51273 `0907 LOTNo. (Al
NO. STREET '
m Q YcIJ-w�
f¢ pcrr, P CtIPEaTMp CITY OF CUPERTINO
xo 1g72APPLICATION FOR BUILDING PERMIT
"- Si.L 7 3
SEP W BUIIAIng Per.No. p
W O79' Sanitary Per.No. g a 7 Z-
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1-0 AQpli*ioA is ereby made for a permit to 4z,_�
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F a 2 story, Type / � � �/� Structure
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H to be occupied only as '� V/�'° r�itca in accordance with
ax Plans,Specifications and Plot-Plan Aed herewith. PI Ck Fee$9�—
20 Estimated Value of Improvements,$ AQ i 0-ov , 4L7 Fee$ 7S-0o
o d Total Fee$
710,68
Z� It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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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 W Owner - `��fY'w�- Address 2296✓<t Vv""`� ,?Wd "'"_"`
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By C Address
—U Contr.VAtient.
Phone ;-qq 2.9 t o Approved
iV"— State License Ila 17 -3 Building Inspector
10807 Northridge, Sq., 129
- , LOT NO.
NO. STREET Plan 9-A
z a CITY OF CUPERTINO
W 2 CRY Of CUPERTINO
Afp;p-.,g�,�CATION FOR ELECTRICAL PERMIT
1<D 4lyli
3< MAY 1 7
W
O 1 Permit No.
I
WO Data IS_ FeeB
o Application is hereby made to the City of Cupertino for a permit to install electrical
Z F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a m wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F City of Cupertino, and all other laws applicable thereto.
a
0 W
�O Use of Work 7o Be '
>L$n Premises (�I tJ�-Li4- Performed 1 r .Cf"AAif LLQ
OJ Owner— Address
2
o
3 F Contractor,Agent
– a Phone -736-b4P I
W N
2 1
�y State License ��1A)n1 IT Approvetl
0 f Electrical Inspector
a0
–0 J
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges er-9K..W_
Size of Main Service OOq
Number of Meters
Number of Panels
Signs - Transformers
Dryers
Motors:
H.P. Phase 14
_H.P. Phase
H.P. Phase
Power Pales
Misc.
Permit Fee 2.00
H.P. Charges o
Total Fees I b 60
l�O NO,. Sl7RECT EF.1, ` '✓Gw.�.A�l 'LOT NO. /2
•�—�
CITY OF CUPERTINO
Zz of eurOMAPPLICATION FOR PLUMBING PERMIT
x a n Sanitary No.
3 a D t'C �� Yg�t tt 197Z 19 _ Permit No
U
WLL i� �* r Fee $
0 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 priLes
i N 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.
a Use of Premises Single Dwelling
00
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3 Owner Ditz Crane Co. AMP De La Cruz Blvd-* S. C.
oa
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, By L. C. Bohart Plumbing Co. AJ&7ssE- Fremont Ave.. S'vala
O CONTRACTOR, AGENT
3 �
0
Phone 245-7323
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WW
rc a
a o State License 186579 Approved
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X PLUMBING INSPECTOR
L� -
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size '
Water Closet / Material /
B th Tub / To Curb
Shower To Prop.Line
Lavatories / To Existin
Kitchen Sink t Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine I Size
Water Softener Material
liar 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 O?J
' Area Drain Main Drain Fee 1
'Water Leader Storm Drain Fee
Sprinkler System Water Sys. Fee
TRelief Valve Gaq 17�.
Fflter
er
Permit Fee
Total Total Fee
Lor NO. 9
Ivo. STET - g
„ < <„MPItICATION FOR APPLIANCE PERMIT
z¢ �Utt ?13 CITY OF CUPERTINO
, o
/
ci Date /o 6.67 19,_ Permit No. s2
3 LL ^ Fee$ o�
' 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
za install said appliances in accordance with the provisions of the Plumbing
„ W Code of the City of Cupertino, and all other laws applicable thereto.
3 Use of Premises
V
OO
OwnerAddress 9cs XeI
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ZJ L
� z By `� /�an �9?v �Z Address 1_5a
o cONTRACTOR,AGENT
3 �
— Phone7vh' 'gum/
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W W
ex State License ' S 2-'L Approved
40
U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. ao
Gas Fired Boilers
Warming Ovens
Susp. Units -
Dwelling Kit./Bath
Inde end.Vent Svstcm
Com., Indust.,Inst.Kit.
Hood& Vent System &o
Forced Air Under 4000 CFNI
Forced Air Over 4000 CFM
Ind. Ventilations stem e
(without Comfort of
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets.No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks.-Mise. Equip.
_Under 15•Iligh
Over I i'I lie
Coin fort Cooling
Comp.of 20 HP or less -
&absorp. units with input
of 500.000 BTU or less
Conip over 20 HP& Under 50 HP
&Abso . units with input
of 500,001 &Under 1.000.000
Pemtit Fee c`5od
Total Total-Fee o�
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......&...nzn.................. 19-2X Building Permit No.
The Building Located at .....................
Ownedby ...... 01 .....................................................................
Has Been (Al(Al ,�For Use As: ......t....................................
tered)
..........................................................................................................I—,.............I...........
................................I................................................................................................................
....................................................................... .............
UILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL f� 8'
FOUNDATION �� • v -64
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL /
FINAL BLDG. •� Z 7
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING (�
FIXTURES , -
MOTORS Gj
FINAL `�
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH "7
PARTIAL ROUGH
ROUGH COMPLETE "•�, ' '��
MAIN DRAIN d
7 7Y
FINAL PLBG. a" 7
FINAL GAS _
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/tog Q7 I //�T I eA�r� �� Lot No. 12-9
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. Tf 272—
File
72.File No.. /t a 73
Date! _/_�19 Z2
•• ,, Application is hereby made for a permit to n
a 2" story, Type
to 6e occupied only as
ti
in accordari0er with Plotf Ian, Plans and fecificalion filed herewitl
Esti ma red Value f Improvements $ 2 t'
FEES Q� • n _ Plan Check $
Owner Address �A4 C41�
1t t♦ f � is
Contr. AA Address f.�
Phone d�� '� Z 4 0 State License 17 3
Approve+-W� 6(1• a,6.Ary(„
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date /Z 19 7 GAS FEE $
PLUMBING FEE $
Contr. Address Al 2
Phones t3 1'-3 State License
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
Slate of California
PD-1