51273 /O b C / /�1T �Y. LOT NO. 5 g Z-Sa
I.�p� STH IT A
iQITY OF CUP-cFTINO - •D ��-1
W z CITY OF 'CUPERTINO
2MG14 1972 APPLICATION FOR BUILDING PERMIT
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3 a /� ,,� Building Per.No.
w U I;) RAte u�}'9 , 1g �� n Sanitary Per.No.
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i-0 Application is hereby made for a permit to
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o F a L story, Type — Structure
W to be occupied only asin accordance with
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F Plans,Specifications and Plot-Plan f HA herewith. PI Ck Fee$
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20 Estimated Value of Improvements, $ 95,1 -77.0-0i a2rp � Fee$
o a Total Fee$
Z J It ishereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
2 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. f
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Owner I "•-� Address Z Z y
O� By�xAddress �l +
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_U Contr.or gent.
Phone 2-Y" 4/O Approved 99! s
State License 66173 u Building Inspector
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ma Io8si Nni4h.Cnrdp, Wo"NO. STREET OT NO.
r o coyfl0t0 CITY OF CUPERTINO plan D
0um p4 APPLICATION FOR ELECTRICAL PERMIT
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Date "lama 1 ' 19 -22 Permit No. ^I v
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o a t� N
r Fee w
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U) Application is hereby made to the City of Cupertino for a permit to install 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 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
S W City of Cupertino, and all other laws applicable thereto.
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zJ Use of Premises
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3 a Owner �Nt?, -(J' Ue. Add4ELECMrAL
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W w By WANDERER ELECTRIC, INC. '
QO CONTRACTOR, AGENT A Phone: 7310 _C—rel- 1 PPJ IMP4E
State License Q79k,7y x c�
ITEM NEW RPL FEES
Number of Outlets 1
Number of Switches 15
Number of Receptacles a3
Number of Fixtures 1
Ran es er8was.X-W.
Size of Main Service
Number of Meters
Number of Panels
Signs-Trdnsformers '
Dryers 1 I.
Motors:
/
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees
8.30
� LOT NO.
NO. /cam a
h0. STR T
W d ClfY OF GViHtM
o CITY OF CUPERTINO
C nAPPLICATION FOR PLUMBING PERMIT
s R SEP 2 U 1972. Sanitary No. "f
0 ° N u Py _� % 1��� y
0 Date 19 — Permit No73
a
W LL Fee $ a-3. —°
O 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
<w Cupertino, and all other laws applicable thereto.
W I
LL Use of Premises Single Dwelling
0 0 2295 De LaCruz Blvd., S. C.
�
3 Owner Ditz Crane Co. Address
i_j 167 E. Fremont Ave., Srvale
z By L. C. Bohart Plumbing Co. Address
O CONTRACTOR,AGENT
3r
— 0 Phone 245-2323
40 Shu _
State License 186579 Approved.
U � PLUMBING INSPECTOR
PLS, - ,o
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet > Material i
Bath Tub To Curb
Shower / To Prop.Line
Lavatories 2 To Existing
Kitchen Not Co
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
WasMng Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking.Fountain
Floor Drain WATER SYSTEM
—90—pper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee / . C v
Area Drain Main Drain Fee J
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee f/
Relief Valve C.2q FPP
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee 3.rd
/D!-_Y/ LOT NO. I G O
NO. STREET
ON of cAPVTICATI®PI FOR APPLIANCE PERMIT
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z 2 C11Y OF CUPERfINO
LL rhA�
o Dare 19 _ Permit S�a 7 3
4 " FEBe22�g7�^ No.
>ee s
' 0 Application is hereby matte to the City-of Cupertino fora permit to
O < install gas appliances as listed on the reverse side hereof, and agrees to
z o install said appliances in accordance with the provisions of the Plumbing
= Code of the Citypf Cupertino, and all other laws applicable thereto.
S ~
Use of Premises
00 C ^n
" Owner Address
z_j C6
�z Ey Address
OPLOG -qpp$1:
3: r—n AerCO.
Phone CAMOCC
o w LICENSE #262Erf82$
ao State License Approved
U / PLUMBING INSPECTOR
d—
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. 1 JlJ
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath JV
Inde end. Vent System
Com..Indust.. 1 nst.Kit.
Hootl&Vent System
Forced Air Under 4000 C7Fh1
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 for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under IS'High
Over I S'l liel
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 �J O"U
Total Total Fee tTl)
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......6?—..CT........................ 19-7.3.. Building Permit No. JM 3...
The Building Located at ... A
.. . ►......... ............
Ownedby .....................................................................
Ved) or�
Has Been Use As: Q&--e-Q............................zR
............-...................................................................................................................................
.................................................................................................................................................
.................................................................................. . . ..................... ........................
41-�......................
UILDING INSPECTOR
RECORD Of INSPECTION APPROVALS
BUILDING
DATE INSPECT C
PAD FINAL KAV
FOUNDATION
UNDERFLOOR7 3•
FRAME
LAT PLASTER
GRADING FINAL
FINAL BLDG. ��
F2 ret�Lte
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
t
ROUGH WIRING klQ
FINISHED WIRING - 3 `^
FIXTURES 23
MOTORS
FINAL 123
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. Ags
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH 1379.
ROUGH COMPLETE -?
MAIN DRAIN s �"
FINAL PLBG. -7
FINAL GAS - 73
FINALAPPLIANCE "�
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No./51y
No. $freet 1, 75
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT /
Sanitary No. 91,2- 6
File No.�;r � 7_3
Date_ �_(��7 9
Application is hereby made for a permit to
a � story, TJy��p -
to be occupied only as �,. /�
in ac dance with Plot Plan, Plan LLd Specification filed herewith.
Estimated Value of Improvements $ "Z 1
FEES f� -2PD ti ' 00 Plan Check E
zOwner z , � Address Z Z•'q-s� 1)�. G.
Contr. Address
Phone �`� .2 �� d State License �G
Approved
APPLICATION FOR ELECTRICAL PERMIT
G3f
Data / / 192J FEES d
Contr. �/[S� / / Address
Phone -- �•'; b - S^�,-/ State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 Tat GAS FEE $ /)
may'' PLUMBING FEE $ y
Contr. Address / ' 7
Phone a`'lt —'d 3l't3 State License FLE 7
Approved -
Data `3/
APPLICATION FOR APPLIANCE PERMIT to _
79 7-3 FEES ,yq /
Contr. Address ";
Phone - �"�9..� State License
J
Approved
Applicants agree not to violate any of the J�
Workman's Compensation Laws of the
State of California
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