51273 00/S-1 LOTNO. �ZQq 2-C 74
NO. STREET
W Z CITY OF CUPERTINO /
M2cay CW CV
ranso APPLICATION FOR BUILDING PERMIT _
O� Building Per.No. '� �"� Jj
W LL C C�pt , 19? Sanitary Per.No.
l-o J LApplication is hereby nide for a permit to &tff "
LL
Ol_ 1
P-Astory, ype
�F pp Structure
0 to be occupied only as r, ' at-jze� in accordance with
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a h Plans, Specifications and Plot-Plan file herewit . PI Ck Fee$ —
o LLp Estimated Value of Improvements,$ ,'S OM • c'O Fee$ -20.0,0
o c Total Fee$ 7 9. 75—
jZ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J 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.
uWj W Owner v Address Z�S "'" "✓"`t
o.
Q p By pproeatl
Address v /
_O Co,n11tr. Agent. � I
Phone a yY - o A s J
Iy I
State Lieanae 2�if�7 3 / Building Inspector
20151 I Northwood Dry LOT NO. 204
NO. STREET Plan 12—D
m Z CITY OF CUPERTINO
2 Ic
YO
nn Or cuPeKnNoAPPLICATION FOR ELECTRICAL PERMIT
O" 4 �r zZ3
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U MAY 1 MAY 112 1973 Permit No.
1� Date � , 19 Fee$
q F PApliclon 1s hereby made to the City of Cupertino for a permit to install electrical
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F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
W wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F= City of Cupertino, and all other laws applicable thereto.
Q�
O.O use of Work To Be
>y Premises 1-fam. res. Performed electrical
r3 Ditz-Crane Santa Clara
O j Owner Atldrea
Z— nnyv
J 84ANgin (tgr, r-7.-
J
3 Q contreclor, t ,y✓`
— Phone
736-5471
W z �7 � V
w State Lime Approved
Cc Q. Electrical Inspector
c�
ITEM NEW RPL FEES
Number of Outlets 2
Number of Switches /S
Number of Receptacles
Number of Fixtures j;t— Z,�p
Ranges er-G+rraG.W. /
Size of Main Service `..
Number of Mater
Number of Panels
SigPs , Transformers
Dryer
Motors:
H.P. Phase 1
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges �.
Total Fees ry
'>-4L �M s� a4i; •10 LOT NO.
NO. STREET '
CITY OF CUPERTINO
" < APPLICATION FOR PLUMBING PERMIT
Z2
x 0 Sanitary No. _
o < Date 19 _ Permit Nom 12-7,3
3 U CQ` '�� Fee$
o 3.sa
=
� App1``gttion is feby made to the City of Cupertino for a permit to install plumbing
o a pta�s.�And/or kxtitres listed on the reverse side hereof, and agrees to install said prices
> r a /or fixWres in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino; and all other laws applicable thereto.
W
w Use of Premises Single Dwelling
'00 - 2295 De La Cruz Blvd. '*S. C.
> 0 Owner Ditz Crane Co. Address
0a
ZZ 167 BY L. C. Bohart Plumbing Co. AddesE. Fremont A've.q S'vale
CONTRACTOR AGENT
3 of phone 245-2323
W
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Q,o State License 186579 Approved
—U ',y 1 PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater I I Size !�
Water Closet Material
Bath Tub I To Curb
Shower 1 To PTO D.Line
Lavatories 2 TO.Existing
Kitchen t Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener I Material
Bar Sink To Main.Drain
Comb.Sink&Tray To Curb
- Dental Unit
Drinking Fountain
Floor Drain WATERSYSTEM
7H-opper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee �.S
Area Drain Main Drain Fee
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee /.
Relief Valve
Vac Breaker
Skimmer
Filter ^p
Pool Sweeper
Permit Fee
Total 9 Total Fee
LOT NO �OG�
NO. STREET 1
„ APPLICATION FOR APPLIANCE PERMIT
or 2•/.cM1tlr+o CITY OF CUPERtlNO
o29 q�3
31 Jaaij L� 3 19. — Permit No. ✓��� 13
= a 1 (1 Fee-$
' O 9 t`Application is hereby madB to the City-of Cupertino for a permit to ,
a i install gas appliances as listed on the reverse side hereof, and agrees to
z a install said.appliances in accordance with the provisions of the Plumbing
W = Code of the. City of Cupertino; and all-other laws applicable thereto.
SUse of Premises ..
00
01
zOwner Z 2` - Address _"961 Ade
A
,•
J,Z By �a �1lKef L172�_ / Address 13ev '(&4 �,.�.
O U CONTRACTOR,AGENT
3 '►
-m Phones S`'f_0 9a3/
W W
i o State Licensr� as
a8Approved,
�U / PLUMBING INSPECTOR'
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. / -/O G
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Com.,Indust.,Inst.Kit.
Hood&Vent System 30.0
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Intl. Ventilation System o�
without Comfort
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Slacks,Misc. Equip.
Under 15'High
Over 15'lligh
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Com .over 20 HP&Under 50 HP
&Ab.sorp.units with input
of 500,001 & Under 1,000,000
Permit Fee Hou
Total Total Fee g/�
CERTIFICATE' 0� COMPLETION
BUILDING INSPECTOR'S OFFICE
MY OF CUPERTINO
Date .....4.1.....
....V................. Building Permit NOVK/.y ..
The Building Located at ....
Owned by ..Z7--zr .....0— ............. ............................................
pleted
Has Been J� cre or Use As: ... ... _ ....................I.....----••--
................................................................................... ..................I......:.....................................
............................ .....................................................................................................................
..............................°- --................_-.................. .............
.............
. ... .. ED
RECORD OF I9SPEC710N APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOORIz.
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH a
ROUGH WIRING-
FINISHED
IRING FINISHED WIRING (� `
FIXTURES 3
MOTORS rn
FINAL -1
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE r7 A
MAIN DRAIN
FINAL PLBG. -/e -/3
FINAL GAS R/
FINAL APPLIANCE 73
DATE INSPECTOR 'MISC.
MISC
MISC
MISC
Loa oe ,G`tI Lot No. 2.01"y
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT Q
Sanitary No. r 32--3
File No.� /. Z7-
Date 19 1—ZZ-0-
Application is hereby made for a permit to
0-,M2&gd�a tor Ty,
to be occupied only os
in accordan, with Plot an, Plans and S ecification filed herewith.,
Estimated Value o4 Improvements S Z.S. hoc
FEES x'''78 s O�/^I—' - Plan Check $
Owner 'Jl�� V/fi�.� Address Z;W
1N
Conor. Address -t
Phone µ� � � d State License (J,@ 1 -7
JY
s
Approved
//7/23
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date v 19 7 Y GAS FEE $
PLUMBING FEE $ �-y3- `s -29
Contr, Address /6 J
Phone �'�"r d..;� State License
r
Approved L- �'/
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
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