51273 BOOR I ( Q LOOT NO. I-7-7
NO. STREET
yQ ttNo CITY OF CUPERTINO I `Cr�V
W 2 aTY Of CIJKR
Yo �g� APPLICATION FOR BUILDING PERMIT
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O J // / Building Per. No.
mU Oate 11 19/ Sanitary Per.No. d '1
1-o A�pliAiOA is hereby-made for a permit to
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oF a Z story, Type Structure
a y to be occupied only as in accordance with
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a Plans, Specifications and Plot-Plan filed herewi h. PI Ck Fee$�e—
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20 Estimated Value of Improvements, $ °2qidM• 00 Fee$
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oa Total Fee$ 7(o• 69'
Z' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with.
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Owner
Address
QDBy i''^.t^"'v`.v' (/t^1- Nit, Address / I
U Contr.or AWent.
Phone 9-44- /}� 1 Q APP, e e
State License �IY 17 3 Building inspector <�
20081I Northwood Dr. 177
LOT NO. 1
NO. STREET Pian 14-A
w Z CITY OF CUPERTINO
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APPLICATION FOR ELECTRICAL PERMIT
LL CITY OF CupaTINO
1-0 Data IYIHA n'f T I —, 19_ Fee$ 0
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Applicatiop is erMy made to the City of Cupertino for a permit to install electrical
>4 wiring a�i 1/or fix ures as 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
WW City of Cupertino, and all other laws applicable thereto.
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O O Use of Work To Be r1
5, Premises - Performed t 0 (D n.�A,(. a'L
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a Owner lul h s Address �Q n,(:LL LX WtQ
o avWANDERER ELECTRIC,
Contractor,Agent
3Qul Phone -1,',�+'.r14,�
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Qy State License alRb�y Approved'
02 Electrical lnspec 6r
40
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ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or-Gvens-",
Size of Main Service aoA-
Number of Meters J
Number of Panels
Signs - Transformers
Driars _
Motors:
H.P. Phase 74
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges a.so
Total Fees
?—",p 1 LOT NO. /
No. STREFI'
CITY OF C_UPEA.TINO
Z < crtr or cuPERnNoAPPLICATION FOR PLUMBING PERMIT
Y o OCT 101972 Sanitary No.
0 a Date 972 19 _ Permit No �I�23
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p .� .. I Pee $ /—•—
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
oa 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 City of
a w Cupertino, and all other laws applicable thereto.
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w Use of Premises Single Dwelling
p02295 De La Cruz Blvd. S. C:
3 Owner Ditz Crane Co. Address
oL 17 By L. C, Bohart Plumbing Co. AddesE. Fremont Ave. , S'vale
0 CONTRACTOR, AGENT
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- 0 Phone 245-2323
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a o State License 186579 Approved %
rl_U (! PLUMBING INSPECTOR v/
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size `
Water Closet I Material I
Bath Tub I To Curb
Shower To Proo.Line I/
Lavatories 1 To Ex'
Kitchen INot Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
WasWng Machine f Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee J
LOT No. /7
NO. STREET
„
APPLICATION FOR APPLIANCE PERMIT
Z ! tav c� zJ -.:r,NU CITY OF CUPERTINO
10
0 < Date_II IVEi G /' 3�3 19• _ Permit No. ��y73
U Fee•$
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° nApplication is hereby rrtarle to the City-of Cupertino for a permit to
o F install gas appliances as listed on the reverse side hereof, and agrees to
C 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.
„ Use of Premises
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Owner fQ. - Cif.r,„� Address ..4246- 1146 .W 6.1-
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A.o By�Kr i�i>.� YI CeAddress i.�0 -tel Encs
3 o CONTRACTOR,AGENT
— <w Phone 32,L 090E
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M i State License '�6X825 Approved
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U PLUMBINGINSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnacc
Gravity Furn.
Forced Air Furn. D o
Gas Fired Boilers
Waning Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Com..Indust_, nst.Kit.
Hood & Vent System / p
Forced Air Under 4000 CFM
Forced Air Over 4000 CFAI
Ind. Ventilation System a y0U
without Comfort C
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 11'
gh
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
&Absorp. units with input
of 500.001 &Under 1,000.000
Ii Penit Fee &,�6
Total Total Fee O-p
CERTIFICAT9 00 COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
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RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR
PAD FINAL
FOUNDATION , -L In
y;
UNDERFLOOR 40/
FRAME
LAT 8, PLASTER
GRADING FINAL
FINAL BLDG. 'ZZ S 11
69x ELECTRICAL
DATE t INSPEC OR MISC.
UNDERGROUND ROUGH
ROUGH WIRING i;pl
FINISHED WIRING 73
FIXTURES '7 - 3
MOTORS 7 ^7
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MIS
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH /"-� '7
ROUGH COMPLETE J
MAIN DRAIN—
FINAL
7Y
FINAL PLBG.
FINAL GAS v
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
e>2- 0OD/ Lot No.
No. Street
CITY OF CUPERTINO `�
APPLICATION FOR BUILDING PERMIT
Sanitary No.
` Pile No.15 117,3
Do to �j 19 L
Application
is hereby made for a permit to
a oZ story, Type
to be occupied only as 6—' zz:=�
t
in accordance h plot Plan, Plans arrIf Specification filed herewith.
Estimated Value of Improvements E o2 V C'71�U d?
f
FEE$ — 7.Sy Plan Check $
Owner Address
Contr. Address
Phone o7`f d State License v�
d 5 S - 70 -'-D Approved T _ e N' �i
KL.
3
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
ti
Date �d L) 19 7Z GAS FEE E
�� [T PLUMBING FEE $
Contr. Address (. 2 C/
Phone -2 4e.P " �-3 2---3 State License �a/ 'J
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEE$
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