................................... .....................................................................
..............I...........-- --- ........._..................... . .......................... ...........................
.....................
MING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDI
DATE INSPE OR M
PAD FINAL - Z
FOUNDATION
UNDERFLOOR Z ��
FRAME C - Z
LAT & PLASTER
GRADING FINAL
i
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING (� O'
FINISHED WIRING
�ra
FIXTURES
MOTORS Q
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. - J3
SANITARY NO.
UNDERGROUND ROUGH,? ZPARTIAL ROUGH /-' 9 73
-
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. O 'd 73
FINAL GAS 7 3
FINAL APPLIANCE 3 -7
DATE INSPECTOR MISC.
MISC
MISC
MISC
�Q �/ I //�( T�� �P!_. /•lil//tiV Lot No. lCO3
No. Street Or /
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.�� 3
File Noy
Do to 19
7�2-
Application is hereby made for a permit to
a 2— story. Type --
to be occupied only as &— Q�`
in accord ce with plot plan, plans and Sp i 'cation filed herewith.
Estimated Value o4 Improvements $ 94
/]
FEES Jy / Plan Check $ n
Owner /// _ ` t�/J�_tiJZe— Address 'U� r 0
:t tr
Contr. Address i r r
G n
Phone ���— -2, f� � State Licence OS !�
Approved
/ APPLICATION FOR ELECTRICAL PERMIT
6�.
Data 19 17L-:� FEES rr p n
Contr. ��-+�-v�1..t.t�_J Address �r ,�Y J
Phone
-7J � '-SW State License •CC
Approved L �G 7
APPLICATION FOR PLUMBING & GAS PERMIT
Dare 19 7 Y GAS FEES (-/ 0 ")
/J �� PLUMBING FEE $ Imo• _
Contr. A 7'�-v-�� Addres"Z t5—' `�^-�
Phone 22 Y'S--d-3 State License
Approved
`���
APP L TION FOR APPLIANCE PERMI/ /a
Date �J 19 FEES ��/p
Contr. .�r--/ Address IJ 44 ' �-/
Phone �Z }b 3 �-3 State License /oZSo1-6��J
Approved `�C Applicants agree agree not to violate any of the .�
Workman's Compensation Laws of the
State of California
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