51273 LOT NO.
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OF CUPERTINO EET CITY OF CUPERTINO
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s�UG 14 1972 APPLICATION FOR BUILDING PERMIT s ���
O J Building Per.No.�
wu p We 19 /v urY Per.No.
o Application is hereby r(*de for a permit to
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0 F a—L story, Type -/ Structure
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y to be occupied only as in accordance with
aF Plans,Specifications and Plot-Plan file herewit . PI Ck Fee$
32 c9-o . 45rso
20 Estimated Value of Improvements,$ i Fee$
> Total Fee$ 47.7 {
oa
Z It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cu
/�pertino will be complied with.
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WOwner -y�'1a�- Address 2'L� -�� � �
Q6 V
QBye Address
_u conn.o gem.
Phone 7 Ky 'n IO Approved
State License A6 17W kfx
Building Inspector w\
l oRl71 I Nor-1•h ad,Q� P-ri ve
✓I < NO. STREET LOT NO. fV q
r o �,tp8:�0 CITY OF CUPERTINO flan
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3 < N 4•`c�(3kPPLICATION FOR ELECTRICAL PERMIT
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o Date . k)-St L�
19 Permit No.
'o a ��
Pee
a a Application is hereby made to the City of Cupertino for a permit to install ectrical
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r 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
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City of Cupertino, and all other laws applicable thereto.
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z J Use of Premises - m• re 5
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3 < Owner _�l t 7 — or�1{7 e. Address r
— Z By WANDERER ELECTRIC, INC.
QO t CONTRACTOR, AGENT A COVe
-U Ph.ne: �.3�-�N� 1 PP
PL6C[AIfJ1 INSP8C701
(� State License DSS Uq v
ITEM NEW RPL FEES
Number of Outlets I
Number of Switches 7
Number of Receptacles 16
Number of Fixtures -2.3b
Ranges or-0vemwK-.W. /
Size of Main Service
Number of Meters
Number of Panels I �,
Signs-Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges ,�,OD
Total k-ees -'
1 ne 24 �� LOT NO. Z S7
NO. Sn Er
CrrY OF CUPERTMO CITY OF CUPERTINO
d APPLICATION FOR PLUMBING PERMIT
y o sEP z o t� G 17 1972 Jianitary N. if/ 2
0 a Date 19 — Permit No .6-1973
w 4 Fee$ a3. SD
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
> r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Z w Cupertino, and all other laws applicable thereto.
W I
a Use of Premises Single Dwelling
p0 2295 De La Cruz Blvd., S. C.
- 3 Owner Ditz Crane Co. Address
o_j
Z 167 E. Fremont Ave., Sruale
J z By L. C. Bohart Plumbing Co. Address
O CONTRACTOR, AGENT
3 �
- m Phone 245-2323
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186579
M
o State License Approved
—U PLUMBING INSPECTOR �//
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater ) Size y�l
Water Closet Material
Bath Tub I To Curb
Shower I To Prou. Line -�
Lavatories To Existing
Kitchen 1 Not
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine I Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drink' Fountain
Floor DrainI WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FE
Urinal Fixture Fee .?„S
Area Drain .Main Drain Fee
Water Lader Stom Drain Fee
Sprinkler System Water Sys.Fee
Relmef Valve Caq Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee y-Up
Total Total Fee 2-3 , d
/DQ7� LOT NO. /
NO. STREET ,
ptgjt4JCAlTI®N FOR APPLIANCE PERMIT
CO 3 CITY OF CUPEATINO
' 0
o < Dat ^ p 19• _ Permit No.
3 0 +�EY �' ' Fees /.
W W Application is hereby rrm'de to the City-of Cupertino for a permit to
o `a install gas appliances as listed on the reverse side hereof, and agrees to
iN install said appliances in accordance with the provisions of the Plumbing
i W Code of the City�of Cppertino, and all other laws applicable thereto.
5 Use of Premises
00
Ownei
Z J -I'/3Z I`•) Address `—
o sy
FL6~WNRIAL CO. —�
—H Phone CAMIRSELL, CAL{f�_
W LICENSE #252825
o 's State License App ro ed /
<U/� � PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Fum.
Forced Air Furn. t
Gas Fired Boilers
Warning Ovens
Susp. Units
Dwelling Kit./Bath �U
Inde. end. Vent.System
Com., Indust.,Inst.Kit.
Hood &Vent System r/U
Forced Air Under 4000 CFD7
Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets.No.of Flues
Stacks I-or Metal Fireplaces
Smoke Stacks. Misc. Equip.
Under 15'High
Over 15'114gh
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
or 500.001 &Under 1,000.000
Permit Fee
Total Total Fee J71
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
-7
Date ........:......=............................ 19_4..-f.-
9-4... Building Permit No. ......_.`..........
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I �... -..", -, - " ij-
1lie Building Located at ... . ...:�t...... ......................... ....... .....................
Ownedby .........................................................................
................................
Has Been (lirT-P!7��orUseAs: .. ..... , . b
..j............
(Alterid)
............................................................................................................................................
......................................................................................... ...................................................
...........................................................................
..........................
:.................................
&UI'L...D"I...N...G.....INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPEC R MI5 .
PAD FINAL
FOUNDATION ✓ _, 7 M
UNDERFLOOR
FRAME
&PLASTY ERS
GRADING FINAL—
FINAL
INAL FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES -�
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. -f-ito-za
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN y �}
FINAL PLBG. / s
FINAL GAS a1'( ✓ /
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
0 It 71 I / t I tl ,! D !1L- 121,,(ti-P- Lot No. /LW
No. Street 2-
CITY
CITY OF CUPERTINO 77
APPLICATION FOR-BUILDING PERMIT
Sanitary No. /a 1
t7
File No.-5-2 or ;13
Do �19 7'2�
Application is hereby made for a permit to --�
a s st ry, Type
to be occupied only as
in acconk0ce with Plot Plan, Plans,�Ofd Specification filed herewith„
Estimated Value of Improvements $ � C->
FEES � � a Plan Check $
Owner ���� - C//C//�2-'L- Address `` G+
Contr. / 1 Address I\ t`
Phone y `7 - r ��b State License � -3
�-
Approved z.. k
APPLICATION FOR ELECTRICAL PERMIT
jo=
Date T 19 I� FEES ,f
Contra-n-r`==✓ Address �y'� v
Phone _ 7.�� - fSc- J-'/ State License 7Se
'Approved
APPLICATION FOR PLUMBING & GAS PERMIT
C
Date // 19 7OZ' GAS FEE E �"//e )
PLUMBING FEE $
Contr. Address 16 ? v C/it�
Phone - a�� �3 1 State License 7
Approved
APPLICATION FOR APPLIANCE PERMIT e_
Data 19 X1. 3 FEES l�
Contr. Address o
Phone C"O � State License tfcxJ
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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