51273 LOT NO.
NO. ST ET
W Z Cfff OP cwFFm+o CITY OF CUPERTINO f
YD
Q_ AUG 14 1972APPLICATION FOR BUILDING PERMIT
O JBuiltling Per.No.
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Dota ���r�1r� , ,a 7 y Sanitary Per.No. r��0
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I_0 Application is hereby maae for a permit to
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o 1- a Z story, Type -� Structure
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Ww to be occupied only as �v� 7�Ly""'—Q'-f � • in accordance with
a Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$ °—
o_o Estimated Value of Improvements,$ �ZS 0Co, Fee$ 7
9.75`
o a Total Fee$
7
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
3P the City of Cupertino will be complied with. c yp //'� /y�[q'�,.� ,,/�
W Owner
- `i"rQ-•'��"-' ,./ Address 22/S O't `•MAS "`� c&.
Q0 BY ^� Address q •I •/
5 Contr.or gent.
l�Phone W 14- 2'9 / C) APProvetl 's
State License Z�t 7 3tf „ Building Inspector ��
l o973 I Nnr4h APrr 5
N Q NO. STR EET - LOT NO.
z i Plan
Y° �ryq OFp CITY OF CUPERTINO
o < LICATION FOR ELECTRICAL PERMIT
w� JAN 41 �
j LL
°
LL Date
F - 19 I . Z
_
° a Fce $ 30
a N Application is hereby made to the City of Cupertino for a permit TP a electrical
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W r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
j00 wiring and/or fixtures in accordanre with the provisions of the Electrical Code of the
> N City of Cupertino, and all other laws applicable thereto.
z_j Use of Premises M• re's
J 0
3 ` Owner IN13 _ AY/.1Y1e, Address
WANDERER ELEt 1RIC, INC. - t�
W W By Address
CONTRACTOR, AGENT
a U Ph„nc: 736'5�!-ar APProved
LECTRIUL r H
\� State License c) 7867y
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles 3
Number of Fixtures 1
Ranges or-OvenrK.W.
Size of Main Service
Number of Meters
Number of Panels
Si -TTansformers
Dryers 1 1.
Motors: 'b
Yw
H.P.Phase
H.P.Phase
Power Poles
miw
Permit Fee 2.00
H.P.Charges o
Total Fees $
)0/;3 p j, ::� LOT NO. `
NO. STREET
CITY OF CUPERTINO
W of CUPEgwo APPLICATION FOR PLUMBING PERMIT
Sanitary
eV
3 aSP 2 01972 Sanitary No.
�re �/ n19 _ Permit No
F 'o t'. /� I (a u Ll4
L Fee $ 2 3. S
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 laws applicable thereto.
Use of Premises Single Dwelling
00
> 3 Owner Ditz Crane Co. Aa' X555 De La Cruz Blvd. S. C.
0a
2J
J , By L. C. Bohart Plumbing Co. Aj&jssE. Fremont Ave.. S'vale
0 CONTRACTO& AGENT
3 �
- 0 Phone 245-2323
w Z
w w
ao State License aa6S,o_ Approved _
U PLUMBING INSPECTOR ��
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material
Bath Tub To Curb
Shower To Prop. Line
Lavatories To Exi tin
Kitchen Not Con
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine I Size
Water Softener I Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee / , 5-25
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee 2— 3.;Sp
J69�3 �- .��✓.;;vim � _ LOT NO.
NO. STREET 0' .� n
„ � APPLICATION FOR APPLIANCE PERMIT
W Z Cm OF CUKWnNO 0111' OF CUPERTINO
FO 2
LL �r 2a
3a < Date . 'I�' ��J _ 19. — Permit No. 713
U
w Fee.$
n m PApplicationlis hereby made to the City-of Cupertino for a permit to
o< install gas appliances as listed on the reverse side hereof, and agrees to
ia install said appliances in accordance with the provisions of the Plumbing
„ = Code of the City of Cupertino, and all other laws applicable thereto.
3 ~ Use of Premises ZfZ2
00
> " Owner /� – ��+ _ Address as 9S if, d;z
2J
A z By �I� �S.222 Address_L c �
CO�3 CT ,AGENT
– m Phone. 7?s 'igp N
WW /
aoState License 1'� a8�.f Approved__
_U �� PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. ad
Gas Fired Boilers
Warming Ovens
Susp.Units
Dwelling Kit./Bath —
Inde end.Vent System
Com., Indust., Inst.Kit.
Hood& Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM `
Ind. Ventilation System '
(without Counfort Co I _
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks.Misc. Equip,
Under 15' igh
Over 15'flidi
Comfort Cooling '
Comp.of 20 HP or less
&absorp.units with input
of 500.000 BTU orless
Com .over 20 HP& Under 50 HP
&Absorp.units with input
of 500.001 &Under 1,000.000
Permit Fee
Total Total Fee
j.
CERTIFICATE O"F COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-.1
Date .....-)......4-.N................. 19.. .�j B ilding Permit No.
The Building Located at ... . ....... ..........
--------------
Ownedby .....�.,–rz. .......C N.f..................................................................
Has Been (Altered) For Use As: ........ -5- .(—6-t�......................................
..................................................................................................................................................
.................................................................................. ..............................................................
........................................................................... ...............................................
.....................
UILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECT MISC.
PAD FINAL •i 'I t
FOUNDATION
UNDERFLOOR
FRAME 7• S
LATH & PLASTER
GRADING FINAL 71
FINAL BLDG. Z' '
ELECTRICAL
�7 DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING ' -
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH -ate L
PARTIAL ROUGH 3 - -/7
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.g6
No. Street 7�r'
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. / y
'' qq File No,s/ , �3
Date �� 19
Applica'tio'n is hereby made for a permit to
to 6e occupied only as .s
7 tory, Type
'J
in arcardars with Plot Plan, Plans and S eification filed herewith.
Estimated Value of Improvements $ _�i� 0 dzq O�
FEE$ — / 7 • 6 o�n Plan Check $
Owner /�/�� �GH-�"'� Address d 22 L
Contr, Address
Phone C/,U State Licens
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date ��� 19 "R3 FEE$
Contr. —Gy / Address 1r;
Phone 7`jV —S_��� State License ) 2 �w7��
Approved &!ii -+a'�'��
APPLICATION FOR PLUMBING & GAS PERMIT
DateZd 19 7 L GAS FEE $
—rte PLUMBING FEE $r 'x
Contr. —4:/ �f—�M Address /L 2 4.
phone —_ 5Lf�2 J� Z 3 State License "" T75
Approved
APP ICA.l TION FOR APPLIANCE PERMIT/,,--,,-,,/
Date '19 Z3 -7� FEES
Contr. Address
State License ' y-2S--2 �--?,
Approvedy ^t'"^�•'-j,� �
Applicants agree not to violate any of the
Workmen's Compensation Laws ofthe
State of California
PD-1