51273 //' 3 LOT/�NO. IIO/,� 6
NO. STREET /e yr
w z CITY OF CUPERTINO
x FIY OF CUPERTMO APPLICATION FOR BUILDING PERMIT
LL c g Id- ;13
3 W 14 7y
Building Per.No.
W U Oata '7•^ , 19_. Sanitary Per.No. IF-I S-3
�Op 9ppl'WatD is hereby m for a permit to "P
iLf V
o a_story, Type
0 F Structure
a v, to be occupied only as � � in accordance with
w
a r Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee$
_o o Estimated Value of Improvements,$ -2'/, Fee$ 75-,oo
> ?(o•{oS
I- Total Fee$
Z"' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J o and all other laws applicable,to the construction,.location, and use of buildings within
3 Q the City of Cup rtino will-be complied with. �7
WW Owner Address "` 6:-' �'��t-•-/✓
Q O By` rte-" '""""'"` Address v /
_U Co
''n
/tIr.o gent.
Phone P'L "t- 7,q l0 Approved s
State License P`(p 17 3�( Building Inspector
to93S. I Northyiew Sq. LOT NO. 110 /
NO. STREET , . Plan 14-A
Z a CITY OF CUPERTINO /
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Ya CITY OF CUPA`?RA.ICATION FOR ELECTRICAL PERMIT
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o j2ljj�3 Permit No.
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FLLO Date 19_ Fee$
p F Applkati& it hAby made to the City of Cupertino for a permit to install electrical
i F wiring 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.
ar
J w
00 Use of Work To Be
j Premises /��.��-/ A l- LA r 4 Performed Le-c Q
04 Owner q, Address •6aeuLl clpja�
z J
�o
R
evWANDERER LInIC, I.7C. Address Lf '
Contractor, Agent
�Q
H Phone
w Z a7W
WW State License Approved
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U 2 Electrical Inspect r
`O� L
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ITEM NEW RPL FEES
Number of Outlets
Number of Switches l y
Number of Receptacles Ib
Number of Fixtures
Ranges et-6vene-K.W.
Size of Main Service
Number of Meters 1
Number of Panels
Signs - Transformers
Dryers
MotCrs: �'
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees /�
LOT NO.
NO. STREET
CITY OF CUPERTINO
W z a�I ce APPLICATION FOR PLUMBING PERMIT
pp 9`1 V,� (� Sanitary No.
0 DDate N 5 P 0 197 19 _ Permit No
3
W O p p
LL Fee $ cl
o 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
a W Cupertino, and all other laws applicable thereto.
a Use of Premises Single Dwelling
J LL
O O
� 3
Owner Ditz Crane Co. A QHS De La Cruz Blvd. S. C.
oa
zJ
J z By L. C. Bohart Plumbing Co. Aj&jssE. Fremont Ave., S'vale
O CONTRACTOR,AGENT
3
m Phone
245-2323
W z
WW
eo State License 186579 Approved
U PLUMBING INSPECTOR v
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater j Size ( "
' Water Closet Material 61
Bath Tub / To Curb
Shower To Pro . Line t/
'Lavatories / To Existing
Kitchen in 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
Dsntal Unit
Drinking Fountain
.Floor Drain WATER SYSTEM
Hopper Size a
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader S rm Drain Fee
Sprinkler System Water Sys. Fee
Gas Fee.
Vac Breaker
Skimmer
Filter
Pool Sweeper
=PeiFTotal r 9. OD
/O7 /J /Lv-i'�"LY(P1+11 �ll LOT NO. 001
NO. STREET T
APPLICATION4OR APPLIANCE PERMIT
Z c ii CRY OF CUPERTINO
Y co aR c eHrlN0
o Date FF�2 G %97 19• — Permit No. �3
3 MAR e a
m °LL Fee$
Ap ica ionnpis bny��reby made to the City-of Cupertino for a permit to
L installs liMnc�S as listed on the reverse side hereof, and agrees to
I tall said appliances in agpordance with the provisions of the Plumbing
de of the City of Cup 'no, and all other laws applicable thereto.
of Premisesner /tl4,Y/h Address ; ��/ Address CTOR, AGENT
n �E'ET METACte LiceLnN $1'� • Approved
` �a� ✓� PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Form. I u t>ti
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
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 High
Comfort Cooling
Comp.of 20 tIP or less
&absorp. units with input
of 500.000 BTU or less
Comp.over 20 HP& Under 50 HP
&Abso .units with input
of 500.001 &Under 1.000.000
Permit Fee
Total Total Fee
CERTIFICATE ' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... -- .................—, ..19 Building Permit No.
The Building Located at ... ------- ................
Owned by
7t
..............................................................................
Has Been Use As: --- .......................
...............--...................................................................................................I...........
......................................................................................... .......................................................
----------------------------------------- -------------------------I................ .. ........................................................
.......................
ILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR M C.
PAD FINAL y
FOUNDATION V �Z '
UNDERFLOOR
FRAME �'
PLASTER
07
GRADING FINAL 7�
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH _
0
ROUGH WIRING ry
FINISHED WIRING ( IN000'
FIXTURES
MOTORS—
FINAL— fie -A 07
OTORS FINAL PLUMBING, GAS & APPLIANCE
DATE INSPECTOR IS
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN U j
FINAL PLBG.
FINAL GAS — 3
FINAL APPLIANCE - -73
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No. P
o. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT G
Sanitary No. 925 25 x Q
File NoSLA.:23
Do to 19
�
Application is hereby made for a permit to
xl^'1ca0 r a l.� story, Type
to be occupied only as .5 ;:�- L•
in accordance with plot plan, Plans and Specification filed herewith,
Estimated Va ue of Improvements $
�7` 0�•
er
FEES -# ® Plan Check E yy
Owner _ [/) �l./1 �. Address 2.Z_6)
t ' t It l
Contr. Address
Phone .2 V�t� 7 State License 2.` y
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT 11
Date 6- 19 7r), GAS FEE $
PLUMBING FEE $
Contr. Address 16 7
Phone - 2 5-"S --13 State License 10C 4,S- 7 7
Approved l /v/
Dote /3/,Y�'/ 19�31CATION FOR FEES PERMIT
Contr. (/✓'-/ Address 3 d j
Phone - .�4- State License --A pZ�-��� 3/
Approved
Applicants agree agree not to violate any of the >�
Workman's Compensation Laws of the
State of California
PD-1