51273 Oql L/ 9„17!/tAti 'M1+-�^-+ _ TI„'_ LOT NO. 147
NO. STREET 13
N X0
z c CITY OF CUPERTINO
Wz
Yo Gt'f of cu"R100 APPLICATION FOR BUILDING PERMIT
e_
O.� C p /1g7z Building Per.No.
WQ JFa r f
W O Date 19�. Sanitary Per.No. x•-Z��
$LL L I
o ppplatibnereby ma a for a permit to
w
>4 aZ story, Type Structure
a ur to be occupied only as �� in accordance with
aF Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$ ' V.
otro, �o
20 Estimated Value of Improvements, $ 23 r Fee$ 72. 0
3 Total Fee$ 73.61
0
Z" It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
.2 o and all other laws applicable to the construction, location, and use of buildings within
3a the City of Cupertino will be complied with. • �� f /`� (�./��
Q i Owner "'�+ - Address `Z 2 9.S �-"s - r J -
�•
02
6 O By Y� • "' Address
_U Contr.or pent.
Phone 2'�4-zyi o App1 d a
state license zG t? 3 4 Building inwerctor
10914 I Nnrthview $O_ LOT NO, 147
NO. STREET Pian 10-B
i a CITY OF CUPERTINO
f M circ OF cuPER)IMLICATION FOR ELECTRICAL PERMIT
yA
3 4 MAY 14 19733 Permit No. IS 7
X
O Oete MAY �. ) ,is Fee$SI 7 7�_
o 1-Application is hereby made to the City of Cupertino for a permit to install electrical
Z1-
iring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a" 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.
41-
00
1-
OO Use of Work To Be
Promises 14P mn�a Performed i / .13.l1,(A/.11./a I
Za Owner )a - Clea rI g Address )JQ"0 >14 DO Aa .
J
Jo evWANDEP,ER ELEC IC I"tr ; ` hAgdiess -
;.Qcontractor,11A``g-�e�nt
Phone 0
m
w w Wz
State License a7Fi�17T Approve, /
Electrical Inspect
QO
.0
ITEM NEW RPL FEES
Number of Outlets
Number of Switches /
Number of Receptecles
Number of Fixtures I
Ranges ar--Oveaa-K-W.
Size of Main Service
Number of Meter
Number of Panels
Signs.- Transformers
Or er '-
Motors:
H.P. Phase 1
. H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
3•-
Total Fees
LI/ f1 F�iv S., LOT NO.NO. STRT
/
CITY OF CUPERTINO
< APPLICATION FOR PLUMBING PERMIT
o �y � � J.Initary No.
0 , Hhte (1 1972 19 _ Permit No
QF�' Fee S D3,5111`
O Applic*ionAis }ereby made to the City of Cupertino for a permit to install plumbing
o` a pipesipnd/or fixtures listed on the reverse side hereof, and agrees to install said prices
i N and/or fixtures In accordance with the provisions of the Plumbing Code of the City of
< W Cupertino, and all Ether laws applicable thereto.
W x
� r
J LL Use of Premises Single Dwelling
00 2295 De La Cruz Blvd. S. C.
o a Owner Ditz Crane Co. . Address
JZBy L. C. Bohart Plumbing Co. AddesE. Fremont Ave. S'vale
O CONTRACTOR,AGENT
3r -
W0 Phone 245-2323
W W
a o State License M579 Approved
- X1444414
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Neater ( Size I/',
Water Closet Z Material
Bath Tub - 1 To Curb
Shower To Pro .Line
Lavatories ; To Existinit
Yitchen Sink 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-FE S
Urinal Fixture Fee 13. SD
Area Drain Main Drain Fee
*star r Stonn Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve r.--Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Penaut Fee.
Total Total Fee 2�- ,r0
�v i T I },, - , LOT NO. / I /
NO. STREET . , p
O co oP tAPKICATION FOR APPLIANCE PERMIT
i rc CITY OF CUPUTM
3 i Nate19• — Permit No. 57/,)-73i
,f - 1973
Fee-$
• O Application is hereby n1ft* to the City-of Cupertino for a permit to
L i install gas appliances as listed on the reverse side hereof, and agrees to
<N install said appliances in accordance with the provisions of the Plumbing
= Code of the City olino, and all other laws applicable thereto. ,
3 ~ Use of Premises
n
00
Owner Address
Sg
9 By Address o
PL MWrAL CO.
�p
Phone. - CAM PA FI 1 �J16II-
W u LICENSE #252829
cState License Approved
() 1 PLUMBING INSPECTOR ✓�
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Fumace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath t!L
Inde end.Vent System
Com,, Indust., Inst.Kit.
Hood&Vent System 0v
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 •.
Com for[Cooling
Comp.of 20 HP or less
&absorp. units with input
of 500,000 BTU or less
Camp,over 20 HP&Under 50 HP
&Absorp.units with input
of 500,001 &Under 1,000,000
Permit Fee 3 O�
Total Total Fee p7J
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OryryF,, CUPERTINO
Date ........?$l.".. c. ...."......, T9_.k. . Building Permit No. ..
..
The Building Located at ......�..�....�.�..1......... ._�.::3. '` J.(_.y 4�....._:. . • . ..
Ownedby ......1 :.t ............. d~,./w tE ............................................
Has Been A terel or Use : - ....:t.... .1-.:...... a,F R- :._............. -
_.................. ............................................
.................................•-----•----...............................................--..................---------------......•
....................---- —°.........--....-...............----------. ........ ...- — .............
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR IS
PAD FINAL
FOUNDATION Z '�' -f
UNDERFLOOR B•7 TD `{��
FRAME
02
AT PLASTER
::::!k
GRADING FINAL
FINAL BLDG. �•
U. LECTRICAL
�7 DATE INSPECTOR MISC.
UNDERGROUND ROUGH-
ROUGH WIRING
FINISHED WIRING
FIXTURES 761
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. _ 73
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No. �T7
No. Street /. /_ I
CITY OF CUPERTINO {O
APPLICATION FOR BUILDING PERMIT
Sanitary No, 67-1?40
File No.. -Sip A19,
Date 19 7Z.
Application is hereby made for a permit to
r
a 7. story, Iype
to be occupied only as r
Ck
in acc once wit of Plan, Planes a� pecification filed here ith.
Estimated Value o4 Improvements s I\9/���
FEES • B Q Plan Check $
Owner Address ZZ46 A24-
1 J 1 \
Contr. ?V)
a Address / I I
Phone Z�/ y •C D State License 2e,
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date /7. f 19 7 V GAS FEE $ G °=J
PLUMBING FEE $ 2Z-4•yy3-210
Contr. Address ,
/6 7 (i
Phone )L--3 1.3 State License ' S
Approved /t/ x
k
i
APPLICATION FOR APPLIANCE PERMIT
S3 �>v
Date ' 19 FEE$ /3 -
Contr.� Address /jd �'Z i`�`"^'`'�•�
Phone a 2 State License a,2 •�/J�" �y- 1'
Approved
Applicants agree not to violate any of the .(
Workman's Compensation Laws of the
State of California
PD-1