51273 /0936 LOT NO.
NO. STREET' A/�_
zZ CRY OF CUPERMO CITY OF CUPERTINO C � /—
Yo PLICATION FOR BUILDING PERMIT
XLL SEP 4191E ria 3
O J Building Per.No.
Wu U Date B�anitarV Per.No.
�
W Application is hereby VWe for a permit to
' w
o a story, Type Structure
>a
<0 to be occupied only as vw• in accordance with
ww
a Plans,Specifications and Plot-Plan Aed herewith. PI Ck Fee$
J Z
20 Estimated Value of Improvements, $ 3ziOsa•00 Fee$ 9S. O
04 Total Fee$
977y
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
_i 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.
¢Z Owner.�W,—Nd-k.f.� Address 22j" Iec
e.
a0 By Address
0 Contr r gent. e
d49 29/0
Phone Approved
State License 96173! Building Inspector
10836 I Northridge SQ.. ' LOT NO. 195
NO. STREET Plan 13-F
Z a CITY OF CUPERTINO
xa CRY of cu" APPLICATION FOR ELECTRICAL PERMIT
MAY 14 1913
3-1
�p Permit No.
ju.
O Dete NIAY 1 L Ja73 .to Fea$
01- Application is hereby made to the City of Cupertino for a permit to install electrical
ZF wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a 0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F r City of Cupertino, and all other laws applicable thereto.
a
J
O 0 Use of Work To Be
1 Premises — Performed L1 Ar
f
04 Owner — gtltlreu
2
jo SMANDERER ELECTRIC, GiC.__.>Ade.r."
Contractor,Agent
�Q
Phone �.�! ',S�Ja 1
2 W State License a7Hb74 Approved a
O f Electrical Inspector
a0
—U
ITEM NEW RPL FEES
Number of Outlets a,
Number of Switches
Number of Receptacles
Number of Fixtures �, o
Ran9es.er-9vens-*:W.
Size of Mein Service
Number of Meters /
Number of Panels
Signs-- Transformers
Dryers _
Motors:
H.P.. Phar
N.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges 3. �
Total Fees
/L7.OS
tOT No. // S
NO. STRERT _
m Of O�pfRSt� CITY 'OF CUPERTINO �
-Z �912APPLICATION FOR PLUMBING PERMIT
.Y 5 Sanitary No.
o o��
M,W
0 Date Al RV 4 n 19 , 19 _ Permit No
3 7�� I? Fee E a234
"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 prices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
wCupertino, and all other laws applicable thereto.
_ w x
Use of Premises Single Dwelling
°'O
> 0 2295 De La Cruz Blvd. S4 C:
Ditz Crane Co.
a Owner Address
o
ZJ L. C. Bohatt Plumbin Co. 167 E. Fremont AVe.0 S'vale
z Bg Address
'O y CONTRACTOR, AGENT
3 �
Phone 245-2323
w z
w w 186579
¢to
Q o r State License Approved
U.I X PLUMBING INSPECTOR
L — —
FMURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater I Size `
Water Closet 2 Material
Bath Tub To Curb
Shower To Prop.Line
Lavatories To Existing
Kitchen Sink t 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
Ifopper Size
Restaurant Sink Material
Sand Trap TOTAL FE S
Urinal Fixture Fee /J.
Area Drain Main Dram Fee
WaterLeader Storm Drain Fee
Sprinkler System Water Sys.Fee /J
Relief Valve
6�
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fce
Total Total Fee Z.3. —U
/D o sG STREET Y�G LOT NO. 7 1pp1S'
V
APPLICATION FOR APPLIANCE PERMIT
i a� . .. t7T1' OF CUPUTINO,
, 0 L
3 i Date 11 11N 4r�i—73 19•._ Permit No. J//2 3
U — �
m s Pees l y
o D A$pltla& is hereby made to the City-of Cupertino for a permit to
$i install gas appliances as listed on the reverse side hereof, and agrees to
<m install said appliances in accrrdance with the provisions of the Plumbing
Y i Code of the. City of C pertino, and all other laws applicable thereto.
S ~ Use of Premisesyen
6
00 r
cOwner .194 Addressers
zg
��� t Address A,?a
Z sy /J�� >
O CONTRACTOR,AGBNT r
3~
Phone �JJr-O 93F/
—m
ez ,
Ww
a n State License �`� ��'�r Approve
_U PLUMBING INSPBCPOR
APPLIANCE UNITS FEES
a� oT p
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warning Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vents stem
Com.,Indust.,Inst.Kit.
Hood &Vent System 300
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System yon
without C
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Firc laces
Smoke Stacks,Misc.Equip.
Under 15'High
Over 15'116gh
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 36 0
Total Total Fee /y0r7
CERTIFICATE ' OF' COMPLETION
BUILDING INSPEMWS OFFICE
CITY OF CUPERTWO
Date ............ ............... 19.7...-- Building Permit
Located-at ....I.-CL
-- ..... ......
.
Owned by ..... . .. . .. .........
The Building ,=, - 11
teteh se As
Completed
Has 'n ...... ......................
t-A I
............................................................................. ......................................................
......................................................................................................................... ...................
...... ................................. . ..... ............. ........ ... ..... .......--................
... ......... ............................
.....
BUILDING
INS
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL , 15 -L-
FOUNDATION FOUNDATION
UNDERFLOOR C�
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. ^ '
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS-
FINAL-
PLUMBING,
OTORSFINALPLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH j Y
PARTIAL ROUGH-
ROUGH
OUGH ROUGH COMPLETE
MAIN DRAIN y
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE - 3
DATE INSPECTOR MISC.
MISC
MISC
MISC
SID Lot Lot No.
No. Street 0
CITY OF CUPERTINO rZ.
APPLICATION FOR BUILDING PERMIT
Sanitary No. 9.9/
� w� File No.
�
Date.—j,�L_19 2-la_
App[is hereby made for a permit to
1 A ° StorY. Type
to 6e occupied only as __ J
in accordQce with Plot n, Plans and fpecification filed herew
Estimated Value of Improvements $ .32 0 pow
FEE$ .ems.:• 9'S.ra Plan Check $
Owner IIFia �ai� a Address Z
�I
Contr, Address
Phone - 2 2A 140 State Licens `�
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT 7
Date /L 19 li GAS FEE $ (; Ja /
PLUMBING FEE $/` I -�d�• �
Contr.
Address
State License
t 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
PD-1