51273 10 N-7 LOT NO. I 5 .2-62-1
NO. STREET _ �. nn D
ZQ. CRY OF CUPERTINO
u,Z CITY OF CUPERTINO
eD ,SEP 19jgPLICATION FOR BUILDING PERMIT
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3 Q Q // Building Per.No. 15-1_1
W U Datra . t F1 t9 Sanitary Per.No. Z2 GT
o Application is heherreby made for a permit to is�
0 W
F a 2 story, Type �������oo Structure
Z
wto be occupied only as Y-tn"`^-7 '- in accordance with
a F Plans,Specifications and Plot-Plan fil(e)d herewith. PI Ck Fee$ ° J
0 o Estimated Value of Improvements,$ ZS. 6oD ' 0 Fee$ 7�
'" ?9,7.5'
o a Total Fee$
Z 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. n n /�(� p
Owner _l�'Dti.-l_ Addreae 22Q-$F a)� Lu ,"�-vW.
w11
QO
By Address ✓ / /
Conti.of Agent.
Phone '2yq- t 0t /
Approved
State License 2(° I'73 q ctor
1o847 I, Northridge, 5q . 125
' LOT NO.
NO. STREET Plan 10-D
N
W Z atx of cuPEinNo CITY OF CUPERTINO
MAY 14 JSVBLICATION FOR ELECTRICAL PERMIT
D<
WU r�. �/� 1 m^' Permit No.
h 0 Date rrJlAT'l j IJl3 19_ Fee$
p F Application is hereby made to the City of Cupertino for a permit to ilrrTff/sta ll electrical
z r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a w wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F I City of Cupertino, and all other laws applicable thereto.
a
J LL
00 Use of Work To Be '
Premises - Performed k 1A-^-0,�,,t^A;( a Q
O< Owner - Address DSII➢_.71Ia n ed Aa
Jzo By WANDERER ECTRI^,
3 F Contractor,Agent
- a Phone_ 7,3(o-Sq a I
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W State License 1�t73k'74 Appra—A
¢a
O f Electrical lnsPecto�
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_u
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges oFAeena-K,W. %
Size of Main Service
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
/057 g4.3n4 'LOT NO.
h0. STa EF.TA02 — /
Of WP CITY OF CUPERTINO
ORI-PLICATION FOR PLUMBING PERMIT
Z Z
W
Y 0 Sanitary No.
LLLv IA'I J iY 'eJ'Q 972
3 Uate t 19 _ Permit No
W Fee$ 97 3.5m-
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
i m 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
3 Use of Premises Single Dwelling
00
, 3 Owner Pitz Crane Co. AAALP!De La Cruz Blvd., S. C.
0 ¢
ZJ
� L By L. C. Bohart Plumbing Co. Aj&&E. Fremont Ave., S'vale
0 CONTRACTOR, AGENT
3 �
- `" Phone 245-2323
ao State License 1g43�q Approved
-U PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater 1 Size
Water Closet Material
Bath Tub I To Curb
Shower / To Prop. Line
Lavatories To Existing
Kitchen Sink1 Not
•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 < '
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee - 12, sa
Area Drain Main Drain Fee �zrD
• Water Leader Storm Drain Fe
•Sprinkler System Water Sys.Fee /.
Relief Valve T70�.- c-6
Vac Breaker
-Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee 3.
NO. STREET 'rte
APPLI,gATION FOR APPLIANCE PERMIT
y z Cir' O`r CUr"rn CITY OF CUPERnNO
x � 2 gi3
3j Date `U�lo'y} _7 3 , 19 _ Permit No.
LL
1 n Fee•$ S�
' o Application is hereby made to the City-of Cupertino for a permit to
W F install gas appliances as listed on the reverse side hereof, and agrees to
i a install said appliances in accordance with the provisions of the Plumbing
i Code of the City of Cupertino, and all other laws applicable thereto.
3 ~ -
„ Use of Premises161
o_ o
r n
� � Owner - el?4 -,,., • Address
o<
2J
Z By �.wc if L/i%J�O Address 13cy 1Ely ✓
J'O 61 CONTRACrOR,AGENT
3 �
— Phone .3'7A-093•`/
a u State License -R =�R�,t Approved
—U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Gas lop
Gas Oven
Wall Furnace
Gravitv Furn.
Forced Air Furn. Hv o
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling kit./Bath
Inde end. Vent System
Com.. Indust. Inst.k it.
Hood&Vent System 30Q
Forced Air Under 4000 CFM
Forced Air Over 4000 CPM
Ind. Ventilation System 0b
without Comfort 1
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks.Misc. Equip.
Under 15'lligh
Comfort Cooling
Comp.of 20 HP or less
&absorp. units with input
of 500.000 BTU at less
Comp over 20 HP& Under 50 HP
&AbWrP. units With input
of 500,001 &Under 1,000,000
Permit Fee 30�
Total Total Fee p.p
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO 77
Date ...... ...................... 19.�09?-...3 Building Permit No.
The Building Located at .....
......... ...... ...... .............
Ownedby ...... ......................................................................
Has Been defdm�pj— por Use As: ..:. :_ ....................
..................................-........
(Altered) I
................................................................I..........I...................................................................-
...................................11...........................................................................................................
......................................... ........................................ . ... .. ....... .. ........................
....*...
....... ...
BUILDING- .........
-9�li i�"D�IZNG
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL ^ V-64 Lo
FOUNDATION
UNDERFLOOR
FRAME 7/
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
JIF
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING (�1
FIXTURES
MOTORS A
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH I
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN 7
FINAL PLBG. -7
FINAL GAS _ 73
FINAL APPLIANCE 7
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No. /ZS
No. Street
CITY OF CUPERTINO �'�
APPLICATION FOR BUILDING PERMIT ry
Sanitary No. 57z(. p
File He- X4 a 7
Do to 19 -Z2--
Application is hereby made for a permit to
astory, T e
to be occupied only as ` _ __ D'
in accords Plot with lan, Plans an pecification filed herewi
Estimated Valu of Improvements $ 24640,6
r
FEES • 1W Plan Check $
Owner Address
1\ \ t .\ t♦
Conor. Address
Phone gq&4 - Zati V State License A L* I
Approved 1443&-oo 10
1111
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date S 79 77i GAS FEE E
PLUMBING FEE
Contr. — Address
Phone3 1'� State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Dote 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