51273 /0 SSb ��'D7�r'(4-/N•GCL/.G O. IY'r-�' LOT NO. /-302�u
NO. STREET )%"/
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wv,Q CITY OF CUPEFITINO- (,([• D
2
Y¢ APPLICATION FOR BUILDING PERMIT
O C pF CUPERi1N0
9 4C ,p ,(n,7^ Building Per.No. S/� 2j
W 7 L —, 1972-- Sanitary Per.No. 4:2 ?j
r o �J Applicatign is,.bereby m de for a permit to � f
w w 1
oF apory, Type Structure
H to be occupied only as a. qLet'• in accordance with
wW
c F Plans,Specifications and Plot-Plan iled herewith. PI Ck Fee$ '
J
20 Estimated Value of Improvements,$ ZSR OtiO. OtJ Fee$ 78.0-0
o a Total Fee$ 79.75
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J o and all other laws applicable to the construction, location, and use of buildings within
3 Q the City of Cupertino will be complied with.
w wOwn�er � � 9
" "
a.
Q¢2 By
% Address
-U Con/tr r Agent.
,1 Phone�yt7 - 2 ( (0 Approved s
�1d- State License2� V Building Inspector 'V/
10856 NorthridnP Sa. LOT NO. 130
NO. STREET Plan 10—D
W Z CITY OF CUPERTINO
y0
APPLICATION FOR ELECTRICAL PERMIT
3°a �( G7
Permit No.
F W Date �Y 1,2
CITY OF CGFaMqu is— Fee$
o F Application is hereby made to the City of Cupertino for a permit to install electrical
r 4 wirirMAtV/jrQfiA&fel 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
W i City oilCuRerttionnd all other laws applicable thereto.
a�
0
0 . . '
O O Use' of Work To as '
ei Premises Performed 1 0 P,r1.t711 A'd Q
O QOwner Address 40-/1� 0 M AQ-
-1
o er WANDERER ELECTRIC,
3 0 Contractor,Agent
—Q Phone
N
w= ab-74
w State License Approvetl
Electrical Inspector'
¢0
—U
ITEM NEW RPL FEES
Number of Outlets
Number of Switches _
Number of Receptacles
Number of Fixtures
Ranges or-6vens4r-W,
Size of Main Service
Number of Meters I
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
3.-
Total Fees
S. a
/DR�6 HI.rinw,eGO� i '-�-! LOT NO. d
NO.
Ot �p
ryo CITY OF CUPERTINO .
w 005 19�Z APPLICATION FOR PLUMBING PERMIT
y
013
Sanitar No.
@r.V 3 01972
Uatr 19 — Permit No
3
Fee$ 9P3.so
m� p
To
� 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
z N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
< w Cupertino, and all other laws applicable thereto.
a Use of Premises Single Dwelling
00
�
3 Owner Ditz Crane Co. AA% De La Cruz Blvd. S. C.
0 <
Z J
JZBy L. C. Bohart Plumbing Co. Ar�?L7ssE. Fremont AVe., S'vale
O CONTRACTOR, AGENT
3 �
- 0 Phone 245-2323
W Z
w w
W
o State License 186579 Approved
_U I /� PLUMBING INSPECTOR
pla" OR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater ( Size r
Water Closet Material C
Bath Tub To Curb
Shower To Prop.Line
Lavatories Z To Existing
Kitchen Sink Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
WasWng Machine f Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size s'1
Restaurant Sink Material
Sand Trap TOTAL FEES
10ter
Fixture Fee
in Main Drain Fee
Storm Drain Fee
r System Wa[er Sys.Fee
kereperPermit FeeTotal Fee Z
/d915-11 v , _t _ LOT NO. /3n
NSTREET
aAPPLICATION FOR APPLIANCE PERMW
�
i ZZe �Ut�r00 CITY OF CUPERTINO
4 Vf1 G
O i Dat �73 19. — Permit No. �� 3
m a �V\ t1 Fee•$ &0
' 0 Ytpp�ication 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
zV) install said appliances in accordance with the provisions of the Plumbing
= Code of the. Cityof Cupertino, and all other laws applicable thereto.
SUse of Premises 2
o_ o
' �" Uwnei ��z �� Address --P—P
� e
ZJ /J
JZ HAddress >_3d
�'O CONTRAC[OR.AGENT
a
—a Phone
mz
gW
M
a State License �B�S Approved-
9
_U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Ws I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warnting Ovens
Susp. Units
Dwelling Kit./Balls
Inde end. Vent System
Com.,Indust.,Inst.Kit.
Hood &Vent System a
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM _
Ind. Ventilation System j
without Comfort I
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flites
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under 15' Ili h
Oyer 15'1 ligh
Comfort Cooling
Comp.of 20 HP or less
&absorp. units with input
of 500.000 BTU or less
Comp over 30 HP& Under 50 HP
&Abso .units with input
of 500,001 &Under 1,000,000
Permit Fee 70o
Total Total Fee �Q
CERTIFICATE OF * COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........17.._-..2J................. 19-723... Building Permit No.
The Building Located at ..... ......A&e.7-Hzzm!6e........ V...............................
Ownedby ...j>1.774.1..<A?Lqpis�........ ........... ........................................I...................
Has Been For, Use As: ............ ..........................
(Altered)
...................................................................................... .........................................................
.............................I...................................................................................................................
..................................................................................................................................................
............ .... ...........
MING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTO MISC.
PAD FINAL RM I ab • 1
FOUNDATION
UNDERFLOOR
FRAME -Z
T & PLASTER �%
GRADING FINAL
FINAL BLDG.—:: ?A'
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH q
ROUGH WIRING `� e
FINISHED WIRING__V_
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO. �(
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN 9'
FINAL PLBG. �7
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR • ' MISC.
MISC
MISC
MISC
_ 09-5(0I ��T1� ('�. � Lot No. /30
No. Street '• �.7
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. IrZ 7 3.
' /� File No.. .all
._
Date --�L,L�19 . i
�� Application is hereby made for a permit to
a story, Type
to be occupiedd only
ly aas s
OF4 -A Cq
in accord .e with Plotflan, Plans and Specification filed herewith.
Estimated Value of Improvements s 24 Q00
FEES -79 . 06 Plan Check $
Owner —445� —✓ Address
01\ t t I\ I 1
Contr. Address �1
Phone Z' ' 2. 0 State License a• � �
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date /L 19 7 Z-' GAS FEE $ 01'>
,�`/�� , PLUMBING FEE $ �
Contr. ^-'+<—�/' Address
Phone o2 w 9-- State License 6
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