51273 16961 —t't- A- 1-4' QL LOTNO. 160 �•r�'�
NO. STREET V T F
N
i a CITY OF CUPERTINO
Y o im pp GUptPY1N® APPLICATION FOR BUILDING PERMIT
Oj -
S/173
3 Q '2 BuilEing Per.No.
W U A�Ge e . tg Sen itery Per.No.
1LL Fa
o appl)Qatibn E%ereby ma for a permit to
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°a a Z story, Type Structure
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w to be occupied only as in accordance with
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a F Plans, Specifications and Plot-Plan filed he ewith. PI Ck Fee$ Ll _
00 Estimated Value of Improvements, $ 3 Zi Cr-0 , Fee$ 952:50
'y977 {
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 will be complied with.
W gfl,=1 ownerMo. 2"
— � Address 2_'Z VS- bt 0,-,
Q p By � a'1 Address /r /I
UIConn. Agent.
d Phone K— 29/'9 �/ APproved•_i s
State License 2� 7 3`/- Building Inspector ,
/o S 6 I l�or->rh-Fords.• nr.iy�. /
N Q NO. STR17EY LOT NO. I Fi O
z - IJ?EGWk0 -
r oy Of q CITY OF CUPERTINO Plap r
3U l�tiSiIKPPLICATION FOR ELECTRICAL PERMIT
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LL W Date 19 Permit No. _
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a N Application is hereby made to the City of Cupertino for a permit tc in. all electrical
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W = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
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0 o airing and/or fixtures in accordance with the provisions of the Electrical Code of the
S N City of Cupertino, and all other laws applicable thereto.
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z Use of Premises
1 -:4rAm. r _
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3 a Owner Address CI LAL
— N
W z By
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¢ a CONTRACTOR, AGENT
a UAppro _.
'Phone 7�i�`5�.7 ELECTRICAL IMPS i
\ State License
ITEM NEW RPL FEES
Number of Outlets /
Number of Switches 17
Number of Receptacles (,
Number of Fixtures l�
Ranges o 1, —
Size of Main Service
Number of Meters
Number of Panels 1
S' -T=sformers
Dryers
Motors: b
/4
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges o
Total Fees
O!1 �/-( `�✓✓ �'ara/T u•' • LOT NO.
NO. STREET ,
P < 01YAW UTiON FOR APPLIANCE PERMIT
4
TPA 261973 CITY OF CUPERTINO
LL
0 i Date I 19 — Permit No. /.,x 73
FEB `l+ 2Fee•$ i
= o
Application is hereby ra ittle to the City-of Cupertino for a permit to
o < 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. Ci o�y f Cl{pertino, and all other laws applicable thereto.
. • CJ -f/ _
SL Use of Premises (��
Owner Address nG�G�..
zJ By Address
O CONTRA OA,AGENT
3 �
- w
Phone
Y 2 1,Lv%j SHEET MET-Af= ,
e a CAMPBELL, CALIF.
o f State Licen Approve
Q O {_,.._ .� PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravitv Furn.
Forced Air Furn. 1 rn7
Gas Fired Boilers
Wam»ng Ovens
Susp. Units
Dwelling Kit./Bath Jb
Inde end. Vent Svstem
Com.• Indust., Inst.Kit.
Hood &Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort Cod.)
Forced Air.Mech.each Power
Gravit •System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equi .
Under 15'High
Over 15'1 ligl
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 13TU or less
Comp.over 20 HP&Under 50 HP
&Absorp.units with input
of 5 00.00 1 & Under 1,000.000
Permit Fee � �
Total Total Fee D'!1
I V 6( ,(//LV"L LOT NO. / b 6NO. STRE� '
pry of CUMPHO CITY OF CUPERTINO
wap 2 01972 APPLICATION FOR PLUMBING PERMIT
x p Sanitary No.
0
3 ap "Ate 1 hr 97� 2 , 19 _ Permit No. 5-2 73
_O
W Fee$ 23 '�—
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O
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 w Cupertino, and all other laws applicable thereto.
w I
w Use of Premises Single Dwelling
00 2295 De La Cruz Blvd., S. C.
3 Owner Dit2 Crane Co. Address
p_j
z 167 E. Fremont AVe., Srvale
J z By L. C. Bohart Plumbing Co. Address
O CONTRACTOR, AGENT
3 �
- `m Phone 245-2323
w Z
W w
ao State License 186 17c) Approved __ Ix
—U C�l PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater I Size t "
Water Closet L Material G/
Bath Tub To Curb
Shower / To Prom Line
Lavatories 2 To Existing
Kitchen I Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine f Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
.Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
.Hopper Size 3/ `
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee ( .,
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee r
Relief Valve c.2%Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee Z3.
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......S.M.91-................ ...... 19.72.:3t. Building Permit No.
The Building Located at ..... .........D!�; -
Ownedby .... ......................................................................
Has Been 4L4'�Fo
(Altered) r Use As: .....<5.... .............. .......................
.............I................................................. .........................................................................
................................................................................................................................. .............
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---
-- -- . ..
................... .............. I...........................
............. --------------------------- -- ----------- ---- ..............................
ILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTYR MIS .
PAD FINAL il
,, /
FOUNDATION Ll _1q ( -1 y
45
UNDERFLOOR f �3C
FRAME
_14817—P L �'a �•
GRADING FINAL �J
FINAL BLDG. -ELECTRICAL
DATE
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING - 1
FINISHED WIRING
FIXTURES –� 3
MOTORS
FINAL _7
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO. .
UNDERGROUND ROUGHar
PARTIAL ROUGH
ROUGH COMPLETE _7
MAIN DRAIN S 1
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.I tp
No. Street f y
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. ��D
File No, a -3
Do to 4Z2L 19
Application (s hereby made for a permit�t10
�ld a story, Type
to be occupied only as
in ar.cordon, with Plat Plan, Plans and Sp ' ication filed herewith,
Estimated Value of Improvements $
FEES 9�ti- 5/1� Plan Check $
Owner i�z - (/I/<-N Address";�'9
Contr. Address
Phone 0? 910 State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
�p
Date 19 73 FEES
Contr. Address ZL"-
Phone 73 tr/-S I,- State License -7L2
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Dote 19 7A GAS FEE $ C/dam/
PLUMBING FEE $ t,7?, J""O
Contr, �p Address/G 7
Phone State License , -
Approved -�-^r-c
3/ A P (CATION FOR APPLIANCE PERMIT r�
Date 19 FEES
y/"
Contr. v '7G Address -
Phone - 1 °77 O —e 5 31 State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1