51273 1091// 'n � /1"-.fl LOT NO. ,I6 Z
NO. STREET B CL4Ly- '
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w jM OF CUPERMO CITY 'OF CUPERTINO
xa APPLICATION FOR BUILDING PERMIT
1 �UG14 972 size_
O Building Per. No.
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Date 19 Sanitary Per.No.�/ 2, O
1-o Plpplilti is hereby made r a permit to f�
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0 a a I=story, Type - p Structure
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m to be occupied only as in in accordance with
ar Plans,Specifications and Plot-Plan filed herewith. I PI Ck Fee$
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20 Estimated Value of Improvements,$ 3, Fee$ 7Z oa
3 Total Fee$ 73, 61
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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.
W w Owner I Rl Address Z29S
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Q By Address It
—u Can r or Agent. s
I� Phon. ,2'/q. �J L9 Approved
11\\ State License 2�%173t{ Building Inspector
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N Q 10&y1 Nn�i-de Drive,NO. srRErT OT NO.
ao Ca tIFFF3tH0 CITY OF CUPERTINO Pl0.n
O j .ICATION FOR ELECTRICAL PERMIT
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Date Ia a �n 19 7� Permit No.
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a 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
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0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 W City of Cupertino, and all other laws applicable thereto.
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z-J Use of Premises 1 - ='m. res
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3 a Owner nJfi ` YQY12� Address n
W w By WANDERER ELECTRIC INC.
2 a /C_ONTRACTOR, AGENT
<l) ('hone: 73h-SUa.I APProv ELECTRICAL INSPELT�
`State License _ Q 78 A 7q J� ��
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures /
Ranges o
Size of Main Service
Number of Meters
Number of Panels ! �'
S" -Transformers
Dryers =-
Motors:
H.P.Phase
H.P.Phase
. Power Poles
Permit Fee 2:00
H.P.Charges
Total Fees
L7' �A-V( ,�n...._o LOT NO.
NO. STREP
CITY OF CUPERTINO
z < APPLICATION FOR PLUMBING PERMIT
x o pT( OPE�C//U77P��Otn�yy Sanitary No.
3 a Uet Ji� F�IY�. L! r7' 19 19 — Permit No. S/3 73
WWFee $ 3• So
° App@J
atien Ay 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
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a) Cupertino, and all other laws applicable thereto.
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Use of Premises Single Dwelling
° O2295 De.lLaCruz Blvd. S. C.
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3 Owner-Ritz Crane Co. Address
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JzBy L. C. Bohart Plumb Co. 167 E. Fremont Ave., SIvale
° Address
CONTRACTOR AGENT
Phone245-245-2'3230245-2'323
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W
o State License 186579 Approved /
U �7c PLUMBING INSPECTOR v
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FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material
Bath Tub / To Curb
Shower To Prop. Line C/
Lavatories To Existing
't en Sink Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
WasWng Machine ( Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
PopMr Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee �d
Area Drain Main Drain Fee
Water Leader t rm Drain Fee
Sprinkler System Water Sys.Fee 1 131�>
Vac Breaker
Skimmer
Filter
Pool Sweeper
Pemtit Fee
Total Total Fee Z 3 ,. 7J
IDn �-I ��� •• LOTNO. y
NO. STREET
„ � APPLICATION FOR APPLIANCE PERMIT$
d z CITY OF CUPERTINO
F
of cuP'�No
0 i Date 19. _ Permit No. 7 3
_ M0.R �� w 22 Pees i9Y
o Appjic�hon is hereby Ilrarlo to the Ctity-of Cupertino for a permit to
o F 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 Code of the Ci of Ct ertino, and all other laws applicable thereto.
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„ Use of Premises
00
Uwner A L Address
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z By Address
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CONTR*TORIAGEINT
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a CAMPBELL, CALIF.
a° o tate LiU 2825 Approved
U PLUMBING INSPECTOR `�
APPLIANCE UNITS FEES
Gas I op
Gas Oven
Wall Furnace
Gravitv Furn.
Forced Air Furn. 1 !n
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent.S stem W
Com.,Indust., Inst.Kit.
Hood & Vent System 1310 FAa5t
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
without Comfort _
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Mise. Equip.
Under 15' Hiph
Over 15'Ifigh
Coin fort 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
Total Total Fee V-11
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
7
Date ........
.................................... 19... ... Buildi P No
The Building Located at ...... ......
............
Owned by
.............................................................................
Has Beenor
jfr Use As: ... j.....
. ...... ..
..........................
P l�tered)'q
..................................................I-------------I......................... .....................................................
I......-•.. .......................................• .............._..........._...._...........................................--------
................................................... ...................... . %
..... ..... .......—
UJar,71......................
...........................*.....*------------
MING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPEC R MISC
PAD FINAL '7
FOUNDATION-
UNDERFLOOR
OUNDATION q
UNDERFLOOR �Z Z I 0�
FRAME 0
T 8 PLASTER b
GRADING FINAL
FINAL BLDG. 4/0
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH A
_
ROUGH WIRING �,{
FINISHED WIRING �? -` _
Sr-
FIXTURES -a ?3
MOTORS
FINAL 3 3
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH d
PARTIAL ROUGH
ROUGH COMPLETE -�
MAIN DRAIN—
FINAL
RAIN FINAL PLBG. -,3 7
FINAL GAS a/
FINAL APPLIANCE - _7
DATE INSPECTOR MISC.
MISC
MISC
MISC
D A11 �� Let No. (p2
No. Street
CITY OF CUPERTINO /
APPLICATION FOR BUILDING PERMIT {
Sanitary No.
File No.�5—L 122S
Do to 19
Application is hereby made for a permit to
a 2 sto Type
to be occupied only as
in accor �re with plat Plan, Plans and cification filed herewith,
Estimated Value of Improvements E ,;,2 tI t2
FEES Plan Check $
Owner �/�7_ — ( � tax o Address
Contr. Address
Phone �y L` ��� State License �� f
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date _ ' 19 7-3 FEES 7
Contr. ��G-�-�� Address 9aJ'"1 O
Phone _ 73 State License ';470`G 7
Approved 0
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 19 L GAS FEE $ <�
PLUMBING FEE $ 3 S�
Contr. Address /L 7 t�- I�
Phone
3 Stara License
Approved
APP ICATION FOR APPLIANCE PERMIT .3 a '
Date 19 '20 FEES JpJi
Contr. 1`7�` V Address
Phone __�_l 'U .3 /'
.1 Store LicenseAz
/ 02 0l ol-J
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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