51273 IOO S7 i'✓ ""�'(� .�(7 ___(' (/i�l�' LOT NO.
NO. STREET
W Of CUKp�p CITY OF CUPERTINO
Yo APPLICATION FOR BUILDING PERMIT
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o nSEP 14 V 2 Building Per. No. S_�^Z 7.3
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Date nn// 19w �/�S�anitary Per.No.
�o D AppliLAti(Pis herebrde for a permit to 'ALI&t
W W
01- a 2 story, Type /
y a ^� � p_ Structure
Z
w to be occupied only as .YO'�'�-�N R.eg� in accordance with
a F Plans, Specifications and Plot-Plan Aled herewith. PI Ck Fee$ —O
20 Estimated Value of Improvements,$ a4/000' 00 Fee$ 75-'00
o a Total Fee$
76.68
Z"1 It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
o and all other laws applicable to the construction, location, and use of buildings within
3 a the Cit,)�) o f Cu/Q ertino will be complied with. /�� /}
W W Owner "�"�•/ /`"'I/"`.��c-' Address Z29s //"'ULC' �A.�4.
Q By Address
_U Contr.o gent •
1tt� Phone 2-144 'Z9�0 Approveds
State License 2-6 (7 3 x Building Inspector
10854 I NorthvieW SQ. ' LOT NO. 188
NO. STREET Plan 3-A
wz CITY OF CUPERTINO
Y o criT of cupeaAWLICATION FOR ELECTRICAL PERMIT
�LL /n� Jg�
O M�yY 1 1r�73 Permit No. 2O
W mNY j �9 i
HDate , 19_ Fee$ �.
`o F Aglidtior) isQreby made to the City of Cupertino for a permit to install electrical
ZF wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
w wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
x City of Cupertino, and all other laws applicable thereto.
ar
J LL
D'O Um of Work To Be
Promises Performed Ld-Qp Ct/L-r-��
ZJO a fii. (CJI N
Owner. � Q„ Addreu -�1 � ODt'�/la-
;o evWANDEfttr, LLIL I'rIG, L,,._—iCdd6l -'
F contractor,Agent
-a Phone -131,-,S4p I
N
W Z
Gi State License .�7��74 Approved
D 2 Electrical Inspect
a-0
.0
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number ofFixtures
Ranges a-mem—IFW. J
Size of Main Service
Number of Meters
Number of Panels
Signs . Transformers
Dryers
Motors:
fa.P. Phase
. H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges a Jrb
Total Fees
J&bo
to A C � �/✓1TiI� '1� LOT NO. /` r
h0.-� STREET
Ory OF CUPERTWO CITY OF CUPERTINO
W
" < PLICATION FOR PLUMBING PERMIT
= DEC 5 I
Y ° Pd 0 V `3 0 1972 Sanitary No.
LL
o liar 19 _ Permit No
3u
= LL Fee
o 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
wCupertino, and all other laws applicable thereto.
W I
f f
Use of Premises Single Dwelling
0
02295 De La Cruz Blvd. S. C.
1- 3 Owner Ditz Crane Co. Address
ZJ L. C. Bohart Plumbing Co. 167 E. Fremont Ave.. SIvale
z By 8 Address
� CONTRACTOR, AGENT
3 �
- Phone 245-2323
W 2
W W
ao State License 186 s79 Approved
_U PLUMBING INSPECTOR "�-
L
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size
Water Closet Material G
Bath Tub To Curb
Shower To Prov.Line ✓
Lavatories To Existing
Yjtchen SinkI Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine I Size
Water Softener Material
Bar Sink To Mai Drain
L tb.Sink&TrayTo Curb
Dental Unif
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant-Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Rt—
Sprinkler System Water Sys.Fee (.
Relief Vatm G..Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Pennit Fee
Total Total Fee
LOT NO., I
NO. S7R
„ . AP��$,�►TION FOR APPLIANCE PERMIT'
Z. arr of 1973 MY of CupnTwo
4 (}
3 DateMARF D la w ig. _ Permit No. 5 ��- 73
U LL P '^ I Fee$
Y
° t Application is herby tnsrle to the City Cupertino for a permit to
o` install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
Y i Code of the City of Cupertino, and all other laws applicable thereto.
S �u Use of Premises _ Orly—Cr
00
Owner Address .5dt=
iZ
� z By Address C!
J'O CON OR,AGENT
3 S Ph
NZ
I o State CAMPBELL, ~CALIF.
CALM. Approved
_U -L 2$2828 +� PLUMBING INSPECTOR ��
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. f IPV
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath '✓ t{
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 Cornfort Cool.)
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 IS'If
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 OF COMPLETION
BUILDING INSPECTORS OFFICE
CITY OF CUPERTINO
Date ....---- ..�...�._�................. 19.. ..3 Buil ' Permit No. �e �'7 .-
The Building Lacatcd at ...�--�'--......./..........�-............... --
Ownedby ............................................................................
- ..Has Been �(Altere;1�or Use As: .. :--...... •` -
------...................................••------...--......--------.............•-- -----------.............•--••-•---.------....
.... ............................----...........--•---.......................---......---------------............----------------------
... ..........................---......................................--- .....
--- .....................
u"9-l•
INC 'INSPECTOR
P
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR IS
PAD FINAL , cv
FOUNDATION •D'
UNDERFLOOR Df 7M ^�
FRAME •1
AT & PLAS a
GRADING FINAL �+
FINAL BLDG. - )
A LECTRICAL
• D'AT,E NSPECTO MISC.
UNDERGROUND ROUGH 9
ROUGH WIRING 6'421
72
FINISHED WIRING -7 7
FIXTURES —2—
MOTORS
7—MOTORS
FINAL IV-7 773
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW JE
SANITARY N
UNDERGROU
PARTIAL RO
ROUGH COM3 r
MAIN DRAIN
FINAL PLBG
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
he 16Lt nit-L-11, u, S t . Lot No. /1715
No. Street /
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.�
File No..,r/,z+ 73
Date 19 7_
Application is hereby made for a permit to
4:Z;2 'lifaa Gf' a Z story, Type
to be occupied only as �'� 44==� 4,t
in accordance with Pl lan, Plans adg Specification filed herewith.
Estimated Value of Improvements $ y Qo0
FEES – �sR--ti Da Plan Check $
Owner D L/l Address
1. is
Contr. Address
Phone ZIN Z.q I C> State License Z4 Z
i Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Z �
Date / 's 19 ? C� GAS FEE $
PLUMBING FEE $ —
Contr. Address/'
Phone '7` `f State License
Approved
jvb AP L CATION FOR APPLIANCE PERMIT
Data �,� 19 FEES
Contr. - Address
Phone --3 - C' y 3 State License --J
Approved
Applicants agree not to violate any of the ✓'
Workman's Compensation Laws of the
State of California
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