51273 n9 g 2--5'0/
/p 4S3 /2 �u��-Q' LOT NO.
NO. STREE
NQ 13 (c?
w Z city OF CUPERTINO CITY OF CUPERTINO
Yo APPLICATION FOR BUILDING PERMIT
¢LL: /AUG 1 i.22�
O.� A ��� Building Per.No.
wU Detay� , t9 7y Sanitary Per.No. �/ O b
i-0 Application/Is herebyma or a permit to
LLW a
0 F a 2 story, Type Structure
to be occupied only asin accordance with
w
a F Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee$ _
20 Estimated Value of Improvements,$ 83, C11Y7 ' Fee$ 72,o[^
`n Total Fee$ 73'N
OQ
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 City of Cupertino will be complied with. (� /'
W Owner `i`�u`^ti�--•
Address'2295 LLQ (.ULA
O By a Address
Q U Contr, gnCt. al
Phone yqloI, 5 r l O Approved s
State License 9 (0 17 3 Building Inspector
incs3 A/btjb400/d te e. 9�
N Q NO. 0 STREE LOT NO.
T a,f of 'a' Plan a
° e1 k1%PPLICATION FOR ELECTRICAL PERMIT
3 a �P+� a �.l CITY OF CUPERTINO
U
LL W Date P 12 19 -7) Permit No. -1 Z
o < Fee :i �_Z�0
a N Application is hereby made to the City of Cupertino for a permit to install electrical
W i wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
F M
00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> N City of Cupertino, and all other laws applicable thereto.
03
z Use of Premises FQ.f'Y1- YPS
J Z
O n
3 `< Owner /Dl f�3 '(7.)t(1nPAddress Lt
y
W W By WANDERER ELECTRIC --
K 4 CONTRACTOR, AGENT NT
< o proved _
_U Phone: �3�' a I ELECTRICA u+sPB
\� State License
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges er�W. —
Size of Main Service
Number of Meters
Number of Panels
Signs-Transformers
Dryers .
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total ees
7.
/D 9S3 ////YJ.7�yi��.✓ LOT NO.
NO. STR
CITY OF CUPERTINO
W Z art of cuPumt4%PPLICATION FOR PLUMBING PERMIT
t�
Sanitary No. J'/�
r s EP ��
o a late E __ 19 — Permit No. x/27'3
_LL rA 1 Pee$ t2 3, s=
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 prices
a 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.
a F Use of Premises Single Dwelling
J LL
O O
3 Owner Ditz Crane Co. AgsLDe La Cruz Blvd., S. C.
oa
ZJ
J , By L. C. Bohart Plumbing Co. A"JssE. Fremont Ave., S'vale
� r
CONTRACTOR, AGENT
- 0 Phone 245-2323
ao State License I AA-,79 Approved
—0 X PLUMBING INSPECTOR
PAZ. - "?
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size Ll
Water Closet 2 Material
Bath Tub / To Curb
Shower To Pron.Line ti
Lavatories 21 To Exi tin
Kitchen i / 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 W
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee 13
Area Drain Main Drain Fee
Water Leader Stem Drain Fee
Sprinkler System Water Sys. Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee Z.va
Total Total Fee 3..S-7J
/0 3 '[J�_;4 ' LOT No, 9�
NO. STREE� ,
b . Orr OFAP,P'OICATION FOR APPLIANCE PERMIT
Z_ l AN 9 191 j CITY OF CUPERTINO
: LL
0Datep QETI M _ Permit No. r/ y23
U
F o Fee•$
Application is hereby niRde to the City-of Cupertino for a permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
W s Code of the City Of Cupertino, and all other laws applicable thereto.
10'
Use of Premises
o_ o
> `"0Owner — Address __2
J z By Address /?d j&:F,
O CONTa OR,A ENT
3 �
— ,< Phone -��Jff o9� ci
WE
a a State License .'1st Sa t Approved A
—U PLUMBING INSPECTOR
d
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced.Air Furn.
Gas Fired Boilers
Warning Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent S stem
Com., Indust.. Inst.Kit.
Hood'&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM '
Ind. Ventilation System
(Without r rf .
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Slacks,Mise.Equip.
Under 15'Fligh
Over 15'11 ieh
Comfort Cooling
Comp.of 20 HI'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 a�T�
Total Total Fee OtJ
CERTIFICATE' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....7. ..... ............... 19-7)..3 BuiAding Permit No.
The Building Located at .........1`7JON.�- ...........
Ownedby ........................................................
Has Been P r Use As: ..... .............................
..................................................................................................................................................
...................................................... .......I.....................................................................
....................................................................................0..................................................
. .... ..... ........
BjAbiNG wspwrm
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECT MISC.
PAD FINAL %-ykj
FOUNDATION 7'7
UNDERFLOOR
FRAME '7
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING a �y
FINISHED WIRING e
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO. 3- '-73
SANITARY NO.
UNDERGROUND ROUGH f- '
PARTIAL ROUGH J
ROUGH COMPLETE '� `7
MAIN DRAIN `l -/
FINAL PLBG. ['azl ?,j
FINAL GAS J / '73 -
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
1 Q�S3 I /�lltY dTP. Lot No.
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.19( 6(1
File No.
73
Date 19
Application is hereby made for a permit to
LLC-CEJ a .L. story. Type U.
to be occupied only as
in ac.cordan.e with Plot Plan, Plans as pecification filed herewith,
Estimated Value of Improvements $ '. ? 6t��
FEES - --7,? 6 0 Plan Check S �/•��, l
Owr.er ,O//i - �/AlLil9 o, Address a-�`Lfti��Ci
Contr. Address
Phone yY -a �/0 State License
Approved
4a4J4 5:2 d&&"�
APPLICATION FOR ELECTRICAL PERMIT
79
Date � 19 I� FEES /17 - -
Contr. rL6s..�/lGil.G Address
Picone _ 7� ` % State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 79 -7 y GAS FEE $ /,0
PLUMBING FEE $ —1 3 t77
Contr. _ C'7>rf-R-�LA Address A 2 Cl \ZL+-- --++—� �-�--i
Phone -a- Ls-- Y J )1 ,j State License /lf ii rZ y
Approved
APP�L CATION FOR APPLIANCE PERMIT
Date 19 FEES �p/� �i'
Contr. -^-''� Address /� , /p`-"` '
Phone �.-3J�—drfj'.3 'Ile State License i2'S-
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1 -