51273 IO9dO. STREETLOTNO.
HPPS F
w Z crry OF CUITRTINO CITY OF CUPERTINO
Yo APPLICATION FOR BUILDING PERMIT
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O J ��r �� Building Per.No. S_
a �d
W 06a to 19�v Sanitary Per.No. 6 O
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o -Application Is hereby Made for a permit to 'A `�
LL W 1,/
0 a-2--story, Type v Structure
�^ to be occupied only as in accordance with
W
aPlans,Specifications and Plot-Plan file herewith. PI Ck Fee$
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20 Estimated Value of Improvements,$ 32) 00V ' ao Fee$
I-3 Total Fee$ ?7, -7q
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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 c the City of Cupertino will be complied with. /� /,�
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w Owner Address
Z2FS a — � �04`
Q� By � """^""""' Atltlreu
_ Contr.OV Agent.
Phone 2,4y— 2.9.,o Approved
State License -2617314 Building Inspector
10927 I Northridge Sq. LOT NO. 117
NO, STREET Plan 14-F
W Z CITY OF CUPERTINO
Y o APPLICATION FOR ELECTRICAL PERMIT
¢LL �� n/�ChYYO�F1'CUPERnHO
W U Date mFtl 1 �y� Permit No. '
1-O 19_ Fee$
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o 1- Appopatii n it hl�by 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 w wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
a
I City of Cupertino, and all other laws applicable thereto.
J W
00 Use of Work To Be
5, Premises Performed
O Q Owner-PA a h r, Address- .e�n nA ('10 A a .
2
�o ey�JjjDJQ ER ELECTRIC. l„--ELECTRIC. I I�'�__Adtless�
3 F Contractor,Age
Phone nt
-c 7 3h54�1
Z i
N
W
W State License¢a Approved-
Contractor,
f Electrical Inspecto
GO \
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1
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles �b
Number of Fixtures
Ranges or6vens-".
Size of Main Service p/}
Number of Meters 1
Number of Panels J �,
Signs _ Transformers
Dryers
Motors:
H.P.. Phase V
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees ��
)`692-1 N.an�fV" , .Jam...dry . LOT NO. &-2
NO. WMAOS"FET
of CITY OF CUPERTINO
Z < SEC 5 �$I PPLICATION FOR PLUMBING PERMIT
3Z
s S;Lnitar No.
3 < I)at" U09910 1972 19 y
_ Permit No
W LL Fee $ a-3
= 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 prices
I and/or fixtures in accordance with the provisions of the Plumbing Code of the City Of
WCupertino, and all other laws applicable thereto.
w Use of Premises Single Dwelling
00
3 Owner Ditz Crane Co. AAM De La Cruz Blvd-' S. C.
oa
ZJ
Z By L. C. Bohart Plumbing Co. AJ&7ssE- Fremont Ave.. S'vale
O CONTRACTOR, AGENT
3 � 245-2323
— Phone
w 2
a o LState License 186579 Approved L/
L) �1. 1J PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size
Water Closet Material l
Bath Tub To Curb
Shower To Prop. Line 11-1
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
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee .-5�'
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve Gag Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee Z 3.
7�, LOT No. /I7
L'S �1 STa EET
`OCATION FOR APPLIANCE PERMIT
G
rc CITY OF CUPERTINO
' o
o U Date v �1 -7 3 19. — Permit No. �I17 3
W � Fee$
' o Application is hereby made to the City-of Cupertino for t to
P P
o i install gas appliances as listed on the reverse side hereof, and agrees to
a N install said appliances in accordance with the provisions of the Plumbing
W = Code of the City of Cupertino, and all other laws applicable thereto.
S `
Use of Premises
00 � q
Owner ,4 f - Address =9*9v5'
ZJ n /
a z By i`/moi �Q�••�` x-17?i 6 Address /3U
�'O CONTRACTOR,AGENT
m Phone.
a =
W W
a o S.a;e Approved- zaaou�
-
U. I._ PLUMING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
WaH Furnace
Gravity Furn.
Forced Air Furn. yOG
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit/Bath
Inde end.Vent System
Com.. Indust.. I nst.K it.
Hood& Vent System Sop
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without Comfort I
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets.No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks.Misc. Equip.
Under l5'High
Over I i'
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
Permit Fee BOO
Total Total Fee Oa
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY O'}Fy�CUPERTINO
Date ....... ....-i"lF'
........................ 19-7.:,1. Building Permit No.
The Building Located at ../C!9. ..27../�: !..........
Ownedb 2'Ai 7]2n:..... ._.................................-.......................... .
mpleted �7
Has Been � tere or Use As: ...�:..t-/...:-...y7.�CG `....-----
.................................................................................................................................................
.............. .................................................................................................................................
....... ......
`BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECT
PAD FINAL `1.
FOUNDATIONov fm • � �- '2
UNDERFLOOR
FRAME ' C
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECT AL
DATE' INSPEC MISC.
UNDERGROUND ROUGH V ��
ROUGH WIRING �Q
FINISHED WIRING -L I
FIXTURES
MOTORS
FINAL ' .T
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW JE '/�7
SANITARY N
UNDERGROUb'
PARTIAL RO73iROUGH COMop MAIN DRAINFINAL PLBG _
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/07 ?-7I Lot No. II�
No. Street Z 77
, A,1
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT v
Sanitary No.
72— File No.,Q 2 73
Date .��1q
A-ppli cation
is hereby made for a permit to
La 71 story, Type ✓—
to be occupied only as v'
in accordance with plot plan, plans and Specification filed herewith,
°
Estimated Val of Improve moots $ 32 r aoa
FEE$ _n Plan Check $
Owner Address Z Z'l ✓ �Ki`al
IL i � It t1
Contr. Address
Phone Z 14 — 2�1 / o State License
Approved
71
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
L/
Date ,/ J 19 7 L GAS FEE $ (�/ J3-)
PLUMBING FEE $ - SZ
Cont'. Address Av 7 (E
Phone Q State License �/r.'�&/ :�— 7 5i
Approved L K
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
State of California
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