51273 ,ao 7 �. H'1�'/Y�X, LOT NO. e2O3 - 2 -67S
NO. STREET
u,Z CITY OF CUPERTINO l! YA^ti U
2020c APPLICATION FOR BUILDING PERMIT
ir J co
O
912 Building Per.No..S/-, 2–?
m v DCap
' 19 w. ,Slanitary Par.No.- 'J"3_2 -2-
lo 4plication it h§r by_ ede for a permit to.
uw ^ A
D ate- to Type �—
F Structure
Z
w to be occupied only as t 4 in accordance with
a Plans, Specifications and Plot-Plan fi ed herewith. PI Ck Fee$� 0-
0o20
Estimated Value of Improvements,$ d3 eM Fee$ 72,oo
o Total Fee$ 7 3.6 I
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
Z and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with.
N /n1 �
W W Ownerp"11 �0'�-l. Address L2/S
Qp BY t Address
—O Contr.or A64nt. •
1I\1 PLess
hone-4U— P q �0 Approved
\C♦, State License 2- a f 7 3 y Building Inspxtor
20141 I Northwood Dr. 203
LOT NO.
NO. STREET Plan 12—B
In
W z CITY OP cuPeanrlo CITY OF CUPERTINO
YX
PPLICATION FOR ELECTRICAL PERMIT
LL
MAY 14 197 -S`( V7 3
Wu a� pqp,{ 1 ), 1979 Permit No.
FO DO, A 1 1� .19 Fee$ 7
o IL F 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
F F City of Cupertino, and all other laws applicable thereto.
a
J LL
00 use of Work To Be
> Premises 1-fam. resperformed electrical
OJ Owner Ditz-Crane Atltlreas Santa Clara
�
o �I�p�DERERELECTFIC li,!c ^ .: unnyvale
Contractor,Agent
3 y Phone 736-5421
z
6 i State License 27 67 Approved
Q O VEIlactricel Inspector
_u `
ITEM NEW RPL FEES
Number of Outlets
Number of Switches S
Number of Receptacles 2Z
Number of Fixtures
Ranges a 9 a a K0,
Size of Main Service
Number of Meters
Number of Panels
Signs— Transformers
Dryers
Motors:
HA Phase �
H.P. Phase
N.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees O
/y( �-'O__. LOT NO—Lo
NO. STREET
CITY OF CUPERTINO .
" < APPLICATION FOR PLUMBING PERMIT
Zi
y 0 0 197 January No.
3 a 19 _ .Permit No
Wu OEC Fee $ a 3-SC-
= 0 Applicatio7 is%i reby made to the City of Cupertino for a permit to install plumbing
`o a pipe ncl}or fixtures listed on the reverse side hereof, and agrees to install said prices
> and fixtures in accordance with the provisions of the Plumbing Code of the City of
<W Cupertino, and all other laws applicable thereto.
J LL Use of Premises Single Dwelling -
00 2295 De La Cruz Blvd., S. C.
3 Owner Ditz Crane Co. Address
Z-1 L. C. Bohart Plumbing 67 E. Fremont Ave., S!vale
Z By g Co.. Address
O
3 < CONTRACTOR,AGENT— Z Phone 245-2323
186579
W
rc a
a o State License Approved
_U
PLUMBING INSPECTOR
zL"E" - G-
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater j 11 Size Lf "
Water Closet Z Material C I
Bath Tub 1 To Curb
Shower ( To Prop.Line ✓
Lavatories Existina
Kitchen SinkNot 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
'HQpper Size I 3
Restaurant Sink Material I o
Sand Trap TOTAL FEVS
Urinal Fixture Fee
.Area Drain Main Dram Fee
Water Fee
Sprinkler System Water Sys.Fee i
Vac Breaker
Skimmer
Filter
Pool Sweeper
=PeeeTotal 2-j.
�O/S// /L!/LL�LC O�. A/• (,OT NO. 0 3
NO. STREET , ' C
„ APPLICATION FOR APPLIANCE PERMIT
a uI
eY O� curt;nNCIT
O Y OF CUPERTMO
�,�3
3u Date��IN ��, 19.,. Permit No.
W o A n Fee'S 0�
a o 71 pheation 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
<m install said appliances in accordance with the provisions of the Plumbing
„ i Code of the Cityof�upertino, and all other laws applicable thereto.
3 ~ Use of Premises
4
00
R 3 OwneA.J=P (LGA e'fsz .
Address . �25
iJ
z By �l .�` Address >3o
O CONTRACTOR,AGENT
3F
— a Phone S'M- 02-V/
mw
ao State License �8�,f Approved
-U j PCUMBLNG INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Fum.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent System
Com..Indust..Inst.Kit.
Hood&Vent System J 30 -.
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System yO
(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 15'ffigh
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
PemiitFee 300
Total Total Fee �j/po
I
k - '
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r Date ...... ..................... 19.../..,ZlL. , Building Permit No. ?...Z .3.
The Building Located at ...... ....:: 1(� --
Ownedby ... ..............................................................
Has Been 5 m5 'Use As: .... .A.. - G ...............................
i
.............:...............................................- ...................................................................
................................................................ ...... .... .......•---....------...... ... ...................
.............. E✓V ................................
- -
- ............._..........
11D INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC
PAD FINAL
FOUNDATION 6 -Q- /l
UNDERFLOOR 4.4
FRAME �'J,
LATH & PLASTER
GRADING FINAL
FINAL BLDG. -V
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING ^'
FIXTURES ?�
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH40
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. � � ((�
gie
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
zo I Aoa -,11 ,:ba eco WII VC, Lot No.ZOS
No. Street , `)
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No._9Q
3 22
- File No.94 s :2
Date19 L
Application//is hereby
/tmade for a permit to
�iYfsSf%!Itl LT a Z stpry, Type
to be occupied only as .�� / �,
in accordance wi lot plan fans and Specification filed herewith,
Estimated Value of Improvements $ ZJO 000 so
FEES nyy��7 Z• 6^�0.� Plan Check $ ^ l
Ower — Dd-jL ' Vlcs.. `. Address 1-101115Aw
S e 6'
Contr. f ss Address
Phone Z" Z-a State License Z.OA 1 "7 3 �1
Approved
�/-/7 3
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date -fes 19 21— GAS FEE $
PLUMBING FEE $
Contr. Address
Phone —_- �eS —J -3�)(3 State License Tal
Approved
.(i
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