51273 IDQ/1T '/�Z�LfiWr/�+.cc! LOT NO.
NO. STREET
N Q CLLR✓
w¢ Ctf9 OP CUPEIRINO CITY OF CUPERTINO
Yo L 197,APPLICATION FOR BUILDING PERMIT
OJ SEPW!E Building Per.No.
m V DateII�L
_ 19 ?� Q Sanitary Per.No,
o A09licatlon�is Pbreby m e for a permit to � - c
LL W
0 F a 2 story, Type Structure
Ww to be occupied only as ^d` "t � ' in accordance with
a F Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$ 6'—
LL
0 /
o Estimated Value of Improvements,$ a 3�o oD. a O Fee$ 72 .en
>' 73• G I
o a Total Fee$
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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. n 1
Qi Own�er' / ' Atltlreef 22 d'a J'✓�'` '_
Q p By Yy Atltlress
_U
Contr.or scent.
1 Phone 24`t— Z9to Approved
\p1f� State License 16 (7 3 Bulltling Inspector
10924 I Northview Sq. LOT NO. 148
NO. STREET Plan 10_8
z Z CITY OF CUPERTINO
2
Y0
APPLICATION FOR ELECTRICAL PERMIT
3 0LL Q�7 S'12Z
U circ oP cuPEgnN
12
IJ/3 Permit No.
Fo Ili Y tg P.es / !!7 _
o.F Application is hereby made to the City of Cupertino for a permit to install electrical
>F wipingVndfor4)xtures 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 City of Cupertino, and all other laws applicable thereto.
a
J
00 Use of Work To Be
> Premises Performed
04 Owner Addresses -OQ-�g
2
J zey WANDERER LECIRIC', G;CS_...
Jo o contractor,Agent
—y Phone
Wz
It u State License of 'g6 �-{ Approvetl
0 2 Electrical I nspxtor
40
_O
ITEM NEW RPL FEES
Number of Outlets 1
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or-0wnc—K.W. ..
Size of Main Service /Oo FF
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
17-7o
'Cla e LOT.NO.
NO. STREET '
CITY OF CUPERTINO
" < ° APPLICATION FOR PLUMBING PERMIT
= Z W
{ Ot +rv'12 Sanitary No.
0 i t�j `7 n I9 _ Permit No
:OQt* '���Jalit
--' Fee$ e73. S�
I 4 11
0 4p�ication 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
a W Cupertino, and all other laws applicable thereto.
wx
a Use of Premises Single Dwelling
00
> " pp95 De La Cruz Blvd.p S. C.
3 Owner ❑itz Crane Co. Address
i- 167 E. Fremont Ave.0 Srvale
j z By L. C. Bohart Plumbing Co. Address
CONTRACTOR, AGENT
3 �
— w Phone 245_2121
4 f State License 186579 Approved
4 V 1` PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater I Size 9
"
Water Closet Z. Material L I
Bath Tub I To Curb
Shower To Prop.Line ✓ _
Lavatories 2 To Existinit
Kitchen Sink Not Cum
Dish Washer
Waste D' sal
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 Drein WATER SYSTEM
Hopper Size'
Restaurant Sink Material
Sand Trap TOTAL FEES
rinal Fixture Fee 1-5
Area Drain Main Drain Fee
Water der t Fee
$ rinkler System Water Sys.Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper -
Permit Fee �pi1
Total Total 3.
/p y� I W VGt.� Lor-NO. I Sl
NO. STREET
`It OfAP N
fATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
a PdAR
O i Dat `a , 07 191 — Permit No. S/173
�U Fee•S Z��
LL
o Application is hereby made to the City-of Cupertino for a permit to
o i install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in ccordance with the provisions of the Plumbing
W Code of the Ci of rtino, and all other laws applicable thereto.
~ Use of Premises
00
58 " vner Address
c
Ch /7
By Address �V
cool
O CTO ,AGENT
3 m Phone PLO SHEET METAL c-,
+gym CAMPBELL, CALIF.
i o �
State License LICENSE #22n23 Approve
_U X PLUMING INSPECTOR tom"
APPLIANCE UNITS FEES
aassIoop
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. I d b
Gas Fired Boilers
Warming Ovens 11
Susp.Units
Dwelling Kit./Bath
Inde end.Vent System
Com.,Indust.,Inst.Kit.
Hood&Vent System I
C,
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort
Forced Air. Mech.each Power
Gravit •System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc.Equip.
Under 15'High
Over 15'11 mah
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
PermitFee
Total Total Fee
CERTIFICATE ' OF' COMPLETION
BUIMING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......... .............. 19.- ..:7... Building Permit'No -1..i :.. .,.j.
The Building Located at --- ..._ :y. .ii_z.*_I %ir!> .......-.......ea?. r........-
�......
.
Owned by .-...;.�'t:�..?...............:�:,�, :................-•--.......--------.........--------.......................
m leted 1 C�. .
Has Been - O- 'UseAs: -----....- -`--�-----..-:�:':- .... `=......----------
.............--------------------------------------- .......................................
..................• -----------.....------------......----------------............ ---......-----•-----•--.............----------.....:.....
.'..--..............---` . .......---..._......... .........._.....--
ILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR S .
PAD FINAL ••77 Y
FOUNDATION 'i T.�• (Y/-� 7
UNDERFLOOR 2 a
FRAME Lg i
T & PLA ^ J73
GRADING FINAL
FINAL BLDG.
ELECTRICAL
(�1 DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
i
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH J
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN J Y
FINAL PLBG. 3
FINAL GAS - y 73
FINAL APPLIANCE - 7-3
DATE INSPECTOR MISC.
MISC
MISC
MISC
tog ay I /207&0)40w ST. Lot Hal q�
No. Sheat
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT Q
Sanitary No.
File No.
Date 19 Z�
Application is hereby made for a permit to
a,� �^
p y t Q story, Type k!
to be occupied only as `7iift Ae W
in accords with Oot Plan, Plans end Specification filed herewith„
Estimated Value of Improvements $ Z 31 &*4 d
FEES - 7AA2. 0 d Plan Check $ s.+�
Owner /I�1 ;� Address 2 2,415 ,M _1
11 /1 a !1
Contr. /} Address 9
Phone Z 61N 24 1 State License Z to
r
ApproveL
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PER/MIT )
/L/1 C Jam/
Data 19 GAS FEE S
PLUMBING FEE $ a j' J7
Contr. Address —! b ? 'F-
Phone
rPhone "Z Sc.f X023 1J State License
Approved
APP IC TION FOR APPLIANCE PERMIT
Date 19 FEES
�f p
Contr. Address Z36
Phone7 d — U O� State License �_f" )5.
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1