51273 rFD I D r �y�2rY - VilA-y—l� LOT NO.
W NO. STREET Q
W Zpn OF CUPERTMO CfTY OF'CUPERTINO
APPLICATION FOR BUILDING PERMIT
M°SEP 141972
O J Building Per.No.
WU Dat 197v Sanitary Per.No. 13
1-0 pApplication is hereby�gade for a permit to p�P
w moi/
F a Z story, Type _Y/ Structure
Z
N to be occupied only as in accordance with
W
I
F Plans,Specifications and Plot-Plan f4ed herewith. PI Ck Fee$
20 Estimated Value of Improvements,$ 13,env , OtI Fee$ 72 ,&0
o Total Fee$
73. 61
J z It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
o and all other laws applicable to the construction, location, and use of buildings within
�a the City of Cupertino will be complied with.
W
w Own.rr a /� v✓WK.t� Address Z z 9S
a.
Q 2 By / Address
_U Contr.oVAgent.
L Phone 2W— 24/d Approvey
\o State License Zia C 7 3 V
\,f Building Inspector
20101 I Northwood Rr.. 200
LOT NO.
NO. STREET Plan 12-B
z a CITY OF CUPERTINO
W zCITY OF CUPEFTIIi
yo RPPLICATION FOR ELECTRICAL PERMIT
MAY 14 1973 �?
UPermit No. �a
z Dat.,MAY l� 3
F0 — 19 Fees T.�/
O Y—R
01- Application is hereby made to the City of Cupertino for a permit to install electrical
Z F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a w wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
aF City of Cupertino, and all other laws applicable thereto.
JLL
00 Use of Work To Be
F,a Premises J- m i At-d- Performed I 0 / 1,lHA br0 Q,
04 Owner - ' 0Af)f i P . Address a0Q »� w
Z-1
Ao erWANDERER FLECTRF' I'!,- s's
r. ridare '-
contractor,Agent
Q Phone '7.3b-54,P/
N
W Z a78674�
S a Stets License Approved
Q
0
Electrical Inspector
ITEM NEW RPL FEES 1
Number of Outlets if
Number of Switches 14
Number of Receptacles
Number of Fixtures
Ranges op-6Yens-IEW.
Size of Main Service IoofF
Number of Meters I
Number of Panels
Signs - Transformers
Dryers
Motors: (o
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees
/�/ zA�iS-, %t- •s,-r,�n Aw=? LOT NO.� 2in=7
No. STREET
C1TY OF CUPERTINO
W = oa CUP PLICATION FOR PLUMBING PERMIT
s ¢ Sanitary Ne.
r ° �� 0 0 1972
0 , Da 19 — Permit No
3�
Fee$
0 AplFcafion 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 and/or fixtures in accordance with the provisions of the Plumbing Code of the Gty of
Z W Cupertino, and all other laws applicable thereto..
Use of Premises
Single Duelling
20 2295 De.La Cruz Blvd., S. C.
> 0 - Ditz Crane Co.
F 3 Owner Address
Zj 167 E. Fremont Ave., SIvale
� Z By L. C. Bohart Plumbing Co. Address
CONTRACTOR,AGENT
- Phone
245-2323
W Z
186579
0 rr2' State License Approved
CL
PLUMBING INSPEcroR
ll- -/3
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater I Size
Water Closet 2 Material /
Bath Tub I To Curb
Shower I To Pro .Line 0,7
Lavatories 7 To E
Kitchen I Not Cnnn.
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 i4
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee /3 - 3-0
Area
- J-
Area Drain Main Dmin Fee
Water Leader v
Sprinkler System Water Sys.Fee
ReHef Valve Gas Fee /,7�rn
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee —d
GPO/o / .//l/1 �.i �•./A; : . LOT NO : Qo O
NO. STREET - O
arAPPUGAT10N FOR APPLIANCE PERMIT
Q
J�IV 2 j 9 i j CITY OF CUPEAtINO
LL
e j Date �73 19. _ Permit No. -5--l-1-73
3U D A ing
= n Fee-a
' 0 Application is hereby made to the City-of Cupertino for a permit to
o ` install gas appliances as listed on the reverse side hereof, and agrees to
z install said appliances in accordance with the provisions of the Plumbing
= Code of the. City of Cupertino, and all other laws applicable thereto.
SUse of Premises
00
owner`��y - �'i ti rAddress �-�� 5- G� � �n ,
o�
z
' Z BYY�tvxttecroa•AG�lv.J� o Address /.30:J
0
3C
— w PhoneWW
1 -i State License Approved L�
_U PLUMBING INSPECTOR
1<1'.
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. 0
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent System
Com., Indust. Inst.Kit.
Hood&Vent System 360
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilations stem OO.-
(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 IS'Iligh I
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 Sob
Total Total Fee S/co
I
i
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......... j' ---:........... 8 l
19.-------1. Buildin Permit No. ..t........._:...,
The Building Located at .... :.
Ownedby ......S :Z . .................... .. ................................
Has seen (Alt or use As: - �:^..:...'.f ..a--.....---------...---
............................--......................_......................................_................---------...----------.........
-- ----------------------------------••---•-•--...........................................................---........---------...........:....
.:......................................................................_......: - --------------
G INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE I NSPEW.JORo% MISC.
PAD FINAL
FOUNDATION T'c, e.
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE IN PECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING A' 7 3
FIXTURES
MOTORS
FINAL R
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH O
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE '—
DATE INSPECTOR MISC.
MISC
MISC
MISC
PU AA W OO4 DA!k-4, Lot No. ZOO
No. Street 4
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT Q �j
Sanitary No.
-� � File No.A- 2�
Dote .19
Application is hereby made for a permit to
a story, Type
to be occupied only as _ obi®Q` �AL11=4)
in accords with Plot Pj n, Plans and Speci cation filed herewith„
Estimated Value of Improvements $ 7- 9 460,0
FEES '72 • G& Plan Check E
Owner a/AZI - 11-1 41V—t4 Address Q
k1t ►• IV
Conry. 11,�,►► Address
Phone Z'9q i V State License Z4
r
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote S 19 2 -)- GAS FEE $ (/Ja-)
PLUMBING FEE $ C=44J�
Contr. —K Address / to/ 7
Phone - �`� a 3,-� State License rf 6 S
Approved t
APPLICATION FOR APPLIANCE PERMIT
Dare 19 FEE$
Confr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1