51273 /0 D/5- "'v ato'A- LOT NO. II'/
NO. STREET '® F
WCity of CtrpanNO CITY OF CUPERTINO
APPLICATION FOR BUILDING
o_1S EP 141972 PERMIT
Building Per.No.
W U Dat , 19 Sanitary Per.No.
r o PApplication is hereby a for a permit to
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a a_story, Type Structure
Z
w to be occupied only as in accordance with
w
aF Plans, Specifications and Plot-Plan£ ed herewith. PI Ck Fee$�' °'—
o$ Estimated Value of Improvements,$ 3A/000' &0 Fee$ 9s. Sd
Total Fee$ 97'7f
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 City of Cu rtino will be complied with. n
W w Own�Ie,r� Address Z2�7�f i
O e.
By Address
a0.
_u contr. Agent.
\� Phone 2 44— 29 1110 Approved s
\�J State License 9 4 113`r Building Inspector
10895 I Northview Sq. ' 114
— LOT NO.
NO. STREET Plan 14-F
W Z CITY OF CUPERTINO
YO
APPLICATION FOR ELECTRICAL PERMIT
O J CRY OF CUPERTINOAJ
3 a Permit No. ss
W o21g7�
Hu. Date , 19_ Fee$
p F ApplicVon ' h�rebY made to the City of Cupertino for a permit to install electrical
>4 wiring an /or xt rest s 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 F City of Cupertino, and all other laws applicable thereto.
a
J,
00 Use of Work To Be
5, Premises Performed l kA- otA A "-Q.
04 Owner /1p.1 i"/1 - OA61 /'10 , Address ),dQ&L A U4 Aa-
-i
O BvWANDFRFR FI Fi..I, I �._. Address _ 41
3p contractors,, Agent
a Phone 23b-64,J/
N pp� '1
WZ J-0f 14
W State License A
G p PProved
02 Electrical l nspector
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t
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures /
Ranges w--BYene K.W. —
Size of Main Service
Number of Meters J
Number of Panels
Sign, —Transformers
[5ryers
Motors:
H.P.'Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2AO
H.P. Charges
Total Fees ��
�6ns If �� /_ LOT NO. /
NP O S"EE:T
co, Op CITY. OF CUPERTINO
"
z =i pEC 5 19WPPLICATION FOR PLUMBING PERMIT
x o ^1y n 0 1972 Sanitary No
0 a Dat_ pt0T', 19 — Permit No
3 U Fee $ 4X I M
O Application is hereby made to the City of Cupertino for a permit to install plumbing
0pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> t- 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.
wx
Use of Premises Single Dwelling
00
r 3 Owner Ditz Crane Co. A&R%s De La Lruz Blvd.9 S. C.
0
zJ
J , By L. C. Bohart Plumbing Co. AJ&JssE. Fremont Ave., Srvale
J 0 CONTRACTOR, AGENT
— 0 Phone
245-2333
w Z
w w
a o State License 1116579 Approved /
U Ib- PLUMBING INSPECTOR
pze� - p
FIXTURES NUMBER MAIN DRAIN
Units I Fees Units IFees
Water Heater I ISize _ V -
Water Closet Material
Bath Tub To Curb
Shower / To Prom Line
Lavatories To Existin
Kitchen in Not Co
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 AV
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys. Fee
Relief Valve ra%Fee-
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee ZQ�p
Total Total Fee
I0 A I `ISG [.INV BCW �i'•1 C/ .. LOP NO.
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
d CITY OF CUPERTINO
;715RY OF cunw INO
3 Dat �
– 19. _ Permit No. /a 73
" MAR Pees 4i).-em"
u �
o Ap
o plicatiTqp i0ereby rade to the City-of Cupertino for a permit to
< installVasAppliances as listed on the reverse side hereof, and agrees to
im install said appliances in accordance with the provisions of the Plumbing
= Code of the City o Cu , tine, and all other laws applicable thereto.
Use of Premises
00
' Owner A&4 ddress
Z /,} - /
� z By Address "'A–c A/A�
O COKtRACT05R,AGENT
3 aEET META r
–� PhonePLOG SHL_.e,
u�rw CAMPBELL, CALIF, /
ao State Lic �ENSE #a�28�6 Approved—
1
_U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I of
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. I t{ FF—
Gas
Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath &b
Inde.end. Vents stem
Com..Indust.,Inst.Kit.
Hood &Vent System r%v
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 15'High
Over 151ligh
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 v'v
Total Total Fee rtN
I
I
I ,
CERTIFICATE OF* COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
h
Date ...... .-:, ................... 19.f.. Building Permit No.
The Building Located at ...
Owned b
/ 0
Has Been�� or Use As: .....`...:, .-;..: ._. Lt .............................
........................................................................-........................................................I................
.......................... _.................................................................................................................
.:.............................................................................................................................................
. ................ :: Gr :.r.; _......................
�iIII
DING INSPECTOR
RECORD OF INSPECTIdN APPROVALS
BUILDING
GATE INSPECTOR IS�
PAD FINAL _ T
FOUNDATION O '�'� !��• y -
UNDERFLOOR ZZ'
FRAME
e11078, PLASTER
GRADING FINAL
FINAL BLDG.
LECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING �^ ®� tir
FINISHED WIRING "
0�
FIXTURES _I r
MOTORS-
FINAL-
PLUMBING,
OTORSFINALPLUMBING, GAS & APPLIANCE
DATE INSPECTOR ISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE -�
MAIN DRAIN O �Y
FINAL PLBG.
FINAL GAS `7
FINAL APPLIANCE` - -717)0
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.
No. Street Z
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT Q
Sanitary No, 31. -7
/11
File No1`0. 0 '7 �1._
Date 19 L
Application is hereby made for a permit to
a 2. story, Type
to be occupied only as S n
in accordance with Plot Plan, Plans and Specification filed herewith, '
Q�r
Estimated Value of Improvements § .12�
FEES ® Plan Check $
Owner Y/ Address J'Z.L/`Jr- QQ— l/LC.�SI
It t• , t I
Contr, Address
Phone Zqq 24 f d State License Ate) 7 3LJ
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
J-0 \
Date L 3 19 7oL GAS FEE $ (�
PLUMBING FEE § Cd2 y J--b
Contr, _ r�r^-o-tif Address /L 7 C 17
Phone o2 SG.f-d-,32-J State License �tf-'6S
Approved t /
APPLICATION FOR APPLIANCE PERMIT a
Date `� 19 7FEES
Contr. 2z� -1' Address
i
Phone - J 1-7f U S3 u State License rz S.l F._l. S
Approved
S
Applicants agree not to violate any of the
Workman's Compensation Laws of the
Stale of California
PD-1