51273 IOUS2_ LOT NO. IGJS 2-rhe
NO. STRE t: Lt.trt
y '
w Z CITY OF CUPERTINO
Qo �.r� pf �je�Pttt1O APPLICATION FOR BUILDING PERMIT
O� V'• 91�- Suilding Per.No. .�� Z 7
m o {R�� 17 7 , tg �� _?r
a SSenitery Per.No. .P"/s 3
�o Applications f�eleby Tade for a permit to _6r^`r-�!
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O a stbry, Type Structure
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y to be occupied only as a " ��-' ' in accordance with
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F Plans,Specifications and Plot-Plan fileb herewith. PI Ck Fee$
0 o Estimated Value of Improvements,$ 32/ QZ*D Fee$
97 7 Y
c Total Fee$
Z 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 L
3a the City of (/C�.u�pertino will be complied with.
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Law Owne�^ "'w^-r- Address z 95 �r ag
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By )'rte � � Address
Q U Contr.OWAgent. s
Phone ;Z q4—2-/G/D — Approved s
State License aGi73F4: p� Suildinglnspector
tAgR9 I Npr�RftPl)[I S LOT NO, 165
NO. STREET
z Z CITY OF CUPERTINO
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0 APPLICATION FOR ELECTRICAL PERMIT
J
CITY Op+ [UP62TINo
w 0 1�nI V n) l�j ^ 1973 Permit No.
FO
Date jilp (+ � I , ig Fee$
p F Application is hereby made to the City of Cupertino for a permit to install electrical
a a wiring A) fi##to as listed on the reverse side hereof, and agrees to install said
a w wiring nd/or fi>hW�in accordance with the provisions of the Electrical Code of the
F City of Cupertino, and all other laws applicable thereto.
a
00 use of 1—fam. res. Work To Se Wire for air conditioner
> Premises Performed
c Di tz-Crane Santa Clara
0 J Owner Address
Jo BvWanderer Electric, Inc. Add Sunnyvale
3 0 7Cggntrpy?Qr Agent
—a Pftona •'OIVY,
wz
ww State License Appro
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02 Electrical snap or
a0
—O
(ON
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels
Sighs - Transformers
Dryers
Motors:
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges ST
Total Fees
/n fish � Alnr-l-h-Riy Id S�l'i'
N < NO. STREEY LOT NO. 1 LS
r o CITY OF CUPERTINO Plan E
o < .4 FOR ELECTRICAL PERMIT
0 3f�N -71
oW Late- , 19 2.2 Permit No.
> f
Fee wzo
i N Application is hereby made to the City of Cupertino for a permit to install a ectrical
W
W r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a `o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
g City of Cupertino, and all other laws applicable thereto.
03
zJ Use of Premises - :(am. res .
J =
J O
3 < Owner ra Y)to, Address
W W By WANDERER ELECTRIC, INC.
Q7 CONTRACTOR, AGENT LOV
—V Phone: 736 Sq.- � PP ELECTIUCAL IM CIM
�� State License ��b
ITEM NEW RPL FEES
Number of Outlets �J
Number of Switches )7 p
Number of Receptacles J7
Number of Fixtures 12 2-,3D
Ran=or9reMaK.W
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.Charges o
Total Fees
ZD
I A�� 4LOT NO.
NO.
MEET `r
APPLICATION FOR APPLIANCE PERMIT
csCITY OF Ct1PUTINO
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P'
3 Qate_l 5 1973 19• _ Permit No. r/a 73
ntom,
1- 0 �ppliepon is hereby made to the City-of Cupertino for a permit to
o` IlAtafl-gas appliances as listed on the reverse side hereof, and agrees to
z install said appliances in accordance with the provisions of the Plumbing
Code of the Cityof C�ertino, and all other laws applicable thereto.
3 Use of Premises
00
(himet Address
o S
z
z ILI Address
O CONUACTOk AGENT
3C -
_ `m Ph
oz _
a �'' �@j1.,I, CALIF:
i o State L Approve
_
6
LICENSE 2540=w PLUMBING R4=CTOa ,�
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. ✓9
Gas Fired Bailers
Warming Ovens
Susp. Units
Dwelling Kit./Bath 9/
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
Forced Air. Mech.each Power
Gravit -S stem
No, of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Slacks,Misc. Equip-
Under
ui -
Under 1.5'High
Over 15'11*ah
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
Total Total Fee ✓''S
i..� LOT NO.
NO. STREFX
CITY OF CUPERTINO
" < C" OF COPMAPPLICATION FOR PLUMBING PERMIT
wz
r o SEP 20 197 Sanitary No. 3
oa Uate ^ I I ,, 1 % 19 — Permit No. 6�� 73
3 u p Fee $ -2 3,
I LL
O Application is hereby made to the City of Cupertino for a permit to install plumbing
`oa 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 City of
Z W Cupertino, and all other laws applicable thereto.
a ~ Use of Premises Single Dwelling
J LL
00 2295 lie La Cruz Blvd. S. C.
�
3 Owner Ditz Crane Co. Address
z1 167 E. Fremont Ave., SIvale
Z By L. C. BO,art Plumbing Eo. Address
O CONTRACTOR, AGENT
— Z Phone
245-23 23
w
ao State License 186579 Approved
u
PLUMBING INSPECTOR
PLS - /Z-
FIXTURES NUMBER MAIN DRAIN
Units J Fees I Units Fees
Water Heater Size
Water Closet Material
Bath Tub I To Curb
Shower To Pro .Line
Lavatories Existing
Kitchen Sink 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
Drinking Fountain
'• Floor Drain - WATER SYSTEM
7-Hopper Size c ��
f Restaurant Sink Material
Sand Trap TOTAL FEBS
Urinal Fixture Fee
Area Drain Main Drain Fee <f dr-b
Water Leader Stn-n Drain Fee
Sprinkler System Water Sys.Fee /d
Relief Valve F�.
Vac Breaker
Skimmer
Filter
Pool Sweeper
PennitFee
Total Total Fee Z.
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Due ... ................... 19-- I BuildingCPermit No.
The Building Lomted at ....
�t7/SJ :....:..11�oLL-r{-4...1..x.5- .......C _
Ownedby ... {.... ...5 ".fNf.................................................. -..-...
Has Been (�Alc-r'eFor Use As: . .... r •. ..T'..--.='.:...................................
............................... ............................................................----------------...--..........-.............
------------------.............................................................. ........ ...•-....---------.............................
...---........... ......._....
LDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPEC C.
PAD FINAL
FOUNDATION r "' •7
UNDERFLOOR ti
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
V C� DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES 0
MOTORS— oge20007
/ 0
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGHZO
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN /I �' y
FINAL PLBG. — 7
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC 3 -
MISC
MISC
D 2 1 Lot No/6-15
No. Street
CITY OF CUPERTINO d Y
APPLICATION FOR BUILDING PERMIT
Sanitary No.
-7 File No. r-' 2
Date —19
Application is hereby made for a permit to
o _/l
story, Type
to be occupied only as
in accordance with Plot Plan, Plans and; cification filed herewith,
Estimated Value of Improvements $ OO p
FEE$ �/` Plan Check $
Owner ZL�L — C16L?� Address 6;?"2
Contr. /l Address
Phone - 7 C/ — 291 State License �' 4, 1 7 3
i
Approved
• x
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. /� •-r •J Address a J /4Jr
Phone -23 C -4 State License
Approved
APPLICATION FOR PLUMBING & GASPERMIT
Date / 19 �� GAS FEE f `/ Z' )
PLUMBING FEE $
Contr. Address ?
//(. 1?
Phone — "� f!_ 3 A State License ( 6 �D
ApprovedutV- -"r-�-�-�-
3 L APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES ;
Contr. ,RC1- Address % "; U C
Phone 'U 3 State License )-d��L-4,
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1