51273 /0�q3 ` L•' t 7" LOTNO. /.O••9.}
NO. s EET D tom,.(
N '
a CITY OF CUPERTINO
wQ
Y c cm of cuP ariNo APPLICATION FOR BUILDING PERMIT
¢LL UGC 1972 z S—/ L73
O� � Building Per.Na.
WV ata 197 Sanitary Per.No.
�
W F ppliy@tiolh ijT)ereby mao for a permit to ��-
w
°Q a 2 story, Type Structure
a N to be occupied only as ' in accordance with
aF Plans,Specifications and Plot-Plan f ile4 herewith. PI Ck Fee$ °
1,7S-
2
.7 3oo Estimated Value of Improvements,$ 2SiCe.c
Fee$ 78 • cr
04 Total Fee$
7972
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 Cupertino will be complied with.
W 12tt, -Ga zz95' �,,� 13104
W w Ow0. nner ul�v ,,'y� Address r�
Q By ! ��t4� Addresses
_U Contr. Agent. e
Phone2"-21//0 Approved e
state License2-& 17 3 Building inspector V
l o sq3 I 1V0r-I-Y)4i e-1d '-ucf(L /
N < NOT NO.
STREET /
z = Plan D
i a CITY OF CUPERTINO
c&5` PLICATION FOR ELECTRICAL PERMIT
O J
_U
r O
Dat7
W e � ��-�i -} 19 72 Permit1VO. `
r
Fee S t� n ^
a Application is hereby made to the City of Cupertino for a permit t i a electrical
W
W
W = 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
S N City of Cupertino, and all other laws applicable thereto.
ZJ
Use of Premises -F(tm Yes
J Z
J O
3 a Owner DF tti— CYLLne Address f
N
W a ByWANDERER ELECTRIC.
Q O CONTRACTOR, AGENT A rove _ f fill.
-0 736 -Syal PP
Phone ELECTRICAL PEC701
State License — .2 7S 67y ��
ITEM NEW RPL FEES
Number of Outlets /?
Number of Switches 115 fn
Number of Receptacles 23
Number of Fixtures 11
Ranges Or4h*P&4C:-W.
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase '
Power Poles
Mise
Permit Fee 2.00
H.P.Ch es v
Total Fees
3v
l68Y3 1 ':Irl � SleP
LOT NO.
NO. STREET i
LRT OF CUPUMO CITY OF CUPERTINO
Z Z c q APPLICATION FOR PLUMBING PERMIT
' 0 SEP 20 � Sanitary No. '?//
Q LL �7
3 a Uaten al ]�? 19 — Permit No. _ 5-12 7.3
U
io Fee 9 3• s0
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
> arid/or fixtures in accordance with the provisions of the Plumbing Code of the City of
U)
Cupertino, and all other laws applicable thereto.
aUse of Premises Single Dwelling
J LL
O O
> 3 Owner Ditz Crane Co. AAP—P! La Cruz Blvd., S. C.
Oa
ZJ
J , By L. C. Bohart PLumbing CO. Ajf�SsE. Fremont Ave., S'vala
O CONTRACTOR.AGENT
3 �
- 0 Phone 245-2323
W Z
W W
a o State License 186579 Approved
_u
n PLUMBING INSPECTOR
,VLa,* — O
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size y
Water Closet Material G
Bath Tub To Curb
Shower / To Prop. Line v
Lavatories Z To Existing
Kitchen I Not Conn.
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
Drinkin Fountain
Floor Drain WATER SYSTEM
.Hopper I Size 4`
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee .S�
Area Drain Main Drain Fee
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee (-rZ
Relief Valve Gag Fee
/S
-Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee Z 3.S'd
I b D O a` A LOT NO. 1'6 Cf •.
NO. STREET ' p� ' p �/�
n < cmA �'�►TI®PI FOR APPLIANCE PERMIT
Q MAR 2 6 1973 Ctrs OF CUPERTINO
3 Y 1
� Date uMAR a 1973 19 _ Permit No.
xLLFee-$
' 0 Application is hereby made to the City-of Cupertino for a permit to
o F install 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
= Code of the City of Cupe 'no, and all other laws applicable thereto.
~ Use of Premises
004
«' "; Owner Address-
0
z By Address 6
J'O coNTRAcroW,AGENT
m Phone PLOD SHEET METAL'ta
CAA9PBEt.L, CALIF,
` o State Lice leis NSr4 Approved
UI,1 - PLUMBING tNSPECTOa
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air FLIM. I W
Gas Fired Boilers
Wanning Ovens
Susp. Units
Dwelling Kit./Bath 'y r{ tru
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. Equip.
Under 15' Fligh
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 // �0
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
f
Date ......... ..:.-�.............._.... 19-.1--.-1.. Building Permit No. ..'.'.�.
The Building Located at ....... ._..... -u2. (y F..�c�.....:?.C�.................
Owned by ...........
.......................
a _.................................
.
r, �
Has Been (Altered)
Al For Use As: ... ..... .......................... ........ .................
.. .........---- ....... .........................................................-- .. .....----...............................--
........... .. . ......_........................_.........._...........---.........._..........----...................................
........._............_... .......................
Com,,,•`,...---....--':----
_......... `�`-- ----------------------
BHRDING INSPECTOR
RECORD OF INSPECT16N APPROVALS
BUILDING
DATE INSPEC TO _ _ MISC.
PAD FINAL A -?—e 1
FOUNDATION
UNDERFLOOR o,
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
0-01 .
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS—
FINAL—
OTORSFINAL 71
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH-,(—( Y
PARTIAL ROUGH �' `2
ROUGH COMPLETE ` 0- 3 '
MAIN DRAIN
FINAL PLBG.
FINAL GAS —/f—
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
�/S Lot No. 16�
No. Street / 75
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT 7
Sanitary No.q l�
File No,.L/273
Date 19
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordaae with Plot Plan, Plans! CSpecificcaation filed herewith.
d
Estimated Value of Improvements $ J. 40!/
—7 �
FEES - ! //Q- Plan Check $ (�
Owner �!//1"7 l ����e Address ���� J�2. //(Q
Contr. Address
Phone t"�L) 7/ State License
Approved /
APPLICATION FOR ELECTRICAL PERMIT
l/� ad
Date r
19 FEES a/�
Contr. /�t-^- .� Address �`t
Phone —_7a G J L/ State License 1,2 v2 2��_�� 7_To
Approved ?`^" 6
61
APPLICATION FOR PLUMBING & GAS PERMIT
Dote —7--- 19 7/ GAS FEE S ��
PLUMBING FEE $
Contr. _ Address - / 4
Phone of 7PT 2-3 L`; State License ��I;J-2 S
Approved ,
APPLICATION FOR APPLIANCE PERMIT"
Date '3 Lf° 19 FEES
C ontr. Address /-30 - --- --�--�
Phone .3,2 d�-- o 9.9 X' State License c.2�1/^���� -S I
Approved �-/`� /"•- -�-�
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1