51273 /O q- 6 7^ � � LOT NO. / 37
vl STREET P
N ER
Z< MY CP C<l�aTMC CITY OF CUPERTINO
wQ
Qo SEP 197Z APPLICATION FOR BUILDING PERMIT
3 Q Builtling Per.No.
'u Cate / / 1972 Sanitary Per.No.
1-o Application is hereby m for a permit to '4z�jek
w
oF a 2 story, Type / Structure
Ww to be occupied only as a::6� Oiii24 dt45 • in accordance with
a r Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee$
w /.7
_T-
20 Estimated Value of Improvements,$ 25 000. 00 Fee$ � S•vv
oa Total Fee$ 79.70
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
--'I o and all other laws applicable to the construction, location, and use of buildings within
3a the City of Cupertino will be complied with.
N O V C
ww Owner I Addressxo
ZZ/s
Q 0 By Address �/ y
O Contr.or A64nt. 46
Phone 2gL/` 2-9/0 Approved s
Statelicense 2O t73y A Building Inspector
10926 I Northridge 5g. LOT NO. 137
NO. STREET Plan 10-D
NQ
W Z CITY OF CUPERTINO
Y o CrTy OF CUPELTAPPLICATION FOR ELECTRICAL PERMIT
LL
O- /9�'
3U M A�(��r 9{g3/3 Permit No. V 17
W
H O Date 1� , 19 Fee$
o�
RplAtiA i5 Rereby made to the City of Cupertino for a permit to insAa I electrical
>F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
Z
N 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
JLL
00 Use O1 Work To Be '
>w Premises - Performed
O< owner Address
J zo By WANDERER ELECTRIC, — Aeeress--
- Contractor, Agent
1
- a
Phone
73,h-6U I
Wz t 11
W State License .27r11n74 Approvetl e-
Q.
0 f Electrical Inspector
a0
.0
ITEM NEW RPL FEES
Number of Outlets
Number of Switches 5
Number of Receptacles a3
Number of Fixtures
Ranges os-0wns-K.W. J _
Size of Main Service 100
Number of Meters
Number of Panels �.
Signs - Transformers
Dryers
s
Motors:
H.P. Phase `
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
3
Total Fees /g
L'OT NO.
hO, STREET I
CITY OF CUPERTINO
W ae C%3v00° APPLICATION FOR PLUMBING PERMIT
Y o Sanitary No.
o
3 `` 5l6V 3 0 1972 19 — Permit No
0 9 Fee $ sZ 3• .�
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
_ and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
in
a w Cupertino, and all other laws applicable thereto.
00
Use of Premises Single Dwelling
3 Owner Ditz Crane Co. AAV—Re— La Cruz B1Vd.* S. C.
oa
ZJ
J , By L. C. Bohart Plumbing Co. AJT25sE. Fremont AVe., Sivale
CONTRACTOR, AGENT
3 �
Phone 245-2323
w Z
w w
A o State License 1 Afi 579 Approved
U PLUMBING INSPECTOR
J\
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size "
Water Closet L Material
Bath Tub To Curb
Shower To Pro . Line ✓
Lavatories To Existing
Kitchen 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
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader St m Drain Fee
Sprinkler System Water Sys.Fee -b
Relief Falve Gaq Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee Z 3,
N 109o. raeer G 7 TREET SlJL4l S�i.• Lor NO, X12
N
Z ,&PPLItA►TI®N FOR APPLIANCE PERMIT
4 co
„ i �.3 CITY OF CUPERTINO
21,
0
o i Date �'��t17 3 19. _ Permit No.
U
n
d LL FeeS
' o Application is hereby mle to the City-of Cupertino for a permit to
o install gas appliances as listed on the reverse side hereof, and agrees to
i m install said appliances in accordance with the provisions of the Plumbing
W Code of the City of Cupertino, and all other laws applicable thereto.
3 ~ Use of Premises .lam
4
() 0
o ; Owner Address -V-4�9.5- Q< oSz
z 1
j 0 By p ,f6.f si�L—y!7<}�e� Address 1,90
F GONTAACTOR.AGENT
- a Phone
W W
o sState License Approved
aU
PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as lop
Gas Oven
Wall Fumace
Gravity Furn.
Forced Air Fern. G o
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling- Kit./Bath
Inde end. Vent System
Com.,Indust.,Inst.Kit.
Hood&Vent System / 3o
Forced Air Under 4000 CFAI
Forced Air Over 4000 CFM
Ind.Ventilation System
without Comfort
Forced.lir. Mech.each Power -
Gravity System
No.of Air Outlets, No.of Flues
Stacks for Metal Fireplaces
Smoke Slacks,Misc. Equip.
Under 15'High
Over I S'I lie
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 30a
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........ ...:..1.0.....................1 19... Building Permit No.
The Building Located at .../J.9-7,4..... ------- ..............
Ownedby ..... .... .......................................................... ..............
p
Z. eted -Has Been Use As: ..- -e......................................
.............................................................................. .............................................................
......................................................................I..........................................................................
.......................................................I......
7...............................................
DING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOA A MISC
PAD FINAL Wo tv -10
FOUNDATION t • 'o 2
UNDERFLOOR r_ ,
FRAME Ji ww"'u
LATH & PLASTER
GRADING FINAL
FINAL BLDG.—
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING- 7- O
IS
FINISHED WIRING
FIXTURES
MOTORS 4.1
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REG.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN 6
FINAL PLBG. 9- 7
FINAL GAS 73
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
/ ,2q Vol Lot n---43-7-
No.
o. 4_ 7No. Street
CITY OF CUPERTINO /17S
APPLICATION FOR BUILDING PERMIT Q
Sanitary No. D Lg0
File No. 5/, ?�
Date 19 2 Z.
Application is hereby made for a permit to
a � tory Type- -�•
to be occupied only as
in accords a with plot an, plans and SpAlification filed herewith,
Estimated Value of Improvements $
FEES 79 . 60 Plan Check $
Ow r,er ag�Z - L'tQ.r._0..r Address Z
6\ 11 1%
Cantr. /� Address
Phone 2,410 ^ Z4 10 State License (0
Approved s
z
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING ✓3< GAS PERMIT
Date / S 19 7 L GAS FEE $ Kl; '
PLUMBING FEE $ -20 7�-
Contr. " Address 9 <5
Phone Y- S- ' 1 1 t State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 19 FEE$
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