51273 0131 "14#2_44-v rt J!V�✓'-'.- - LOTNO.
NO. STREET
H
Q CITY OF CUPERTINO rWN
W a CrTy OF Cl1Pw"o
Yo APPLICATION FOR BUILDING PERMIT
BuilGing Par, No.
SEP 1 -�-
mU ata , 197 v oSeniter Per.No.
�o AgpliqAtio0 is 1F rebyl0ade for a permit to 64"-dee
LLW �
oi a�story, Type ^ � / Structure
Q N to be occupied only as VAC 15;�ArAZZ ro in accordance with
I
FIt Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$ m
JLL �ibo
0 o Estimated Value of Improvements,$ o?3,G'Utn - O-c Fee$ 72.ev
04 Total Fee$
73,6!
Z J 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
-athe City of Cupertino will be complied with.
W W Owner Address 229 s
Q o. BY �� Address
�/
-U Cono.orLAgent. 1
Phone 2 qq— 29( Approved s
State License a 17 3 Building Inspector
20131 I Northwood Dr: 202
NO. STREET �T LOT
• Plan
12-B
mZ CITY OF CUPERTINO
s
0 CITY OF CUPEt TING APPLICATION FOR ELECTRICAL PERMIT
W31 MAY �11rn� 1,9`73'�7� Permit No. � � y
1--O73
Oete�rl�i-- -G--{31-J--. 19 Fee.$—T
0.F P A*licjtid'i 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
2 LL
O O Use of Work To Be
>�p Premises - Performed Ll 1 D f.l-iLLC 40.
i 4 Owner n to- o ham. Address 40 rI A 0� Lf PQ A0..
J z av WANI)FRFR FI cra Plo
3Q
Contractor,Agent
w Phone "13b.54a l
wZ cI
W State License.—oZ�IJ l�7�-{ Apprm,
WW
40 lectrical l nspecto,r
-O
ITEM NEW RPL FEES
Number of Outlets t�,Number of Switches Number of Receptacles
Number of Fixtures
Ranges OF QW-A' KW+
Size of Main Service nopr
Number of Meters )
Number of Panels
Signs Transformers
Dryers .
• Motors: b
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2DO
H.P. Charges
Total Fees
{OT NO. ZOL
NO. - STREET
Wp000 CITY OF CUPERTINO ,
Z i 01#PPLICATION FOR PLUMBING PERMIT
W
y 0 pEC 5 Sanitary No.
3Dates W"`•, 0 1972, 19 _ Permit No
LL
Fee $ a23..f-
=
O Application 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
and/or fixtures in accordance with therovisions of the Plumbing Code of the City of
Z w Cupertino, and all other laws applicable thereto.
a � Single Dwelling
LL Use of Premises
00 2295 De La Cruz Blvd., S. C.
ce- 3 Ditz Crane Co.
iOwner Address
i_j 167 E. Fremont Ave., SIvale
JZ By L. C. Bohart Plumbing Co. Address
o CONTRACTOR,AGENT
0 Phone 245-2323
WZ
oState License 186579 Approved `
U �( PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater t Size Ir"
Water Closet 2 Material
Bath Tub i To Curb
Shower To Prom Line v
Lavatories 7 To Fvkting
Kitchen
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
' Restaurant Sink Material
and Trap TOTAL FEES
Urinal Fixture.Fee !
Area Drain - Main Drain Fee 3
Water der S Fee
Sprinkler System Water Sys.Fee
Relief Valve f J 14
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee ZOa
Total Total Fee '�3
LOT NO. oo.o
NO. STREET p
APPLI.qATION FOR APPLIANCE PERMIT
o c ary or- CUF UMN
Z' CITY OF CUPERTWO
JUNfl2 � 7 �
Yg ,
u i Date 19. _ Permit No. S �� 73
3 LL P A I (7 Fee•$ ZVI
° Application is hereby node to the City-of Cupertino fora perandt.to ,
°o ` install gas appliances as listed on the reverse side hereof, and agrees to
N install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
� ~
Use of Premises
o00 •nu a� ze/•�
0 Owner '16 4 �� n< Address D Q�
z
z By /tztfia3` C��� Address �� -
° CONTRACTOR,AGENT
3 �
-m Phone '3 7P-o'iss/
WE
0 W
01 State License Asa8 S Approve
PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Lias o�T p
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. D 7
Gas Fired Boilers
Warning Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent System
Com..Indust..I nst.K i t.
Hood&Vent System 30
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(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 15'11 ogh
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 3ov
Total Total Fee i "
CERTIFICATE OF COMPLETION
BUMDING INSPECTOR'S OFFICE
CITY -OFF�CUPERTINO
Date .... ......................... 19.1 Building Permit-No.
The Building Lomted at ...2�.;..jj.... /2 Ina.G�S�d�-.....J..v�� ..............
Ownedby ......AF. .... .C K 10A/ --•.....................-v........................................................ .
Has Been � or Use As: .... /.. r
....----"----................................._....-.:.t.--=-----....----..........................------........
--................................................................. ...... ...................................................- ......:.....
...... .... .
UILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR�o% MISC.
PAD FINAL - 1 1
FOUNDATION
UNDERFLOOR G
UNDERFLOOR
FRAME �Z1
LATH & PLASTER
GRADING FINAL
FINAL BLDG. ^ v
ELECTRICAL
D E IIJSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING Ci --
FIXTURES
i —FIXTURES
MOTORS �/I
FINAL � `
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR A MISC.
BACK FLOW REQ. -7
SANITARY NO.
UNDERGROUND ROUGH Y
PARTIAL ROUGH —7
ROUGH COMPLETE
MAIN DRAIN Y
FINAL PLBG. —7
FINAL GAS
FINAL APPLIANCE '
DATE INSPECTOR MISC.
MISC
MISC
MISC
Z4 1311 Anib,, woecQ D{{lV46L Lot No. ,1,L
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.� Z'
File No.
Date 9�,9 _Z
Application• is hereby mode for a permit to
G>»✓���s'-�^ a ` story, Type
to be occupied only as ilAaw 4&20� 4
in accordance with plot Lan, plans an ,pecification filed herewith„
Estimated Value of Improvements $ 43 0n00 -
r
FEES 7Z-Op Plan Check $
Owner -��Tz - L./IQ�-V Address
�' t` It s• jai
Contr. Address
Phone Z-44 - 2A 10 State License UP 1 734
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT-
Do to
ERMITDare �L S 19 7 GAS FEES c- a
PLUMBING FEE $ 12,2., 3�
Contr. ��/`-s�-/�-"� Address ��� 2 r/
Phone 2)- � -)tZ State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 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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