51273 I D O I Z 9 4, VoS-G.LL LOT NOn. O 1 'y•SJ`
NO. STREET - P /' a4'(11
y a CITY OF CUPERTINO
CITY of CUPERTINO
YD APPLICATION FOR BUILDING PERMIT
O J AUG 1 972 Building Per.No.
wU Data , 19 72, Sanitary Per.No.
mu. I$ppl�atidn ereby m e for a permit to
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oF a L story, Type Structure
¢'a to be occupied only as in accordance with
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a Plans,Specifications and Plot-Plan fil d herewith. PI Ck Fee$ _
20 Estimated Value of Improvements,$ 0�23)—C'M' Fee$ 72-,cr'o
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o a Total Fee$ 7-3,61
Z J It is herebyagreed 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
3 a the City of Cupertino will be complied with. �I
W w Owner — ""�-"'^^'' Address z l�/,S
CL
eY � 9 Address
Con , r Agent. s
11 Phone 24(1 ` Zci f 0 Appr Bd
�S- Starts License 26173 )Ae"El.ilding Inspector r
lofsl,) I Alor-kh4feld
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NO. STREET . :S LOT NO. /01
Z Z PIQn (3
Y ° Co ov �tPRICATION FOR ELECTRICAL PERMIT
3 U 41913 CITY OF CUPERTINO
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W W Date I„ ILS_, 19.7 Permit No.
Ice 3/ �U
a N Application is hereby made to the City of Cupertino for a permit fO i stafrelectrical
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W = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
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0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
S m City of Cupertino, and all other laws applicable thereto.
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zJ Use of PremisesQ-F11•
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3 < Owner �1 f� —(t YQYI� Address
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By WANDERER LLLGIRIC, INC.'
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CONTRACTOR, AGENT A LOV d
_U Phonc: /3b�S�r� 1 pp EL.c r LENS'.
State License D 78 to 7q
ITEM NEW RPL FEES
Number of Outlets
Number of Switches 7
Number of Receptacles
Number of Fixtures
Ranges orAvens^K:W.
Size of Main Service
Number of Meters
Number of Panels I.
S' -Transformers
Dryers
Motors:
1
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Totalees .�
0�,/ Z /�/�/G)fC(P�'V <1 ' LOT NO. Iii'Z
• NO. SraEft
n d 00 Of r.UrgoO CITY OF CUPERTINO
S1tPPLICATION FOR PLUMBING PERMIT
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i O Srip 2�jj�� n Sanitary Nu. 6F/ 4o j Date ^� 1 + ' 1977 , 19 — Permit No r�173
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34 Pee $ 023.E
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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
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
<w Cupertino, and all other laws applicable thereto.
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h H
0 o Use of Premises Single Dwelling
> w Ditz Crane Co. 2295 De La Cruz Blvd., S. C.
3 Owner Address
oa
Z� 167
� , By L. C. Bohart Plumbing Co. AddesE. Fremont Ave., S'vale
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F CONTRACTOR,AGENT
— Phone 245-2323
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400 State License 186579 Approved
�� /l, PLUMBING INSPECTOR /
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater ( Size 5'
Water Closet 2. Material C I
Bath Tub I To Curb
Shower To PmD.Line ✓
Lavatories z To Existing
Kitchen 6 N nn.
Dish Washer
Waste Disposal
Wash Toa STORM DRAINAGE
WashingMachine Size
Water Softener Material
Bar Sink To Main Drain
. Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
.Floor Drain WATER SYSTEM
NFilter
Size
rant Sink Material
Trap TOTAL FEES
Fixture Fee / "D
rain Main Drain Fee
e de St rain Fee
ler System Water Sys.Fee (d"6
Relief Valve Gaq F"
eaker
er
weeper
Permit Fee
Total Total Fee Z 3. J
LOT NO.
NO. STREET -
an ovAPPffCATION FOR APPLIANCE PERMIT
JgI3 CITY OF CUPERTINO
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o i Dat`eLIAR } i 3 19. — Permit No. ��� 7 3
= 0 1 ,� rh' Fee$— /I 0
Application is hereby nide to the City-of Cupertino for a permit to
°o -C 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 Ci of C pertino, and all other laws applicable thereto.
3 ~ Use of Premises
n
00
"°
M3 Owner Address
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By Address
F CONTRAC OR,A NT
—a PhonPPLOG SHEET METAL C,,—
WE
,,Wm CAMPBELL, CALIF,
o 1 tate LiceWFENSE 2S9a29 Approved—kL/
ao
—U �( PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. / W u a
Gas Fired Bailers
Warning Ovens
Susp. Units
Dwelling Kit./Bath y `f✓1)
Inde end.Vent S stem
Com., Indust..Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind.Ventilation System
without Comfort Coo A
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues '
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under 15'High
Over 15'lligh
Comfort Cooling
Comp.of 20 HP or tens
&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
u
Perini[Fee
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING mspEcrows OFFICE
CITY OF CUPERTINO
�7 .. .. .
Date ....-...?>..::..f:::..-................... 19.....'... Building Permit No. )�j ....... ...
The Building Located at .....:. s ...... ............
Ownedby ......... ........ ................................................................
0
Has Been or Use As: .............. t.........I......... ....................
............. ......................................................................................................-................
............. .....................................................................................................................................
.....................................................................................111; ............_...1---.---........_..----.....
-N - -- -------
-----RI'LDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPEC O rNM
PAD FINAL ,
FOUNDATION �w.'?
UNDERFLOOR Z • '�. G
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE
DATE
'• INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING 9-Z-23
FIXTURES 73
MOTORS
FINAL a
PLUMBING. GAS 8 APPLIANCE
DATE INSPECTOR M C.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH L�
PARTIAL ROUGH �3
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. ! '
FINAL GAS �_��_ -73
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
L2__9( 2- 1 Lot No.)
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.9
File No. - .27-3-
Do to
3Date 19 72
Application is hereby made for a permit to
a story. TyP -�
to be occupied only as
in accor nc-e with Plot Plan, Plan /Jd Specification filed herewith.
Esti
mated Value of Improvements $
FEES 60 Plan Check $ ,
Owner /2//17 L2CGZ� Address
Contr. -10 l Address I 1
t
Phone ���'- �!� State Lica ns .26 ) -9 .��
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 2-3FEES /7
Contr. `CAI-xk-� Address
Phone b - S�d'l State License
Approved `�//o`u^9/•-'w�
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 7 1/ GAS FEE $ C J
PLUMBING FEE $
p o2 -
Contr. - Address !6 7 C-- t-' A-t�
Phone State License & '
Approved -
Y6 APPLICATION FOR APPLIANCE PERT
Date 19 ;z FEES
Contr. '7��X Address 1`3c) tom/ ,ti+m--�---'�/
Phone 17 �' D `J',3 State License
Approved CIV
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1