51273 /0903 .S��r LOTNO. /63 15�1G
NO. ST ET •' 13 Lr477
w Z CITY OF CUPERTINO
,o CITY OF cu"K IN0 APPLICATION FOR BUILDING PERMIT
2LL siz � 3
O J Building Per.No
.�
w U Alll I , 197E p �Sa�nitnry Per.Na. 0 /
I o AppljcatonMhereby mad r a permit to 11(11_ 1-�a"
LL
W
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aa a f story, Type r Structure
m to be occupied only as in accordance with
ar Plans, Specifications and Plot-Plan fil d herewith. PI Ck Fee$_ �
20 Estimated Value of Improvements,$ ,"3/C-" • Fee$ 7 2 • c*-o
73 ,61
o d: Total Fee$
Z J 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
P the City of Cupertino will be complied with.
W w Owner '� "'t'�"�- Address ZZ y`S �gCti� rJ�LYJr, cJo+.Gt
Q p By r Q'1 Address9 00
_U Contr.o gent. a
Phone Approved
State License ,v Building Inspector `
10 403 1 Nor4k):CiP ld :
03
�A < NO. STREET LOT NO. /
° Ery CATION FOR ELECTRICAL PERMIT
° J
0 _
3 � �RN 4� ( CITY OF CUPLRTINO
W �T �fZ
no Date �o':o�°� s'y —, 1)�� Permit No.
° a Pre ti /7 '70
r )
a Application is hereby made to the City of Cupertino for a permit to install electrical
w, wiring and/or futures as listed on the reverse side hereof, and agrees to install said
00 Firing and/or fixtures in accordanre with the provisions of the Electrical Code of the
> City of Cupertino, and all other laws applicable thereto.
03
°J
z Use of Premises i - -dam. res.
J z
T')H - Crane onto rQ
3 a Owner Address
W z nERER ELECTRIC, INC. 'Fr
W W ByWIAN °°cess V
R E CONTRACTOR, AGENT
<V Phonu: 73h-Syo�� APP ove EC ICAC INSPE
State License a78b1y
T
rrEM NEW RPL FEES
Number of Outlets I
Number of Switches
Number of Receptacles )3
Number of Fixtures 1
Ranges o /
Size of Main Service
Number of Meters
Number of Panels
S' s-Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase '
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees
/ e2
Pd3 A/oma �rr Si LOT No. /d 3
NO.
Ctrl' of CUPERnNO CITY OF CUPERTINO
w 4 PPLICATION FOR PLUMBING PERMIT
SEP 2 0 197�
r ° sanitary No.
0 a 1hte/kAll 1& 17 1 _, 19 — Permit No
3 Fee $ q�3
° 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 and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
wCupertino, and all other lawsapplicable thereto.
a ~ Use of Premises Single Dwelling
� w
00
> 0 Owner Ditz Crane Co. AAM—R! La Cruz Blvd., S. C.
o <
ZJ
Jo By L. C. Bohart Plumbing Co. Aj&gssE. Fremont Ave.. Sivale
0 CONTRACTOR, AGENT
- 0 Phone 245-2323
w Z
w w
a o State License. 1 R6579 Approv d
U PLUMBING INSPECTOR [/
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size
Water Closet Material
Bath Tub I To Curb
Shower I To Prom Line v
Lavatories > To Existing
Kitchen ! 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
Hopper Size y v
r Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee /-7- ,SZ
Area Drain Main Drain Fee
Water Leader iStorm Drain Fee
Sprinkler System Water Sys.Fee
Relief Vnf�� 11 Gaq Fee S-6
Vac Breaker
Skimmer
Filter
Pool Sweeper
Pennit Fee
Total Total Fee23-,S-Z)
fD°o 3 1 4, - LOT No. 1.03
No. STREET '
cnT o UCATION FOR APPLIANCE PERMI,�
MY OF CUPERnNO
, 0 JAND&W% 1972
3 u Dat 1 19. _ Permit No. S/ 73
F, o Fee.$/J-�s
0 Application is hereby rnv& to the City-of Cupertino for a permit to
0 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
„ i Code of the Cityof Cupertino, and all other laws applicable thereto.
3 ~
Use of Premises -
00
o Owner Address 22A5- .GQo fz'
iJ
J Z By Address X80 4y�
"P Cdkmqo , AGENT
- a Phone. 8'J.Y-dom
W W
aa State License asa s�.r Approved —p�
-0 ` PLUMBING INSPECTOR
P
APPLIANCE UNITS FEES
as lop
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. uT�
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Independ. Vent System
Com..Indust..Inst-Kit.
Hood& Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort C
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues `El
Stacks t'or Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under IS' igh
Over 15'llqgh
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Comp,over 20 IIP& Under 50 HP
&Absorp.units with input
of 500,001 &Under 1,000,000
Permit Fee 3'w
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r .
.... ..........
Date ..... ----------------- 19-7)3 Building Permit No.
The Building Located at .j.0 q7�........... ........
Ownedby ..... ?M................................................................................ ...................
0
Has Been (Altered) r Use AS: .......... ........................
............................................................. ............................................... ....................
................................................................................... ......................................................
............................ ........................ ...... ................. .......... ....................f........I......................
.............. .. .. .. .......... ..........................
MING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
(07
PAD FINAL
FOUNDATION 4
UNDERFLOOR ti
FRAME Z '
LATH & PLASTER
GRADING FINAL
FINAL BLDG. Z
n ELECTRICAL
U.�6 DATE INSPECTOR MISC.
UNDERGROUND ROUGH C�
ROUGH WIRING `
FINISHED WIRING e
FIXTURES i
MOTORS
FINAL e
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH 5
PARTIAL ROUGH3- :7-7'� lt
ROUGH COMPLETE 3—
MAIN DRAIN
FINAL PLBG. G'
FINAL GAS /
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/'0 t7 �� � �� Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT Q
Sanitary No. V r�
File No. at 7
Do to T19 � 2
Application is hereby made for a permit to
L.C'/ a story. Tye
to be occupied only asEz
��
in accordan4with Plot Plan, Plans and Spec' a ion filed herewith.
Estimated Value of Improvements $
FEES - �—� �/� Plan Check $
Address
Contr. /' Address
Phone - 044 q/0 State Licens
Approved
O s
APPLICATION FOR ELECTRICAL PERMIT
v
Data � 19 23 FEES 17 i
Contr. Address fi± n J
Phone � 36 -s '/ State License y�+�2�`'7e�
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 7 1i GAS FEE $ Cj3�J
PLUMBING FEE $ q y� ?, JZ
G
Contr. ed7�iL—..AJ Address �A /7 y r .
Phone �- �.� y 3 LJ State License �o5 rQ9
Approved
d'
APPLICATION FOR APPLIANCE PERMIT-V ,
Data 19 7.3 FEES
Contr. Address 1-j'j ✓�
Phone - 3� O f 3 >-� State License 'z
Approved
Applicants agree, not to violate any of the
Workman's Cnmpensation Laws of the
State of California
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