51273 f O g c 3 xc �zleP LOT NO.
NO. STREE
NQ
m Z CITY OF CUPERTINO
VO
x LL CRY OF curEkTINAPPLICATION FOR BUILDING PERMIT
o jawiding Per.No.
w'%
U D6 , 1972- Sanitary Per.No. p ��
o. Application is hereby_ma for a permit to
w I�
F a stbry,'f TypeStructure
Z
m to be occupied only as in accordance with
ww _
c Plans,Specifications and Plot-Plan filed herewit I. PI Ck Fee$
20 Estimated Value of Improvements,$ 2S �0 ' Fee$ 7 �
c Total Fee$ 7 9•�5�
Z" 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 Cu ertino will be complied with.
W z Owner 117t, —�'LM�-C• 7.2 i — �+c �tt Cu' -c7' �C^-..r+.. `-'�O•t2
w Adtlrese
QO BY •'.'_- '_."� � "-""'`•Gk Address /
—U Contr. r Agant.
Phone �"U��rIO Approvad
State License 2(o J13�f Building inspector U
10809 I Norififield Sq','
q LOT NO. 153
NO. STREET
Z2 coeExtRlo CITY OF CUPERTINO
¢fin °` 1��•3 APPLICATION FOR ELECTRICAL PERMIT
LL \
V"� Permit No.
�o' p oet� O 7-7 to 73 Pees
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 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 LL
20 uae of 1-fam. res. work To ee wire for a.c.
> Premises Performed
z-C owner Dl tz-Crane Address San Clara
,,Z 13YWanderer Electric, Inc. Address Su le
-1O
3 Contr71IS-1eenyr
—y Phone JJtt���_��''ftJJ��
w z278674
WW State License Approved
X i
Q2 ( Electrical Inspector
_u
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 3
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges SD
Total Fees
10FD3 'I Norfh PId .54 WW,
N < NO. STREET. LOT NO. IS�
-Of:`Ueti1`mt0 CITY OF CUPERTINO
3 <
01 4� APPLICATION FOR ELECTRICAL PERMIT
JPN
r W !Date!' ��a —a� 19 la Perm it No. Z�
oa
> r face
z 0 Application is hereby made to the City of Cupertino for a permit to i all a ectrical
W
W : wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
S N. City of Cupertino, and all other laws applicable thereto.
� 3
z_ Use of Premises 4am res
J Z
J O
3 a Owner s —eIwI , Address ao—
W W BlWANDERER ELECTRIC, INC.
GI CONTRACTOR, AGENT A C E _
-U Phone: 736-54x1 PP ELECTRICAL IMPS
`State License .27867y
ITEM NEW RPL FEES
Number of Outlets
Number of Switches ann
Number of Receptacles
Number of Fixtures ALI
Rangvs os9vemW W. —
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryer;
Motors: to
i
H.P.Phase
H3.Phase
Power Poles
Miw
Pemut Fee 2.00
H.P.Charges
Total Fees
.30
_n�.LG�-.^-( LOT NO. I53
NO. snVT
CITY OF CUPERTINO
W Z my oP cunW LICATION FOR PLUMBING PERMIT
70 'Sanitary No.
3 a Uatesu" wN 1972. 19 — Permit No. S 73
LL
0 n Fee $ Z? 3 .5�
o Applic tion-is hereby made to the City of Cupertino for a permit to install plumbing
`oa 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
<W Cupertino, and all other laws applicable thereto.
wx
Use of Premises Single Dwe113n,g
U . 2295 De La Cruz Blvd'., S. C.
i- 3 Owner Ditz Crane Co. Address
'oz. - 167 E. Fremont Ave. , SIvale .
Z By L. C. Bohart Plumbing Co. Address
O CONTRACTOR,AGENT
3 P
- Phone 245-2323
W
W W
a o State License 1A6579 Approved �/
U V\ PLUMBING INSPECTOR v
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material
Bath Tub i To Curb
Shower / To Prop.Line
Lavatories Z o 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
Dnnking Fountain
Floor Drain WATER SYSTEM
•
Hopper Size
'Restaurant Sink Material
Sand Trap TOTAL FBES
. Urinal Fixture Fee' 'a
Area Drain Main Drain Fee
WaterLeader
ee
Sprinkler System Water Sys.Fee /
Relief Valw 11 r...Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee 3 ,
ll-V� _ LOT NO. /V
NO. MERT �• D
b < crtT OF CUAMICATION FOR APPLIANCE PERMIT
CIT
1973 Y OF CUPERTM
1AAR Z6
30Date . 19..— Permit No. 3
i n ^. :. Fee•S f O�
' o Application is hereby mark to the City-of Cupertino fora
Pe 1erntit t. o
o< install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
„ = Code of the City of C pertino, and all other laws applicable thereto.
Sc Use of Premises �
00 CI
Owner Address
Sg
j 9 By Address `V
f.0 GTO AGENT
Phone FLOG SHEET M PTAl; O9',
wW CAMPBELL, CALIF.
0 o State Lice I CEN— Gam' 9`�pg, Approved
..0 PLU MG INSPECTOR
F
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. ! �{✓0
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end. Vent System
Com.. Indust. Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System '
without Comfort
Forced Air.Mach.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip,
_Under 15'High
Over
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 3 rJt�
Total Total Fee W
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CIJPERTfNO
Date .... ............................ 19...2.x... Building Permit No.
The Building Located at ...jJ.,KQ.:1......&,614.1i.k-t. le......"a..4.........................
Ownedby ..:....... ..................... ........................ ............
Has Been (Ct'(AlFor Use As: .....1::..f .1.............................
tered)
.............................................................................................. ----------.......l............._.......
................................I...............................................................................................................
.........................--........................................."I.........._ ......—---------_-------.......................
. ....
..........: ...... ................
`Buimm wspwrm
RECORD OF IaSPECbON APPROVALS
BUILDING
DATE INSPECTOR C.
PAD FINAL ft�
FOUNDATION— 4,0w6w WAALa 2--%,
UNDERFLOOR y' ' ' -j,-L 2
FRAME Y 2-
LATH
LATH & PLASTER
GRADING FINALoq
FINAL BLDG. 3-2
ELECTRICAL
� . DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING 91-
FIXTURES FI%TURES - 3
MOTORS Q�
FINAL u `
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR ISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL'<ROUGH �� 3
ROUGH COMPLETE -Y, ��
MAIN DRAIN c
FINAL PLBG.
FINAL GAS 7
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No. J3
No. Street 7�
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. a
File No.
Date�L.0 r_19
Application is hereby made for a permit to
J3( d a story, Type
to be occupied only as si '4 ,�4--,_
in accordance with plot Plan, plans and Specification filed herewith,
Estimated Value of Improvements j
FEES �7 -7� - Ob Plan Check $
Owr,er _ /��/G '- G%«v�f� Address
Contr. Address
Phone A y`l State License 3
Approved �1
'
(i
APPLICATION FOR ELECTRICAL PERMIT
L 3i
Date /�I x,19 � I FEES
Contr. L�L-tI / / Address
Phone 5" L/ State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
. >r
Date 19 7 Z'' GAS FEES `/ /
T PLUMBING FEE $ -;I
Contr. 4--Xe Address G E/ol + -^-'r
Phone c2 3 State License 4
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 3 19 / FEES -
Contr. `/ Address /ac'
Phone - J,- U,91�` State License
Approved
Applicants agree not to violate any of the ef�
Workman's Compensation Laws of the
State of California
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