51273 10804 ehtgz&.L t.✓' . � (r(fw _ LOT NO.
NO. STREET ne. p
Z:5 OF cuFel�+O
Z MYf! CITY OF' CUPEATINO YrGW T
w
¢ APPLICATION FOR BUILDING PERMIT
W° 41972
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3 a SEP ( �� -2y a�ud na Per.No. S /�
W U Dpace 19_. Sanitary Per.No. •' �-
I o App ication is hereby m for a permit to
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D a�story, Type ty
F e Structure
Q m to be occupied only as 8'^ Oy" `lY1*ct".0t, in accordance with
WW
a F Plans,Specifications and Plot-Plan Piled herewith. PI Ck Fee$
Jo p Estimated Value of Improvements, $ c24, Coo oe
Fee$ 75".6-0
oQ 'e
Total Fee 7G•6
z'' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J2
J o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with. (n� p�� n ,fit
W W Owner y `�"'� Address
22 SSP '"t"r, s- -^
¢iL
02 By Atldress
-U Contr. or jKgont.
avy— 2yio
Phone Approved
State Licanse. a6 173!1 „/' Bulldine Inspector
MA I NorthyieW Sq. LOT NO. 193
NO. STREET Plan 13-A
m Z CITY OF CUPERTINO
Y o APPLICATION FOR ELECTRICAL PERMIT
LL CITY OF CupwtNO
O
Q Permit No. e�
I W DVLA `d X219 13�
F 0 . 18 Fee$
o i- pli�ati9n i ereby made to the City of Cupertino for a permit to install electrical
Z F wiriffg anT1/or fixtures as listed on the reverse side hereof, and agrees to install said
40 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
l-i City of Cupertino, and all other laws applicable thereto.
41-
A,
20 use of 1— ��3 Work To Be q
>0 Premises Performed -[�-d't/ Q y
04
Owner — Address )J&A,1hX . UQ'n4
jo BYWANDERER LECIIiIC, It;C., —�� AddrmsContractor,Agent1 l-
-Q Phone 13h",4.11
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wzAp
w
0 2 Electrical lnspec
a0
—O
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges er-Ovens-iFW:
Size of Main Service
Number of Meters
Number of Panels
Signs - Transformers
gryers
Motors: s
'H.P. Phase
H.P. Phase
M.P. Phase
.Power Poles
Misc.
Permit Fee 2.00
H.P. Charges �.
Total Fees
�P6-t 1/1,7 i .S s-� SOT NO. /
NO. STREET
My 01 CUPERTNO CITY OF CUPERTINO
SEC 5 �9Z APPLICATION FOR PLUMBING PERMIT
W
fSanitary No..
Y LL
WDar `2 7 19 — Permit No
1 9 � d—V
= W Fee $ r
°
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
r I and/or fixtures in accordance with the provisions,of the Plumbing Code of the City of
<w Cupertino, and all other laws applicable thereto.
Wx
W 'Use of Premises Single Dwelling
00 2295 De La Cruz Blvd., S. C.
0Owner Ditz Crane Co. Address
Oa
Z-J 167
� , By L. C. Bohart Plumbing Co. AddesE. Fremont Ave., S'vale
O
3 F CONTRACTOR,AGENT
- Phone 245-2323
wz
W W
0 o State License 186579 Approved /
U .� PLUMBING INSPECTOR
i
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size '
Water Closet I Material 1
Bath Tub t To Curb
Shower To Prop.Line ✓
Lavatories o Existiniz
Kitchen Sink Not
Dish Washer
Waste.Disposal
Wash Tray STORM DRAINAGE
Washing Machine 1 Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
'Dehtal Unit
Drinking Fountain
Floor Drain WATER SYSTEM
'H r size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Storrn
Sprinkler System Water Sys.Fee
Relief Valve
Vac.Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee
NO. STREET - • .�
APPLICATION FOR APPLIANCE PERMIT
1 CRY of CUPFJtTWO a Y OF CMRnNO
3 i Date 19, — Permit No. 5'1a-73
U syr
„ < 4AI r� Fee,i
' o gAp�icItirgis hereby made to the City-of Cupertino for a permit to
o< ins 11 gas appliances 6 listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
C = Code of the City f Cu ertino, and all other laws applicable thereto.
S x4
Use of Premises
O'O n
Owner Address
A zBy Address
o PLOG S
3 m Phone CAMEBEI I G CO.
l=lf.
vm LICENSE #2528P�g
o s State License Approved
<ut�_ C PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Soso.Units
Dwelling Kit./Bath
Inde end.Vent System
Com.,Indust.,Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without
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 15'High
Comfort Cooling
Comp.of 20 HP or less
&absorp, units with input
of 500,000 BTU or less
Comp.over 26 HP&Under 50 HP
&Absorp.units withvn ut
or 500,001 &Under 1,000,000
Permit Fee
Total Total Fee
CERTIFICATE ' 00 ' COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date............ 1-7------------------ Building,Pertnit ko. .I/Z7
The Building Lomted at ...^8.01.......W!!4'riju, ......S.�- .................
Ownedby ..... ---------- ....................
(Altere
Has Been 4=gors.�Ror Use As: .�:5 ......................................
d)
.................................. ........................................................................................................
....................................................................................................................................-...........
..................................................................... ..............................................
.. ............
.- BUILDING INSPECrOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECT MISC.
PAD FINAL 1 FOUNDATION t / _/c'7
UNDERFLOOR-
FRAME-
(::A
NDERFLOOR FRAME 6
8 PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH-)Z,' �Y
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN 0
FINAL PLBG.
FINAL GAS 73
FINAL APPLIANCE J-::: 1-7
DATE INSPECTOR MISC.
MISC
MISC
MISC
mggLot No.
No. Street
CITY OF CUPERTINO b
APPLICATION FOR BUILDING PERMIT
Sanitary No.
�J�J File No. J" A79
Dote 19
Application is hereby made for a permit to
a story. ype
to be occupied only as e
in accordance to Plot Plan, faanss�and�Spee ication filed herewith„
Estimated Value of Improvements S L7. OVe>
FEE$ 6• Plan Check $
Owner � � ✓ Kr�7Vq.e Address
Contr. Address e�
Phone �,q -2A16 State Licens
Approved Lot ON 4.
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
C ontr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
s_
Dote S 19 ? 7� GAS FEE E (�
PLUMBING FEE $ oa
Contr. Address
Phone — 2 (Or;'S i 3 3c� State License 1 S
Approved
_3y6 APP CATION FOR APPLIANCE PERMIT d
Date 19 FEE$
Contr. Address C-
Phone —3 //fes J f-3 y State License
Approved -tC/`^`-'�
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1