51273 I
20104 Northwind Sgriare'.
No. Street Lot No. 54
CITY OF CUPERTINO d3
Ut �-v-o
,OtPPLICATION FOR BUILDING PERMIT
Cq' d
� , � Sanitary No. 7
-� "Date 19 _ Permi[ .S—/a 7;?-
d
E E %M ion is hereby made for a permit to
`o 'o p�
3 _ a _ 1! story,Type L�— Z Building
u 6p��
[o a oceupied only as in accordance with
o °= Plans,Specifications and Plot-Plan filed hemwit PI Ck Fee
FEstimated Value of Improvements,$ 023 4�y Fee$
00 It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
A Cupertino will be complied with.
3
2 Owner –C ane Address 2295 De La Cruz Blvd.
d By - i .c' — Address nta Clara
o Ph 155,7050' Approved
U State License 26173 uilding Inspector
l� �
N Q NO. STREET LOT NO.
Z Z _
Y o GR or o CITY OF CUPERTINO
o < AP ATION FOR ELECTRICAL PERMIT
w LL Nov 8�j Z Z7 _
= Ost
oF Date Tx2_t]- , 19'� Permit No. —
a Fee t5�_
a N W Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o Paring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 N City of Cupertino, and all other laws applicable thereto.
03
zJ Use of Premises
J Z
O
3 a Owner AQ- Address
N
w w By Address
—73
� CONTRACTOR, AGENT
U Phnnc: / 6 ��)y D- I ' / A ppr0 ELECZAIUL INS►E
State License a7& 40-IL
ITEM NEW_ RPL FEES
Number of Outlets 11
Number of Switches 1
Number of Receptacles
Number of Fixtures 91 2.1
Ranges er9vaxc.i:.SIL 1
Size of Main Service 1�r3Ei
Number of Meters 1
Number of Panels 1 0!1
Signs-Transformers
Dryers 1 1.Oft
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 00
H.P.Charges
Total Fees 7.7y
a -LOT NO.
NO. STREET '
CITY OF C ERTINO
'zn.,�<.,, APPLICATION FOR PLUMBING PERMIT
Ip_
OF CUPERnNO
410
5Sanitary No.
Po
1Q �� 311972 19 _ Permit No -S12 7,3
W u Fee$ 1 3 ,s
x
+101tion is hereby made to the City of Cupertino for a permit to install plumbing
o pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
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.
W I
F F
J LL Use of Premises Townhouse
> W 2295 De La Cruz Blvd. S. C.
Owner Ditz Crane Co. Address
oa
Zj� z By L. C. Bohart Plumbing Co.. 167 E. Fremont Ave., S'vale
o Address
3 CONTRACTOR, AGENT
Q
- < Phone 245-2323
Wz
Q`o� State License 186579 Approved
�` PLUMBING INSPECTOR (J
FIXTURES NUMBER MAIN DRAIN
Units Fees Unj'ts Fees
Water Heater / Size
Water Closet Y Material
Bath Tub / To Curb
Shower To Prop. Line
Lavatories 7i 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
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
,qopper Size
Restaurant Sink Material
Sand Trap TOTAL F
Urinal Fixture Fee
Area Drain Main Drain Fee
'Water Leader Stom Drain Fee
Sprinkler System 11 Water Sys.Fee /
Relief V21vc Gag Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee
LOT NO. `f
NO. STREET
APPLICATOON FOR APPLIANCE PERMIT
Z CITY OP CUPERTINO CITY OF CUPERTINO
¢ QCiQa u95 �g�L;
19 Permit No.
U —
= o P A I D Fee $
Application is hereby rmtrle to the City-of Cupertino for a permit to
o F 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 of Cupert• , and all other laws applicable thereto.
S ~ Use of Premises _ cp .191-4
00
30 k 3 Owner Address
z_j PLOG SHE/T MI~
J,z By i",L V.r, Address
o CIES/WEr>a
- e
LICENSE
W Phan 252825
01 State License G ar41' - - _ Approved
-3 a- CZ v " 21F, ' PLUMB G rNSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravitv Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Com.,Indust..Inst.Kit.
Hood &Vent System ( yrrU
Forced Air Under 4000 CFAt
Forced Air Over 4000 CFM
Ind. Ventilation System
withou C t
Forced Air.Mech.each Power
Gravity System
No.of Air outlets,No.of Flucs r
Stacks for Metal Fireplaces
Smoke Stacks,Mise. Equip.
Lender 15' iRb
Over 15*Ifigh
Coin fort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Comp.over 20 HP& Under 50 HP
&Absor , units with input
of 500.001 &Under 1,000,000 Permit Fee 3 y
Total Total Fee J
,A CERTIFICATE OF COMPLETION
FICEX� . . BUILDING INSPECTOR'S OF
CITY OF CUPERTNO
�
Date ....4..=..I..,.. ............. .... ig. ? ug
P
emit No. ...............
The
Building Located at .... ....... ........
Ownedby .......D.,=........ .........................................................
�
pleted�
c
His Been fere re or Use As: ....... ...................................
.................................................................•-"'--'----_..............................._.........•....................
.................................................................. ........................................................................
............—........................................I................. ...............—............. ...............
...............
B DING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION Z� ~-
UNDERFLOOR
FRAME r7
LATH & PLASTER
GRADING FINAL
FINAL BLDG.----t' 14L
U fM �� - ELECTRICAL
DATE INSP CTOR MI5 . 0
UNDERGROUND ROUGH—
ROUGH
OUGH
ROUGH WIRING /
FINISHED WIRING
FIXTURES .43
MOTORS
FINAL—1
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO. 11A 0
UNDERGROUND ROUGH
PARTIAL ROUGH y7
ROUGH COMPLETE fYa I r
MAIN DRAIN
FINAL PLBG. 3
FINAL GAS
FINAL APPLIANCE 7
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot Noo-�
No. Street
CITY OF CUPERTINO i• �/
APPLICATION FOR BUILDING PERMIT p
Sanitary No.
File
Date19
// Application is hereby made for a permit to
a r=;— story, T pe
to be occupied only as
in accordance plot plan, Plans d Specification filed 1164tvitk
Estimated Value of Improvements §
a 3 ;
7� w.
FEET ��'j � /�� � Plan Check f �./ �1 q� �
Owner !/v'.-- :! � `„-�.+�..L/ Address a°'L 9.S�K--rte 04�. L'e..�.e /.�.e+sl/
Contr. Address
Phone _ Z 'y57 _-d-1r/0 State Licen o2, 8 j
• Approved
APPLICATION FOR ELECTRICAL PERMIT
Date // 19 7,-- FEE$ /7/�'�-
Contr. `Nr Address 9z--
Phone .—�ij 6 —S SL�/ State License 7 54
Approved L22
'f =tt;
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 -2.-2- GAS FEE f Cx So -
���� PLUMBING FEE b ��-3• -50
Contr. _ &174,r,r L Address /,� 7 r/1��.�-•�+/7-�W
Phan. - a�s' a .3 0� 3 State License
Approved
d APPLICATION FOR APPLIANCE PERMIT
Dote 19 7L- FEE$ f
Cont,. Address
Phone - ✓'7,I' 07 4 $e State License �/7�/��� �L�}"�I
Approved L';�/
Applicants agree not to violate any of the
Workman's Compensation Lams of the
State of California
PD-1