51273 1097-3LOTNO. I Oto z. S
NO. STR T U n a4t, � -�
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CUPcFTIMO CITY OF CUPERTINO
B�Yq'�O 4 �g-�Z APPLICATION FOR BUILDING PERMIT _
W.WBuilding Per.No. S I J3
.33w U Dar' _ 19 y Sanitary Per.No. R
"'Application is hereby made for a permit to -u--Q-�-�
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oQ a 2 story, Type^ Structure
Q H to be occupied only as 6A,i in accordance with
aPlans,Specifications and Plot-Plan filed Lrewith. PI Ck Fee$ —20 Estimated Value of Improvements,$ 11�-tfr, &0-0 • Fee$ �s�. o
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l 3 Total Fee$ 7� 6 R
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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 buildingswithin
P the City of Cupertino will be complied with.
W w owner �- �• Address 2-2 yS
a Cj
Q2 By Address ry r f
_U Contr~ Agent. e
Phone au4— w'd APPrr
State License ��12 34 Building Inspector \ I
/o 8 73 1 Nmr<h4e id r41r 2
!R Q NO. STR[4b
T r/ LOT NO. ,0
W a �h,f �p CUPcF1M0 P)Qr) /'
r °_ 4A"&ICATION FOR ELECTRICAL PERMIT
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CITY OF CUPERTINO
73° Dates t9 7� Permit No. , -
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a m Application is hereby made to the City of Cupertino for a permit to install electrical
W i wiring and/or fixtures as listed on Lite reverse side hereof, and agrees to install said
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r wiring, and/or fixtures in accordance with the provisions of the Electrical Code of the
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5 0 City of Cupertino, and all other laws applicable thereto.
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° a !- �Qrn . res.
z Use of Premises
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3a Owner �1��- CIQ/ Ie- _Address..,
W W By Address
t t tilt, IIVG. Address h
CONTRACTOR, AGENT
a a Approve
—U Phnne: �3b^J�U^7 t r ar. INS►YCTOII
`a State License a 7 67q
ITEM NEW RPL FEES
Number of Outlets 1
Number of Switches
Number of Receptacles /6
Number of Fixtures /1
Ranses ox8ve"s-K-. —'
Size of Main Service
Number of Meters
Number of Panels
Signs-Transformers
Dryers —
Motors:
/µ
H.P.Phase _
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges �..
Total Fees
/D// � /!/iYJTYs.e-LZLQ LOT NO. D b
NO. STRE
QfY OF CUPEMO CITY OF CUPERTINO
z < APPLICATION FOR PLUMBING PERMIT
s W (/SEP 20 1912 sanitary Nu. o T ar�^
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C: LL J I I t q.97/�y
3 " `7 7 19 — Permit Nio.
W Fee ee$
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� 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
r r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
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Cupertino, and all other laws applicable thereto.
LL Use of Premises Single Dwelling
00
3 Owner Ditz Crane Co. AdALDe La fZruz Blvd., S. C.
oa
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j o By L. C. Bohart PLumbing Co- AJ#L2ssE. Fremont "e., S'vale
3 0 CONTRACTOR,AGENT
- 0 Phone 245-2323
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W W
a o State License 1A6579 Approved /
U PLUMBING INSPECTOR �/
P/,-"
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size //v
Water Closet Material
Bath Tub To Curb
Shower To Pron. Line ✓
Lavatories To Existing
Kitchen Sink f Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Cdttlb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
F16or Drain WATER SYSTEM
;Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
.Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader S onn Drain Fee
Sprinkler System Water Sys. Fee (J
Relief Valve H Gaq Fee !,$-Z)
Vac Breaker
Skimmer
Filter
Pool Sweeper
Penni[Fee ylJU
Total Total Fee / 5.
f)x I / LOT NO. / (0
NO. STREET -
nAPPLICATION FOR APPLIANCE PERMIT
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CITY OF CUPERTINO
Y 0Z
CITY OF CUF"RMO
LL
3 < n.te 19 _ Permit No. LXX-73
U MARdAH
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0 A�phation is hereby nlw& to the City-of Cupertino for a permit to r
o i install gas appliances as listed on the reverse side hereof, and agrees to
i a install said appliances in accordance with the provisions of the Plumbing
= Code of the Cityof Cu ertino, and all other laws applicable thereto.
S �
Use of Premises _ a'f
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F'. ; (honer ���' �i ^ �• Address Ad,—Co_q-L- _-
oz_j Q ( q�/
J z By ` � ! l I/l � Address \e z ^=t24 -�(
J'O CONTRACTOR.AGENT
3 a PhonELOm SHEET METAL rip
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WW CAMPBELL, CALIF.
02 State LicIAGENSE #Og28a� Aypproved
U Cx PLUMBING INSPECTOR /
APPLIANCE UNITS FEES
as I of
" Gas Oven
Wall Furnace
Gravitv Furn.
Forced Air Furn.
Gas Fred Boilers
Wanting Ovens
Susp. Units
Dwelling Kit./Bath 1� tF tYU
Inde end. Vent System
Com..Indust.. I nst.K it.
Hood &Vent System
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
Comfort Cooling
Comp.of 20 HP or less
&absorp.[nits with input
of 500.000 BTU or less
Comp. over 20 HP& Under 50 HP
&Absorp.units with input
of 500.001 &Under 1000,000
Permit Fee �� d'o
Total Total Fee /f
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
--7 ................
Date --- ............................ 19--...). Building Perm t No.
The Building Located at ......!..................
Ownedby ................................... .................................
Has Been or Use As: ....
(Altered)
................. ................................................................................................................................
—...................................I............................................................................................ ...........
................................................................................. .............................................
t . ...................
�]�� ...
ING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL R•'
FOUNDATION ZJd
Z '
UNDERFLOOR �• 'Z� '73
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
V' DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING c
FINISHED WIRING t
FIXTURES
MOTOR S
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. -7
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL.ROUGH
ROUGH COMPLETE �I
MAIN DRAIN r�
FINAL PLBG.
FINAL GAS C- 4-73
FINAL APPLIANCE -
DATE INSPECTOR MISC.
MISC
MISC
MISC
2-3 Lot No. I,6&
No. Street / &
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No. L/,a/-7
Dote � 19
Appliiccaattiioon iissjhereby made for a permit to
Ty `
to be occupied only as S e- /X- G a �I�,u �S T of
in accorricrOce with Plot Plan, Plans anApecification, filed herewith.
Estimated Value of Improvements $
FEE$ 75. oo Plan Check $
a q "
Owner Address
Contr. Address
- Phone y �Cl� State License
`^� 2 /-7
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date Z� 19 7 3 FEE$
Contr. Alkl .( Address
Phone _73L �5�1/ State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 -7`Z' GAS FEE $
PLUMBING FEE
n$
,/ gay
Contr. Address t /
Phone - YE- 2 .3 l- 1 State License xp `� 7
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 -73 FEE$ -/ /�
Contr. 1N`"�''l Address -� ^�
� 7 � -0 9 3
Phone - State License a-.S
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
Ml