51273 2-}}7
20114 Nnrt-hwind Snvaro
No. Street Lot No. 52
Cr OF pIpERTINO CITY OF CUPERTINO a Uia 6
^ T APPLICATION FOR BUILDING PERMIT
Sanitary No. 7 7 S In
19 �Permit No.
d-7.3
v
Y . Appvca is hereby made for a permit to
30 = a story,Type Building
$ to be occupied only as in accordance with
o
° Plans,Specifications and Plot-Plan filed herewi PI Ck Fee
T �
G pv
'O s Estimated Value of Improvements,$oZ � r(`p-D - Fee$ 7,5 —
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o o 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.
2 Owner - rane 2295 De La Cruz Blvd.
° Address
3 .N
By Address Santa Clara
oPhoTe 255--705 Approved
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Sate License 261734 ruilding Inspector
0 Q � NO.. STREET LOT NO.
r o Gp cUw� CITY OF CUPERTINO
O J
1g1ZAPPLICATION FOR ELECTRICAL PERMIT
> O 1DR�0 � � 2. /
LL F D�te p, 19 Z� Permit No. _
oQ
> r Fee y i
a N Application is hereby made to the City of Cupertino for a permit to install electrical
w
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
ii o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> ,a City of Cupertino, and all other laws applicable thereto.
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ZJ
Use of Premises
J Z
J O
3 a Owner 64aize - Address
W w By WANDERER EL RIC INC.
g CONTRA/C�TOOR, AGENT
<V Phone: 736-54aI f'PProve
ClR1U rNSPHClOH ,
I1 State License _J-7 S b7`f
ITEM NEW RPL FEES
Number of Outlets 2
Number of Switches
Number of Receptacles /,A
Number of Fixtures Z z-
Ranges or Arera*-%k
Size of Main Service /YDA
Number of Meters /
Number of Panels
Si -Transformers
Dryers /
Motors: S
H.P.Phase '
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Ch es _ S
Total Fees
LL
p( rTREF.T LOT NO. S� A
AUG 8 197? CITY OF CUP TING
" = APPLICATION FOR PLUMBING PERMIT
s W Sanitar Nn, -2 7
0 o Date AN? 1"q 72 19 _ Permit No J—/ 2-
73
a
w LL Fee $��
= o
Application is hereby made to the City of Cupertino for a permit to install Plumbing
`o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Z
w Cupertino, and all other laws applicable thereto.
a F Use of Premises Single Dwelling
J LL
° O2295 De La Cruz Blvd., S. C.
3 Owner Ditz Crane Co. Address
oa
zJ L. C. Bohart Plumbing Co. 167 E. Fremont Ave., SIvale
, By Address
O CONTRACTOR,AGENT
3 ` 245-2323
— 0 Phone
w Z
ao State License 186579 Approved
\i PLUMBING WSPECI'OR I
z -
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material /.
Bath Tub To Curb
Shower To Prot). Line
Lavatories To Existing
Kitchen i t Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine / Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEE
Urinal Fixture Fee
Area Drain Main Drain Fee S
Water Lea t nn Drain F
Sprinkler System Wa[er Sys.Fee /
Relief Valve 11 Caq Fee.
i
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee op—
Total Total Fee
�(.� T ilr�L LOT NO. Z�Y
CITY OP CUai®TINO SMEET L1
r .&CT 9 *"LOCATO®Id FOR APPLIANCE PERMIT?
CITY OF CUPERTINO
, 0 P A I D
O� Date A1r 2 5 912 19. _ Permit No. .�/Y73
i n — Fee$ 3 o a
o Application is hereby mnde to the City-of Cupertino for a permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
im install said appliances in accordance with the provisions of the Plumbing
„ i Code of the. City Cu lino, and all other laws applicable thereto.
Use of Premises
00 '.**7
A-
> 0
Owner Address
r3
i j VLDG SHEE mL AL CO.
z By compag
Address
0
LICr=NS252825
—,a Phone
Mw PLOG SHEET METAL CO, l
V i State License CAMPRFI I CALIF. Approved ✓/
aU LICENSE X252825 �rLtnastxotrtsPecroa
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath I •yrr�
Inde end. Vent System y✓o
Com..Indust.,Inst.Kit.
Hood&Vent System yrrti
Forced Air Under 4000 CFM
Forced Air Over 4000 CFTI
Ind.Ventilation System
(without Com fort
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks. Misc. Equip.
Under 15'lligh
Over 15*11
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
Permi[Fee
Total Total Fee
RTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
C 0 CITY OF CUPERTINO
"
' Date .................1j..---...._�......... 19......1..::3 Building Permit No. ........:.........t•
The Building Located at
Ownedb t........Z............ ic. .-..�......................................................
Has Been (Cc a j'"For Use As: ........................... ...:.:�- '�:. -....._.........
(Altered)
................................................................................................................................................
........................... ................................................ ................................................................
................................................................................... ....... .......... ............................
ILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING .v
DATE INSPECTOR
PAD FINAL 1
FOUNDATION c Z
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
- ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING (0 - 7
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGHS V—
PARTIAL ROUGH &
ROUGH COMPLETE -
MAIN DRAIN
FINAL PLBG.
FINAL GAS 3Ac; 9-7
FINAL APPLIANCE —/
DATE INSPECTOR MISC.
MISC
MISC
MISC
s0—()1,3 Lot No.
No. Street 9
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT q
Sanitary No. 7 7/ Ag,
File No, S 7,oL73
Date 19 Z '
Application
is hereby made for a permit to
story, Types—.
to be occupied only as ��
in ac ordance th Plot Plan; Plans/and Specification Cfi�l'ed� rewith,
Estimated Value o4 Improvements $ 02 /�i 0'"
—vz
FEES 74--"-
Plan Check $
Owner Address- 1�-KQ/oy�'- 64� Q
Contr. Address
Phone o1 'le 'yo —C -9 / O State License �' /
S-,§-- 70ly-O
Approved
1
APPLICATION FOR ELECTRICAL PERMIT
Date 19 71�
/ FEES
Contr. _ �54 / Address
Phone State License 2 > G
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 GAS FEE $
PLUMBING FEE E
Contr. _ � /i Cir//- Address c .
Phone -2 — 3 2 3 State License
Approved
APPLICATION FOR APPLIANCE PERMIT
ry
Date 0 19 22-- FEES
Contr. Address 13J
Phone U State License 02lj nn �
Approved
A
Applicants agree not to violate any of the
Workman's Compensation Lams of the
State of California
PD-1