51273 IOO7� r - d'�(Z!.{�R LO/TNJ�O.
�NO. STREET r / J ID
Z Z CITY OF CUPERTINO
¢ CRY OF CUPERRNO
co APPLICATION FOR BUILDING PERMIT
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O J S'E P� -1Building Per.No.
972 �v
m U Data 19 anitery Per.No. -F2 f,�
11-o AWlickiod is mby m for a permit to
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oF a Z story, Type Structure
<0 to be occupied only as in accordance with
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F Plans,Specifications and Plot-Pla filed herewith. PI Ck Fee$ _
20 Estimated Value of Improvements,$ -25i0170 •bD Fee$ 7$•�
1-3 Total Fee$
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Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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and all other laws applicable to the construction, location, and use of buildings within
31-
4 the City
�,off Cu/pe�rttino� will be complied with. /O
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w Owner �^"" t/`v"'-'� Address �4'S
Q O By / Address
Conti. Agent. •
Phone 2W'�io APProvetl s
Stet.License '���� Building Inspector
10845 I Northview Sq: LOT NO. 141
NO. STREET
Plan 9-D
z a CITY OF CUPERTINO
f W CITY 01i CUPEenNo APPLICATION FOR ELECTRICAL PERMIT
VO
LL
$a MAY 14 1973
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V Permit No.
FO ete MQV -� 1473 19_ Fee$ V
7�T—T�
o F Application is hereby made to the City of Cupertino for a permit to install electrical
>F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a 0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F City of Cupertino, and all other laws applicable thereto.
a
0 LL
O O Use of Work To Be
>y Premises i AL4 Performed-- l—( p
OQ Owner Address )Qa fIA- 1, 0.l QAQ
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�o By WANDERER ELECIfiIC.
3Q
Contractor,Agent
N Phone ')3L-54 r31
wZ 1- �(
W State License �7 L1�`'f Approved
6d
O 2 Electricelinspector
40
—V
11<1
ITEM NEW RPL FEES
Number of Outlets
Number of Switches 5' j
Number of Receptacles
Number of Fixtures
Ranges or neons K W j
Size of Main'Service
Number of Meters
Numbs of Panels
Signs . Transformers
Dryers I �,
Motors: (e
:.H.P: Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges 3,_
Total Fees j $ 3
�O' K I /,/ .�I✓� .e�G �i�-_.> LUT NO. /J
NO. MEET
'CITY OF CUPERTINO
" = APPLICATION FOR PLUMBING PERMIT
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Wo
r oC Sanitary No.
Ot OO
3 a De W I +�,'e'� g72 19 — Permit No
O Fee$ 13. 5V
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� A(plication i3.hc*reby made to the City of Cupertino for a permit In install plumbing
o < pipes aRq/o?`fixtures listed on the reverse side hereof, and agrees to install said prices
> r arid/)r fixtures in accordance with the provisions of the Plumbing Code of the City of
Z w Cupertino, and all other laws applicable thereto.
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Use of Premises Single Dwelling
00
> 0OwnerDitz Crane Co. A334a De La Cruz Blvd., Ss C.
oa
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JZ By L. C. Bohart Plumbing Co. AW;sA. Fremont AVe., Stvale
O CONTRACTOR,AGENT
3 �
— `0 Phone 245-2323
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¢ a
a o State License 186579 Approved- A444
U r PLUMBING INSPECTOR �—
fold., - ,n
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size /
Water Closet Material /
Bath Tub To Curb
Shower I To Prop. Line
Lavatories To Exi tin
Kitchen ' I 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
- Derital Unit
Drinking Fountain
Floor Drain WATER SYSTEM
->Hojiper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee . J�
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve cag Fee.
Vac Breaker
Skimmer
Filter
Pool Sweeper
E' FeeZ 6`D
Total , 'j�
l iqb Kr
LOT NO. � q /
NO. STREET 3
y,` APPLICATION FOR APPLIANCE PERMIT Y
iOUPEPtMO
a OF CITY OF CUPERTINO
Y 1973
3 :i D� 2 19. _ Permit No. J�� 73
U �o
X 0 17 1 Fee$
Ppplication is hereby maae to the City of Cupertino for a permit to
o ` install gas appliances as listed on the reverse side hereof, and agrees to
z W install said appliances in accordance with the provisions of the Plumbing
„ = Code of the City of pertino, and all other laws applicable thereto.
S ~ Use of Premises
Owner Address
01
zC e //
J z By ''-^^�'r�'1J"`-""�Address
G C RA OR AGENT
3 PLOG S4 EET METAL CO.
— w
Phone.
� z _
a a tate LI5CENSE i�25E8Z6 Approved 44ai:d
n z /S/� Licen�
`U
PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. 1 L OT
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit/Bath a1.
Inde end. Vent System
Com.. Indust.. 1 nst.Kit.
Hood& Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without Comfort Cool
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Slacks,Misc. Equip.
Under 15•High
Over 15'Ifiel '
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 17 r�
Total Total Fee
CERTIFICATE' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... �........................ 19...%} Building Permit No. .l
f
The Building Located at 11..). 4.. ---- Sq.....................
Owned b
Has Been Use As: ...... '--.-...........................-
...........................................................................................................................................
.............__..................................................----......_................................................--.........---
.................................................................................. ...........................................................
:.:................
� BUILDING INSPECTOR
J
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
T PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICA
DATE IN ECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING 10?
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND R:;A-
PARTIAL
0 7
ROUGH "J
ROUGH COMPLETE-
MAIN
OMPLETEMAIN DRAIN
FINAL PLBG. /
FINAL GAS 2 a
FINAL APPLIANCE —Al
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.
No. Street
CITY OF CUPERTINO /- 75
APPLICATION FOR BUILDING PERMIT
Sanitary No. 82S(q
File No. V0
1673
Dote X19 z2w--
•Applicatio . herebbymade for a permit to T
cv--45 ✓,yAa story, Type •�
to be occupied only as S- fi .
in accordance with plot plan, Planes and Specification filed herewith,
Estimated Valeo of Improvements s "q Q 40
FEE$ V O Plan Check s
Owner Address
Contr. h Address y
Phone =2s!9 / 0 State License `6 1
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date '3/ 79 7 Z� GAS FEES
PLUMBING FEE $ .23. 3Z
Cont.. °`/`^'-'l�— Address Z6 7
Phone —��- t{'SState License
Approved l �"
/.yam APPLICATION FOR APPLIANCE PERMIT e-a
Data 19 _?z FEE$
Conte Address
Phone —j"? � � 9`3 �` State License
Approved
Applicants agree not to violate any of the
Workown's Compensation Laws of the
State of California
PD-1