51273 /0 974 -G�C�, ;",71 _ LOT NO.
NO. STREET p/7. G n
W Z CITY OF CUPERTINO 1 L'Oua
a o f 0.UVAoAPPLICATION FOR BUILDING PERMIT _
OJ of Building Per.No.
W<
O�.o[tepp 19 7 Sanitary Per.No. 0 3�
o gppFc on is hereb't_� ade for a permit to `
0 a stg(y,%Type Structure
>F
Z
w to be occupied Only as in accordance with
a Plans,Specifications and Plot-Plan fileA herewith. PI Ck Fee$_____TT7__
20 Estimated Value of Improvements, $ a 3,Oai7 • on Fee$ 72 ,00
I-3 Total Fee$ 73. 61
oa
Z"' 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 of Cupeerrtiino� will be complied with.
Ww Owner _ ""�"�^ Address 2 2 f
40 BV (i"'*-r-GGrL Address v
_U Cgqon/b'.or nt.
Approved L s
State License `Z 6 1-7 3 Building Inspector
1o874 I Northvlew.,SCJ LOT NO. 186
NO. STREET . , Plan 3'C
W Z CITY OF CUPERTINO
VO APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPEBTTHO �.
3 u �'a�y�^t �rt')�� Permit No. f 6�
rO DaL@'1'fFtL � IQ)Il] ,te Fee$ IT
o F Alplic�(lon'is "eby made to the City of Cupertino for a permit to install electrical
z
F wiring and7or fixtures as listed on the reverse side hereof, and agrees to install said
a W 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.
J
00 Use of Work To Be
>y Premises -J/ 4.Q.YrI �4• Performed -Q- - � 'ia p-
Fp�< Owner ,,, 4 h 0 Atltlrass �hC
a , laA Q
2
Jo BvWANDERE eLECTRIC, L:C.L�__Aatlress
contractor,Agent
3yPhone
W Z �7g(77Y
W W State License Approved
0 2 Electrical lnspactor
QO
_O
X
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or-6veM-K,W. )
Size of Main Service
Number of Meters )
Number of Panels )
Signs- Transformers
Dryers ) _
Motors:
_ H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Wisc.
Permit Fee 2.00
H.P. Charges 3
Total Fees
1-7,
6'r7y I 'PIC
NO. STREET ✓T
CITY OF CUPERTINO
Of cuvgw° APPLICATION FOR PLUMBING PERMIT
go
,qs aap.�� 5 IV- Sanitary No.
3 Q Date ' ' ,. 19 _ Permit No
= off P Fee $ 4P3.sy
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
a and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a Cupertino, and all other laws applicable thereto.
W W
a Use of Premises Single Dwelling
00
> W 2295 De La Cruz Blvd., S. C.
r 3 Owner nitCrnno rn_ Address
i_j 167 E. Fremont AVe., Srvale
J z By L. C. Bohart Plumbing Co. Address
O CONTRACTOR,AGENT
245-2323
Ph
- 0 Phone
Wz
W W
a
State License 18657Q Approved-
0
a a
j
U 1 N/ PLUMBING INSPECTOR �/
L -
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater f Size "
Water Closet Material CI
Bath Tub To Curb
Shower f To Prot).Line
Lavato ' s > To Existing
Kitchen Sink Not
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
Drinking Fountain
• Floor Drain WATER SYSTEM
Hopper Size RM
Restaurant Sink Material
SandTrapTOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Stom Drain Fee
Sprinkler System 11 Water Sys.Fee
Relief Vah�e
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee Z
W-7 7 LM NO. O
NO. MO
64 L1S'i O
STREET
F `
n
°p ► +ICATION FOR APPLIANCE PERMIT
615 arr or cupnTwo
O n Date J % 219&
' ►A9 19. _ Permit No. Jr/a 7 3
�
3 u pp . 22 o 0
$ Fee3
n 0 Application is hereby nfadle 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 accordance with the provisions of the Plumbing
W Code of the Cit of C ertino, and all other laws applicable thereto.
S ~
Use of Premises
00
1° Owner Address Ar ��-✓�L/J
z By Address
POG 0GENT
MET
w Phone.C_AMPmr-F FCo
IC
i LICENSE #25282s
02 State License Approved
U �/--- PLUMING INSPECrOa �.
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. 1 q fb
Gas Fired Boilers
Warning Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Com., Indust. Inst.Kil. •
ft
Hood&Vent System 16 cz>
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without m
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,.Mise. Equip.
Under 15'High
Over 15'110eh
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 p•1)
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......... ..................... 19J3. Building Permit-t.........
The Building Located at .... .............Q.3..........
Ownedby . .............................................................
Has Been (ANr Use As: .... ...............................
nd)� ":'Vd- .
......................................................................... ....................................
.........................................................................................................................................
............................................................................... .................. ......
.....................
........... ---- -- .........................
/iF
rL26�G iNspEcroR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR TIS .
PAD FINAL 7
FOUNDATION 1 ,��j� •�
UNDERFLOOR \ .��yC. �• v' y�� • 7'
FRAME
4:23 & PLAS ER
GRADING FINAL
FINAL BLDG. / ) -
ELECTRICAL
' .V.11*vf 1NSP'ECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING — — ^� L
FIXTURES
MOTORS
FINAL a�y
—7_ 7
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND RO*le7
PARTIAL ROUGH
ROUGH COMPLETEMAIN DRAIN FINAL PLBG.
FINAL GAS 7— 7
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
1d 7y I nr f!f-Lb✓ Sel Lot Noj%(c
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.-� 3 0 5
File No.S—L.2 7 3_
Do to 19 .21�
Application is hereby made for a permit to
! "3=1C 7162A g I - a story, TYpIL
to be occupied only as
in accordnn a with plot lan, Plans and pecification filed herewith„
Estimated Value of Improvements $ "I 4000
FEE$ - /�72-60 Plan Check $ . ^
Owner oyyt _ ! �n^a Address ?' ?'115 .xa CRL4.)
.t r Ir
Contr, t•' f t Address \ 1
Phone LuU D State LicenseZ V�, a 17 3L/
JApproved gn -'e,
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
i 1a
Date S 19 GAS FEE $
-r�-- PLUMBING FEE E c>l J. j
Contr. Address —_( G' i" Ey�C-L+.-+�--��
Phone State License p7
Approved
APPLICATION FOR APPLIANCE PERMIT .
Dote `� 19 FEES
Contr. Address i C"
Phone ,5 7 e�- 0 9'J V State License
Approved
Applicants agree not to violate any of the t(C
Workman's Compensation Laws of the
State of California
PD-1