51273 10932, �'✓('IN Ielo(�( - KI LL LOT NO. 190 ;LrJ 5
NO. STF ET a4L c�
w Z CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT _
a�}'ry Of CUP�FTINO C
O., (r�_'1 Building Per.No. S Z 73
W
u 17� 19 'y �' 'D�Sanitary Par.No. /
z o A�ir�atipq is hereby made for a permit to
LL W !! �r
oa a_story, Type Structure
a H to be occupied only as in accordance with
aPlans,Specifications andPl�n file6 herewith. PI Ck Fee$ _
_o p Estimated Value of Improvements,$ �3r Fee$ 72.00
73.6 1
o 4 Total Fee$-
J Z It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
o and all other laws applicable to the construction, location, and use of buildings within
a the City of C/uf�er�tino� will be complied with. np/�/.�/
Luz Owner�� Address 'Ka> 6
p r r�
QIr
O By ru-�^"-v-' Address
C.ntr.ldr Agent.
�11 Phone'Z q�- '2-9 10 Appr ed
00 State Lioenaa 26 17 3Lf Building inspector `
--/- 0 2 n �Y-�h�i e..ld 11QYe, q
N ,Z ',o STREET LOT NO. PiaTOO
n
APPLICATION FOR ELECTRICAL PERMIT
Y °
3.u 1-I A CITY OF CUPERTINO
WLL �� Z13
4 r Date /�-� , 19' 2 Permit No.
° a Fce ' /.7
70
a W Application is hereby made to the City of Cupertino for a permit to nista ell" lectrical
W
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> m City of Cupertino, and all other laws applicable thereto.
03
oa
z_jUse of Premises l - am . res.
J Z
O
3 a Owner �f�- CYaf'1P, Address
W Z By WANDERER ELECTRIC, INC.'
ao CONTRACTOR, AGENT A oved
- U Phone: 73�,54�I PPr
a erRrcAr nvaveana
State License._D78 67q
ITEM NEW RPL FEES
Number of Outlets l)
Number of Switches /
Number of Receptacles a�
Number of Fixtures 1l • 1
Ranges or4hwro4F W.
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryers 1
Motors:
H.P.Phase
H.P.Phase '
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees
Z/ LOT NO.
NO. STREET/. .
COPY OF 'CUPERTINO
w 2 Cgy OF CUPEIMNO APPLICATION FOR PLUMBING PERM/
r o ' ' 1�7?. S:tnitrvy Nu.
3 aS6Pte2' ? 19 _ Permit No.
u t n Fee$ a 3
° A a1�liCatiddis 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 rices
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.
W x
0 o Use of Premises Single Dwelling
> WDitz Crane Co. 2295 De La CRuz Blvd., S. C.
3 Owner Address
zj 167 E. Fremont Ave., S'vale
j
By L. C. Bohart Plumbing Co. :I Address
°
� CONTRACTOR, AGENT
3
a Phone 245-2323
— 0
W z
W W
a o State License IR6579 Approved (�
�-U ^ PLUMBING INSPECTOR
G(�- - 6
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater ( Size
Water Closet 2. Material C
Bath Tub To Curb
Shower 1 To Prop. Line ✓
Lavatories Z To Existing
Kitchen in Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine l Size
Water Softener Material
Bar Sink To Main Drain
Cordb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Rlodr Drain WATER SYSTEM
• Hopper Size
'Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee I 5b
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee t;fd
Relief Valve Gas Fee /J a
Vac Breaker
Skimmer
Filter
Pool Sweeps
Permit Fee y4D
Total Total Fee 3 Z
16n-v LOT No.
NO. STREET eJ
m APPLICATION FOR A PLIANCE PERMIT
d x CPPY OF CUPERTWO
co crtY Or. cunt mo
05 Dat ep � 9 73 19. — Permit No. S�� 73
U
= o f �,R Fee$-- /.3 D�
Applpftion is hereby made to the City-of Cupertino for a permit to
W F L"iAall gas appliances as listed on the reverse side hereof, and agrees to
i m install said appliances in accordance with the provisions of the Plumbing
' F Code of the City f C ?ertino, and all other laws applicable thereto.
n Use of Premises .
00
M Owner Address_
ZJ
Z By Address
`
coNTRAcroi.AGENT
— m
Phone
W W CAMPA. M.L, CALIF.
a o State Licen Approved
_U �LUMBING INSPECTOR
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. I tlt�
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent System
Com..Indust..Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without Comfort Cool
Forced Air.Mech. each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks.Misc. 8 ui r.
Under IS' High
Over I5`Iliel
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 ')J'D
Total Total Fee It
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......... ....... ?,.................., 19 Building Permit No. ...
t
The Building Located at .�..!:_:�...�:-5-"------::..<!,1:i 1,.: :---..r.....---'r-`.'�:.----.....----• --
ell
Owned by
(Completed)J r j p
Has Been (Alter dei For Use As: ....,.1.-!j ..`.....�_... ............................:... ..............
........................................................................... .................................................................
......................................................................I..._................-.............._....................I...................
'-......................................................................... -..... .......----...........'....................
..
F
.............` -------- ...................................
VILDING INSPECTOR
RECORD OF-INSPECTION APPROVALS
BUILDING
DATE INSPECTO MISC
PAD FINAL ~�
FOUNDATION
UNDERFLOOR
FRAME '
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH _
ROUGH WIRING
FINISHED WIRING
FIXTURES — 73
MOTORS
FINAL /— 3
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR ISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH/--4-
PARTIAL ROUGH `X- c—
ROUGH COMPLETE �^ o
MAIN DRAIN 0 '
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/0 -�'? I ���-f��GC.f Lot No. /p
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT �/ Q
Sanitary No. /t
� 2File Nor_4 a;2
Dara 19 �''77�s
!!! Application is hereby made for a permit to
( _ a story, TYPO
to be occupied only as G
in accords a with Plot Plan, plans a�n ecification filed herewith,
Estimated Value of Improvements $
FEE$ 7'�- 6 0 / Plan Check f
Owner 1-217i Address
I /
Contr. Address
Phone State License ;7 3
Approved
APPLICATION FOR ELECTRICAL PERMIT
7 a 7�
Date � 19 7.3 FEEf 17
Contr. / /�-�^- / Address 7�Lji— '"e u v
Phone 736 —S l/ State License J�a;+'`72gr62,}-
Approved -
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 L GAS FEEf C J, / -
PLUMBING FEE f
Contr. o Address
G 7 l�
Phone 31-- k State License x/14-6 Jr 7 /
Approved
APPLIC TION FOR APPLIANCE PERMIT �
Date `3 rYK 19 FEES
Contr. ` Address 13 tl
Phon2 •3 X State License �'2
Approved11 Z"- c�
Applicants agree not to violate any of the �(c�
Workman's Compensation Laws of the
Stale of California
PD-1