51273 10 977 2k M./L� . LOT NO. 12-Z
pry OF CUPERTWO STREET
CITY OF CUPERTINO n D
WZ
y0 SEP 14 194PLICATION FOR BUILDING PERMIT
LL
3_i
Q / Building Per.No. ���Z 73
W V Dat , 197Y Sanitary Per.No. �_L6 i-0 Application is hereby for a permit to
LLW
0 F a L story, Type - � � Structure
Ww to be occupied only as CJcG in accordance with
a F Plans, Specifications and Plot-Plan f' ed herewith. PI Ck Fee$ — a-
2o
a—
_op Estimated Value of Improvements, $ aSOfiD •Od Fee$ 7&-0-0
79'75-
o a Total Fee$
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 City of Cupertino will be complied with. 1�f yy
yWj W Owner �w0�u-R- Address Z2'y.] �C /R -' "„
¢1 /
Q p BY � Address
U Contr. r Agent.
Phone a� — I Df/ APDrwetl/ s
State License ��1737 ,r Building Inspector I-'/
10877 I Northridge -Sq. 122 /
LOT NO.
NO. STREET Plan 10-D
y a CITY OF CUPER'TINO
W Z CRT OF CUPERTINO
Yo APPLICATION FOR ELECTRICAL PERMIT
3U MAY 14 1973
W µnAn` Permit No. c 7 3
1-0 Date AY 1 2� 1� , 19_ Fee$
o U.F Application is hereby made to the City of Cupertino for a permit to 414 electrical
i
F 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 City of Cupertino, and all other laws applicable thereto.
a
Jy
00 Use ofWork To Be '
j Premises Performed. d pr-� Ak�Lt
Oa Owner - ALI A JZ1 Address EacLtI'�'Q
Z
J ZO edd'AN'�FRG�El rp-,nn' r.: . _Address__. /1-(..
3 F Contractor,Agent "-- "'
—H Phone 7 �t�������� I������
aState License_pL_L.112_L_ l I Approved
02 Electrical lnspecto
40
_u
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles a
Number of Fixtures -.
Ranges oc_Ovaws-I . 1
Size of Main Service IoO
Number of Meters
Number of Panels
Signs - Transformers
Drykrs
Motors:
.H.P. Phase
H.P.-Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges i
Total Fees q
�O.
/677 LOTrgO. /L
NO. STREET
CITY OF CUP$RTINO
of
covsOO APPLICATION FOR PLUMBING PERMIT
W Z col
r p �C('� g12,c�� !n� n Sanitary No.
a a �19aYe I d 11 1972 ig — Permit No
3 n A Fee $ a9.3 �$
0 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 CraneCo. AA2g De La Cruz Blvd., S. C.
0a
ZJ
� ` gy L. C. Bohart Plumbing Co. AA?l7ssE. Fremont Ave., SIvale
O CONTRACTOR,AGENT
3 � 245-2323
- Phone
Wz
W W
Y State License IA6579 Approved
a o
U PLUMBING INSPECTOR
PL
FIXTURES NUMBER MAIN DRAIN
Units I Fees Units Fees
Water Heater / I IlSize u
Water Closet Material
Bath Tub To Curb
Shower To Prov. Line ✓
Lavatories To Existing
kitchenSink I 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 11
• Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee a
Area Drain Main Drain Fee
Water Leader Stom Drain Fee.
Sprinkler System I fj Water Sys.Fee
Relief Valve Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee d�D
Total Total Fee 2_?, s7J
/0O 7-J LOT NO
NO. STREETP4 z G'
APICATION FOR APPLIANCE PERMIT
E a 6Y °` 19 i 3 CITY OF CUPERTINO
s _ls -7 3
O Daie� 19. _ Permit No.
3u t o
Fees
o Application is hereby rande to the City of Cupertino for a permit to
04 install gas appliances as listed on the reverse side hereof, and agrees to
C
a install said appliances in accordance with the provisions of the Plumbing
C i Code of the City of Cupertino, and all other laws applicable thereto.
S0
Use of Premises ��-.
00
M ; owner Address -1a 96' .
Z J �—
zZ By-/'C�s ��.Ei.f y7?aa.1 a Address/.1i
'O CGNTEACTOR,AGENT
3�
m Phone -22k- o 9 9W
°a o State License -95---7R a s Approved
U11 PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. / q/O o
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Com.. Indust..I nst.Kit.
Hood & Vent System 1
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilations stem 2oe'
(WitlIOLIt 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 IS' igh
_ v I
gh
Comfort Cool big
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
Total Total Fee ary
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... ....................... 19) ... Building Permit No.
The Building Located at ..... .:fv..............................
Owned by ......
.............................................................................
Has Been (Alt(��M:'E"ereTSe�tte—d4m Use As: -e��
d) . ...................................
..............................................................................................................11..................................
..
.
.......
.
.
......
................................................................. .......................... ................. .............
.................................................. ........9. . ............ - -- --------
BUILDING INSPECTOR
RECORD OFINSPECTION.APP KOVALS'
BUILDING
DATE INSPECTO ISCC q J
PAD FINAL ~
FOUNDATION leu
UNDERFLOOR
FRAME tot, J
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC
UNDERGROUND ROUGH
ROUGH WIRING- 7 - flof 6am 41L
I • '•
FINISHED WIRING (�
FIXTURES s �7
MOTORS.
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH y 7
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS -3
i
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
LQ1�7 I / /�-��vLCLY 1�.. _ Lot No. 14-2—
No.
L _No. Street
CITY OF CUPERTINO / 7S
APPLICATION FOR BUILDING PERMIT
Sanitary No.-$Z
Fite No.,l
Date 19 1Ss
l
Application is hereby made for a permit to
Q/^ a _LCA story, Type -
to be occupied only as 715—•
in accordance with plot plan, Planes and Specification filed herewith.
Estimated Value ofI provements $ � 000
FEES /� � s4001on Check $
Owner 1142' ✓r Address 2 2-dq S� F.1JL- t1 �1
f1 . 1 11
Contr. 1 Address
Phone 2 �I ! o State License ---ZL f 7 3Y
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 3 19 2c.1— GAS FEES C./3,
PLUMBING FEE f$ 3• ��
Contr. —_ Address A� 7 / -v/ -�+�"� "'•'"��
Phone — �-� C'.,L3 2'-3 State License
Approved
J� sc.t-C.-rJCi /
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
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