51273 LOT NO. is3 Z c��l
STREET
y R CRT OF�BPERTRIO
W- CITY OF CUPERTINO
Y¢ SEP 14 1972APPLICATION FOR BUILDING PERMIT
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3 Q Builtlinp Per.No.
is U As A9 � , is 7 Y. Sanitary Per.No.
F o Application is hereby made`for a permit to
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aa a Lstory, Type Structure
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m to be occupied only as s in accordance with
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F Plans,Specifications and Plot-Plan fi ed herewith. PI Ck Fee$ r'
20 Estimated Value of Improvements,$ 93i O-OV• 00 Fee$ 7
Total Fee$ 73-61
oa
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
3 a the Ci of Cupertino will be complied with. Q_ •r
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W W Owner Address 22
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—U contr.or nt.
`,fes Phone Z — (6 Approved s
p\ State License 2,6 /73 Buildirq Inspector �,/
1080 I Northridge-.Sq. 123
r LOT NO.
NO. STREET Plan 10-B
z Z CITY OF CUPERTINO
Yo APPLICATION FOR ELECTRICAL PERMIT
X.,
3 U CRY 6F CUPERTINO ��,'J
_7 Permlt No. 7
F O Oat�UTATAW 11�/3 is Fee$
p F Application is hereby made to the City of Cupertino for a permit to insta elecal
Z F wirinAndllor Wixnu es as listed on the reverse side hereof, and agrees to install said
a" wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
WW City of Cupertino, and all other laws applicable thereto.
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00 Use of Work To Be '
5, Premises--1 e d. Performed L-e-9 n7n 1 Q f .
Z Q Owner —CJ+Q of . Address 01 n.*n (/Q A a
J zo av WANDERER ELECTRIC, II10. dd;a, ^� ^7
3 o Contractor,Agent
-aPhone 73b-r5Lia
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Wz a7Rb74
W state License
Q y Approved
02 Electrical lnspec or
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1
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures I I
Ranges o'-Ovens--K,W. /
Size of Main Service I OO f}'
Number of Meters I
Number of Panels
Signs - Transformers
Dryers
Molors: b H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees ) 7,-7o
LOT NO.� /23
NO. STREET
m 0� `Jp� 10 CITY OF CUPERTINO
z APPLICATION FOR PLUMBING PERMIT
C� Sanitary No.
o ate_ V3O1QT2
3 Q 19 Permit N
o
LLt� Fee $ .13• f� O
x
� ° Application is hereby made to the City of Cupertino For a permit to install plumbing
oa pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r 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.
a Use of Premises Single Dwelling
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3 Owner Ditz Crane Co. Ags De La Cruz Blvd.p S. C.
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J L By L. C. Bohart Plumbing Co. AJ#7ssE. Fremont Ave., SIvale
° CONTRACTOR• AGENT
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- `a Phone 245-2323
W Z
W W
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a o State License 1186579 Approved
U \ PLUMBING INSPECTOR —~
�gz - -6
FIXTURES NUMBER MAIN DRAIN
Units IFees 11 Units Fees
Water Heater 1 Size
Water Closet 2 Material
Bath Tub To Curb
Shower I To Prop.Line
Lavatories To Existing
Kitchen Sink Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing 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 I u
'Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee /
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee /
Relief Valve Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee S--p
Total Total Fee
,le AG7 A�4 . LOTNO." I�3
NO. STREET ^
APPLICATION FOR APPLIANCE PERMIT
rc `uc�pµo COPY OF CUPERTINO
LL
0 Date o�oI o' y� 19• _ Permit No. �3
Fee$ I C—V—
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Ap�lieation 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
z N install said appliances in accordance with the provisions of the Plumbing
= Code of the City onff S Cupertino, and all other laws applicable thereto.
Use of Premises _
00
c ; Owner ( �� Address a�9S zl .
zJ a
z By Address 13.
O CONTRACTOR, AGENT
3 �
— a Phone .'q 93y
ao State License '��8a,r Approved
_U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
.as I op
Gas Oven
Wall Furnace
Gravitv Furn.
Forced Air Furn. yO a
Gas Fired Boilers
Wanning Ovens
Sus . Units
Dwelling Kit./Bath
Inde end. Vent System
Com.. Indust., Inst.Kit.
Hood &Vent System 30
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilations stem
without Conti-Ort
Forced Air.Mech.each Power
Gravit •System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks, Mises Equip.
Under 15'High
Over 15'Ifigh
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
Pennit Fee dao
Total Total Fee
CERTIFICATE OF COMPLETION
BLT11JDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
—-7
Date ....... -2 .................. 19... Building Permit No. 2>-.7,3..
i.. ......
The Building Located at ..... ...... f:....
Ownedby .... ......................................................................
136G�Dietedv
Has Been =*or Use As: ...... ---
Has -Z . .......'......................
................................................................................................................................................
..............................................................................................................................................
...................................-...................................... ......... --------- ..................
. ..............................
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
r �
BUILDING
DATE INSPECT MISC
PAD FINAL -T-L/
FOUNDATION b A
UNDERFLOOR It L' 4-z / 7
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. /
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
�( e
ROUGH WIRING
FINISHED WIRING , R
FIXTURES r r
MOTORS
FINAL ( '7�
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGHP 7/3" >
PARTIAL ROUGH
r�
ROUGH COMPLETE
MAIN DRAIN j 7
FINAL PLBG. - 2
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR - MISC.
MISC
MISC
MISC
� b X71 TS felre, LotNa.�2 ?
No. Street 6 /r
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.—%2-4-L'
4 File No.
sz_a 23
Date / / 19 Z .
7Application is hereby made for a permit to
n 2— story, Type
to be occupied only as S-L-H r
in accordrsnna with plot plan, plans and S cification filed herewith
Estimated Value of Improvements 6
��rovements s 2 3, o
FEES 7 3. 61 // Qs'OO Plon Check $
Owner Address -7- eVcti,�
1 1 ♦ I
Contr. Address
Phone ~ ��� C> State License, 2-U 1 -7 3(f
1 / �
Approved —i`���1..•6�L �yi����._
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data �y S 19 GAS FEE $ "
PLUMBING FEE $ jj•� d
Cort. 4t• ^-+--vt Address /b
Phone - oZ (lis ^�01--3 l� State License
Approved - -/'
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
Stale of California
PD-I