51273 10 S S-7 ��{ra , . LOT NO.
y Q CRY d*%uPEgtINO STREET 19n 3
m- CITY OF CUPERTINO 1 LQN i
YD
SEP 14 �974?PPLICATION FOR BUILDING PERMIT
O J1 Building Per.No.
mU DetC^ � 1q n '7Y Senitery Per.No.
o Application is hereby de for a permit to
O F a 2 story, Type ^ _ / OO� Structure
Ww to be occupied only as a'+�^•7 (Lf.d� in accordance with
a F Plans, Specifications and Plot-Plan filed h�wi� PI Ck Fee$gym —
J LL
00 Estimated Value of lmprovements, $ O-0-0 . 0-0 Fee$ 7Z-•
o Total Fee$ 73 .61
Z' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J2
j o and all other laws applicable to the construction, location, and use of buildings within
3 a the Cityof Cu�^er-tino- will be complied with.
W w Owner 's^^•��—"Qom^^"--' Address
QO By !'Lt•�c'g'rv+ l . P//'�+-WLw Address
Approved r V
C Phone—
State License 26 1 7 3 BuilAirp Inspector
10857 I Northridge Sq'. 124
LOT NO.
'NO. STREET Pian 10-B
m i CITY OF CUPERTINO
Y o APPLICATION FOR ELECTRICAL PERMIT
M LL &Y GP curentmo
3U Permit No. �' �7�
W �
F O Detma�n , 19 Fee$--
o r A lic iorlis pireby made to the City of Cupertino for a permit to install electrical
Z F wirin�and or fixtures as listed on the reverse side hereof, and agrees to install said
<w wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F F City of Cupertino, and all other laws applicable thereto.
a
J
00 Use of Work To Be
of Premises1 -LLA Yn� Performed i,,@ 1 I A:tA LP[AV,
Z< Owner' P�.arl 0 , Address ALI n +A 0 L2 A —
o avYfANDERER ELECTRIC IPir. . '_ .gderess" _
3 P Contractor,Agent
—< Phone r7(36-15LI91
N
W Zc
2 i State Licensea7!)h7U- Approved
02 Electrical Inspec r
<O
.0
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges is A W —
Size of Main Service
Number of Meters J
Number of Panels
Sign? - Transformers
Dryers
Moors:
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges 3. —
Total
—Total Fees /7. -).
770
b s s e> �V """'�' � 3�M-2C LOT NO. /
-NOy STREET /!
G� i� CITY OF CUPERTINO
Z + Ot ` �g1Z APPLICATION FOR PLUMBING PERMIT
Sanitary No.
Y �
0 a Date 19 — Permit No
W , Fee $ -73- SP
W LL
0 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
a W Cupertino, and all other laws applicable thereto.
LL Use of Premises Single Dwelling
00
> 0 Owner Ditz Crane Co. A QHS De La-CruzBlvd-' S. C.
oa
ZJ
� z By L. C. Bohart Plumbing CO.•; A4&?ssE. Fremont Ave., S`vale
O CONTRACTOR, AGENT
3 �
Phone 245-2323
W Z
W W
¢ a
a a State License 1 Rh 579 Approved
U '\Jt/` PLUMBING INSPECTOR
`d
pz"� - C
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size
Water Closet Material
Bath Tub I To Curb
Shower t To Pro . Line ✓
Lavatories To Existin
Kitchen . Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine f Size
Water Softener 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 .
Area Drain Main Drain Fee
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee /
Relief Valve Gaq Fee.
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 200
Total , Total Fee 2-3,
1/6 IF15-17
NO. STREet 0
bAPPLICATION FOR APPLIANCE PERMIT
d rc CITY OF CUPERTINO
4 ytL�'StNO
3 V Date 0` 19. — Permit No. ��' 7
F o �Uy N Fee $ �O
Applicatimr-s hereby mRtie to the City-of Cupertino for a permit to
o< install gas appliances as listed on the reverse side hereof, and agrees to
iin instJ said appliances in accordance with the provisions of the Plumbing
C i Code of the City of Cupertino, and all other laws applicable thereto.
Use of Premises
0 —
00
3 Owner �s Address
of
2J
z By /i4 �i.t Lei r fi ® Address �.gil
',o CONTAACTOR,AGENT
iF
— a Phone 378-0 9 3�1
C o State License-'�'�A,2 S— Approved (�
—U PLUPOI NG INSPEC[OR
APPLIANCE UNITS FEFS
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. - +/Oo
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent System
Com.. Indust..I nst.Ki t.
Hood & Vent System 3 a
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
(without ort
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
_Under 15"Itigh
Over 15'Kiel
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 300
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... ...................... 19.7.3. Building Permit No. .D:L73...
The Building Located at ....... 5-a!...
/ .... ..... . ........
Ownedby ....... .....(P.XW .................................--................................
m 4
m ed,4-�
Has Been Altere
( d) For Use As: ..... . .................................
..
............................................... .. ........................................ ..
..... ... ..........................................
.................................................................—................................. ...........................................
............................................................ ................. ...:..................... ..... ..................
...................
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION 2lo760*, ' �
UNDERFLOOR '�
FRAME LATH & PLASTERGRADING FINALFINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING Z. I6v
FINISHED WIRING 21�73 1-11-
FIXTURES
, LFIXTURES
2 '13 0 �
MOTORS
FINAL A ry
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH -% �y
PARTIAL ROUGH
ROUGH COMPLETE .l
MAIN DRAIN
FINAL PLBG. -73
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
&J6,71 z2,W-A S 1 ;4/rrz 57q, Lot No. dal.,/
No. Street a ''
CITY OF CUPERTINO W
APPLICATION FOR BUILDING PERMIT
Sanitary No.�Z�7
File No.�y 2. 2
Date __!/_X19
Application is hereby made for a permit to
40 a story, Ty
to be occupied only as SQA�� &=a-;4
_ ;4 10
in accordance th plat plan, Plans and pecification filed herewitO
Estimated Valu of Improvements $ 2 3, 0• tSO�
FEES 3 Plan Check $
Owner [i1Ll.r�.� Address 1-2-q,5 QA. %;',C, 044&Q
11 /t 1 , 1 •
Contr. /.` Address
Phone 27S —Lq p State LicenseeZfOJ 7
Approve --�a2l.24���
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
C ontr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �� S 19 7-L-- GAS FEES C/ J:!!)
PLUMBING FEE $ c7 3, �{7, ff
Cont,. " ^"'"' Address /(t
Phone — ��5��31 State License
y�
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
C ontr. Address
Phone State License
Approved
Applicants agree riot to violate any of the
Workman's Compensation Laws of the
State of California
PD-1