51273 sraeer Lor No
No.
CITY OF CUPERnNO
an
Cu AWICATION FOR APPLIANCE PERMIT
WQ
=s
0 C T s 1912
3
3 U Da 19 _ Permit No. S/y7
W n 1 Fee4
=4
LLW Application is hereby n=& to the City-of Cupertino for a peimit to
oF install gas appliances as listed on the reverse side hereof, and agrees to
z in install said appliances in#ccordance with the provisions of the Plumbing
►► Code of the Ci ,of rtino, and all other laws applicable thereto:
Use of Premises
oc
o i Owner Address 1
z_j PLOG SHEE METAL CO.
J,= By Address
o "U'Nr
LICENSE 252825
- 0 Phon
i o\
State Li 4MPBELL_ M Co. pp q/
a LICENSE 025282,9 A rove 7�
U \ ' \ PLUMBING rNSPRCrOB
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Fum. I V�
Gas FiredBoilers
Wamring Ovens
Susp.Units
Dwellin Kit.�Bath
Inde end.Vent System'
Com. Indust.,I nst.K i t.
Hood&Vent System I
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without Comfort Cool.l
Forced Air. Mech.each Power _
Gravity System _7
No.of Air Outlets,No.of Flues
Stacks I-or Metal Fire daces
Smoke Slacks Misc. ' ui .
_Under IS'I'l igh '
Over 15'11*ah
Comfort Cooling
Comp:of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Comp.over 20 I1P& Under 50 HP
&.Absor .units with in iul
of 500,001 &Under 1000,000
Pemtit Fee
Total Total Fee
.– 10959 Nortlishore SauarP
No. Street Lot No. 26 F
CITY OF .CUPERTINO 3.; °T'o
I�Ctl" OF CUPEtRfnNo APPLICATION FOR BUILDING PERMIT a j�
G'MI uD1e1JI2 19 Sanitary No. –7 7 7 0,5,4::
— Permit No. I—/a 7,.j
E
CE ^AppBcujon is hereby made fora permit to
`o 0 1 ��))
3 :F a story,Type t / ✓ Building
v
W o to be occupied only as in accordance with
Plans,Specifications and Plot-Plan filed herewi t. PI Ck Fee
c o2
Estimated Value o(Improvements,$ � � 00 0 Fee$ C/ �
oy It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
_ `o
all other laws applicable to the construction, location, and use of buildings within the City of
S Cupertino will be complied with,
c
3 ° Owner Di —Cr Address 2295 De La Cruz Blvd
d d By Address Santa Clara
a
E Phone 255-7050 Approved r
lV
State License 261734 ilding Inspector
{l3'
16459 1 NaM's"t", S�
Q NO. STREET LOT NO. Z6
W = Plan 8
CtV Of C1P PLICATION FOR ELECTRICAL PERMIT /=
3a
CITY OF CUPL•RTINO
W LL
O
o F De � P 5 19 — Permit No.
r Fee ti
a W 'Applicationis hereby made to the City of Cupertino for a permit to install electrical
W wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> N City of Cupertino, and all other laws applicable thereto.
� 3
zJ Use of Premises 1-fam. res.
J Z
2 O
3N Owner �ltz—Crane Address
W Z &F: L. WANDERER
W e By Address
O F CONTRACTORAGENT
<u VZOPIKiRER hOAD Approve
Phone: CA 88 "EUCI
L State License, 12422
N
ITEM NEW RPL FEES
Number of Outlets /Z
Number of Switches
Number of Receptacles z
Number of Fixtures
Ranges oLQuwasv w —
Size of Main Service O919
Number of Meters
Number of Panels
Signs-Transformers
Dryers /
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
i
H.P.Cha es
Tot Fees ds
/ I LOT NO. 1Z
NO. STREET
CITY OF PERTINO JF
w ¢ cm of rupuaMo APPLICATION FOR PLUMBING PERMIT
r 0 9 1972 Sanitary No. 7 770
3V , 1971' Permit No Sia 73?
w n /� Fee $ �_�.'��
" 0 PAppfication is hereby made to the City of Cupertino for a permit to install plumbing
o 1 pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i N 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 x
� r
w Use of Premises IFownho +a
00
' " Ditz Crane Co. 2295 De La Cruz Blvd., S. C.
o azt-i Owner Address
zo By L. C. Bohart Plumbing Co. 167 E: Fremont AVe. , S'vale
Address
F CONTRACTOR, AGENT
— Phone 245-2323
Wz
W W
a o State License 186574._ A roved '
—� / _PP
�{J��j PLUMBING INSPECTOR
1
FIXTURES NUMBER MAIN DRAIN
Units Fees Un' s Fees
Water Heater Size
Water Closet Y Material
Bath Tub / To Curb
Shower / To Pro . Line
Lava 'es Exist
t n
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
Drinkin Fountain
Floor Drain WATER SYSTEM
'
Hopper I Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee- /
Area Drain Main Drain Fee
Water Leader I Stom Drain Fee
Sprinkler System teFee,
Relief Valve raq Fee
Vac Breaker
Skimmer
Filter
Pool Sweepea•
Total
CERTIFICATE Ol COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
I _
r
Date --- '--.r....I 1-:.................... 19_ - Building Permit No.
The Building Located at .....i. .9..."?...9:.'.:l�I�dL
Owned by Y.ta Z.c 1;:1`j .............
Has Been ( For Use As: ......._-J_'.1.....::.-:::.. .............. . :...........-.----
(Altered)
...........'-..................... ............................--............._.....--------. ----- ---- -----••......._....._...
... ..... ---- ---'--- _ ..... ..........._....._........--- ---_. -..f.n.....'...: .' -
..... -------......
•-•--- ----- ........... . ......:.:....
ILDING INSPECTOR
L_0/S� I Lot No. o26
s-
No. Street /=
CITY OF CUPERTINO
APPLICATION;FOR BUILDING PERMIT `Q'
Sanitary No. 7 7 70 ,311!:-
1 dF"t
File No. `s /2' 73
Date 19 L
Application is hereby made for a permit to
a _ story, Ty e
to be occupied only as �
in accordance uffth Plot Plan, Plans and Specification filed he taith.
Estimated Value of Improvements $ 33.a-,17t d'9
FEES 9,5/J�3,, Plan Check E
Ow nar Address
Contr. Address
t
Phone OZ >`" // Stoto Licana ` 3
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19
19 >..?_. FEES
Contr, '455 Address 9,)-
Phone S`� c�-/ State License
Approved 19 /
/ APPLICATION FOR PLUMBING & GAS PERMIT
Date6
—� 19 -2'2— GAS FEES 61110
PLUMBING FEE $ -2-3- ,5-6
Conti. o/7�-R-.--�.� Address /6
Phone State License
Approved
�4 19
APPLICATION FOR`APPLIANCE RMIT��
Date �J
e
Conti. O— Address
Phone State License of
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
Slate of California
PD-1
RECORD OF INSPECTIbN APPROVALS
. J ;071 ^
6AL/Nut. "JL ��0-7`
BUILDING
DATE INSPECTOR MISC.
PAD FINAL.
FOUNDATION w -A l ~
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. 1'
Uri`-X 6 Q U Q §LLECTRICAL
' DATE INSPECTOR MISC.
UNDERGROUND ROUGH �1
ROUGH WIRING—
FINISHED
` v
FINISHED WIRING ' ti YO v
FIXTURES ti YO V
MOTORS
FINAL LO Y
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR C.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH '2 -7
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN G 73-
FINAL PLBG. a 7d
FINAL GAS 11-Ag
7�-
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC