51273 RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPEC R SC.
PAD FINAL L
FOUNDATION X73
UNDERFLOOR --u-- 2,t--?OL—
FRAME .13
Jr
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
U
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO. --
UNDERGROUND ROUGH d" f-7'7
PARTIAL ROUGH e�3- ' 73 y
ROUGH COMPLETE
MAIN DRAIN �U 7Y
FINAL PLBG. 7
FINAL GAS S-
FINAL APPLIANCE J
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.
No. Street
7SCITY OF CUPERTINO /
APPLICATION FOR BUILDING PERMIT C/
Sanitary No. o
File No-_��- a '3
Date�19 �_
Application is hereby made for a permit to
/'GI-.(' G1 a -2 story, Type
to be occupied only as
in accords ce with Plot Plan, Plans and&pecification filed herewith,
Estimated Value of Improvements $ '? Q 6 0
FEES - 75-, 6O Plan Check $ /-
Owner _ Z-21�2 '(/lG/J'L� Address 'aP
Contr. r� Address
Phone d yU 6) State Licenset/�,,
Approved �/ir--ter Are-K_L�
/ 3 /
APPLICATION FOR ELECTRICAL PERMIT
Date —.� 19 1Z.3 FEES /aL
Contr. ! �- Address 9�'-c
Phone 73 ` _ J �' Lf Stare License '/1��',
Approved
APPLICATION FOR PLUMBING & GAS PERMIT)
Date 19 7-k GAS FEE $ 19/
- PLUMBING FEE 5S .J d
Contr. - SJ7 ^--�-^-'t Address /� 7 c
Phone __-1 c/J- 2'} 7' 3 State License '/
Approved .,AZ -
APPLICATION FOR APPLIANCE PERMIT ,
Data }'b 19 7 FEES
Ccntr. Address / 3V
Phone --3 d'C) ` State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1
10go2 2Lftgi.¢cer�
LOT NO.
NO. REET
k1l
wz CITY OF CUPERTINO /
a
o Cny of curza alWPLICATION FOR BUILDING PERMIT
O j Building Per.No.
3a
7y
ly U Detq , 19 Sanitary Per.No.
1-o Application is herp,[�y nada for a permit tou.
W
a Z 9tor�, Type� Structure
a0 to be occupied only; as Zea_ ' in accordance with
w w <.
a r Plans,Specifications and Plot-Plan filed erewith. PI Ck Fee$ -
25r GRYl7 , /�7S
',p Estimated Valueof�lmprovements,$ Fee$ 78-e-o
r Total Fee$ 79.75
oa
Z It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with. �Qj
¢s z y5" *gyp y1 C'�caJ
Ownner _ "-` Address 22
Q p By / Address '
_O Contr r Agent.
Phone -�9/O Approved s
State Licenes 2.1A/73�f _ riling lnspecto
/090a I NOr-I-h 2!d• ' tAre- c' I /
N Q NO, STREET' LOT NO. /✓y
, a rttp CITY OF CUPERTINO Plan 1)
uof` C05AP�ICATION FOR ELECTRICAL PERMIT
W 0 7
LL W Date t 19 7a Permit No.
° P Fee y 0
Ln Application is hereby made to the City of Cupertino for a permit t i . all electrical
W
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
o '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.
r3
z_j Use of Premises - :'a M res•
J
3 < Owner - Address Q ra
NBy WANDERER E t1 I RIC, INC. �4',7ar ti,.Addr �y e
W Z
W W
W a. CONTRACTOR, AGENT
<U Phone: )3b-54/3, Approve
` ELHCTRIUoR
L rNSPHC7
\State License ,2 796b 714
ITEM NEW RPS. FEES
Number of Outlets 1
Number of Switches
Number of Receptacles �3
Number of Fixtures
Rames orQvens*..W.
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryer; I.
Motors: !� '
H.P.Phase '
H.P.Phase
Power Poles
Mim
Permit Fee 2.00
H.P. es
Total Fees
.mss/.. 1.;',.�- O / S
NO. /
NO. 5 .T —��—
a" CP CUMMI40 CITY OF CUPERTINO
ZZ APPLICATION FOR PLUMBING PERMIT
x o SEP 20�}(1t 'W' _ Sanitary No. 6/�l� d.e
M
j Dat }SU r'� `'77, 19 _ Permit No7 3
3 C) k: ^ a t
W LL Fee
To
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
a and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
in
Cupertino, and all other laws applicable thereto.
a Use of Premises Single Dwelling
J LL
00 2295 De La Cruz Blvd., S. C.
t- 3 Owner Ditz Crane Coe Address
zJ L. C. Bohan Plumbing Co. 167 E. Fremont Ave., SIvale
z By g Address
O CONTRACTOR, AGENT
245-2323 Q
— m Phone
X
o State License 186579 Approved
0 PLUMBING INSPECCOR ~/
,-f`a17 02
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size 4f
Water Closet Z Material
Bath Tub I To Curb
Shower / To Prop. Line
Lavatories To Ex' tin
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
' ntal Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size "
Restaurant Sink Material P.
Sand Trap TOTAL FEES
Urinal FixtureFee 3. Jb
Area Drain Main Drain Fee
Water Stmn Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve GA.
Vac Breaker
Skimmer
Fater
Pool Sweeper
Permit Fee
Total Total Fee
/DkN I LOT NO. /v
STREETY
q< o
APP tWjON FOR APPLIANCE PERMIT
61973 MY OF CUPUTWO
, 0
3Dete 191.— Permit No. -5/273
sW App'c tion is hereby matte to the City of Cupertino.for a permit to
o ` > gas appliances as listed on the reverse side hereof, and agrees to
'zl in install said appliances in accordance with the provisions of the Plumbing
t: Code of the City o_ f Cupertino, and all other laws applicable thereto.
Use of Premises
00 7
Address
a�
z
� z By U Address
—
:!Io �G
O co cT a,AGHNT
3 �
– Phon
Yz PLOG
WE .State Lith pgLIF. Approved.
<� LICENSE 2528 x mnDDntGnasracroa ��
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Fum.
Forced Air Furn. I t�rV
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath 4 rN
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 Slacks,Misc.Equip.
Under 15'High
Over 15'1 1.
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
&.Absoro.units with input
of 500,001 &Under 1000,000
Permit Fee
Total Total Fee It ✓`�
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........................... 19.73 Building Permit No.
7
The Building Located at .]..09%. -A1APTWr:71f ......5. ......................
Ownedby ....4D.r.Z.!n.....QAt4e..............................................................................
Has Been (d(Altered) For Use As: ._... .............................
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i &G INSPECTOR