51273 /0 063 /4 �XQ-1 r,. -R.F'.L� LOT NO. 107
NO. STREEV B ClA7it
W
Z CITY OF CUPERTINO
V o QTY OF Cu""'O APPLICATION FOR BUILDING PERMIT
QLL
O: Building Per.No. S_/ Z 7?_3wU Bete�' 72 I � , 7972' /�• ,,S,eni%rVPor.No.
o �PpWation Whereby "e for a permit to
LL W
F a-L story, Type Structure
Z
N to be occupied only as Q1. , in accordance with
ww
61
a F Plans,Specifications and Plot-Plan filJ herewith. PI Ck Fee$
20 Estimated Value of Improvements,$ �3) Or-O Fee$ 72 -o-n
o Total Fee$
73,& I
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
�
Z and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with.
ww Owner� Address 2295 6�tt,`Z'LL7) /�{'(('• � J
O Q By Address
COnt1.or pant. s
C
PftOne 2� Z � � � '1 Approvetl s
State Licanm �� 13 4 Building Inspector \`
) 08h3 10)rjl-h ` 'i�lVCS
;nQ NO. 5TREr.T LOT NO. )t7 7
w P)o /i B
,, ae a gICATION FOR ELECTRICAL PERMIT
3 a 1913 CITY OF CUPERTINO
LL A� 4
= 0
Date a -� 19 2� Permit No.
° I=ceti�
a N Application is hereby made to the City of Cupertino for a permit to install electrical
* N wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
j wiring and/or fixtures in accordanre with the provisions of the Electrical Code of the
00
'> y City of Cupertino, and all other laws applicable thereto.
0 3
z_j Use of Premises - Wim. res.
J z
_ 0
a Owner Ifs - C�Qh� Address
- N WANDERtH RL;,,F INL; U
w z By I re
w w
CONTRACTOR, AGENT PP
U Ph.ne: -73b ,5LZO I r ELECTRICAL INSY
k State License J-Vb7Lj
ITEM NEW RPL FEES
Number of Outlets I
Number of Switches
Number of Receptacles aJ
Number of Fixtures I
Ranges
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryers I-
Motors:
H-P Phase
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Charges
Total Fees
do .q � ,///irli(AC.�i� �r.Jf.O�^Ct' LOT NO. /417
No. SIRE;V
CITY'OF CUPERTINO
w Z PLICATIONFOR PLUMBING PERMIT
E Cnj oe eu
0 Sanitary No
3 a USC U �97��, 19 — Permit No.
W Pee$
c;;? 3. fa
° A(�j IicaZSon ((��Ais hereby 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
r . and/or fixtures in accordance with the provisions of the Plumbing Code of the City of I
a w Cupertino, and all other laws applicable thereto.
W Use of Premises Single Welling
00 q
� 3 Owner Ditz Crane Co. AAs De La Cruz Blvd., S. C.
0a
ZJ
J , By L. C. Bohart Plumbing Co. AJ?2ssE. Rremont Ave., 51vale
° CONTRACTOR, AGENT
3 < 245-2323
— a Phone
W z
W W
a o State License 186579 Approved /
U PLUMBING INSPECTOR 7/
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size 4`L
Water Closet 2 Material
Bath Tub I To Curb
Shower To Prop.Line
Lavatories Z To Existing
Kitchen n.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine i 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
f Sand Trap TOTAL FEES
Urinal. Fixture Fee
Area Drain Main Drain Fee
Water Leader St m Drain Fee
Sprinkler System 1i Water Sys.Fee
Relief Valve Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Pemut Fee
Total Total Fee �P 3•, d
�LY�l; LOTNO. , /D• /
NO. STREET, 7)
Z `
cnAPMOATION FOR APPLIANCE PERMIT
thA R B 1977 73 CITY OF CUPERTINO
L LL
3a Date - 19. — Permit No. .S/a73
NU LL Fee•$��3 0"0
' 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
ia install said appliances in accordance with the provisions of the Plumbing
„ = Code of the City of Cup rtino, and all other laws applicable thereto.
SUse of Premises
00
(honer �i—� Address
zBy �LL4 Address - ✓I-+`�`-"��-
0 C0NTjIACrdR, AGENT
`
Phone -
PLOG SHEET METAL CO.
`
- m
W W CAMPBELL, CALIF.
aState Licerk& N h 921129 Approved
- 0 K PLUMBING INSPECTOR _/
Y
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
Inde end. Vent System
Com..Indust.. I nst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort Cool-)
Forced Air.Mech.each Power _
Gravity System
No.of Air Outlets.No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks. Misc. Equip.
_Under 15'Iliph
Over 15'Biel
Coin fort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Cornp over 20 HP& Under 50 HP
&Absorp. units with input
of 500.001 &Under 1.000.000
Permit Fee J�
Total Total Fee /v
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
Date .....' ..-...._L ...................... 19. ..3..- Building Permit
/Nto.
The Building Located at ...0>uL..S.......f .........7/!........ .�.?vl_'......................
} '
Ownedby .... . ................._............-....---..................................
Has Been ((Alter�eor Use As: ......... �_' :...✓.``� .........._........._............
............................--..........................................I................_..........-----...................................
................._... --- ......-------.................................................---..........................................................................................
......_... .-.:....._......... . ..................I........... ...............................
(.{ ......................................
&JILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECT ISC.
PAD FINAL07-d 17 I-L^ 1
FOUNDATION IZ ' ' (Atiel a--L
UNDERFLOOR •Z) L-Z'O '-3
FRAME
LATH & PLASTER
GRADING FINAL
77 3
FINAL BLDG. .Z
I �,� ELECTRICAL
v DATE INSPECTOR MISC.
UNDERGROUND ROUGH f
1
ROUGH WIRING ^ l
FINISHED WIRING -�
FIXTURES 7 3
MOTORS Q Z
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH U 7' y r
PARTIAL ROUGH -7
ROUGH COMPLETE 40-7
MAIN DRAIN
FINAL PLBG.
FINAL GAS 7
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot No/O,
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No. •: 44 a7
Date �/� 19
Application is hereby made for a permit to
a story, Type v -
to be occupied only as _
in accords a with plat Plan, Plans
gand pecification filed herewith,
Estimated Value of Improvements $ p(. r7 0 d
FEE$ %'� • 6 /Q1 Plan Check $
Owner Addressee 7 /Xtt ULC-c.�l
Contr. Address
Phone State License -7
Approved 2 - /
APPLICATION FOR ELECTRICAL PERMIT
/ a
Date 19 73 FEE$ �� 7
Contr. G(/ Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date. ZZ-Ld19 GAS FEE $ (/ !2- J
T PLUMBING FEE $ {^ 2a . -,-/<. (-
-5
Contr. —.F'YT�-sir Address - � 7
Phone -2,70j-- -.3 1._d State License � ` `(" 7�9
Approved '�'""�-�
APPLICATION FOR APPLIANCE PERMIT
Date `� 3� 19 73 FEE$ -
C Darr. Address
Phone - Ly/-f—a 9 State License
Approved
Applicants agree not to violate any of the -�<-
Workman's Compensation Laws of the
State of California
PDA