51273 aoo71LOT N O.n I�(4 z G5y
NO. STREET I'Q�)
w Z CITY OF CUPERTINO
Yo C0 CM C°'T"o APPLICATION FOR BUILDING PERMIT
Q LL
O J g72 Building Per.No. S
3 G
w U tet / 297v Sanitary Per.No. X'2 a
-
=LL 14�
�o A�ic�tiol�isPreb�e for a permit to
LL w
Fa story, Type Structure
m to be occupied only as .�� • in accordance with
a F Plans, Specifications and Plot-Plan fi d herewith. PI Ck Fee$ - _
0 o Estimated Value of Improvements,$-2 3 fib ' OV Fee$ 7.9 •00
> �I
o a Total Fee$
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
JZ
J o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cu/P��errttiin�o, will be complied with. yn ,�Q /I
WW Z Owner -""'"'-� Adtlreu 22�JS Ki /�W�'
¢a
Q 0 By / "h Address
-U Contr,o A nt.
Pnone �4�{O- 29/D Approved s 1
Building InspectorI//
20071 I Northwood Dr. LOT No. 176
NO. STREET Plan 14—B
Z a CITY OF CUPERTINO
Wz
YO
APPLICATION FOR ELECTRICAL PERMIT
LL
R.O Q CITY OF CUPEETINO Permit No.WU
F O Date "y1 IB Fee$ �
p r Application is hereby made to the City of Cupertino for a permit to install electrical
>F wiring and/15 fi tuns listed on the reverse side hereof, and agrees to install said
a" wiring and/or fixtures In accordance with the provisions of the Electrical Code of the
Law= City of Cupertino, and all other laws applicable thereto.
a�
JLL
00 Use of Work To Be
>H Premises ^� � ��'Y1 LAI d. Performed 1 ,1^P
Z< Owner 4 1T.1 , - ��h0 , Address�[ya h�' pd nQl
�o
BvWAND"eRER ELFCiEL IN,' . Aedre.s
3 Q Contractor,Agent
W2
Phone �3� —';7µal
wZ L
y State License Z 76L7'/ Approved
02 Electrical Inspector
QO
D \�
ITEM NEW RPL FEES
Number of Outlets
Number of Switches "55
Number of Receptacles
Number of Fixtures
Ranges o nypn, rw J
Size of Main Service 100 R
Number of Meters J
Number of Panels —
Signs .- Transformers
Dryeis
Motors:
H.P. Phase t
H.P.-Phase
H.P. Phase
Power Poles
Misc.
Permit. Fee 2.00
H.P. Charges
3 -
Total Fees
11:2m;V /�[9-i,i.C'�.-.1 .1//!..-� . LOT NO. I 6
NO. S"EP.I' '
CITY OF CUPERTINO
" < APPLICATION FOR PLUMBING PERMIT
Z
Y o tuI 7� n Sanitary No.
o a I r OF FJ 1 c 1972 , 19 _ Permit No ✓��a 1 3
LL OCT 101972 Fee $
o Application is hereby made to the City of Cupertino for a permit to install plumbing
o Pip or fiores listed on the reverse side hereof, and agrees to install said prices
> anmor Ixtures In accordance with the provisions of the Plumbing Code of the City of
wCupertino, and all other laws applicable thereto.
a ~ Use of Premises Single Dwelling
J LL
> W 2295 De La Cruz Blvd. S. C.
3 Owner Ditz Crane Co. Address
Zj 167 E. Fremont Ave., Slvale
J z By L. C. Bohart Plumbing Co. Address
O CONTRACTOK AGENT
- Phone 245-2323
Wz
WW
io State License 186579 Approved
r�U `/ PLUMBING INSPECTOR �/
L -
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet 2 Material
Bath Tub To Curb
Shower To Prop.Line ✓
Lavatories To Existing
Kitchen Sink1 Not C
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dphtal Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material q
Sand Trap TOTAL FEES
Urinal Fixture Fee
_Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee r .
Relief Valve Gwq Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee Z 3. ro
..40Ga7/ %L!/t�Cl<�dC''O� •�%Dh/ . . LOT NO.
NO. STREET -
„ <
CJTArrj4CATION FOR APPLIANCE PERMIT
is i3 CITY OF CUPERTINO
LL juv 2 7 3
oi Date 19• _ Permit No, i-1-73
3 U i ^^
Fo Fee$
Application is hereby nude to the Cityof Cupertino for a permit to
°o r install gas appliances as listed on the reverse side hereof, and agrees to
i N install said appliances in accrrdance with the provisions of the Plumbing
„ = Code of the City of Cupertino, and all other laws applicable thereto.
� ~
Use of Premises AL,
o_M3o
� Owner y • � . Address mor'9 S.L�e i �✓Z 1.
os
2J
z By—Z 7 - Address /30
O R, � o-*
AGENT
3P
- H Phone, 87A-- 0Y T
a o State License �s�B,�T Approved-
C
-U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravitv Furn.
Forced Air Furn. / O
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent Svstem
Com.,Indust., Inst.Kit.
Hood &Vent System ,300
Forccd Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System Nb Ci
[Without Coulfort
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No. of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under I S•High
_ ver l
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 moa
Total Total Fee o-o
CERTIFICATE OF . COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... .......:................... 19. Building Permit No. .......7
....
The Building Located at ..... .................
Ownedby ..........D.-I... ...............................................
Has Been `(Akvred) or Use As: ......._..... . ....................................
.......................................................................................... ......................................................
.......................-........................................................................................................................
........................................................................... --
..... ..
-- ---------
.................................
.. ..
B, ING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR
PAD FINAL r G
FOUNDATION ?') ' n
UNDERFLOOR ^' T D • '/ " 3
FRAME
GRADING FINAL
FINAL BLDG. Z'L '
U ^ ELECTRICAL
7 DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING —7 7
FIXTURES
MOTORS
FINAL �—
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. -a3—�
SANITARY NO.
UNDERGROUND ROUGH G
PARTIAL RQUGH /_
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE 3_7
DATE INSPECTOR MISC.
MISC
MISC
MISC
Loo7/ �iyl'!'L.I.va L#.2r Lot No. /-2.4p
No. Street /
CITY OF CUPERTINO /•
APPLICATION FOR BUILDING PERMIT
Sanitary No. 19 30
' ' File No. ./4, .273
Dote 19
Application is hereby made for a permit to
• a story. TYP
to be occupied only asSA
t /
in acc once wiAVPlot plan, Pl ws�and Specification filed h ewLth„
Estimated Value of Improvements $
FEES Plan Checkk $(.
Owner �� (/fir Address .2A-4 Q--- X. A ",
Contr. •1 s Address •% %%
Phone ?+TT - 2.4 1.0 State License Z�O 7 S
Approved
y/17j73
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
sa
Data O 79 7-2, GAS FEE $ C/
PLUMBING FEE $
Contr. —_ �^p Address /6 2
Phone - / �Y' L 3 Z Z State License k6 J-
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workrrmn's Compensation Laws of the
State of California
PD-1