51273 IOSR�f YLfiWtn�IHF•tt� ✓ LOT NO. 19�
NO. STREET •• Q,Q�,v G
N Q
w z qn of CufElmNo CITY OF CUPERTINO
YD 4 72 APPLICATION FOR BUILDING PERMIT
¢" SEP 1
O J Building Per.No.
W U Dete/� ,,� L 19_. Sanitary Per.No.
i_0 AAppncafon Is hereby mad r a permit to
w
F a 2 story, Type Structure
Z
fe to be occupied only ash in accordance with
aW �n—
r Plans,Specifications and Plot-Plan f ed herewith. PI Ck Fee$
J e
20 Estimated Value of Improvements, $ a 3i PL70 • yn Fee$ 7 2,
3 Total Fee$ '�3--�f
0 a
Z_1 It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
Z
and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with.
m
ww OwnneerA'� —" Address ZZ�S A -
Q0 By ���"��� Address /
Contr. Agent.
Phone �(Aq 24 O�J Approved s
State License 2-6 17 3 x, 47 Building Inspector J
W94 I Northview Sq. LOT NO. 184 ,
NO. STREET M.
' ' Plan 3-C
z c CITY OF CUPERTINO
wZ �p
x o CITY OF CUPECTIIPPLICATION FOR ELECTRICAL PERMIT
Q LL
3:4 MAY 1Permit No. o
X119
HO Date MAY 243 , is— Fee$
o F AplAtil iRereby made to the City of Cupertino for a permit to install eleCfrical
F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
4 W wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
WW City of Cupertino, and all other laws applicable thereto.
ar
Jp
00 Use of Work TO Be n
j Premises Performed �-t-t-�•��� p IIA0AJ)II—
Y .
f
Z� Owner. - L Address
ZQn�] ('1
jzo BvWANDERER t ECI"CIC, Ii:D._ Address t�
Contractor,Agent
3 Q Phone 73h•54191
N �•
wZ a/ ��4
w StateLieanse Approved
R2
O P Electrical Inspector
GO
-O
ITEM NEW RPL FEES
Number of Outlets
Number of Switches f
Number of Receptacles
Number of Fixtures 2,
Ranges et-�.W.
Size of Main Service
Number of Meters
Number of Panels
Signs - Transformers
Dryers
Motors:
H9. Phase
.H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges 7J
Total Fees
)7, 85
/o, / H /L/�"LC 1J g LOT NO. I6 /
No. Y STRP.P.T
CITY OF CUPERTINO
" < APPLICATION FOR PLUMBING PERMIT
o Of C.0000 Sanitary No.
0 a Date 19 — Permit No
3, oEV Fee $ ,.3.
' O Applic,RiOA 1SThereby made to the City of Cupertino for a permit to install plumbing
'o < pipes(�nd%or fixtures listed on the reverse side hereof, and agrees to install said prices
> I 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.
w I
Use of Premises Single Dwelling
00 2295 De La Cruz Blvd., S. C.
3 Owner Ditz Crane Co. Address
Zj 167 E. Fremont Ave., S'vale
z By L. C. Bohart Plumbing Co. Address
O CONTRACTOR,AGENT
3a
� Phone 245-2323
—
wz
W w
W
o State License 18fi579 Approved
U X PLUMBING INSPECTOR
L - G
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater i Size
Water Closet > Material C I
Bath Tub I To Curb
Shower I To Prov.Line
Lavatories a To Existing
Kitchen Sink 1 Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine I Size
Water Softener Material
Bar Sink To Main Drain
Co .b.Sink&Tray To Curb
_DMntal Unit
Drinking Fountain
Flopr Drain WATER SYSTEM
HO r Size 3A It
Restaurant Sink Material
Sand Tra TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Stone Drain Fee
Sprinkler System Water Sys. Fee /,_$
d
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 07J
Total 5 Total Fee 3•,
NO, ST W/V(f4GU LOT NO. (a
TREET � n
APPLICATION FOR APPLIANCE PERMIT
m (vFu0 CITY OF CUPERTINO
an of
o Date
X 19. _ Permit No. S/� 7 3
LL ` Fee•$—
' 0 � A$plication is hereby rrm-de to the City-of Cupertino fora permit to
o F install gas appliances as listed on the,reverse side hereof, and agrees to
zEt install said appliances in accordance with the provisions of the Plumbing
' F Code of the City,of ertino, and all other laws applicable thereto.
Use of Premises ,
00
Owner Address
2J n(
z By Address—
=!10
CONTRA OR, GENT
3 C PLOG SHEET- M
— N Phon
W PBELL, CALIP.
°a o /State I NSE �n=28z� Approve
U (}. " PLUMBING INSPECTOR ,
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air FLIM.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath W
Inde end. Vents stem
Com.,Indust.,Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFA1
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 15'High
Over 15'Flip}
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 vo
Total Total Fee o-J
G CERTIFICATE OF COMPLETION
C BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..r ........................ IR..1.1... Building Permit No. 7_%f---
• . c'... �Y.- 2. �....................
The Buildin Located at ........"..�.:C�-�..rf...-� �...._.............._.....
tL ................................Owned by ...
Has Been II1 � For Use As: .fie..:..-�':..... �rr !......................................
....................................I.............................................................................................................
................................................................................................................:.................................
.:_...._.........•. ...................•-- .............................: ....-. ....---------.......I.................................
J..
�(����1} r
•............... ../ -� eC!��......._.............-_.....
vBUILDING INSPECTOR
RECORD OF1NSPECTION APPROVALS
BUILDING
DATE INSPECTOR MI C
PAD FINAL
FOUNDATION v• y'�� '7�
UNDERFLOOR
FRAME 7 �/ V.Az� LAW 3
AT & PLASTER 1
GRADING FINAL
FINAL BLDG.- Y-7
ELECTRICAL
7 DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING 7
^
FIXTURES
MOTORS. C.
FINAL 0
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. -16-7
SANITARY NO.
UNDERGROUND ROUGH/41
PARTIAL ROUGH-
ROUGH
OUGH ROUGH COMPLETE
MAIN DRAIN Y
FINAL PLBG. 73
FINAL GAS 7 73
FINAL APPLIANCE
DATE INSPECTOR 'MISC.
MISC
MISC
MISC
Lot No.19q
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT Q
Sanitary No. ✓ 30 3
File No-!U �
Date 19
Application is hereby made for a permit to
!42y,:54&4C} n story, Type
to be occupied only as -4C � {
in accordance with Plot Ann, Plans and S cification filed herewith.
Estimated Value of Improvements s Z3, dC0
Ts
FEES ZA -66 Plan Check $
Owner � ��� w-- Address
It \
Contr. � , Address I I
,
Phone —` 1� ZX)I 0 State License 2-G 1 7 -7t
r
Approvad
e
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 5' 19 - y GAS FEE $ (/.O
PLUMBING FEE $ -d
Contr. Amo Address A / C`� 's'�'�'-���
Phone —2 V-J State License S
Approved
APPL CA7 1 TION FOR APPLIANCE PERMIT 02Date `3 19 -3 FEES
Conn. '� Address
Phone ��� C�/� State License S22-'-S 02-�
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the -�
State of California
PD-1