51273 LO/T�NO. 131
-y„�H„ Of CUPERTNO STREET CITY OF CUPERTINO
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miEP 14 1972
APPLICATION FOR BUILDING PERMIT
Building Per.No.
3 a dot 7 S�
W U gate I _ 19_ Sanitary Per.No.
�o Application is hereby mad for a permit to
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o F a Z story, Type Structure
¢0 to be occupied only as in accordance with
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a F Plans,Specifications and Plot-Plan fi ed herewith. PI Ck Fee$
go Estimated Value of Improvements, $ 93,oaD on Fee$ 72,pb
o a Total Fee$ 73.6!
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
o and all other laws applicable to the construction, location, and use of buildings within
3a the City of Cupertino will be complied with.
Do-
w w Owner DD - `'�/nuI"'"^-�� Adtlresa 2-2,95
QBy .l ✓""`T^^�� Address
-U Contr.or Arfient.
�d- Phone 2-4`(L 2e(( O APProvetl r /
State License Z(e f � 7� Building Infpector ;"/
10866 I Northridge Sq. LOT NO. 131
NO. STREET
v,aPlan 10-6
z_ CITY OF CUPERTINO
Wz
g a: "" OF cuPEP11APPLICATION FOR ELECTRICAL PERMIT
3<MAY 14 1973
'{ Permit No.
H O Dat P AMAY li 973 , 19 Fee$
01-
Application is lereby made to the City of Cupertino for a permit to install electrical
> F wiring and/or fixtures 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 City of Cupertino, and all other laws applicable thereto.
a�
J
00 Um of Work To Be `
>to Premises 1-L:JO M iA to Performed a 01n t'Otte.
0< Owner /�l t' �' An fill . Address l-A h 1-Q .A
01Q0,
2
J z ByWANDERER ELECTRIC
Jo I?IC • _ _Address
Contractor,Agent
3Q
N Phone 73b-540!
6 i State License alg(~74 Approved .--
02 Electrical Inspector
a0
.0 X
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges o•-9venrlP.W.
Size of Main Service
Number of Meters /
Number of Panels
Signs - Transformers
Dryers /
Motors: 6
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 200
H.P. Charges
Total Fees
LOT NO. ? I
NO. STREET
p0yp CITY OF CUPERTINO
" < CIV °p cu 9EIPPLICATION FOR PLUMBING PERMIT
x g pE� 5 1I�� Sanitary No.
LL Date �lU , 30 1972 19 _ Permit No
3�
, Fee $ c7 3
Application is hereby made to the City of Cupertino for a permit to install plumbing
o < pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r 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.
W Use of Premises Single Dwelling
00
> 0
Owner Ditz Crane Co. A gs,S De La Cruz Blvd.9 S. C.
0a
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Jx By L. C. Bohart Plumbing Co. AJ?2ssE. Fremont,Ave., S'vale,
O CONTRACCOR, AGENT
3 �
- `0 Phone 245-2323
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W W
f State License IR6579 Approved /
ao /
-U � X
/ \ PLUMBING INSPECTOR
P/-& ,. - b
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater f Size
Water Closet 2 Material G /
Bath Tub To Curb
Shower To Prom Line
Lavatories L To Existing
Kitchen t 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
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal .Fixture Fee /
Area Drain Main Drain Fee
WaterLeader St rm D Fee
Sprinkler System Water Sys. Fee
Relief Valve 11 C.Aq F�.
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee
/drF61. I '70,z> & la ,=" for No.
NO. STREET
P4 APPLICATION FOR APPLIANCE PERMIT
z ca/f�F�ao CITY OF CUPERTINO
o LL Da or G3' .�1�}�7J 19. — Permit No..�IZ`�3
o LL JV�� Fee S
° Agpli&tion is hereby made to the City-of Cupertino for a permit to
o F instill gas appliances as listed on the reverse side hereof, and agrees to
i m install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
rr
Use of Premises
4
O O
o g Owner �� � �
� ' , _ Address ? 9 s
z
�
a0 z Sy Lvo. "� Lf?�e.c�e0 Address /.56
'o CONTRACTOR,AGENT
3 C
a Phone.
- e
WW
ac State License -<LSaBaS Approved-
<
_U PLUNMING INSPECTOR
APPLIANCE UNITS FEES
op
^f p
Gas Oven
Wall Furnace
Gravitv Furn.
1 Forced Air Furn.
Gas Fired Boilers
W Hing Ovens
Sus . nits
Dwelling 'it./Bath
Inde end. Vent S stem
Com.. Indust.. Inst-Kit.
Hood&Vent Svstem 3 a o
Forced Air Under 4000 CFAI
Forced Air Over 4000 CFM
Ind.Ventilation System
without Comfort C
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for:Metal Fireplaces
Smoke Stacks,Misc. Equip,
Under 15' High
Over 1
Coin fort 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 300
Total Total Fee ou
CERTIFICATE OF - COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
Date ........ ...................... 19.... Building Perruit No. -71 72
The Building Located P�[S.ZP.m.....59�........................
Ownedby ..D/.7.—Z-.... .........................................................................
His Been Q�qmpleted For Use As: ...._ .................................
(Altered)
.................................................................................I.............................................................
............................................................................................I.....•............................I...............
.............................................................................. ........................./..........................
................ Z.Z�mf�f ..................
ILDING' INSPECTOR
RECORD OF MSPECTION APPROVALS
BUILDING
DATE INSPECT R _ MISC.
PAD FINAL
FOUNDATION -
�
UNDERFLOOR - 7 f+�
FRAME
LA & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING pl -77is FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. 773
SANITARY NO.
UNDERGROUND ROUGH /
PARTIAL ROUGH
ROUGH COMAV�
MAIN DRAINFINAL PLBGFINAL GASFINAL APPL
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No. 131
No. Street /t '
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.—QI 7�
File No. —
Data _C��19
/ Application is hereby made for a permit to
t
a s ory, Type
to be occupied only as
F—
in accorddve with Pl lan, Plans/an ecciification filed herewith,
Estimated Value of Improvements $ r2
T
FEES Plan Check $
Ow nar / 1
Address �C��L'I LOA
Contr. I f t Address (�
Phone i�� y — 2`I 10 State L;c'en„�� 2 fy 1 7 3 7
Approvecl " A-6e
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote �� 19 7 GAS FEE $
_� y PLUMBING FEE $
Contr. __fir "'s-�'t Address l` /2 cr� '�r-y'""' �
Phone vZ fLJ - L-? L ; State License ` s �6✓_7
Approved `� r
APPLICATION FOR APPLIANCE PERMIT
Data 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