51273 /0 933 Z"L"� LOT NO, .100
BUJ
NO. STREE A tlrt `
y
m Z CITY OF CUPERTINO
,eco APPLICATION FOR BUILDING PERMIT
LL CITY OF CUFERTINO
3 aJ 7Z Building Per.No. If
m U pppppf 19 Sanitery Per.No:—
�o •App(cation Is hereby ma fora permit to �Q,QT't-�•CpGCp.
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> a�ytorO, Me Structure
F
Z
y to be occupied only as 0_"�14 in accordance with
a F Plans, Specifications and Plot-Plan file herewith. PI Ck Fee$����—��
JLL / '(O15 "1
20 , Estimated Value of Improvements,$ °Zyi C*t7'O � Fee$ 7s•t*n
' 7(e-&9
o d Total Fee$
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
o and all other laws applicable to the construction, location, and use of buildings within
3 a the Ci`tyy�'o�f Cupertino will be complied with.
wOwnner.`y""�' n— � �-} Addresal z�S DeA�
Q E z:2 GML2GLi[� rr r F
By Address
n Contr. Agent.
Phone 2 0 Z Cf/D Approved s
State License 2 f_ (7 3 Lf V V# Building Inspector ;3
/0433 I Nor->!nAeld -Pje
!R Q No. STREET' — LOT NO. o
_ 5XIAG R n
x o 91 qq CITY OF CUPERTINO
3 u JPN ¢%51/KPPLICATION FORELECTRICAL PERMIT
W 0
l�
I
o : Date 19 2d- Permit No. _
a Fee GO
a Application is hereby made to the City of Cupertino for a permit to in. all a ectrical
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W z wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
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0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
50 City of Cupertino, and all other laws applicable thereto.
r3
z_j Use of Premises Auyl' res
J °
3w aw Owner bra ne Address
QYC _
By
WANDERER ELECTRIC, INC. - Va le,
OCONIRACTOR, AGENT ^ A r
—U Phone: 7- �" -.S4al PP LECTRIG INEPE
State License _.)78674 a/
ITEM NEW RPL FEES
Number of Outlets a.
Number of Switches
Number of Receptacles 6
Number of Fixtures .I a
Rangm opO*ens4C..Y- —
Size of Main Service
Number of Meters
Number of Panels
S' -Transformer;
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees
LOT NO.
NO. STR E
COY Of CMaTNO CITY OF CUPERTINO
w tEP 2 0 1972 APPLICATION FOR PLUMBING PERMIT
Sanitar No. 04v
E 0
0 it?I)IRe I � �972 19 _ Permit No .�/Z73
WO Fee $ l
x LL
O Application is hereby made to the City of Cupertino for a permit to install plumbing
o < 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
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Cupertino, and all other laws' applicable thereto.
< xSingle Dwelling
Use of Premises
00 9 S
3 Owner Ditz Crane Co. Add V De La Cruz Blvd., S. C.
iJ
J , By L. C. Bohart Plumbing Co- Adlfi&E. Fremont Ave., Srvale
0 CONTRACTOR,AGENT
3 �
- < Phone 245-2323
w z
W w
a o State License 1 A6 579 Approved_
—U X PLUMBING INSPECI709 J
l
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater f Size q
Water Closet I Material
Bath Tub To Curb
Shower To Pray. Line ✓
Lavatories To Existing
Kitchen / t Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Cpmb.Sink&Tray To Curb
Dental Unit
Drinking Fountain i
Floor Drain WATER SYSTEM
Hopper Size ERestaurant Sink Material
Sand Trap - TOTAL FEES
Urinal Fixture Fee "
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Refief Valve Ca�Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 2�Gb
Total Total Fee y
/4 93 3 I . . r LOT NO. lle_Z�l
NO. STREW
A-
clrr AEVNMATION FOR APPLIANCE PERMIT
d ¢ CITY OF CUPERTINO
x LL JA$Ed 1912
o :i< Date 19 _ Permit No. S7 3
zo D A Fee$
Application is hereby rade 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
= Code of the City of Cupertino, and all other laws applicable thereto.
S ~
„ Use of Premises
00 /q //
R 3 Uwnei ,6Yt 4, - `'t h r Address �7' as /110_
ZJ 4
Z By ii� ,4//h Address /-TO . &1�eew
O -,6oNTakroR,AGSM
3t
- `a Phone 3'29'• G ZZy
e a $tate License- � --29�� Approve
-
U/, PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravitv Furn.
Forced Air Furn. ri-a
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath /Independ. Vent System
Com.,Indust.. Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFA1
Forced Air Over 4000 CFM
Ind. Ventilation System
(Without
Forced Air. Mech.each Power
GravitvSystem
No.of Air Outlets,No.of Flues a-o
Stacks for Metal Fireplaces
Smoke Stacks,Mise. Equip.
Under IS' igh
Over 15'11 Rh
Coin fort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500.000 BTU or less
Comp.over 30 HP& Under 50 HP
&Absorp.!nits with input
of 500.001 &Under 1,000,000
Permit Fee o-v
Total Total Fee A,�,
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..................... 19--..../.-3` t Bvildig Penult No. ..7.1.Z ...
The Building Located at ......��s?.�j. :}.:.....1�1��?Y. ' Q�- ..... :.�..:....
Ownedby ...... r............................................ ..----...........
(co
Has Been A t �� or Use As: .....�.,.J.."'.: .:
................................................................................................................................................
................................................................•---............-• ............._......_...__.............-----...------...
................................................................._........ ....... ................ -...................-------...
................ ..r...W `..........................
UILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOph MI C.
PAD FINAL
FOUNDATION '7
UNDERFLOOR '?
FRAME Z? w
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING-
FINISHED
IRING FINISHED WIRING °
FIXTURES O
MOTORS
FINAL °
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. -�
SANITARY NO.
UNDERGROUND ROUGH 1
PARTIAL ROUGH---3---7-7
ROUGH COMPLETE ✓� y�
MAIN DRAIN
FINAL PLBG. '7
FINAL GAS --/7-
FINAL
7`FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/t9 ��S I ��-r"� �t�. Lot No./(J'o
No. Street
CITY OF CUPERTINO (9
APPLICATION FOR BUILDING PERMIT
Sanitary No.
d /!` -7
FileN..
Do to ... 19 L
t Application is hereby mode for a permit to
a —.aQ story, Type
to be occupied only as
in accordarare with plot plan, Plans ann/appecification filed herewith.,
Estimated Volue of Improvements $
FEE$ 7 9 0 e� Plan Check $ l
Owner L�/1'G �G�/I��eAddrasa O;r p
O Ct C/I 6"
Contr. // Address
Phone 42- State License 7
Approved
Q� '&yR-73 "
APPLICATION FOR ELECTRICAL PERMIT
0
Dote ;L� 19 I FEE$ �(0
Contr. J Address 9'2
'4
-';Ic� A/f Lt
Prone 73 State License
Approved C//" --44
APPLICATION FOR PLUMBING & GAS PERMIT
Date / 19 - L GAS FEE $
PLUMBING FEE $$
//�� Lige �q
Contr. �f� Address /(' 2
Phone —ct' wS State License u' A./ .I 7J
Approved
APP CAI,j TION FOR APPLIANCE PERMIT j3
Date / 19 FEES
Contr. Address /3
Phone 37 � � 5 3)re State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of Califnrnia
P D.1