51273 lazz— f ±!�R LOT NO. 127
NO. • STREET 0 ti✓ 6
N Q /n�'NJ
W¢ CITY OF' CUPERTINO
Yo CITY ppcuPwMPLICATION FOR BUILDING PERMIT
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O J 7O Building Par.No. p
mU Da 19' v L' �, ,,Sanitery Per.No. a 7 C
o Application is her�py rt�ada for a permit to ,t1�-�'
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o F a Z story; ype Structure
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v, to be occupied only as in accordance with
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a h Plans,Specifications and Plot-Plan fil herewith. PI Ck Fee$6—
_o o Estimated Value of Improvements,$ .2 3, Oa0. On Fee$ 72,CP-0
' '73 6 /
o Total Fee$
Z J 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
3 a the City of Cupertino will be complied with. pp
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W w
Q 0 Owner � yy Address
By ne^4" LZ9S kQ. JTi VLwh o"�"•y OP'G',-..�-
-9 'Pw`ccryp- Address
—U Contr. gent. r
Phone 9EA4-9-VO Approved r
State License aro 173 y X Building Inspector
10827 I Northridge. Sq LOT NO. 127
NO. STREET Plan 9-B
z CITY OF CUPERTINO J
yo CITY OF CUPEMftICATION FOR ELECTRICAL PERMIT
ir_ .�
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4 14
Permit No.
W 1973 12 1973 7
H O Date nn '19 Fee$�
W F App'IkatiAn it hJQby 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
40 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.
Ja
00 Use of Work To Be '
> Premises Performed tT 11 A 1A.(,('4J
Z� Owner '0 $1_ PA. �, Address 1114 n a, P 0 a/l a—
j o ey_WANDERER ELECTRIC, INC.'_'—Aaa et.T �1 uV3 11
F Contractor,Agent
— a Phone 73b-5*431
N
w= a�ae��r '
[[y State Lieanse. Approvetl
QO Electrical Inspecto
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I
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges oc� 1
Size of Main Service o J}
Number of Meters I
Number of Panels
Signs _ Transformers
Dryers
Motors: y
-H.P. Phase 14
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees
1-7. -7o
/ � /"/ A .�4 -.1_-- LOT NO. J 7
NO. STREF.I'
CITY OF CUPERTINO
a co of tt+o APPLICATION FOR PLUMBING PERMIT
r p E� 5 1972 Sanitary No.
3 < DUare N�.V O 1J/ Z , Iq _ Permit No
w LL Fee $ .Z 3. Xb
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
Z w Cupertino, and all other laws applicable thereto.
a Use of Premises Single Dwelling
J LL
00
> 3 Owner Ditz Crane Co. A�drgss5 De La Cruz Blvd. S. C.
oa
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By u L. C. Bohart Plumbing Co. AJ&2ssE. Fremont Ave., SIvale
O CONTRACTOR, AGENT
3 r
— Phone 245-2323
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W w
aU State License 186579 Approved /
I 1 j/ PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material /
Bath Tub To Curb
Shower I To Pro . Line
Lavatories To Existin
Itchen Sink ! Not Conn,
Dish Washer
'Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
;Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
-Hopper Size 73A rr
Restaurant Sink Material
Sand Trap TOTAL FEES
• Urinal Fixture Fee f
Area Drain Main Drain Fee
Water Leader Stonn Drain Fee
Sprinkler System Water Sys. Fee
Relief Valve raq Fee.
/ SD
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 2-0-D
Total Total Fee 3. 37J
Id Si? LOT NO.
NO. STREET
APWCATION FOR APPLIANCE PERMIT
Zi 01G`' N ` l CITY OF CUPERTINO
3 i Date JAN X6 1'Y 7-3, 19• _ Permit No. ray 7 3
=4 D r Fee$ / `f
' 0 Application is hereby nin-de 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 City of Cupertino, and all other laws applicable thereto.
3 ~ Use of Premises /9
4
00
"9Owner .IGS - �/� �.
5, ; Address
O <
2 J
j.o By Za Address 1.3e
3 F ONTRACTOR,AGENT _
m PhoneWz
5�
W s State Licens��'S�B�� Approved-
< 0
PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. J yG
Gas Fired Boilers
Wamping Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent Svstem
Com., Indust..Inst.Kit.
Hood& Vent System 30 0
Forced Air Under 4000 CFAs
Forced Air Over 4000 CFM
Ind. Ventilation System -od
(without Comfort
Forced Air.Mech.each Power
Gravity S stem '
No.of Air Outlets,No,of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
_Under IS" High
Over 15'iiigl
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 &cc
Total Total Fee 116c
CERTIFICATE ' 09 COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... ....................... 19-.--i& Building Permit No. 5)2-2,1,
The Building Located at ..j.rn.:- .7.?.... ..... ....................
Ownedby ... ........................................................................
Has Been mOnirpl; .
6d-' r Use As: ..................................
...............................................................................................................................................
..............................................................................................................------- ...........................
....................................................................
BUILDING INSPECTOR
RECORD OFANSPECTIDN APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL .- '
FOUNDATION #f -T
UNDERFLOOR 7 Ek
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
x'13 r ti _ ti
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH' i5a
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN FINAL PLBG. -FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Y I C-q ►Y1.k&CzL S i.� Lot No. ��7
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. ff 2 76
�y File No_!!L �
Dote 19
Application is
hereby mode for a permit to
6";i a s ory, Type
to be occupied only as
in accord .e with P Plan, Plans c6d Specification filed her ith,
Estimated Value of Improvements $ 2 7t boo
FEES 7 3/6462
*11111 Plan Check $
Ow nar _ /J���i ^�Gicw•.a.., Address Z 245 Da.
a. �Q
Contr. Address
Phone = - Zl H 2.44 10 State License
r
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
�)
Dote 19 GAS FEE $ `� S
PLUMBING FEE $ c��• 3�
Contr. 4V" '�- Address
Phone - �`s �d3d-3 State License - �/d' w✓q - 7:/
Approved i, /(` 'e+ -� 4
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1