51273 �a 9 711 ),�� "i -1 LOT NO. 1
NO. STREET
a < APPLICATION FOR APPLIANCE PERMIT
f a an OP euresnNp Crff OF CUMRTWO
10
II3 U I4- � � 19, _ Permit No.
`s LL Fee•$ Z 3 o-a
ILL W D A App.Matson is hereby made to the City-of Cupertino for a permit to o F install gas appliances as listed on the reverse side hereof, and agrees to
i w install said appliances in accordance with the provisions of the Plumbing
F F Code of the City Cno, and all other laws applicable thereto.
Use of Premises00
$ ` Owner_ Address
Z J L�
I J oCA — -�• Address
p
Ph
W W
aoStateApprovnt
CAMPBELL, CALIF. PLUMBING INSPECTOR
LICENSE #25282r,
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers '
Warming Ovens
Sust. Units
Dwelling Kit./Bath t
I ndenend. Vents stem CO
Com., Indust. I nst.Kit:
Ilood& Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without Contl"ort Cool.) ,—
Forced Air.Mech.each Power
Gravity System 11
No.of Air Outlets,No.of Flues
Stacks lir Metal Fire laces
Smoke Stacks,Misc.L' ui).
Under 15'High
Over 15'11 iel
Coin fort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 OTU or less
Comp.over 20 HP& Under 50 HP
&Abso .units with in ut
of 500,001 &Under 1000,000
Permit Fee
Toted Total Fee
2-ZGy
10999 Nni-thshare Squarp
No. Street '- _ Lot No. 29
CRY OF cu", nNO CITY OF CUPERTINO
MAY ] 1 �g PPLICATION FOR BUILDING PERMIT '
Sanitary No. 7 7 ._3 ,5/�-
-� Date , 19 _ Pe 1� 73
Y 'E pAp�icatlonlDhereby.made for a permit to
3 ` a story,Type �— ✓ Building
Y W to be occupied only as in accordance with
o
Plans,Specifications and Plot-Plan filed rewith- PI Ck Fee
A ti
� t Estimated Value of Improvements,$ aZ,r O O 0 °�- Fees �`s -
o'
o `ro It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
3 ° jOwne - ane Address 2295 De La Cruz Blvd.
2AddressSanta Clara
th 0ne 255-7 50 Approved
l� State License 261734 ilding Inspector, v
•Z < Si ,he
LOT NO. 29
w Z
ro Plan 8_
g � aaA
ry or RUICATION FOR ELECTRICAL PERMIT �f
3 ua
SEP 121x7 CITY OF CUPERTINO
LL W0
Date I_I h 19 _ Permit No. S�
n Fee
a w Application is hereby made to the City of Cupertino for a permit to install electrical
I wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 City of Cupertino, and all other laws applicable thereto.
03
oa
z-j Use of Premises 1—fam_ rae
J Z
J ° Di tz-Crane Sa a Cl ara
3 a Owner Address
wi h}; t3. WANDERER
W a BY Address
< O CO CTOR AGFN _
929 KIFH!� 'ROA� Approv
U Phone: ELECTRICAL MPE
State License: 12422
V—
ITEM 'NEW RPL FFEES
Number of Outlets
Number of Switches b
Number of Receptacles
Number of Fixtures _-
Ran as o
Size of Main Service
Number of Meters _
Number of Panels
Signs-Transformers
Dryers l'
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Char es 2'SV
Tota ees /L•kv
/ ! I r LOT NO. Kr'J
NO. aTR EF.T
CITY OF CU RTINO A
z i Qp cuFERT!rt0 APPLICATION FOR PLUMBING PERMIT
'_0 91972 Sanitary No. `1773
¢._ 111A1
'3 a J1Wtt�F 19Permit No � ;;�,T
U
W
n Fee $��/_ d�
, w PAPP(cation is hereby made to the:City of Cupertino for a permit to install plumbing
o < pipes and/or fixtures listed on reverse side hereof, and agrees to install said prices
a wand/or fixtures in accordance,with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
w x
0 o Use of Premises Townhouse
> 3 Owner ntr� 2295 Be La Cruz Blvd., S. C.
i Crane Co Address
Jo By L. C. Bohart Plumbing Co. Add67sE. Fremont Ave. S'vale
3 F CONTRACTOR,AGENT
W Z
Phone 245-2323
a o State License 186579 Approved
PLUMBING INSPECTOR
7
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater r Size
Water Closet Material
Bath Tub To Curb
Shower To Pro . Line ✓
v t 'e To Existir
I C
Dish Washer
Waste Dis osal
Wash Tra STORM DRAINAGE
Washin Machine Size _
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Ho er Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader o Fee
Sprinkler SYStCM
Water Sys.Fee
Relief Valve
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...._..[..,..:.....f_Z................ 19.... Building Permit No. ;471.1;
The Building Lamted at .. :--- ° T1+.5 ...... _Q»........:.............
y .
Ownedby .. , 2 .-...,SCK NLr.-----•------------------------------------------------------------ -
Haz Been., � tered) For Use As: ----qS-'-17-- :-. ..._..:....................
._._...._.. -_--- .......................- ------------------.......................................••............................
.....................................:
-------------
-------------
ILDING INSPECTOR
LV ypZ-9 I — X u+ � Lot No. 0�9
No. street
CITY OF'CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. 77 7,3.:1
File No.S� Z 7 3
Date � �� 19 7 a--" '
Application is hereby made for a permit to
I-
q '= star Type
to be occupied only as p
in accordant with Plot Plan, P ns and Specificaziont4led herewith„
� �r....�
Estimated Volue of Improvements § aU(/ V
7�
FEES - �7y/5�� Plan Check $
Owner Address
Contr. Address
Phone 0 4'74 a y Stole License-
Approved
d-
=/L
APPLICATION FOR ELECTRICAL PERMIT
Z/ � a
Date 19 J L FEE$
Cont'. t, Address 9-'1�
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
6
Date � 19 �oZi GAS FEE E G'k�J
PLUMBING FEE $ ,2'
Contr. Address 6
Phone �2 "ej.) a 1� S -7
� tate
Liee nsa
Approved
APPLICATION FOR AP
PLIA
7 NCE RM T
Dote 19 Y FE
Contr. Address 13 J
Phone ��-6 'ie State License -LJ-Z.
d2-j
/ �
Approved � .
Applicants agree not to violate any of the
Workman's Compensation Laws of the
Stale of California
P D-I
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION Z
UNDERFLOOR
FRAME 7
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
1✓r�L t
( ,6 x-04- ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES — 1v
MOTORS I
FINAL
PLUMBING, GAS & APPLIANCE
GATE INSPECTOR MI _
BACK FLOW REQ. � 7
SANITARY NO.
UNDERGROUND ROUGHAO
PARTIAL ROUGH
ROUGH COMPLETE op/-
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINALAPPLIANCE Il —
OATE INSPECTOR MISC.
MISC
MISC
MISC