51273 16973 L __PL'G7 '_;T � LOTNO. 79
NO. STRE T - • e..t A (A'Lbt
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Z CITY OF CUPERTINO
CITY OF CUF"cRTINO
Yo APPLICATION FOR BUILDING PERMIT J
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Building Par. No. -S—IJ'7
m U Date 1 19 �� nS�aOnitary Per.No. kl 0 7
r o 1-, Applicpti flis hereby made or a permit to �D 44
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o a a—?– story, Type Structure
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a N to be occupied only as 2Q4• in accordance with
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aF Plans,Specifications and Plot-Plan filed terewith. PI Ck Fee$
20 Estimated Value of Improvements, $ ° . CZrC • Fee$ 75',�
'N •69
O a Total Fee$ 7 c
Z J It is hereby 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. (�� //�� /�Q >r1Q J
ww Owner v` `M1Ml` Address Z'Z ys D" r,44 )%Ifl
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Contr. Agent.
Phone 2Tq-ZgI O APpruvetl
State License 2C' 17 3 -IVBuildingInspector
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04 NO. 0 S TRE T LOT NO.
W z 0"OF 0pg� 3 CITY OF CUPERTINO Pjarn q
o a +AN 0� 1-PPLICATION FOR ELECTRICAL PERMIT
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4 W Date o /a -)J 19 Permit No. ^ 7 _
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F c e $
< Application is hereby made to the City of Cupertino for a permit to install electrical
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W = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 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.
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z J Use of Premises J
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3 a Owner . ra
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By
NUtttttt tt.tt/t nttil t14V. I
A rC55
0O - CONTRACTOR, AGENT A roved
-U Phnnc 3k)-'5t�/ pp ELE ICAL
T INSPH
�� State License 07Sh7LI
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or•AvensiFW.
Size of Main Service
Number of Meters
Number of Panels /
Signs-Transformers
Dryers
Motors: 57
H.P.Phase '
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total ees
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NO. STREF. �!
LOT NO. Y-
CITY OF CUPERTINO
Z < cor of curWNOAPPLICATION FOR PLUMBING PERMIT
r ° p 2 01972; Sanitary No. �� 6 7
3 a l):ne , 19 _ Permit No
w LL t , A Fee S—/y
° 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
Z w Cupertino, and all other latus applicable thereto.
F Use of Premises Single Dwelling
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o < Owner Ditz Crane Co. AAJ9s� De La Cruz Blvd.* S. C.
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J Z By L. C. Bohart Plumbing Co. A�L7ss" Fremont Ave., S'vale
O CONTRACTOR, AGENT
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- Phone 245-2323
oState License 186579 Approved
U PLUMBING INSPECTOR L�
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size
Water Closet ! Material
Bath Tub I To Curb
Shower To Prop.Line ✓
Lavatories f To 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
Brinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee a-D
Area Drain Main Drain Fee
Water Leader Stom Drain Fe
Sprinkler System Water Sys.Fee
Relief Valve Gas Fee mo
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee y QD
Total Total Fee f 9. Oa
/G 9 y3 1 �n!'/14. LOT NO. R
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a ` �A� PrL qq PTION FOR APPLIANCE PERMITIT
sCPIY OF CUPERTINO
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OU DateJ �1 ��1L 19. _ Permit No.
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X o Fee S 13
Application is hereby matte to the City-of Cupertino for a permit to
o F install gas appliances as listed on the reverse side hereof, and agrees to
<m install said appliances in accordance with the provisions of the Plumbing
= Code of the Cityof tppertino, and all other laws applicable thereto.
Use of Premises
3 ' /
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M ; Uwner - Address -?dt 9.6� .t!IL. .�.t i
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Z By 92ex* cS�sm Address Aqe)
�'0 coNfkAcrcrR,AGENT
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- 0 Phone 37b / k
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a State License Asa 87s Approved Azt/
—U }� PLUMBING INSPECTOR
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APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath / .y
Inde end. Vent System
Com..Indust..I nst.Kit.
Hood&Vent System yd
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort Co
7—
Forced Air.Mech.each Power '
Gravit •System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under 15'High
Over 15*Melt
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 3�
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECTORS OFFICE
CITY OF CUPERTINO
Date n.::...4..—A�....................... 19.D..3 Build'19 Pernuit N!*,�.'..L
g
The Building Located at ......[6 .1 �
... ..........
Ownedby ........ ......C-.....0 . ................................................
Has Been (AlZQ. tered). or Use AS: ...... ....... ....
.. ..............................
................................................................... .............................................................................
..................................................................................................................................................
........................................ .............I.............. ..... ..........
-------- .. ...................
.................
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPE R M
-611
PAD FINAL .
-
FOUNDATION r. / �L
UNDERFLOOR `
FRAME 3
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
).(a ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
—
ROUGH
• /
ROUGH WIRINGFINISHED WIRINGFIXTURESMOTORS FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH 3S- 3' -
PARTIAL ROUGH
ROUGH COMPLETE
e7 3 73
MAIN DRAIN ! , 7Y
FINAL PLBG. 7
FINAL GAS 5 - "73
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No.�
Da to �19 ,7,2
Applicat'io'n is
hereby made for a permit to
^ a story, Type
to be occupied only as /'�
in accord ce with plot plan, Plans and Sf5wification filed herewith,
Estimated Value of Improvements s '2 661--) 4�
FEE$ /16 � Plan Check $
Owner �f� l/�C!/Y�-2 Address
Contr. r) // Address 2(�
Phone /`r` -� iw State License - Le 7✓ /
Approved T
APPLICATION FOR ELECTRICAL PERMIT
Date A19 FEE$ /w-
Cont,.
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Cont,. ��-'sem-c-�1�11 Address /Q�j- j-'/
Phone -23� _,f 5 Z� State License ' 7Qf '4/"` 210"
Approved
y APPLICATION FOR PLUMBING & GAS PERMIT
/
Date / Z' 19 7 �' GAS FEE $ ( 5�
PLUMBING FEE $ y'2 y
Conir. _47- Address /C' 7 L'
Phone - ��S -13 Z-j State License Z'C` ,f 7
Approved
APPLICATION FOR APPLIANCE PERMIT
Date ( 19 -3 FEE$ A �/
Contr. Address /&3w z°C`-'�u..- Q,
Phone 3 - O 9,3 X State License 0"3 ocu -Lj
Approved
Applicants agree not to violate any of the
Workman's Compensation Lams of the
State of California
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