51273 lb I106 LOT NO.
NO. STREET !�
N Q /�
w Z CITY OF CUPERT.INO
Yo ary Of CUPStWOAPPLICATION FOR BUILDING PERMIT
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O a [[ /,�9�2 Building Per.No. ...f—i L 7�3
Wu U rg t9�✓ SSenitery Per.No. Lz 7d'
�
o Application+s Wby made for a permit to Ou'd
LLw
a GG P— story, Type Structure
a N to be occupied only as �� in accordance with
wW
If
a Plans,Specifications and Plot-Plan filed hirewith. PI Ck Fee$
o_p Estimated Value of Improvements, $ A3/mo, Fee$ 72•o-o
04 Total Fee$
%3•(0(
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
�"oof: Cupertino
�will be complied with. /�� (/�`��� /�� �
Ww Owner `•.`^^t �`-"'u"'tJ'�—��/� Address ZZ95- A,96^^W 'OLP,
QO BY �" �-'P""""'�ca Atltlress /
_U Contr. Agent.
Phone L±�— .2-61, (0 Approved s
State License26 (73 Bulltlin9Inspector
10906 I Northridge fiq LOT No. Ills /
NO. STREET Plan 10—B
mi Crry OF CUPERTINO CITY OF CUPERTINO
Pf: ITION FOR ELECTRICAL PERMIT
MAY
3< � !
�n n Permit No.
wo
I O Date"ZII7'�Y� 7,A�9� ' • 19 Fee s
p 1- Application is hereby made to the City of Cupertino for a permit to install electrical
Z F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a N 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.
a
J LL
00 Use of Work To Be '
Promisee i- 2.ht UtR.a Performed LJ-U .!'
Z< owners -f h�N D Addreu
�o avWANDEREd
3 Contractor,Agent
-a Phone 73b'F�1�1
WN
WZa7�b�y
2 i State License Approved-
02
pproveeO2 Electrical Inspector
40
_U
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges•er--6+ens-". )
Size of Main Service i o
Number of Meters
Number of Panels
Signs - Transformers
Oryers, _-
Motors:
.
H.P. Phase Y
H.P. Phase
H.P. Phase
Power Poles
Miic.
Permit Fee 2.00
H.P. Charges
3 -
Total Fees
i T-70
l b&6 1 &2 in". Vj .LOT NO.
NO. STREET
N < OF Uter�wko CITY OF CUPERTINO
W Z 5 017APPLICATION FOR PLUMBING PERMIT
f R O�V p� q -7 Sanitary No.
3 a I)ai� /V�V 3 O 1972 Ig — permit NO
U
i LL Fee $
O 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 n and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
WCupertino, and all other laws applicable thereto.
a Use of Premises Single Dwelling
J LL
O 0
. 3 Owner Ditz Crane Co. ARA De La Cruz Blvd., S. C.
oa
2 J
� z By L. C. Bohart Plumbing Co. A"AsE. Fremont "e., S'vale
o CONTRACTOR,AGENT
3 �
= `0 Phone 245-2323
WZ
W W
a o State License 186579 Approved
U PLUMBING INSPECTOR
Y Lcrn - �3
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material G
Bath Tub To Curb.
Shower 1 To Prop. Line
Lavatories 2 To Existing
Kitchen Sink Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Wasbing Machine Size
Water Softener Material
' Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drihking Fountain
-Floor Drain WATER SYSTEM
•
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal I Fixture Fee
Area Drain Main Drain Fee
Water Leader Stem Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve (-.aq Fee (S-b
Vac Breaker
Skimmer
Filter
Pool Sweeper
LPeritFeeTotal al Fee 3, J p
/O 9D to I QZ?g���� —. • OTNO.
NO. STREET O
„ < �pxlexr ®PB FOR APPLIANCE PERMIT
d zR C ] CITY OF CUPERTINO
�(
M Date ��,�>•� 19• _ Permit No.
M U O r Fee t
° Application is hereby made to the City-of Cupertino for a permit to
o r install gas appliances as listed on the reverse side hereof, and agrees to
`N install said appliances in accordance with the provisions of the Plumbing
Y W Code of the City of Cupertino, and all other laws applicable thereto.
`
4 Use of Premises
00
o ; Owner lclL�- - (lir z.,. Address 04 9S ,[P6 , �.,.
.0-
z-1 /
z By ��•�L 146z �a Address A347
O CONTRACTOR,AGENT
3 �
— Phoned? -29,31
Y z
W W
aa State License Approved
_U LUMRING INSPECTOR
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gmvitv Furn.
Forced Air Furn.
Gas Fired Boilers
Wanning Ovens
Sus>. Units
Dwelling Kit./Bath
Inde end. Vent System
Com., Indust., Inst.Kit.
Hood &Vent System 3c c
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System oce`
without Comfort
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
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
&Absoro.units with input
of 500"001 & Under 1,000,000
Permit Fee 3oa
Total Total Fee / cv
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .........� ................. 10). Building Permit No. ...
The Building Located at ..-/C7 4J / o%P.TN �J, . -- r �.r.................
/ , A
Owned by .._��l..T�.--...ti..<�ll:..✓.�........................................................-...............
r
Has Been (Altered) or Use As: ... L .---.. ..............................
...............................................................................................................................................
.:.
................................ ..............................................................................................................
.. ..... ................... ......................._....-_.._....._I...._ ....... ...................... ...
--.---........ .....-
UILDING INSPECTOR
RECORD OF INSPECTION 'APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL aa�
FOUNDATION t0
UNDERFLOOR � 4
FRAME 3�� w�J ?� '�?
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
O Y
FINISHED WIRING '��
FIXTURES • 1 ��
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. r
SANITARY NO. -57
UNDERGROUND ROUGH
PARTIAL ROUGH / —
ROUGH COMPLETE V ��
MAIN DRAIN
FINAL PLBG.
FINAL GAS 73
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
d Q� /✓ VL Lot No.
No. Street /s
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
Fila No.
Date 19
Application is hereby made for a permit to
• a sto Type
to be occupied only as
in accordan4kith Plo[ len, Plans and SpOlFification filed herewith.
Estimated Value of Improvements $ rdo
FEES - �12 d Plan Check $
Owner Address 22-4da LAL44
Contr. Address
Phone zy4 — 24�o State Li On
t
Approved
44i �-" 1'1--7123
APPLICATION FOR ELECTRICAL PERMIT
Date 19 'FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date � S 19 701— GAS FEE $ /
��
�/ -�- PLUMBING FEE E 3- d
Contr. �+R-7-�vr Address 4�
Phone — Z. —If " L 3 State License s
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 19 FEES
Cont'. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1