51273 IO9a3 LOT NO. /o/
NO. STFIEdf
N
W
Z CITY OF CUPERTINO
xo cltT of cuPERnr+o APPLICATION FOR BUILDING PERMIT
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O:i1 72� z Building Per.No. 73
wV r�e`ta • 19 Sanitery Per.No. If/ 0 9
o tAppcatibn s hereby .Jor a permit to
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O a Z a story, Type -�� Structure
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W w to be occupied only as �-� in accordance with
a F Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$
� 6 1
20 Estimated Value of Improvements,$ 3, C'• Fee$ -7 2
>N
r 3 Total Fee$ '�3 . 6 I
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Z J It ishereby 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 buildings within
3 a the City of Cupertino will be complied with. S1 �
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Z owner -` - Address 22-
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O 0 By
a Address r r r
—U Contr. Agent.
aau-Agro
Phone Approvetl
t, State License -5�� 17 3 4 Building Inspector \
LOT NO. (�
NO. SIRE
off or CUPERnNo CITY OF CbPERTINO
P 2 1972 APPLICATION FOR PLUMBING PERMIT
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x 0 Sanitary No. p U c
30 A?at4 U G 17 197 19 — Permit No. '-w7
C Fee $ .2-35-0
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O 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 rices
> r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
LL Use of Premises Single Dwelling
00
3 Owner Ditz Crane Co. AAV De La Cruz Blvd., S. C,
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� ` By L. C. Bohart Plumbing Co. Aj&1ssE. Fremowt_Ave., S'vale
O CONTRACTOR, AGENT
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- Phone 245-2323
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a o State License 186579 Approved
U PLUMBING INSPECTOR
g� - /S
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material C /
Bath Tub To Curb
Shower To Proo. Line
Lavatories 7 To Existing
Kitchen ( Not C
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
*Drfi*mg Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
'Sand Trap TOTAL FEVS
Urinal Fixture Fee
Area Drain Main Drain Fee
Water LeaderSt rm D Fee
Sprinkler System Water Sys.Fee /.
Relief Valve Ga�Fee-
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee 2,�,
/o �j3 I Nor-l- )ljmd So I,rr(��
!A Q NO. sTREEY LOT NO. /O I
Ali h /�
x ° PLICATIORI FOR ELECTRICAL PERMIT
03 VTO
3 u �! CF� �1) CITY OF CUPERTINO
19 --Zo) Permit No.
Fee S �C
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i to ` P 5 �—,—�—`
a j plication is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or futures as listed on the reverse side hereof, and agrees to install said
00 Firing and/or fixtures in accordance with the provisions of the Electrical Code of the
5 N City of Cupertino, and all other laws applicable thereto.
0 3
o_j Use of Premises .dam . res
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° h +a taro
a Owner ,)It� " ('l'Q,he, Address
W w By WANDERER ELEUIRIC, INC.bT..'»<::+_:r, ;_^ , 5, _ V
CONTRACTOR, AGENT
<u Phnc: 736-54at APProve
LRCTRICAL INSGE
\� State License a7B67�f
ITEM NEW RPL FEES
Number of Outlets --/1
Number of Switches
Number of Receptacles
Number of Fixtures i /
es or.Qvem4r6W.
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryers
Motors: b
H.P.Phase '
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total ees
JO/N 3 i r-""a-i' LOT NO. /G
O. SMEET
NAPPLICATION FOR APPLIANCE PERMff B
iZ C" OF CUPERTINO
R CITY OF CUPERTINO
W LL SAtE@ fiVHy ^/
W ' 197Z
< Date 19• _ Permit No.
=o p p t 1 Fee•$ �S
Application is hereby m8de 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 a install said appliances in accordance with the provisions of the Plumbing
W i Code of the City Cupertino, and all other laws applicable thereto.
3 �
Use of Premises
go
;� Owner _ To- Address � g /d¢ <„
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J zHy —Q�� cS�rYr Address IQ4) _.t&
POR,AGRNT
3 C .�28'09.a�/
— Phone
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V I State License !trQ&fit— Approved
Q U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath 21 SL
Inde end. Vent System
Com.. Indust.,Inst.Kit.
Hood &Vent System / �=
Forced Air Under 4000 CFAI
Forced Air Over 4000 CFM
Ind. Ventilation System
(Without
Forced Air.Mech.each Power '
Gravity System
No.of Air Outlets,No.of Flues
Stacks tot Metal Fireplaces
Smoke Slacks.Misc. Equip.
Under 15' Hiph
Over
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
&Absor .units with input
of 500,001 & Under 1,000.000
Permit Fee
Total Total Fee
i
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
7
Date ... ......... ..-r......---.........., T9...1... Build' P t No. ...:'�. -.7.�
The Building Located at ...�.��. ..y ...... �:�.Y....f..`.�.. ..........L . .
Owned by ..... rI. ... }.:-. • .N VV .
Has Been � e For Use As: .,...... j�.'.�.`....� 4Y.......... .....................
(Alt
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..................................................................................................................................................
................................................................................9- luiLDiNG
...:------....................
INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTO MI C.
PAD FINAL Z
FOUNDATION 0 ' 1
UNDERFLOOR 1. 7,'?
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. �' 7
Ora
a, ELECTRICAL
�-7 DATE INSPECTOR MISC.
UNDERGROUNDROUGH
ROUGH WIRING ���
FINISHED WIRING
FIXTURES e
MOTORS
07 FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH & r
PARTIAL ROUGH
ROUGH COMPLETE Y
r
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANC
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No/o/
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. �
File No.
Date .�l�19��
Application its hereby made for a permit to
�` ,G4-C ' a 2' st , ype
T
to be occupied only as �� j� e
in accori4dree with Plot Plan, Plans n Specification filed herewith.
Estimated Value of Improvements $
FEES Plan Check f
Owner 19/7LZ- - (.�_� Address
Contr. Address
Phone "9 State License 2 6, 7 . L
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 /Z-3 FEES /77.i
Contr. /L/ Address 9.z- LLe
Phone 736 -67 State License -c;1 77 �If
6,,7/�
Approved ��'�""�`^�� •
APPLICATION FOR PLUMBING & GAS PERMIT
sz
Date Z.rl 19 7 Z" GAS FEE $ (�� 3 J�
PLUMBING FEE Sc
w L-
Contr. Address 7
Phone f 1-3 L- I State License Id-
Approved
d-Approved
.L
�_ APPLICATION FOR APPLIANCE PERMIT
Date / 19 FEES /f
Contr. Address 13V ?'� �-
Phone 37 -0 -4 >-� State License
Approved
Applicants agree not to violate any of the ,(fL
Workman's Compensation Laws of the
State of California
PD-1