51273 LOT NO.
yQ
NO. STREET B
w Z CITY OF CUPERTINO
Yo �
GrY cF �� O APPLICATION FOR BUILDING PERMIT
¢— 7.3
WO �rr 1C�, 1 72 Building Per.No.
u 8 . ` '7 ' 797 Sanitary Per.No.
o qp� li ti I ereb m e fora ermit toc.2ce
LL w "W�Y'� � � Y P
°F a story, Type Structure
W to be occupied only as • in accordance with
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F Plans, Specifications and Plot-Plan filed erewith. PI Ck Fee$
_o p Estimated Value of Improvements,$ 231 0`t"' °b Fee$ 7�2,�0-
73-G 1
N
o< Total Fee$
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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J o and all other laws applicable to the construction, location, and use of buildings within
3 a the Citofof Cupj/tiino will be complied with. �•'f�(//O .%/J//�t1([.�
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Z OwnaM1� _ "^'VGLC' Address�l'" f2_ / /J�•/r, J 4L
Q� By �' �`^+-�GCw Address v /
—U Contr. Agent.
Phone AgLf- -2-Ci to Approved s
State License 2G ('7 3'4 Building Inspector ✓
10825 I Northview Sq. 143 !
LOT NO.
NO. STREET Plan 10-D
w i CITY OF CUPERTINO
Y o city of cuPErAPPLICATION FOR ELECTRICAL PERMIT
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3< MAY 14 1973 I Z Z
w U Permit No.��, --
x LL Date MAY 12 1W is— Fee:,
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p F Application is hereby made to the City of Cupertino for a permit to install electrical
>4 wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a m wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F 7 City of Cupertino, and all other laws applicable thereto.
a
JLL
00 Use of Work To Be
>y Premises �–I. m.�. Ln Q�I Performed t S�III �.C�P{"AA (tO
~O Q Owner Address_4a Oi tO— (2112-Aa .
2
o By WANDERER LECTRIC, H4C..-
0 1 IULIdAWA—
Contractdr,Agent
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w Phone '7,3b-,54a1
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a State License Approved
< Electrical inspe<to�
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–U
ITEM NEW RPL FEES
Number of Outlets
Number of Switches f�
Number of Receptacles
Number of Fixtures 1$
Ranges of-9vawc-".
Size of Main Service )�
Number of Meters
Number of Panels
Signs —Transformers
Dryers
Motors: jo
H.P.-Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges B.
Total Fees /
/d O -?-� /y / " Sit LOT NO.
NO. STREEI'
� 0 0)0000 CITY OF CUPERTINO
_ =
" _ �g14PPLICATION FOR PLUMBING PERMIT
5
R pE� Sanitary No.
Y
3U Dar1?_R1,f�11 �Q�, 19 — Permit No y
W a V v Fee $ e1�7 •S*
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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
> . and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Z w Cupertino, ani, all other laws applicable thereto.
Use of Premises Single Dwelling
00
i- 0
Owner Ditz Crane Co. Aj3pa De La Cruz Blvdv . S. C.
oa
Z J
� Z By L. C. Bohart Plumbing Co. A�&SSE• Fremont AVe., SIva le
O CONTRACTOR, AGENT
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- N
Phone 245-2323
W Z
w w
¢ a
Q`o, State License 1$0579 Approved-
A01–
pproved
I 1 ,>/ PLUMBING INSPECTOR C/
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size "
Water Closet Material C I
Bath Tub To Curb
Shower To Prop. Line ✓
Lavatories D— To Existing
Kitchen Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
DrinkingFountain
Floor Drain WATER SYSTEM
H r Size
Restaurant Sink Material a
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee S--b
Relief Valve I Ga�Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
ToaTotal Fee 72-3. J-1)
lU k yr I LOT NO. 7
qty of cunn'No sraeer
AP .L9CATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
1
= LL �st3
o ` DatD-�B, 19.,— Permit No. spa 7-3
U
3g�D
W LL Fee$ �-7
= o
Application is hereby made to the City-of Cupertino for a permit to
o ` install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in a rdance with the provisions of the Plumbing
= Code of the City o up no, and all other laws applicable thereto.
5 ~ Use of Premises
00
5 m Owner Address
ZJ
�
Z By Address�q
'O CO RA OR,AGENT (/
3 P PLOG SHEET METAI
– w Phon
prw CAMPBELL, CALIF
a U State i�1..1NSE #PaZ825 Approved
PLUMBING INSPECTOR /
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. r
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath tro
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 t 1
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under 15'Hi
Over 15'llie_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
Total Total Fee / "
CERTIFICATE OP COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......SI-=.....�.................. Building Permit No.
The Building Located at ........,.:..l......-.i..r.:.!,..r-t..-
.-
Owned by
- --------------.............................:........................................
Has Been
or Use As:
(Altered) ..... ?� ........... ........................................
.................................................—.................................................................................. ...........
........................................................................................... -------------........................................
.....................................................................................�W- ..............................................
Q / rl ./. '14N
................ .............
BUILDING INSPECTOR
RECORD OFLNSPECYION APPROVALS
BUILDING
DATE INSPECTOR MISC
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
AT & PLASTER Z
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOT ORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. -23
SANITARY NO.
UNDERGROUND ROUGH
73
PARTIAL ROUGH �^
ROUGH COMPLETE J 7
MAIN DRAIN /�
FINAL PLBG. L J3
FINAL GAS 73
FINALAPPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Z012-51 n LotNJV3
No. Street /• /
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. �Zg�
File No
��
Dote._L/ e�-19
•
Application
is hereby made for a permit to
❑ story, Type
to be occupied only as s—D
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements S .02 -q.0 to dip
FEE$ — '2�40 to Plan Check $ 6 /�
Owner &6160 yam Address &.2.4A QsV6Leidif
/ l It I I ll
Contr. �j Address
Phone - 2A 10 State License
•
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date f 19 GAS FEE $ < )
PLUMBING FEE $
Contr. Address ,/6 ;? Ci�Tn�i.-i+-•'
Phone - a�`� State License
i
Approved
Y� APP CATION FOR APPLIANCE PERMIT/
a
Date ^J Q, 19 FEES
Contr. U/`" /1 Address
Phone uta O y 3 �e State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
P D-1