51273 20184 No thwind Square . "
No. W Street Lot No. 47
pry OP CUPERTINO CITY OF CUPERTINO a6_d-v-o
i. 7S—
PfLICATION FOR BUILDING PERMIT
M'DY t l l 14 19 Sanitary No. 7 7 91
d
— Penn it No.
Y ^ p cat jDn .pRereby made for a permit to
—
E
3 a story,Type �— / 7 Building
m
$ to be occupied only as in accordance with
o r
T Plans,Specifications and Plot-Plan fil erewith. PI Ck Fee
ro v Estimated Value of Improvements,$ol..$ 0-0'D d fl Fee$ 7��-�
r
c0.. It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.5: all other laws applicable to the construction, location, and use of buildings within the City of
m Cupertino will be complied with.
o Owner D — ane
3 '� Address 2295 De La Cruz Blvd.
v By Address Santa Clara
6�3 o Phone '255-705 Approved
— v
State License 261734 Oguilding Inspector
N Q NO. I STREET � LOT -7 /
r
04CATIOW FOR ELECTRICAL PERMIT
LL
0 < O¢
'sU �9�Z CITY OF CUPERTINO
0 Date, 8 �O`-7o 197—,a Permit No.
0 < Fee tiSZ �60
a a Application is hereby made to the City,of Cupertino for a permit to instal electrical
W i wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
F V
LL wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
5 0 City of Cupertino, and all other laws applicable thereto.
oa
z_j Use of Premises
J 0
JO ,t , _
3 a Owner n�/�-� t/��� Address
N
Wz
gyWAN(1FRFR FIECTRI6. INE. Address
W W
O q CONTRACTOR, AGENT
a u Approve
Ph,>n,: 7,310-54DI ELECTRICAINSP
State License -27.25 h�Ll c=
ITEM NEW RPL FEES
Number of Outlets 12
Number of Switches -fla
Number of Receptacles
Number of Fixtures.
Ran=oz.Orm 6A4,
Size of Main Service /r-P hJ
Number of Meters /
Number of Panels B 8.fl0
S' -Transformers
Dryers
Motors: C
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
To ees �'10.30
LOT NO.
NO. STREET
CITY OF CUPERTINO
Z icnv cP (UPERir4o APPLICATION FOR PLUMBING PERMIT-7
y 0 n1'f� NOT
, +�.1 �^J�� January Iia. / /
K LL AU l] O[j !J
3 'a Date 19 — Permit No. L 3
W LL P Fee $ JL
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/ur 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 x
LL Use of Premises Townhouse
00
> 3 Owner Ditz Crane Co. 2295 De La Cruz Blvd., S. C.
Address
i_j 167 E Fremont Ave., SIvale
J , By L. C. Bohart Plumbing Co. Address
o CONTRACTOR, AGENT
; < 245-2323
- 0 Phone
wz
W w
M
o State License 186579 Approved
U � 'r/�� PLUMBING INSPECTOR L/
FIXTURES NUMBER MAIN DRAIN
Units Fees Uni Fees
Water Heater / Size
Water Closet Material
Bath Tub / To Curb
Shower To Prop. Line
Lavatories To Existing
Kit n / Not Washer
Wffte Disposal
Wash Tray STORM DRAINAGE
Washing Machine I Size
Water Softener Material
Bar Sink I 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
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
reaker
Skimmer
Filter
Pool Sweeper
Pennit Fee
Total Total Fee T VO
Lg T e�t.l. LOT N�_
NO.
APPLICATION FOR APPLIANCE PERMIT
d=
Y o Cny Gr CoPEant+p CITY OF CUPERTINO
O u teeTAUp9V5 1972 19. _ Permit No.
m Fee$__
' ° p M&Dion is hereby ns& to the City-of Cupertino for a permit to
o< install gas appliances as listed on the reverse side hereof, and agrees to
i in install said appliances in accordance with the provisions of the Plumbing
W i Code of the Cit �of ertino, and all other laws applicable thereto.
` ~
0a Use of Premises
3 Owner Address
O
__j PLOG SHEET METpL
* z By Address
° > P�h�ELf>s
w Phone LICENSE #252H2R
d PLOG SHEET MET
o s State LicenseCA�AL CO. Approved
a U LICENSE #2520Pg' P�_ PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as J op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. 1
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling kit./Bath Lt V-b
Inde end. Vent S stem ytTt/
Com.. Indust.. Inst.kit.
Hood & Vent System wv
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort I
Forced Air.Mech.each Power
Gravity System '
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under 15'Iligh
Over -
Comfort Cooling
Comp,of 20 HP or less
&absorp. units with input
of 500,000 BTU or less
Comp.over 20 IIP& Under 50 HP
&Absor .units with input
of 500.001 &Under 1.000,000
Permit Fee
Total Total Fee
i
CER OF COMPL NON
BUILDING INSPECT'OR'S OFFICE
`0 1 CITY OF CUPERTINO
Date ......
.-......." .....` '^� S
J .5...........G......... 19-1 -3 Building Permit No. ....................
The Building Located at ...:.:L,.o.-t-1?....Y.......:...� Q.f...I.K-(,.r-_!--- ...... ��. .
Owned by ..... ........�.. Z�'.......s,..65.C.wo.............. ..............
Has Been For Use As: ...... .. =-...:....� ^ ............ ....................
t ed)
..................................................................................................................................................
......................................................................_............................... .......................................
.........._......................................_.................. .........
......
I1.11! G/INSPECTOR
GECORD OF INSPECTIQN APPROVALS•
BUILDING
DATE INSPECTOR -,MIS
PAD FINAL —
FOUNDATION—
UNDERFLOOR
INALFOUNDATIONUNDERFLOOR �7
FRAME Z' 7
LATH & PLASTER
GRADING FINAL oe
FINAL BLDG. t
ov^eQ.- p ELECTRICAL
,DATE INS P TOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING '-7
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MI
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS J
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
�"'e /`^f �n,-C/ Lot No.
i
No. Street
CITY OF CUPERTINO 7J�
APPLICATION FOR BUILDING PERMIT q
Sanitary No. '7 7
Fl le No. -f
Dote 'S 19 -z-
Application is hereby made for a permit to
� Y a `Z/ story Type
to be occupied only as / y�9
in ccordar6dwith Plot Plan, P and.Specification f herewith.
Estimated Value of Improvements $
of &-V-V e
FEE$ - 7� Plan Check $ �/jJ� ,,�/
Owner vr--+-+•-'�� Address aZ )W —oast-"�'•-�
Contr. ((ff Address
Phone -9/a State Licenea
-�2 S—S'— j104-0
Approved
oL4 a
APPLICATION FOR ELECTRICAL PERMIT
Date 19 -2't/ FEES ,1dr
Contr. (a/F-�// / Address -1 `r v
Phone —7,? State License .2 7 SG
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date A� . 19 2-0— GAS FEE $ 4' 50)
,f� / / PLUMBING FEE $ U
Contr. — � 0//eLt Address 167 AL
Phone �s/S — 2 3 2 3 State License
Approved
/
A7LLATION FOR APPLIANCE PERMIT
Date 19 FEES
Cont,. f Address
s
Phone �J,� 7 J ' 31/ 3 State License 1'3
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
.State, of California
PD-1