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51273 �O 906o r e " L 114-e L LOT NO. NO. STREET - Po_ C1 w Z CITY OF CUPERTINO {r��^J xo ctill ptcue APPLICATION FOR BUILDING PERMIT O:i1912 y Building Per.No. W u ��e p . 19 . Sanitary Per.No. o Application h"by ma for a permit to � LL 0 a a-2 story, Type i Structure m to be occupied only as Q!±!!& w in accordance with a F Plans,Specifications and Plot-Plan f led herewith. PI Ck Fee$ — o p Estimated Value of Improvements,$ a 3� Ctb • em Fee$ 77 1-�5 Total Fee$ 3 0 Z_1 It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances Z and all other laws applicable to the construction, location, and use of buildings within �a the city of Cupertino will be complied with. Wl W eone Owner•../ Address 2�/�#/Cl v�.r-'^r //✓vT lN^'� IKGVt. a 51 ✓ / �� <0 BY i Address Conti. Agent. • P ��y— ftApproved s / State License �/�7.3� Building Inspector 'V/ i 10806 I Northridge S : Y LOT NO. 198 NO. STREET Plan 13-C m Z CITY OF CUPERTINO OLL Ciff OP CUPFL71 Ir APPLICATION FOR ELECTRICAL PERMIT cc�0-1 w U MAY ��7�1 Permit No. F Date , 18 Fee$ o F opl*tidn inlereby made to the City of Cupertino for a permit to,install electrical '< wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said Z N wiring and/or fixtures in accordance with the provisions of the Electrical Code of the WW City of Cupertino, and all other laws applicable thereto. <r JW 00 Use of Work To Be Premises 1'��I'1'1� lA 0 rL. Performed �-L-�D�',1'A/ ill.Q > Z 4 Owner' r AQ h 0 . Addrew RQQ F1 l-A � 11A A A . �a evjWAI DERER contractor,Agent —4 m Phone ul w State License ��b�Y APprc — ¢n O f Electrical Inspector <.O \X ITEM NEW RPL FEES Number of Outlets Number of Switches rJ Number of Receptacles Number of Fixtures Ranges ec-Orens-4As4- Size of Main Service ap K} Number of Meters Number of Panels Signs•- Transformers Dryers Motors: (� — H:P. Phase "H.P. Phase H.P. Phase Power Poles Misc. Permit Fee 2.00 H.P. Charges Total Fees I� QS r'od o ,//>r� LOT NO. I 7,P NO. STREET CITY'OF MkRTINO W Z °e �uee1tjO APPLICATION FOR PLUMBING PERMIT z 91� Sanitary No. yO nCC (r� 3 a I&� 5 jq 19 _ Permit No W O Fee $ cQ 3.S. o Application ation 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 i a 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. wx LL Use of Premises Single Dwelling 00 2295 De La Cruz Blvd., S. C. . 3 Owner Ditz Crane Co. Address zJ 167 E. Fremont Ave., SIvale J x By L. C. Bohart Plumbing Co. Address CONTRACTOR,AGENT 3 � 245-2323 - m Phone1�//�� ao State License 186579 Approved -0 l!` ul ` k PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater I Size Water Closet 1 Material Bath Tub To Curb Shower ( To Prot).Line Lmratories To Existing Kitchen Not Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine ( Size Water Softener It Material Bar Sink. ToMain Drain Comb.Sink&:Tray To Curb Dental Unit MFountain Drain WATER SYSTEM liopper Size Restaurant Sick Material Sand Trap TOTAL FEES Urinal Fixture Fee ?. Area Drain Main Drain Fee Water er Stom Drain Fee S rinkler System Water Sys.Fee Relief Valve 7� Vac Breaker Skimmer Filter Pool Sweeper Pemtit Fee Total Total Fee /08a� �in6n�.s .L(rNo. /98. No. STREET � Pg)AG►TION FOR APPLIANCE PERMITr o J Uy l 17 19 i MY OF CUPMTWO :3 Date 1- 3 19. — Permit No. 0 A 1 n Fee$ /y� LL ►o Application is hereby made 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 Y = Code of the City of Cupertino, and all other laws applicable thereto. SUse of Premises Y 00 cOwner l� - � .zt- > - Address -r'a25 fd �. ZBy_00 s. � �r ePaO Address �'o — CONTRACTOR,AGENT m Phone 398-093 To State License X15 r Approved U PLUMBING INSPECTOR APPLIANCE UNITS FEES Lias I op Gas Oven Wall Furnace Gravity Furn. Forced Air Furn. yo d Gas Fired Boilers Waning Ovens Susp. Units Dwelling Kit./Bath Inde end.Vent System Com., Indust.,Inst.Kit. Hood&Vent System Forced Air Under 4000 CFM 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 Slacks,Misc.Equip. Under IS'High Over 15'11 dgh 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 3u� Total Total Fee CERTIFICATE OF COMPLETION BUILDING INSPECT'OR'S OFFICE CITY OF CUPERTINO Date ............................................... 19............ Building Permit No. ..- .......... The Building Locatrd at .....I. Uso Owned by .......61p.,v. ..... ......... .......... ------------------------ m I Hisor Use As: .................................................. .............................. ............................... .........................I.................................................................... ....................................................................................Q...... ................. .................................................................................Zmf-�',... ...................................... ........ ................. .... ................. BUILDING INS t RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR FRAME '� LATH & PLASTER GRADING FINAL FINAL BLDG. ELECTRICAL DATE INSPECTOR MISC. UNDERGROUNDROUGH ROUGH WIRING �2] FINISHED WIRING FINAL ` -�7 41-10, FIXTURES ` MOTORS I PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REO. i SANITARY NjH ;'-'-- PARTIAL UNDERGROU7i PARTIAL ROROUGH COMMAIN DRAINFINAL PLBGFINAL GASFINAL APPL '" DATE INSPECTOR MISC. MISC MISC MISC s� Lot No. No. Street '• G/ CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT Sanitary No. File N Dore 19 —2-20 G,Application its hereby made for a permit to a story, Type to be occupied only asnalaA40 44^0 in accordWe with P(of plan, Plans0d Specification filed he&itk Estimated Value of Improvements s O O FEES //0 0 Plan Check $ Owner AL IV I'WJK� Address Ir � Contr. I G Address Phone State License 1 S Approved APPLICATION FOR ELECTRICAL PERMIT Data 19 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Do to `L S 19 7 L GAS FEE $ (" 52 Q PLUMBING FEE $ a I J-7 Contr, — �C��"s✓�./r Address 16 2 r5 Phone �'S �i'3 �3 State License /A/ SQ7 Approved "`� APPLICATION FOR APPLIANCE PERMIT Date 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 - PDA