51273 I� � 53O LOTNO.
NO. STREET C
N
a CITY'OF CUPERTINO
Y a Gitf �p CUPcFTINO APPLICATION FOR BUILDING PERMIT
3 U A�Gtl 1972 Building Par. No.
, 1B y Sanitary Per.No. .S'// 6 Rc
1-o J-)APPlicafitih hereby m e for a permit to
�t u2cC.
w
o l- a z story, Type Structure
y to be occupied only as in accordance with
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a F Plans, Specifications and Plot-Plan filed erewith. PI Ck Fee$
20 Estimated Value of Improvements,$ 3 ttr • Fee$ 72,06
Total Fee$- 73
oa .6 I
z� It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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and all other laws applicable to the construction, location, and use of buildings within
iP the City of Cupertino will be complied with. n / no (/ L
Wo
wOwner — Address
a
Q 0 By � � Address
—O .IcI''rorntrrt f Agent.
Phone 'P4N- v- l o Approved s
State License 9 6 t7 3 L Building Inspector
/0853 North i elet p
!A Q NO. SER r.CT� LOT NO. O
r °_ ov of Alnn41CATION FOR ELECTRICAL PERMIT
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3 u JPN CITY OF CUPERTINO
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' W •Date F-�a'"a 19 2Q Permit No. J91 _
° < 7C
Fee ti
<N Application is hereby made to the City of Cupertino for a permit to in.to electrical
W w wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
j W wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
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3 0 City of Cupertino, and all other laws applicable thereto.
03
z_j Use of Premises -dam res-
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J 4ELECnUr-AL
Owner �l';"Z - LY/�.h� AddessO W W Ly 2 CONTRACTOR, AGENT a UPhone: -73b- 514c�1 APProve INSPE
State License 3S 67q
ITEM NEW RPL FEES
Number of Outlets I
Number of Switches
Number of Receptacles
Number of Fixtures . /,S-
Ranges
R es or-Ovens-Ii-W. I —
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryers
Motors: b
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees
/ O /v��JGvCGC% LOT NO. l (�
NO. STREF..
CITY OF CUPERTINO
" <
ZAPPLICATION FOR PLUMBING PERMIT
—
o CRPENRN
Y OF CUO l ��� Sanitary No. g//r ale
3 a Untsp 2W97i / 19 _ Permit No. Sig 73
W LL Fee $ 03- 5-22)
o ApFilicaADn Is [Deb), 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 w Cupertino, and all other laws applicable thereto.
Use of Premises Single Dwelling
00
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3 Owner Ditz Crane Co. AMP De La .Cruz Blvd., S. C.
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o By L. C. Bohart Plumbing Co. Aj&L2ssE. Fremont AVe., S'vale
3 r CONTRACTOR, AGENT
— Phone 245-2323
atate License o
U PLUMBING INSPECTOR ; /
- G
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size
Water Closet Material
Bath Tub To Curb
Shower / To PmD.Line
Lavatories To Existing
Kitchen Sink 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 Size
Restaurant Sink Material
• Sand Trap TOTAL FEKS
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee I.fid
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 2elV
Total Total Fee 1 J-<S"U
I'P)gr 3 Y ll�S�1� I�CM LOT NO. /
NO. STREET �•'
curmwo APPLICATION FOR APPLIANCE PERMIT
2 61973 CITY OF CUPERTINO
o Dat , 1 5 194, 19, _ Permit No.
au
A 1 Fee•$ �3
, 0 Application is hereby made to the City-of Cupertino for a permit to
o < install gas appliances 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 City of Cup rtino, and all other laws applicable thereto.
3Use of Premises
4
"" Uwner Address
75Q_,�
r3
2J
o By �8 I Address
CONTRACT R,AG NT
` LOG SHEET METAT'Cna
- 0 PhonrP
vz CAMPBEI._L, CALIF.
61 State LicdLfE'FNG� 25$g25 Approved-
40
1/
-U �- .� PLUMBING TNSPEcrOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath y ru
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
Forced Air.Mech.each Power
Gravit •System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks, Mise.Equip,
_Under 15'I'ligh
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 dO
Total Total Fee 'N
s
CERTIFICATE ' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .....''7......................................... 19.. .. .... Building Permit No. ............ .
1
The Building Located at ......I.=!.: _?-...:.'........d `.....a.TNf_r.NCJ--...c. '....._...
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Ownedby ....:' � L.-.....Ukk-,e. .............................................................. ............
—�, `� t .. �--�
Has Been (C�mPleted For Use As: ----....e..r-i .r.:.-.. 4' ............:..............:.....
( tered)
----------..._......... . ....................................................................
....
....................
.-----------------
...
- .... ..------......-...........................................--- -- -'...............................
............. �',--..!: .r'. :........................
ILDING INSPECTOR
r
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR A MISC.
Ili PAD FINAL 11 11 • 1
FOUNDATION Z� t—�Zl
T �2J►.7
UNDERFLOOR ^ / • Z'' ZA X73
FRAME Z3 z
Lool
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES L8 k
MOTORS_
FINAL 1
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MI5
BACK FLOW REQ, 3
SANITARY NO.
UNDERGROUND ROUGH:4/."-/,
PARTIAL ROUGH 5 _
ROUGH COMPLETE f
MAIN DRAIN l U 2
FINAL PLBG. 9
FINAL GAS — '!
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No.1v
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT QC
Sanitary No. X/A%/ s+r
File No�/. /"?73
Date �19 -72'
Application is hereby made for a permit to
story, Type
to be occupied only as
in accordaac ith Plot plan, plans and Spe ecaticn filed herewith
Estimated Value of Improvements $ '7 6d
FEE$ /-� Zd . :2 0 Plan Check $
Owner J//7"L L/!G Addres.,!E-2
/l 11 �� /•
Contr. Address C
Phone "�z y 'rq State Licensee���I —<1 4,
Approved
4CC"� �131-2
APPLICATION FOR ELECTRICAL PERMIT
7 ')
Date //G(1~ 19 2j FEES 7
Contr. -4c'Lx� Address g�a--J �Xx
Phone ---7,3 State License 2 746 7
Approved f
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APPLICATION FOR PLUMBING & GAS PERMIT
c
Date / � 19 �� GAS FEE $ (/'r=Ja
JSq PLUMBING FEE $ jE L"t
Contr. — {�"�-�-�' Address fib 7 ` `-' �`->•-�—�
Phone — �4�r��t.3 3 State License //,?6 r7 9
Approved
APPLI AC, TION FOR APPLIANCE PERMIT
Dote �Lf= 19 7 } FEES
Contr. 1l Address /`a-`t *-'c„'�e� C--
Phone .37d- O 93IV State License �`-1 as -�-
Approved
Applicants agree not to violate any of the "`-
Workman's Compensation Laws of the
State of California
PD-1