51273 LOT NO.
rn Y OF CUMTiNO sfipeer
Q CRP/)
w Z CITY OF CUPERTINO
Q
° SEP 14 19T�PPLICATION FOR BUILDING PERMIT _
O:i Building Per,No.
WU Dao / ri19 Sanitary Per.No. efG 9
�
o Application is herebym for a permit to 4ule- r
LL W 1
0 a story, Type / Structure
Z
to be occupied only as in accordance with
W
aF Plans,Specifications and Plot-Plan Iled herewith. PI C Fee$
20 Estimated Value of Improvements, $ 93 10,10, o0 Fee$ 72-CPO
o Total Fee$
73 (0 /
Z"' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
_i 0 and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with.
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W Owner �`^�- Address Z`s O e(/•Lt'"I '""' � —' `
i
e.
QBy ( L Address
_U Contr.cVAgent.
P None ;L4q— 2gjo Apprwed
State License Le 17JT ! Building Inspector
10834 Northview• 5 190
q�' LOT NO.
NO. STREET Plan 13-B
zZ CITY OF CUPERTINO
Y¢ ICATION FOR ELECTRICAL PERMIT
O CrtY OF CU
U 3 Permit No. i-7
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Date Y1 � , is- Fees. 7. 0
p F ApplPatiA islhe eQy 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
<0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F F City of Cupertino, and all other laws applicable thereto.
a
J
00 use of Work To Be
1 Promises..LAS Performed " / p-
Z~ _1QanJ-a , rr0d^a.
Owners- ��Q Pio - Address
ao zBy WANDERER ELECTRIC, IPIC.F' ">'•'Aaa;,;a:_.,:.,>
Contractor,Agent
3 Q Phone r1,36-.54o'L1
Wz
W¢d State License a7Sb74 Approved
(7 f Electrical Inapatt r
a0
_O
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or-Ovens-K-W.
Size of Main Service
Number of Meters
Number of Panels
Signs - Transformers
Dryers
Motors:
R.P. Phase '
-H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees l-7 -7 O
l D8�Y I ti�z->(�, LOT NO.
NO.
STREET
. t of ORS"o . CITY OF CUPERTINO
" a DEC5PLICATION FOR PLUMBING PERMIT
90 U Sanitary No.
0 U Dater @) 0 1972 , 19 — Permit No
W,a Fee$
xo
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
a w Cupertino, and all other laws applicable thereto. '
Wx
'� LL Use of Premises Single Dwelling
0 0 2295 De La Cruz Blvd., S. C.
� 3 Owner Ditz Crane Co. Address
iJ 167 E. Fremont Ave., SIvale
Z By L. C. Bohart Plumbing Co. Address
Z! o
3 F CONTRACTOR,AGENT
— 0 Phone 945_932.4
W z
State License 186579 Approved
rc a
o s ` /
C U Y PLUMBING INSPECTOR
FDCTURES NUMBER MAIN DRAIN
Units I Fees Units Fees
Water Heater Size
Water Closet Material
Bath Tub To Curb
Shower i To Prop.Line
Uvatories Z To Existing
kitchen Sink Not
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine I Size
Water Softener I Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Chit
Drinking Fountain
Floor Drain WATER SYSTEM.
Hopper Size i
.Restaurant Sink Material 1 904/
Sand Trap TOTAL FEES
.Urinal Fixture Fee / J .Sa
Area Drain Main Drain F_ee
W der torr Fee
Sprinkler System Water Sys.Fee d
Relief Valve F".
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 2-de)
Total Total Fee Z gz)
l2��� . _ '�� �,,,, ,�, • ter No. �g a
NO. KTREET - p
APPLICATION FOR APPLIANCE PERMIT
Z a CITY OF CUPERTINO
' 0
3 Die coq 19. _ Permit No. �a *73
F o° �+�, Fee- o�
i � Applicn is hereby mode to the City of Cupertino for a permit to
o ` insta)�ga% appliances as listed on the reverse side hereof, and agrees to
<a ik�stal said appliances in accordance with the provisions of the Plumbing
0 Z Code of the City f Cu rtino, and all other laws applicable thereto.
S ~
o Use of Premises
00
Owner Qd Address
o<
Je
o By_� _�'/ Address U&� R
3► M4 [ CO.
Phone CAMPBELI CAI jr
vw LICENSE #252825
a a State License Approved
—
0
U (i, ✓ PL&MING INSPRCrOR `
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath 1 6•d-,L+
Inde end.Vent System
Com..Indust,Inst.Kit.
Hood&Vent System Ia-v
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without Comfort
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc.Equip.
Under IS'High
Over 15*Iligh
Comfort Cooling
Comp.of 20 HP or less '
&absorp.units with input
or 500,000 BTU or less
Comp.over 20 HP& Under 50 HP
&Absorp.units with input
of 500.001 &Under 1,000.000 t,
Permit Fee 7 crb
Total Total Fee /1Rl
G\�CERTI,FICATIE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .............(4...........4 ............ .I Building Permit NorzEf
The Building Lowed
Ownedby ........... .... .. .... ..........................................
le t
HasBeen m se As: ................................................. .......................
(Altered)
.................................................I..................................................................
.............
.....................................................................11.........................................................................
---------- ............................................ ..... . ....... ........
. . .........36�— .......... ....: ............. ...
B JUNG IN
RECORD OIFINSPECTION APPROVALS
BUILDING
DATE INSPECTO MISC.
PAD FINAL 0-
FOUNDATION
UNDERFLOOR 10 �b
FRAME
ER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS.
FINAL t�
73
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. _ " 7
SANITARY NO.
UNDERGROUND ROUGH-.4
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN �UT S >
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
1613y Alz,,n U/1.x..1 So? Lot No. q0
No. Street /• L /
CITY OF CUPERTINO (V 1
APPLICATION FOR BUILDING PERMIT
Sanitary No.9-4d
File No. /, 173 _
Do to 19
Application is hereby made for a permit to
a story, ype
to be acc upied only as
in accordance th Plot PIA Plans and Speedcation filed herewith.
Estimated Value of Improvements S Z 30 w O
FEE$ 22 _oa Pion Check $
Owner 41761! Address 7.1.1 .5 ��I
/ I 11 f1 / /
Contr. (/ Address
Phone ` - 2,4/a State License �`
Approve
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �L 19 7 1./ GAS FEE E (1/42�
PLUMBING FEE $ d - JZ
Contr. -f Address /` 7 CC'. ti.�.v,��-••L
Phone - eZ s x-3,-3 State License
Approved
APPLICATION FOR APPLIANCE PERMIT Or
Date 3 �e 19 ;/3 FEE$
v
Contr. Address 1,30
Phone --3 - %-3Y-� State License c 2 oZ..fr
Approved
Applicants agree not to violate any of the ,tip
Workman's Compensation Laws of the
State of California
PD-1