51273 io 9% "n'^'vl' Ld A"F_. LOT NO. 1 3
NO. STREET
N Q '
w zCm OF CUPERMO CITY OF CUPERTINO
Yo APPLICATION FOR BUILDING PERMIT
o�SEP 1497 BuildingPer.No.
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w O Dat/e� �I 79'7'/. QpSaniterV Per.No. S� 77
o pApplicitio Is hereb de fora permit to
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a /- story, Type / Structure
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N to be occupied only as 2- n accordance with
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a Plans,Specifications and Plot-Plan fi d herewit . PI Ck Fee$T_
20 Estimated Value of Improvements,$ -25/606,C-O Fee$ '7 SC•7
o a Total Fee$ 7 9 7S
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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J o and all other laws applicable to the construction, location, and use of buildings within
a the City of Cupertino will be complied with.
w W Owner Address 2 2
Q0 BY�""✓"'T' Address /
—U Con
r.or gent.
Phone �4y — 2�1 0 � Approved s
State License � tI
Ctl �7 3 Bulldin9 Inspector
10896 I Northridge Sq. LOT NO. 144
NO. STREET Plan 10_0
z Z CITq OF CUPERTINO CITY OF CUPERTINO
LICATION FOR ELECTRICAL PERMIT
ir° MAY 14194 S/ Z73
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w U rMA 1 n IV3 Permit No. O
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F W Date , Is Fee$
o w Application is hereby made to the City of Cupertino for a permit to install electrical
>F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
4 0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
WW City of Cupertino, and all other laws applicable thereto.
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00 use ofWork To Be
y Promisee Performed t 0 p t.(r
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O Owner Address
JzzBt,WANDERER LECTRIC, Ii1C. -Addra,:— =� L
contractor,Agent
3 y Phone 731 0—wa
W Z LLI
22 State License Approved
02 E lectn I lnSPSCW'r
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ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or-Overtr . )
Size of Main Service �pO
Number of Meters - )
Number of Panels
Signs -.Transformers
Dryers
I �
Motors:
H.P.- Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
2.00
H.P. Charges
Total Fees
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oe b 1 /I/4 LOT'NO.
NO. STREET -�
a pt WPyO CITY,OF CtIPERTINO
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APPLICATION FOR PLUMBING PERMIT
r oCj r� Sanitary No.
3 a Ol)are •� 0 jq72 19 — Permit No
W LL Fee $ a ea.Sd,
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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
Z N 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 r Use of Premises Single Dwelling
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. 3 Owner Ditz Crane Co. AFs? De La Cruz Blvd., S. C.
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� z By L. C. Bohart Plumbing Co. AM&E. Fremont Ave., S'vale
o CONTRACTOR, AGENT
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- am Phone 245-2323
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ao State License 186579 Approved
U PLUMBING INSPECTOR ��
aL,�, - OR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater ISize
Water Closet 2 Material f
Bath Tub To Curb
Shower I To Prop.Line t/
Lavatories 2 To Existinit
Kitchen t Not
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 LN
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee / b
Area Drain Main Drain Fee
Water Leader Stom Drain Pee
Sprinkler System - Water Sys.Fee (157-4)
Relief Valve Gaq Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee 23,
'ley 9G 1 i2,,T /alar. Y%_- LOT NO.
NO. STREET //
APPLICATION FOR APPLIANCE PERMIT
Z "1V or,C,JpcwRmO CITY OF CUPERTINO
1�I3
o < Date_11�11�- / -73 19, _ Permit No. �� 73
. ti n Fee•$ ��°�
° �ppPhcation is hereby mmie to the City-of Cupertino fora permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
N install said appliances in accordance with the provisions of the Plumbing
Code of the City of Cupertino, and all other laws applicable thereto.
4 I
S „ Use of Premises �
00
Owner - &,a" Address
04
J Z By /L' C/.Fir7' �20.7�n/ Address /YO
'O CONTRACTOR,AGENT
3f
-0 PhoneWz
EL o State License '1saAa.s Approved-�
—U PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Bailers
Wanting Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Com..Indust., Inst.Kit. _
Hood& Vent System a u
Forced Air Under 4000 CFA7
Forced Air Over 4000 CFM ,
Ind.Ventilation System X
without Cornr Cool.)
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fire places
Smoke Stacks.Misc. Equip.
_Under 15'Iii h -�
Over 15'I1iel
Comfort Cooling
Comp.of 20 HP or less
&absorp. units with input
of 500,000 BTU or less
Comp ovcr 20 HP&Under 50 HP
&Absorp.units with input
of 500,001 & Under 1,000.000
Permit Fee Zo-O
Total Total Fee /Vozr
CERTIFICATE. OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... ...................... 19-713. Building Permit No.
The Building Located at ----1.Q-8--94....1.111W.r.14
.......5.4.7
Owned by ....C!)..
..............................................................................
Has Been (C Use As: ..... ..5. .-,.l ..
....... ........................
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.........................................................................I........................................................................
..................................................................................................................................................
............................................................................ .INSPECTOR.................. ...............
. .....................
--
.............B61 D
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPEATAR misc.
PAD FINAL
FOUNDATION
UNDERFLOOR Q Z'
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. -
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING _
FINISHED WIRING g ( `' v
FIXTURES -`
MOTORS �/ry�
FINAL 11_7
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO. 11 A
UNDERGROUND ROUGH
PARTIAL ROUGH —7 r
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS 3
FINAL APPLIANCE 3
DATE INSPECTOR MISC.
MISC
MISC
MISC
161 Ito � Lot No.
No. Street "�r
CITY OF CUPERTINO _7
APPLICATION FOR BUILDING PERMIT
Sanitary No.
�J File N.4—
Dote ! 19 / Zr
/// A plication is hereby made for a permit to
story, Type
to be occupied only as •
in acco ce wi lot plan, plans and Specification filed he with.
�` E'stimatedd Value of Improvements $ 0�
FEES X- J. 6te�/1�� Plan Check $
Owner _AQA)Z Address Z-
/
Contr. �s Address 11
Phone Z14 -
J4 - 2 V 9r State License 2aja
•
Approved1j 91�-Aww
APPLICATION FOR ELECTRICAL PERMIT
Data 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �y 19 GAS FEE $
PLUMBING FEE
Cont,. -r-%L Address /11 7 t�/ "`-'�->•'-'/+"��
Phone - 25�2cl)-JJ-c? State License / s7
Approved vim"
APPLICATION FOR APPLIANCE PERMIT
Data 19 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1