51273 LOT NO.
NO. STREET
w Z CITY OF CUPERTINO
Y o Cffy OF °APPLICATION FOR BUILDING PERMIT
RLL J 73
i-t
;a eCO �197Z �v Building Per.No.
Wo U dhd 29_. SenitarV Per.No. 8� ru
ru.
o AAplic� 1 isrhereby r9ade for a permit to
LL w 9'LH ! AJ
oF a_story, Type �'" Structure
a W to be occupied only as �`a'�� �^y in accordance with
a F Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$ —O—'
O o Estimated Value of Improvements, $ ^�3iOvo• a-D Fee$
>y
o a Total Fee$ 7 3•/o
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
3 a the City of Cu
errtiino will be complied with. /" F
W Z Owner — ""�^^" Address
2295
W �./
Q By O" ( Address
U
contr.or A nt
Phone ?qT— �_q 1 0 Approved • /
State License 26 17 3 y u Building Inspector ✓/
10925 I Northview 'Ba. LOT NO. 111
NO. STREET Pian 14-B
z a CITY OF CUPERTINO
Wz
yO
APPLICATION FOR ELECTRICAL PERMIT
x 1
3 C C" OF CUPERt1Np W
O Permit No.
�o4 �•Date '� is Fee$
o F Application is hereby made to the City of Cupertino for a permit to instal eli�rical
>a wiring Pd/oft fiAtufq as listed on the reverse side hereof, and agrees to install said
ar
0 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.
a�
JLL
00 Use Work To Be
y
Promises l/LQ..n. Performed U P!I/-A 1(I.(, Q.
ZQ Owner L1 �;- OAotlP, Address �d - L40 � UQA(
J z By WANDERER FI Fr7plr r.r, Atltlrese -
J Contractor,A9ent� r. ""— - -- -J
3Q
H Phone 73b_Sµal
wz
ul State LicenseApprmed-
(32 Electrical Inspector
aU
.0
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures .45,
Ranges of Gvenc-".
Size of Main-Service
Number of Meters
Number of Panels
Signs - Transformers
Dryers
Motors:
'N.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees
1-7.7o-
LOT NO.—
No.
O.NO. _ STREET �
co Op CO CITY OF CUPERTINO
w �
" < pEC IS 1APPLICATION FOR PLUMBING PERMIT
o NVlc.)� 1972 Sanitary No.
3 a Uate _ j J/ , 19 — Permit No
wFee$_�Z •S
0 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 prices
> 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 (§wner Ditz Crane Co.
AAM-!-e- La Cruz Blvd., S. C.
oa
z J
By L. C. Bohart Plutabing Co. AWssE. Fremont AVe., Srvale
O CONTRACTOR, AGENT
3 �
Phone 245-2323
M
o
State License 186579 Approved i
—0 1 PLUMBING INSPECTOR
16
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet 2 Material
Bath Tub To Curb
Shower I To Prop.Line ✓
Lavatories To Existing
Kitchen / Not Conn.
Dish Washer
Waste Disposal
Wash TraySTORM DRAINAGE
WashingMachine 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 Ti
Area Drain Main Drain Fee
Vater Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve 7-7�,
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee Z?. -V
wr NO.
NO. STREET Q
!Q4 APPLICATION FOR APPLIANCE PERMITJ/
x o C'V Of cueul"NO CRY OF CUPERTINO
3 < Datq_ 2 jCr13 19. _ Permit No. 3-1973
_° R2 1973 Fee.a
' 0
p �cationnis hereby mK& to the City-of Cupertino for a permit to
o < instaII gas appliances as listed on the reverse side hereof, and agrees to
ia install said appliances in accordance with the provisions of the Plumbing
„ = Code of the City of f CAnertino, and all other laws applicable thereto.
4
Use of Premises
00
Owner � Address ti.
r
oI
= G
� Z By Address _
0 CO OR, AGENT
PhonePLOG SHEE-Y
wm CW CAMPBELL,.
CLI
FaState LiceRAF q� �.
proved.a
-U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Gas Top
Gas Oven
Wall Furnace
Gravitv Furn.
Forced Air Furn. I u-D
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath w
Inde end.Vent System
Com.,Indust.,1nst.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.or Air Outlets,No.of Flues
Slacks for Metal Fireplaces
Smoke Slacks,Misc. Equip.
_Under 15'High
Over 15'l lie}
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-u
Total Total Fee
' v
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .........�t.'.2�..................... 19..J, .$. Building Permit No:,%.., 7 j.._
The Building Located at �.�..-�.� .�... ........,. .
Owned by ........! -.%<:c.......Ce.[�tZ..r'.S-+a-. .............................................................
Has Been 4 WGXor Use As: ..'=`..:.. :....:... : ................................
..................................................................................................................................................
..............................................................................:...................................................................
/ 7 �
B LDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR WSC.
PAD FINAL
FOUNDATION L 1 -/ -)
UNDERFLOOR az �L
FRAME-
9Z%
RRA�ME
9Z MEB, PLASTER -�� • J
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC. �+
UNDERGROUND ROUGH
0
ROUGH WIRING
FINISHED WIRING b
FIXTURES 10
MOTORS
FINAL v' 1
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH 2
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.
No. Street
CITY bF CUPERTINO G
APPLICATION FOR BUILDING PERMIT
Sanitary Nojrz 5!'
q File No. 5,4 2 73
Dote _(_f�19
Application is hereby made for a permit to �
C a � story, Type 1 ^'M
to be occupied only as A D
in accordance with plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ e� 3. 00&,>. 0 0
FEE$ //73• co/) ��/7 go'®® Plan CheckE /�
Dwn //��er ./ITL Address
- C/7 .Q.- TiZ ci4
Contr. Address
Phone aq`f � z9 l o State License'/�/ z G
Approved ,/6 .Lw ✓L�.p�
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date /YS 79 -7 2GAS FEE E (� d
-.-
7/'�'
PLUMBING FEE $
tC71
Contr. — r/ 4. mil Address 11. 7
Phone X13 �"--3 State License
Approved i ^•- �n ^
APP CATION FOR APPLIANCE PERMIT
Date `-j. 19 FEE$ 3
A
Contr. - ae' Address Z� `7 +�
Phone C) Y.j l'- State License r-.1.,�t��r->6d- S�
Approved
Applicants agree not to violate any of the
Work-man's Compensation Laws of the
State of California
PDA