51273 iom 9UWA� IC, LOT NO. 17 / 2-53i
NO. STR T
w Z CITY OF CUPERTINO
„oQp C�no"o APPLICATION FOR BUILDING PERMIT
C.¢O'QJ{`( /� 1 Building Per.No. �� Z
jjG 1pdte :(,I� , 197L Sanitary Per.No. CL, u 7
I-o ApglicjRp is hereby qNcle for a permit to _htleBp
o a z- story, Type Structure
>F
Z
W to be occupied only as ' r 43AJ in accordance with
a F Plans,Specifications and Plot-Plan fil d herewith. PI Ck Fee$ �_
J
20 Estimated Value of Improvements,$ 23!�C ' Fee$ 72 .0-0
o a Total Fee.$ 73.6
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
Z and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cu
(j\�ertino will be complied with.
R i Owrn�a�r Address ZS
Z9
Q 0 By ' ^" Address s
_U ��/C/ontr r Agent.
Phone �Ty— �0 Approved a
state L sense 2�I�3 x Building Inspector
In ONor�hYi (C�
N ,S�UQYL�
N Q NO.. STREE LOT N0. f-7",a
w = veto Plan b
r ° ,�qLICATION FOR ELECTRICAL PERMIT
3 SAN CITY OF CUPERTINO
oDatc �a�� 79 Permit No.
O Q N Pcc 1 I V
a m Application is hereby made to the City of Cupertino for a permit to%nstall"Flectrical
W
W = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
� w
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> 0 City of Cupertino, and all other laws applicable thereto.
03
oa — Y
z_j Use of Premises
J a
J O
`a Owner Nlfz — (sane, Addressla 0—
W Z
rcn By1fInN0ERER ELECTRIC, INC. cress
G O CONTRACTOR, AGENT Approved _.
-U
Ph.,,: 73h ',5U.2 / PPCOVeELF IGL INSP2CM2
State License _ D79k,7cl
ITEM NEW RPL FEES
Number of Outlets I I
Number of Switches
Number of Receptacles
Number of Fixtures I
RanmesorevmzitW. - —
Size of Main Service
Number of Meters
Number of Panels
S' Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Cha es a
Total Fees
1 D�' IL /I/p'I,L.Z✓iLL(�: 'c�G..t.�tirpG LOT NO. I J
NO. 5 ET
pry OF CUPERTINO CITY OF CUPERTINO
" < .pp PLICATION FOR PLUMBING PERMIT
i � SEP 20191L Sanitary No. I �7
r 0 S
ttLL
3 U Uasia73
� AL� 22—, 19 — Permit No.
WLL � L. Fee $ oZ3SUr
T o
Application is hereby made to the City of Cupertino for a permit to install plumbing
o < pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the Crty of
<w Cupertino, and all other laws applicable thereto.
F Use of Premises Single Dwelling
J LL
° O2295 De La Cruz Blvd. S. C.
3 Owner Ditz Crane Co. Address
ZJ L. C. Bohart Plumbing Co. 167 E. Fremont AVe., SIvale
z By g Address
O CONTRACTOR, AGENT
3 �
— N
Phone 245-2323
ao State License 1$6570 Approved 9��
- 0 c PLUMBING INSPECTOR l
FIXTURES NUMBER MAIN DRAIN'
Units Fees Units Fees
Water Heater / Size
Water Closet i Material C I
Bath Tub I To Curb
Shower To Pro . Line ✓
Lavatories L To Existing
Kitchen Not
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine / Size
Water Softener Material
Bar Sink To Main Drain
.'Comb.Sink&Tray To Curb
Dental Unit
_Drinking Fountain
Floor Drain WATER SYSTEM
Kopper I Size
Restaurant Sink Material I iF,14,
Sand Trap TOTAL FEES
Urinal Fixture Fee /
Area Drain Main Drain Fee
Water Leader Storm Drain Fe
Sprinkler System Ell Water Sys.Fee
Relief Valve F".
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 2-cYD
Total 7 Total Fee , -Z�
laV �V I •� LOT NO. /7 �/
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
W
6rrr OF cup"o CITY OF CUPERTWO
Y2 3
0 ` Da ° `} 191 — Permit No. 73
OX n Fee•$ 13
' W SAPPlication is hereby rrrade to the City-of Cupertino for a permit to
O`
< install gas appliances as listed on the reverse side hereof, and agrees to
ia install said appliances in accprdance with the provisions of the Plumbing
„ = Code of the Cityeo, and all other laws applicable thereto.
S ~
Use of Premises ._
00
M
Owner Address
iJ
z Ey "w Address
O
CONTUCTORI,AGENT
3 y PhonPL-OG SHEET METAL CO.
W W CAMPSELL, CALIF.
o 1 State LiccWr_ENSE $252625 Approved
a o
U eL PLUMBING WSPECTOR
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Nall Furnace
Gravity Furn.
Forced Air Furn. I XV
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.hlech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc.Equip.
_Under 15'High
Over 15'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 3 D
Total Total Fee J/
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... ..................... 19.. Building Permit No. 'L•
The Building Lomted at .
.........................................................................
Owned by ..... ti
let
Has Been por Use As: .......
(Alt e ) ................ .
................................................
.............I....... .........................................................................................................................
.........................................................................I........................................................................
................................................................................ --------- ...............................
..........�.
j"�.,,....;�E..............
G iNspEcroR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR M
PAD FINAL
FOUNDATION 9 ? 2
UNDERFLOOR /b ?- " • �• 1e �7
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
U- 6.
�, 6' ELECTRICAL
V DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES 73 MOTORS
FINAL /—�
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR M C.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH -73
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
11 ?fqi�4eQ Lot No. �I
No. Street /
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.IZ!Z _
7--L? FIto No_�4,
Date �19 L
Application is hereby made for a permit to
a 2 story, Type t/-
to be occupied only as
in accordi1nce with Plot Plan, Plans andAccification filed herewith„
Estimated Value of Improvements $
FEE$ a • d (� Plan Check $
owner f.'i r% - </JLCiJ'L_� Address 2 Q-
/ t r • t i
Contr• Address
Phone State License f 7`/�/
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 - 7J FEES 7 '•
Contr. �.L..-r�.t.-t.r..�J Address 9�--•1�/"a-.nx-�-/ V�'6� ��t/
Phone �� 6 _S ��/ Stote License
Approved CA'^4A4
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 797 oZ GAS FEES
PLUMBING FEE E ^�J 3.y�
Contr. Address
Phone - �' d-3-� 3 State License � l
Approved
,3 ��, AP LICAQ _ TION FOR APPLIANCE PERMIT p
Date --X 19 -/A FEE$ /x /y s
C ontr. —�1 Address
Phone - X 3 7/7- U ';3 �e State License C>2S��
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of California
PD-1