51273 /DO r —sr/� LOTNO.
NO. STREET, .v _ F
z a CITY OF CUPERTINO
M¢cay Of 0011911"M
x0 7PPLICATION FOR BUILDING PERMIT
3 d: SEP �y�/ 7v 9 v Building Par.No. L
W o Dete 7// ^ , 19 SaanimrV Per.No. `• _g /U
�o Ailic�onlis Deby a for a permit to
ww ll
OF a L story, Type / p Structure
N to be occupied only as qAd) - in accordance with
Lu
_
W
F Plans, Specifications and Plot-Plan f Ld herewith. PI Ck Fee$ ' g
0 o Estimated Value of Improvements,$ JZ�BDa Fee$ 5 S- t
I— '77 .74
I—a Total Fee
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
J
o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with. �1
W w 9S nn O�W-
w w Ownner, e _ Adtlress 2.2 J4� Q
(9 2 BV `' � ` Address
_U ^^CIo1n/tIr. Agent.
Phone Pte'-{— 'mt APProvetl e
\� State License 26 173 Lt ;y Building Inspector U
10824 I Northview St.; LOT NO. 191
NO, STREET "
N d Plan 13-F
CITY OF CUPERTINO
Yo aty of cu 9CATION FOR ELECTRICAL PERMIT
LL
a MAY 14 1973
U 1 z 1973 Permit No.
Wu
FLLO Date , Is Fee$
p F Application is hereby made to the City of Cupertino for a permit to install electrical
z
F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a'a 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.
a�
J
00 Use of Work To Be
>y Premises f— r4, A iA. Performed �?1 4 QX^I P,0-Q, �
Z a owner '- Address �-n4Q , C 10 A0
J z av WAN DERE .ECT,",IC Ii;- adareis
JO
3 H Contractor,Agent
—< Phone `736'67 r7 1
Wz
N / /
¢a -?k Approved
State License s
O 2 Electrical Inspector
GO
_U
ITEM NEW RPL FEES
Number of Outlets la
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges e'-evens-lt.W. J
Size of Main Service
Number of Meters
Number of Panels
Signs - Transformers
Dryers J
Motors:
H.P. Phase 1
N.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees fq,�
I.O"Z I NO�'C I N V1�4(/ ,r[. LOT NO.
NO. STREET
i a dIY CITY OF CUPERTINO
Wz
Y o O' Cul"" PLICATION FOR ELECTRICAL PERMIT
;Q
NOV 28 �Qo�
O //_ 2� Permit No.
Wo I6.QO
F� Dat ,��'� ' 19 � Fee$
o r Application islereby made to the City of Cupertino for a permit to install electrical
i F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
40 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
r City of Cupertino, and all other laws applicable thereto. r
n
J LL �/p, 6fUk4@.
20 Use �N fF� Work To Be
Promises 11� Performed ^ &&.v
n&n ('�
0� Owner��l __ O� �V� Address 22/FS-De 1c& .v
D
J
ZO By f'ezo '"t Address J -`"�•�—
Contrac Agent
3 C
Phone �-y'r{— 2r// D
wz �N
wa State License 26 17 3 L{ Approved
a
02 Electrical Inspector
40 /
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service
Number of Meters
Number of Panels
Signs - Transformers
Dryers
Motors:
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.,
Permit Fee 2.00
H.P. Charges
Total Fees
_1622-Z/ 1 ,YL'4' --�SiLfiD✓�-f LOT NO. l I l
NO. 0 STREE.I' . . •
OV pt Cjj CITY OF CUPERTINO
W Z SEC 5 VIPPLICATION FOR PLUMBING PERMIT
r p Sanitary No.
a
3 a 1)aN nom_ g 1Q 7 , 19 — Permit No
W, Fee $ ZL3.Sd
o Application is hereby made to the City of Cupertino for a permit to install plumbing
o < 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
in Cupertino, and all other laws applicable thereto.
w x
4 Use of Premises Single Dwelling
° O 2295 De La Cruz Blvd., S. C.
