51273 a0o5-1 LOT NO. I7T *_-&ti A.
NO. STREET r n� I_
z a CITY OF CUPERTINO
wz
a o OTY of eueRN+o APPLICATION FOR BUILDING PERMIT
O-1 Builtling Par.No.
WU C el Q ■J 2 to �� ! Snanitary Per.No. d z S 9
�o J Applicationhereby mad for a permit to
LL
o Q '4�'story,Type Structure
aF
Z
y to be occupied only as sir 2�U • in accordance with
wa �c—
� Plans,Specifications and Plot-Plan fil d herewith. PI Ck Fee$
20 Estimated Value of Improvements,$ 3a r 000, oo Fee$ 95,5-0
�y
o< Total Fee$
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
_i o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with. r n
y /7
W wOwner // Addreaa22�J
02 By J�"'r
0 Address
a
y`J Contr. or nt.
Phone ;44— Zq Approvede
�" State License94 17 3 x Building Inspector
20051 I Northwood .Dr., LOT NO. 174
NO. STREET Purl 14-F
mZ CITY OF CUPERTINO
O GTYLLCFPLICATION FOR ELECTRICAL PERMIT
Ir CUPEKTINO S_ `
3 U Permit No. "" ' b
71
W MAY% 4 1973
FLLO Date �. , 19 Fee$
A IlcatioWis qy y p
p F pp' Here ode to the Cit of Cu erxino for permit to install electrical
Z F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
<0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F r City of Cupertino, and all other laws applicable thereto.
a
JLL
00 Use of Work To Be
Premises Performed p,(!t �Zl-Q
Z<Owner Address 12�-a CP1260.-
� Ta
o aa9ANDFRFR F177 I— — Address — A
– contractor,Agent
3 1-
- a Phone 7✓tJ- a)
WZ
N
W State License- /n♦!'1 / Appr02 oved
¢a
Electrical Inspector
<
a0
-U
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles a6
Number of Fixtures ('a
Ranges ac-0uens-If.W.
Size of Main Service
Number of Meters
Number of Panels
Signs.- Transformers
Dryers
Motors:
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 200
H.P. Charges 3
Total Fees /,9,
7 / � LOT NO. / �I
NO. STREET
CITY OF CUPERTINO
" < an or curERn"PLICATION FOR PLUMBING PERMIT
wZ
y o OnTW.
4- r� Sanitary Nu.
3 < Date 4 J 77 19 _ Permit No5-1�X73
I u P A I D Fee $ 4-3 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
r 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.
n Use of Premises Single Dwelling
00 2295 De La Cruz Blvd., S. C.
' 0 Ditz CraneCo.
r 3 Owner Address
0
ZJ L. C.:Bohart Plumbing Co. 167 E. Fremont Ave., SIvale
z By g Address
O CONTRACTOR, AGENT
3 ` 245-2323
— 0 Phone
w Z
W w
0 o State License 186579 Approved /
�I 4_ PLUMBING INSPECTOR �/
L -
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material G /
Bath Tub To Curb
Shower To Prop. Line
Lavatories To Existing
Kitchen 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
jFflter
Drain WATER SYSTEM
r Size
ES
rant Sink Material
ra TOTAL FE
l Fixture Fee
rain Main Drain Fee
Leader Storm Drain Fee
kler System Water Sys.Fee /
Relief Valve Gas Fee
reaker
er
weeper
Permit Fee I 2p—o
Total I Total Fee I �. "7�
AOGt$'/ 2oo7 a(i,/M`O'H !Y/}J • LOT NO. >��✓
NO. STREET "
L11y"OL#CATI®N FOR APPLIANCE PERMIT
z CITY OF CUPERTINO
' oJOIN to
19i3
o i Date G� �s_73 19• _ Permit No.
3 U n ^
u 4 Fee$ /,ell/
9
' o Application is hereby ffm& to the City-of Cupertino fora 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 Cupertino, and all other laws applicable thereto.
Use of Premises
00
5N R1� 7
0 Owner �_ L%1/1_�..-
� . Address .0
Address f� QV.
iJ< , /
J = BY Gs _ ;t/L of �1 Z9 z /
Address Jqc� Kz_11eu' . ,
0 CONTRACTOR, AGENT
; P
— 1 Phone93y
NZ
a
°a o State LicenseApproved
_U PLUMBING INSPECTOR
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 c,a
Forced Air Under 4000 CFAI
Forced Air Over 4000 CFM
Ind.Ventilation System p•p
(without Comfort
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc.L- tip.
Under 15'High
Over 15'IfFeh
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 300
Total Total Fee pyo
CERTIFICATE* OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........ ................... 19-7�-- Building Permit No. tyle J
'?- > ...... .........
The Building Located at ......o.. D.. 14-
Owned by ----- D.i. % e...........
.T.. ................ ....................................
Has Been f=:Ar Use As: .... 5-37,— . ...... .........I........................
........................................................................I........................................................................
•................................ .................................................................. ..........................................
............................. .................
................................................... .............................(%', . .
................�� KI,
........... ..................
rD[Nd INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR ISC..
PAD FINAL Q
FOUNDATIONff-7-r
UNDERFLOOR yFRAME8 PLASTERGRADING FINAL
FINAL BLDG.
ELECTRICAL
(� OAT INSPE OR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES 3
MOTORS 7
FINAL �- !_ 7
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH �^_
ROUGH COMPLETE J O' 3
MAIN DRAIN d 7y
FINAL PLBG. 73
FINAL GAS '
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
DOhOD&LA36004 Lot No.17
No. Street Zs zy
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. Z
File No.
Do to 19 Z
Application is hereby made for a permit to
a ` story Type
to be occupied only as
in accordan ith plot Piq/, Plans and Spe tfication filed herewith,
pEstimated Value of Improvements $
FEES // / S. Plan Check $
Owner j`Z - Address
II
Contr. Address i1
Phone • i-a State Licens G J 7
r
Approved
ALOWW&A'a L4
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date D O 19 GAS FEE S (/l )
PLUMBING FEE $ 22j• Z
Contr. —S/r Address A 7 &
Phone "L S 'a .3 State License 3
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 ' FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1