51273 LOT NO. 179
NO. STREE `—a D JL4, 1",
W Z CITY OF CUPERTINO
¢- c00V'0APPLICATION FOR BUILDING PERMIT
O O ut'1o F X912.7 77,-
19—.
7'L Building Per.No.
wU q{p��v� 19 sanitary Per.No.
o Application hfby r�r ade for a permit to _0A+-_C
ofa story, Type 'l-�/ Structure
m to be occupied only as in accordance with
ax Plans, Specifications and Plot-Plan fi ed herewith. PI Ck Fee$ —o
Ju /•75
_o Z5
O Estimated Value of Improvements, $ 4 6C'O• Fee$ 78•"
7 N
o a Total Fee$ �9.7s
zJ It ishereby 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.
W w Owner_�'tL—WGN4.Q� Address 2�ys "-" � .t>`I/[a• �,�2
ao By es caMeti Addres 1i
—U Can tr.or gen .
I� Phone 2'u N — 24 1 Approved s
State License 2(0 17 -J 4 Building Inspector
/o&5) I Alor4h el e J 4 •.S� r� r�-�c, /
!a < NO. STREET' _ LOT No. / / h
W = play) JD
r ° �N L� )FATION FOR ELECTRICAL PERMIT
L� t^ CITY OF CUPERTINO ^
o Dated 19 Permit No. y
o a Hee S �
a m Application is hereby made to the City of Cupertino for a permit t1i ryryryall<re'arical
W
W r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
S a City of Cupertino, and all other laws applicable thereto.
• 3
oz j Use of Premises — Cam. res
J Z
O
3 a Owner �if� - .vane Address
WgyWANDERER ELECTRIC. INc L _ Address
CONTRACTOR, AGENT
` 0 Phone: -7,3 b 5�/�I ApprGv
eLEcnucA INS CTM
State License
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles a3
Number of Fixtures I 1
Ranzes or8vens4(-W. —
Size of Main Service
Number of Meters
Number of Panels
Signs-Transformers
Dryers I
Motors:
H P Phase .14
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees
16e2, I 1V0,-7'11/=16'1 p _S90"410— LOT NO. 179
K"f7 STREET
Ww a NOV 28 197' CITY OF CUPERTINO
2
Or 0 APPLICATION FOR ELECTRICAL PERMIT
2
O A I
¢w
3 U Permit No.
W
r0 Date /— 2 1972 Fee$ 6. 6d
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 n wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F i City of Cupertino, and all other laws applicable thereto.
a�
Jw
00 use Pf 7,6.yp Pa wag work To Be
> Premises Lf Performed
Z<Owner Address Z.Z9.J A& -4p Cede 3<u A
r7�— g
�0p ey Address
of trac t
3 m Phone 2
wz
w State License � /73 1—k Y Approved �
¢a
t7or, Electrical Inspector
a0
—O
J
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
f�U�
NO. ////ISTREa/ ✓[-G'l-/ - LOT NO.
/
APPLICATION FOR APPLIANCE PERMIT
d c CITY OF CUPERTINO
3 i Date GQc � 19. — Permit No. Sia 7 3
oW6Fee•$
` ppicaigi
rm
de Iereby mato the City-of Cupertino for a permit to
o i install lgasPppliances as listed on the reverse side hereof, and agrees to
z a install said appliances in accordance with the provisions of the Plumbing
„ = Code of the CiLy ofupertino, and all other laws applicable thereto.
S ~ Use of Premises
000
"
Own er Address
ZJ
z By jk� Address
O CONTRACTOR. GENT
3 w PhonFLOG SHEET METAL CO.
5W CAMPBEI.-L, CALIF.
a o State Licr, ENSE2o2B28 Approved d _
U I� PLUMBING INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. t
Gas Fired Boilers
Wanning Ovens
Susp. Units
Dwelling Kit./Bath —f-' W rN
Inde end. Vent System
Com., Indust..Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFNI
Forced Air Over 4000 CFM
Ind.Ventilation System
(without Comfort
Forced Air.Mech.each Power
Gravity System '
No,of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Mise. Equip.
Under 15' High
Comfort Cooling
Comp.of 10 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
Total 11 Total Fee I (! o
I6 ' q �crLCP^ LOT NO. A
NO. STBEF .J
CITY OF CUPERTINO
W i OTY CP W PLICATION FOR PLUMBING PERMIT
x o e� A Sanitary No. 'F'/
3 a llA -P �' � 7 � 19 _ Permit No 5`/373
w LL Fee $ 0�3•��
= 0 Alp Iic honl is�ereby 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
> r 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.
w x
� r
„ Use of Premises Single Dwelling
00 2295 De La Cruz Blvd. S. C.
�
3 Owner Ditz Crane Co. Address
oa
aJ L. C. Bohart Plumbing Co. 167 E. Fremont Ave., Stvale
z By Address
O CONTRACTOR, AGENT
3 �
- `m Phone 245-2323
w Z
w w
t-a o State License 186579 Approved
\ U �� PLUMBING INSPECTOR
foz �0
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size "
Water Closet Material c
Bath Tub To Curb
Shower J To Prou.Line ✓
Lavatories 2 To Existing
Kitchen Sink Not Com.
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
Fountain
Floor Drain WATER SYSTEM
Ho r Sizet "
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee i
Relief Valve
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total 1 7 1 11 Total Fee Z3.
CERTIFICATE' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......... ...................... Building Permit No.
The Building Located at ....4.7 5� .Q,...................
Ownedby ....... ....................................................................
(
let
ed.)
Has Been (Altered) 'For Use As: ........... ..
..............................
.............................I............................................................... ...................................................
..................................... ......................................................:—......................................
.......................................................................... ....... ......................
..........—a',
k11.........................................
A6LDING INSPECTOR
RECORD OF, INSPECTION APPROVALS
BUILDING
DATE INSPECTpr% jo MISC.
PAD FINAL vs
FOUNDATION
UNDERFLOOR 7'-nA '
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
EL)CTRICAL
0• DATE INSPEETOft MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES 73
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR ISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH 7
ROUGH COMPLETE
MAIN DRAIN T- 7
FINAL PLBG. 7FINAL GAS FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.
No. Street
CITY OF CUPERTINO �" 7->
APPLICATION FOR BUILDING PERMIT ////
Sanitary No. X17,161
File No:. 2, ,Q ,73_
Do to 19
Application is hereby made for a permit to
WIEI�Na 2 story, Type
to be occupied only as
in accordance with plot Plan, Plans and Spec' i aiion filed herewith.
Estimated Value o4 Improvements $
FEE$ -„rr���L� ' Q 0 Plan Check $
Owner 1//7/ ' (//lliL/JZ--C� Address C `mac
Contr. Address
Phone ��(/L��/� " ,�(�9l State License l 7 3
Approved
� APPLICATION FOR ELECTRICAL PERMIT
+'!-
Date 19 FEES It
Contr. Address J--r oma” J
Phonel/ State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date / 19 7� GAS FEE $ C/—//
PLUMBING FEE $ 02 Sy
Contr. _ Address /G J t-- '
Phone —o2 SSI —oZ.3 State License '�/�/�G�Se�o�
Approved
3 6
APPLICATION FOR APPLIANCE PERMIT
Data 19 FEES �/y/
Contr. Address �� 24—t- "�--^�- Q,
Ph
one - a J(� ' r:) c'/ .3 - State License ��� �a
Approved
Applicantsagree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1