51273 D_ /05- 440_� ' Cry . 7T"'-'�- LOT NO. /13 Z L /
NO. STREET �A F /
a CITY OF CUPERTINOj•ytJ
W
x o APPLICATION FOR BUILDING PERMIT _
_ PE nNO
O J qTY OP Building Per.No.
197 � �� nS�^anitary Per.No.
o SA¢pl ca ion is hereby ma a fora permit to / "
LL
OF pa�
�Q a ZastOrV, �1Npe l�'a Structure
F r
m to be occupied only as in accordance with
a Plans,Specifications and Plot-Plan fil d herewith. PI Ck Fee$ — 6—
0 o Estimated Value of Improvements,$32i 0o D On Fee$ .95-.50
' 4
o a Total Fee$ 97.7
Z J 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
a the City of Cupertino will
will be complied with. /� p
Ww Own O ""'^+,-,-., Address 22(S ke 6ye .
QO By """^^ "'"'^""— Address /
_U Contr. Agent
- quo
Phone 2Vq Approved
Stets License Aa r? 3 L4 j� Building Inspector
10905 I Northview SO._• LOT NO. 113
NO. STREET _ Plan 14-F
mi CITY OF CUPERTINO
VO APPLICATION FOR ELECTRICAL PERMIT
3 Q CITY OF CUPEi•TINO awl L
Permit N
U o.
w ANA� Date .
Fee
p F ApplicatJ'Qn is hereby made to the City of Cupertino for a permit to install electrical
ZF wiring and►dr f&tujesr4 listed on the reverse side hereof, and agrees to install said
40 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
W City of Cupertino, and all other laws applicable thereto.
a�
J W
00 Use of Work To Be
>� Premises - n� Performed 1 1.Q..L .(A/.� .Q
A. ',
Z< Owner. — t%U�-� Address 200 n-1� �-�/t�
�
Z ByWANDERER ELECTRIC, I;IJ. =Aedrass-
3 Contractor,Agent
—a Phone 2
N
WZ
W
State License7Sb '} Approved
—
0
2 Electrical Inspector
40
—U /
ITEM NEW RPL FEES
Number of Outlets
Number of Switches -7
Number of Receptacles a(„
Number of Fixtures z 30
Ranges op6vem—K-.W.
Size of Main Service
Number of Meters
Number of Panels
Signs•_ Transformers
Dryers
Mbtors: (�
R.P. Phase `
.-H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees
l9•a5
l6/oS ///�.ri�fd] �'.4w�oiG LOT No.
NO.�,,, STREET
of a1P00�p CITY OF CUPERTINO
Z Z SEC 5 OVPLICATION FOR PLUMBINGPERMIT
Y ° (NQVfj` 0 1972
Sanitary 1
05
llat 19 — Permit No
wLL
Fee $ 3. X0
To
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 rices
r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Z w Cupertino, and all other laws applicable thereto.
Use of Premises Single Dwelling
00
> 3 Owner Ditz Crane Co. AA?A De La Cruz Blvd., S. C.
oa
ZJ
J z By L. C. Bohart Plumbing Co A4&?ssE. Fremont Ave., S'vale
O CONTRAC70R,AGENT
3
— 0 Phone 245-2323
wZ
ww
a o State License 16579 Approved
U I �. PLUMBING INSPECTOR D�
PL,, - o-
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater j I Size
Water Closet 2 Material
Bath Tub / To Curb
Shower To Prop. Line
Lavatories To Existing
Kitchen in I Not Conn,
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
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee _l
Area Drain Main Drain Fee
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve raq Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
_v
Permit Fee Z07�
Total Total Fee 2
IAT NO. / 3
NO. STREET R
cm of �� LICATION FOR APPLIANCE PERMIT
MY 1APR 26 r OF CUPERTINO
0 <r f aten + EOD 2 2 1943
19. _ Permit No.
u 4 Fee•$
= o
~ Application is hereby rlf8de to the City-of Cupertino for a permit to
0 F install gas appliances as listed on the reverse side hereof, and agrees to
i N install said appliances in accordance with the provisions of the Plumbing
= Code of the City f C ertino, and all other laws applicable thereto.
SUse of Premises
00 �n0-46L
Owner /YG1� Address �d l%T6t�IA
z_ n _
�
Z By�C 4� Address
U CON CTORFf AGENT
3G
-
Phone
w W t ETAL CO.
a AM
o State Lice PBELL. C Approved
NSE f252825 PLUMBING INSPECTOR cl
APPLIANCE UNITS FEES
Gas lop
Gas Oven
Wall Furnace
Gravity Fum.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
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 Cool.)
Forced Air. Mech.each Power
Gravity System '
No,of Air Outlets,No.of Flues
Stacks for Metal Fireplaces _
Smoke Stacks,Mises Equip.
Under 15'Fligh
Over
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 Ott
i
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...-_ Il......----.�. ............... 19--.. Building Permit NO. ..JLZ.Z.
The Building Located at ../ADF-63..........N. zo i-v-fl./..ew....---. �..�...
Owned by .. fr-z-..r! (fAt5V n..................... .....
Has Been (�or Use As: ...... � ..�r��Za.K ..........................
ere
..................... ..... ................ ..--..................I............_.-------.........................................-----
........... .... •--....... ............---._................--...._.........------------...-------------.............---.....-..._.
.---.._...---_......................................:............... ... .... - - --.............._ .....................
-- -- ... .. .....--.....
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR I
PAD FINAL O
FOUNDATION
UNDERFLOOR
FRAME
AT PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MI
UNDERGROUND ROUGH '
ROUGH WIRING tool
FINISHED WIRING ^�
FIXTURES
MOTORS 1
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR IS
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN O 2
FINAL PLBG. '73
FINAL GAS -off _7
FINAL APPLIANCE -�" 8
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No./I 3
No. Street Z Z.L
CITY OF CUPERTINO TT
APPLICATION FOR BUILDING PERMIT
Sanitary No. 2 6G
Dote 19 s' LFile No.,,�OR 76
� 7�
Application
its hereby made for a permit to /1
rt -�tia �n story, Type l-✓-
to be occupied only as <�U
in accordance with Plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ —_e340 6110P.
FEES Plan Check $
Owner -da / ' Address 1-2,4.5 JG6 ..G L�1/L4►(
1 It y tt \�
Contr. J Address
Phone ZN - 2at0 State License 2L 1 -7
Approved _L�_/✓NfCd I7 �C6iLr0./7�.
APPLICATION FOR ELECTRICAL PERMIT
Data 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS
PERMIT
Date ��' $ 19 7oL GAS FEE $ C/s3
PLUMBING FEE $ C�;2
Contr. Address Z` ef
Phone State State License
Approved
APPLICATION FOR APPLIANCE PERMIT r
Date `3 oZ b 19 FEE$
Contr. Y) Address �? d /'• /�`^"^-'-^-
Phone — ;7O11 �'03 State License `� '�L > ar
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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