51273 1D'IIjpo 7�(.(�CG If_ y-1 — LOT NO. IID Z'L/C
j 0" Of cuPERfINO STREET ^ ' 04 F
m Z CITY OF CUPERTINO
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SEP 14 1972 APPLICATION FOR BUILDING PERMIT _
3Q Building Per. No.
Sanitary Per.No. ?f.2 6
-0 Application is hereby ma for a permit to
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a story, Type Structure
<0 to be occupied only asin accordance with
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a F Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$ —0—
J
o_p Estimated Value of Improvements,$ 3.�r ocv , o'O Fee$ 9S.stltl
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04 Total Fee$ 97. 7 f
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with.
ww Owner —tn'D"t-Q- Address Z• 9SYE """"1/7�Wi tsaG.��
¢a
Q p By �A
Ols Address
nContr. nt.
Phone Pt _ Approved s
State License -26173' �Builtling lmpector
10917 I Northridge, Sq. 118
LOT NO.
NO. STREET Plan 14-F
N
z Z CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
2 O city OF CUPEgpNO
3
a
W U MAY Permit No, 73
HO Date y 19_ Fee$----��-�
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W f Rppkatipnhereby made to the City of Cupertino for a permit to install electrical
i F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a w wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F City of Cupertino, and all other laws applicable thereto.
a
20
O O Use of Work To Be
>� Premises 1-fam- reC - Performed electrical
0J Owner Ditz-Crane Address
Santa Clara
JZ __ _ _ Sunnyvale
-1 O',.r.•9p� ,Address
3 Q Contractor,A9ant
Phone 736-5421
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WW 278674
2 2 State License Approved
U F Electrical Inspec or
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—U
ITEM NEW RPL FEES
Number of Outlets
Number of Switches /
Number of Receptacles .3.
Number of Fixtures
Ranges
Size of Main Service ...�
Number of Meters
Number of Panels
Signs -.Transformers
Dryers
Motdrs!
H.P. Phase
H.P. Phase
,H.P. Phase
Power Pales
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees CS
/� /y 6 •LOT No.
NO. sTREET {• •
CITY OF CUPERTINO
W z at' °F PPLICATION FOR PLUMBING PERMIT
Y 0 DEC 5 1911 q sanitary No.
o 1), N % 30 1972 , 19 — Permit No
3 0 q ti Fee$ 3.Sa
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o 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 rices
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.
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Use of Premises Single Dwelling
O 0
t- 3 Owner Ditz Crane Co. AARM De La Cruz Blvd., S. C-
o <
.oa
2J
By L. C. Bohart PLumbing Co. AJ22ssE. Fremont Ave., S'vale
o CONTRACTOR, AGENT
- W Phone 245-2323
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a o State License 186579 Approved ,tom
—U Il PLUMBING INSPECCOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size n
Water Closet z Material
Bath Tub / To Curb
Shower To Prom Line
.Lavatories To Existing
Kitchen Not 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
•Flm Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee •b IJ
Area Drain Main Drain Fee
'Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve i (,.aq Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 2—
Total
Total Total Fee Z 3.
/09/12 //s>> j/VI 'LOT NO. Ilk
NO. STREET 1 -4
,z z G` •\p�13 MY OF CUPERTINO
to
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0 < Daie1�,6^ �►�7 3 19. _ Permit No. 37J'7 3
= o P r Fee$
Application is hereby made to the City of Cupertino for a permit to
o a install gas appliances as listed on the reverse side hereof, and agrees to
am` install said appliances in accordance with the provisions of the Plumbing
W = Code of the City of Cupertino, and all other laws applicable thereto.
'g}� Use of Premises
00
"" Uwner c e .
�� - Address ��Ss l�. oS�
i J /� /
j o By�(0 �3— (Je e•�` �`+, o Address IS6
0 CONTRACTOR,AGENT
– m Phone .I VX
uz
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m 1 State License �6-28as Approved_
U (C71_
PLUMB ING INSPECTOR
APPLIANCE UNITS FEES
uas Top
Cas Oven
Wall Furnace
Gravitv Furn.
Forced Air Furn. 0 0
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Com.. Indust.. I nst.K it.
Hood & Vent System 6
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System o
without Comfort
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fire laces
Smoke Stacks.Misc. Equip.
Under 15'Ili m-
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
&Absor .units with input
of 500,001 & Under 1,000,000
Permi[ Fee 3a0
Total Total Fee �Ou
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......GI------�./........................ 19.. .3 Building Permit No. ....s:::.��
3.
The Building Located at ...
-�....... ./l !t?/ ...._��.Q.t...
Ownedby ... /.T .c.... � ...--............... ......_.............................................
( - -Z,�.
Has Been (Altered) For Use As: ....... ,.?. .......�.............................................
.................................................................................................................................................
................................................................................................................................................
........._......................................._.......................... .. . - -
L. ..............................
I1DING INSPECTOR
RECORD OF INSPECT-ION APPROVALS
I I
BUILDING
DATE INSPECTOR A MISC.
PAD FINAL ��II 7'a
FOUNDATION 'S -VL-t
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELE RICAL
DATE INS TOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES -7S
MOTORS
FINAL $'
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. -
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN a-
FINAL PLBG. '7
FINAL GAS -�
FINAL APPLIANCE - -7
DATE INSPECTOR MISC.
MISC
MISC
MISC
/Q q1-71 Lot No./I D
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT n
Sanitary No. a Z LSI�J
Fila No. S/ 2-
Do to ..[.�[�19
Application is hereby made for a permit to
a .story, Type
to be occupied only as
in accordance with Plot plan, Plans and Specification filed herewith.
Estimated ValueImprovements $
o
FEES Afij n^ Plan Check $ �t ('�
Owner D/ - ✓/�Y�--� Address 62"I ori L-G G
Contr. Address
Phone Z I 2 I State License 2 Le 1 7 y
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �Y 19 7 ?� GAS FEE E
PLUMBING FEE E o23. d-2)
Contr. _ r�!`YC �-w�/ Address 14 2 T—
Phone `A State License -
Approved L
APPLICATION FOR APPLIANCE PERMIT
Dote 19 FEE$
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