51273 �Q g0 / r21,'l�! Ll.diLR� LOT NO.
NO. STREET 616
N "
wQ i
10884 I Northview Sq. LOT No. 185 /
NO. STREET
Plan 3-B
w i CITY OF CUPERTINO
Yo qtr OP cuPe�AFODLICAT.ION FOR ELECTRICAL PERMIT
0-1
wo M�I 1Yl •��WA Permit No.
F LL Date A ' 19 Fee is
o F AP91icAonlis Ieby made to the City of Cupertino for a permit to install electrical
i F wiring and/or 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
WW
F City of Cupertino, and all other laws applicable thereto.
a
J
00 Use of Work To Be
Premises Performed L-0 p d ./I/"/1!
OJ Owner - Address ��� �nA0
Z
�
0 9y WANDEPEP, LLLCiliii;• 1:;.;. Adar«a
Contractor,Agent
—y Phone
wZ
W, tate cense �7�b7� A
¢'i SLiApproved
02 Electrical lnepac r
a0
—U
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or�wrw-14:W.
Size of Main Service I00
Number of Meters I
Number of Panels
Signs - Transformers
Dryers
Motors:
o H.P. Phase '
H.P. Phase
H.P. Phase
Power Poles
Misc. .
Permit Fee 2.00
H.P. Charges
Total Fees
08,py fi r._ - � LOT NO. f
NO. STREET ,
CITY OF CdPERTINO
CO
W = of eueEW"WPPLICATION FOR PLUMBING PERMIT
o ` Q Sanitary No.
o
Y a 1 � 1 1972 , 19 — Permit No
CFee$ .2 3
= 0 Application isrhereby 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
r . and/or fixtures in accordance with the provisions of the Plumbing Cade of the City of
<w Cupertino, and all other laws applicable thereto.
a Use of Premises Single Welling
J LL
p02295 De La Cruz Blvd. S. C.
3 Owner Ditz Crane Co.'. Address
Z , By L. C. Bohart Plumbing Co. Address Fremont Ave., S'vale
O CONTRACTOR,AGENT
3 �
— 0 Phone 245-2323
W Z
a o State License 186579 Approved
U PLUMBING INSPECTOR �/
FIXTURES NUMBER MAIN DRAIN
Units Fees Units fees
Water Heater I Size
Water Closet 2 Material C i
Bath Tub To Curb
Shower ToProp.Line
Lavatories 2. Existing
Kitchen Sink Not
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washina Machine Size
Water Softener Material
Bar Sink o Main Drain
Comb.Sink&Tray To Curb
_ Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
loo er Size �
Restaurant Sink Material
Sand Trap TOTAL FEES
,Urinal Fixture Fee /
Area Drain Main Drain Fee :S
Waler LeaderFee
Sprinkler System Water Sys.Fee /,sf
Vac Breaker
Skimmer
Filter
Pool Sweeper
Perot Fee
Total I V 1 11 Total Fee .��
//JhOT YN( LOTNO.
NO.
1 STREET
r•UF[t•gTLICATION FOR APPLIANCE PERMIT
WY
a 6��l CITY OF CUPERMO
0 LL `te F 68 Q 0 M — Permit No. S��' 73
U Fee•$ /, 7
4
o Application is hereby tn8de to the City-of Cupertino for a permit to
o` install gas appliances as listed on the reverse side hereof, and agrees to
z to install said appliances in a ordance with the provisions of the Plumbing
„ = Code of the City o Cu no, and all other laws applicable thereto.
30 /n �
Use of Premises
o00 I�Sh C! C.�e�.,-t
< (hvnet � Address
ZJ
�z By_� Address
O LOGO cr0 AGENT ..
3P
z
hone
P A_ _S►i— Epgf`TMp O.—
Cq
o State Lice-ENqE ��iF• Approve �—
_U - �$ PLUMBING INSPECTOR ��
APPLIANCE UNITS FEES
as 11op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. I tfti
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath Irl+
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 Comfort
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc.Equip.
Under I5'High
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 1000.000
Permit Fee � `rV
Total Total Fee e-
CERTIFICATE' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... ...................... 19-... Building Permit No.
The Building Located at ..1,7 ...�^a_' �.:..: nI2 rlisr�(C4J..:.... - }s---------------
Ownedby rz.. ..... 6.p.""'•.................:...........--nn-.........................._.........
mP ed 1K
Has Been t � or Use As. ....... :............._.............. r............-:..:..............---
----------------------------------------------'-------------......_.............................------............. ..------.............
-............. ...................-------------------.........._.....................-----............._.-----.......................
............ . ...----...---....-----.........._.......-------........_: .... .................... ..........................
........................
IIAING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR I
PAD FINAL 411, 7-2-
FOUNDATION 1-- Q• Y-1 3
UNDERFLOOR Tc'' y // 7
�
FRAME -752
PLASTER -?4 73
GRADING FINAL
FINAL BLDG. -
ELECTRICAL
(/ DATE INSPECT R MISC.
UNDERGROUND ROUGH �j
ROUGH WIRING v
FINISHED WIRING
FIXTURES 7J
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REG.
r
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH '7
ROUGH COMPLETE 3
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE ' 7
DATE INSPECTOR MISC.
MISC
MISC
MISC
1.{„► Lot No.f
No. Street , 4 /
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. Q
File No.
Dote 1922.,--
Application
922.,-_Application is hereby made for a permit to
a Z storry, Type
to be occupied only as
1:2in accardon ce th Plot Plan, tans and Specifi tion filed herewith„
Estimated Value of Improvements E -
FEE$ 72-- 400
Plan Check E
Owner nW1. - l lz� Address
11 L\ , t N
Contr. Address
Phone Z q T ZQ State License ` 1 T
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 7 '1, GAS FEE $
PLUMBING FEE $ 6'- - S�7
/nom ]�'"'
Contr. �� ^--/-�-�t Address A 7
Phone --2 SGI-- LJ State License
Approved
APPLICATION FOR APPLIANCE PERMIT� e a
Date ` ��r 19 `7L3 FEE$ q/ �p
Contr. �`_" t, Address /'-3U
Phone J7JFj 1�e; State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1