3 Owner Ditz Crane Co. Address
o-1
Z -1 167 E. Fremont Ave., Swale
J z By L. C. Bohart Plumbing Co, Address
CONTRACTOR, AGENT
3 m Phone 245-2323 /
afOE�t' State License 186579 Approved ✓
N y PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size c
Water Closet 1 Material 61
Bath Tub To Curb
Shower 1 To Prop.Line
Lavatories Z To Existing
Kitchen Not Conn.
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 11 Size k 1/
1 i
'Restaurant Sink I Material I q
Sand Trap TOTAL FE
Urinal Fixture Fee 7,
Area Drain Main Drain Fee
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee rIrD
Relief Valve CAR Fee
Vac Breaker
Skimmer
Filter
Pool Sweeps
Permit Fee
Total Total Fee 2 3,
I1) n � YV�� • 7' .LOT NO.. I./ I
NO. STREET•
a RKICATION FOR APPLIANCE PERMIT
w Ctv OF CITY OF CUPERTINO
Y 4e
C�g�3
3O :iU I Qe� �6 9 9 19. _ Permit No. .S/�-73
W A r Fee $ ��
° Application is hereby nsde to the City-of Cupertino for permit to
P
°o install gas appliances as listed on the reverse side hereof, and agrees to
i a install said appliances in accordance with the provisions of the Plumbing
„ = Code of the City of C ertino, and all other laws applicable thereto.
3 ~
Use of Premises
20
m Owner Address-
0 �GLU✓�� +?n
r3
J 0 n By Address
3 CO OR,AGENT
– 0 Phone,
W
¢ CAMPBELLCALIF.
o Y State Licen Approve Q/
<� ,252825
PLUMBING INSPBCfOR
APPLIANCE UNITS FEES
Gas Fop
Gas Oven
Wall Fumace
Gravity Fum.
Forced Air Furn. I tl'U
Gas Fired Boilers
Warming Ovens
Susp: Units
Dwelling Kit./Bath 60v
Inde end. Vent System
Com.. Indust.. I nst.K i t.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilations stem
without Comfort Cool.)
Forced Air. Mech.each Power '
Gravity System '
No.of Air Outlets.No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under IS'High
Over 15'l lief
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Comp.over 20 HP&Under 50 fill
&Absorp.units with input
of 500,001 &Under 1,000.000
Permit Fee
Total Total Fee Afav
CERTIFICATE * OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........&---1-7................... lg..2.-;- Building Permit No.
The Building Located at .... zy...... :5.!p....................
Ownedby ......P.f.;rz-..... .............................................................. ................
Has Been (CaggFFor Use As: ................. ....................
(Altered)
..........----....-....•-.......................................................:...................................................
...................................................... .................................................................................
.......................................................................... .. ...........--.--...........J............................
..............
UILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL ► —1 'L-f4
FOUNDATION III. t T ►/0►73
UNDERFLOOR i0
FRAME
AT 8 PL
GRADING FINAL
FINAL BLDG. lz� x
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING 73
FIXTURES ► 4
MOTORS a��yy a
FINAL • ltd ✓
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE -�
MAIN DRAIN--4 Z2
FINAL PLBG. (/ 7
FINAL GAS
FINAL APPLIANCE ` y7
DATE INSPECTOR MISC.
MISC
MISC
MISC
le9Y Yl M u►,tw Say Lot No. � gl
No. Street Z • �``
CITY OF CUPERTINO 7
APPLICATION FOR BUILDING PERMIT g
Sanitary No. I' Vo
o
File No.��
Date �19
Application is hereby made for o permit to
s
a —?� story, Type
to be occupied only as -5 A7T
in accordance with Plot Plan, Plans aan2nd Specification filed herewith.
Estimated Value o4 Improvements $ .7 . "0
r
FEES 4 4kJ'q4> Plan Check E
Owner Address 2 Z 9
11 1\ 1
Contr. ,, Address t (f
Phone �J ' State License Z f 7 J�'.1�,//
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date /�'f 19 L GAS FEE $ (/ J -�
/�� PLUMBING FEE $
Contr. tel// r'—f-"�' Address /(O 7
Phone State License "I 7
Approved
APP ATION FOR APPLIANCE PERMIT/,3y
Date 19 I FEES
Contr. Address 3
i
Phor 12z� C) State License i2S o d;ol
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1