51273 D (g72' L4_'� .a: - LOT NO. 166
NO. STRE ' F
N
'z CITY OF-CUPERTINO
a o afwvto APPLICATION FOR BUILDING PERMIT
O J Of Building Per.No.
W u Det(a; 19 Z Sanitary Per.No.
�o W�fication is j�@reby made for a permit to
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oQ a 2—slbry,- Type Structure
N p
Z
to be occupied only as mil '�`�`^i ��9� in accordance with
aw —��
x Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$ — "--
3Z 9s:so
0 o Estimated Value of Improvements, $ Fee$
> Total Fee$ '77,7q
Oa
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"
3Q the City of Cupertino will be complied with.
iOwner ' `�� Address ZZ 9S
It r
O E By Address
Q u Contr. Agent.
Ph— A W(J /O Approved e
State Licanae Quo 17 3 L/ 1< Building Inspector
/o$1a I A/nrinlPeld SoYCI<rP, /
N ` NO. 5X00 STREEtLOT NO. J�b
Y ° °r`
C _
No
(CATION FOR ELECTRICAL PERMITS
330 CITY OF CUPERTINO
= LL n
o Date Df��► —, 19,-12 Permit No.
o <
Fee 5
a Application is hereby made to the City of Cupertino for a permit t4 ins6M-Electrical
w
W'z wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F3 City of Cupertino, and all other laws applicable thereto.
z_j Use of Premises ► - =Cam- )-es.
J Z
3 a Owner D1'g - G`ahe— Address t ►a.e
W Z B WANDERER ELECTRIC, INC. h V
9
CONTRACTOR, AGENT PP
A rov
<u Phone: 1_�h-SLIe�I r. e
(� State License. a 7 8 6 7 t-/
ITEM NEW RPL FEES
Number of Outlets la
Number of Switches 17
Number of Receptacles a 6
Number of Fixtures 1 a O
Size,of Main Service
Number of Meters
Number of Panels 1 it
S' -Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.
Total Fees D
10222- 1
NO. STRBS"Woolly LOT NO.
� hT �"
CRY Of COf m CITY OF CUPERTINO
N -i AWPLICATION FOR PLUMBING PERMIT
Z
.p SEP 2 p �9/7
z Sanitary No. -3�
3 u Ua0_ r -{ i - 19 _ Permit No S/a73
w_ n - 1,972 Fee $ a
° Application is hereby made to the City of Cupertino for a permit to install plumbing
0 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
wCupertino, and all other laws applicable thereto.
W I
Use of Premises Single Dwelling
00 2295 De La Cruz Blvd.p S. C.
3 Owner Ditz Crane Co. Address
0a
JZBy L. C. Bohart Plumbing Co. Addj 167ress E. Fremont Ave., S'vale
0 Address
3 F CONTRACTOR,AGENT
- 0 Phone 245-2323
a a State License 186519 Approved�Lf/� /
_U / PLUMBING INSPECTOR ✓
Ill ii, �
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size '
Water Closet 2 1 Material
Bath Tub To Curb
Shower / To Pro .Line
Lavatories 2 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 FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water -t.Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve GA.17.�.
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee Z
W-7 y [/�-�`�'.. • 4 LOT NO.
NO. STeEET ` /�
WMATION FOR APPLIANCE PERKY
10i o
z 4 cn i 19�3 CITY OF CUPERTINO
Yg nn R2,6
Dat 2�A 19.,_ Permit No. 7 3
Fie a Z 3 '--
' o Application is hereby made to the City-of Cupertino for a permit to
u install gas appliances as listed on the reverse side hereof, and agrees to
N install said appliances in accordance with the provisions of the Plumbing
= Code of the, City of pertino, and all other laws applicable thereto.
SUse of Premises
4
00
Owner Address
o�
z (�C
j10 By Address \�
co a.AGENT
3 PhoLOG SHEET METAL CO.
W W CAMPBEI. CIF.
ex State LicUreENSE X252828 Approve
PLUMBING INSPECTOR ��
APPLIANCE UNITS FEES
as op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. 1 9-6
Gas Fired Boilers
W amt i ng Ovens
Susp. Units
Dwelling Kit./Bath y y n
Inde end. Vent System
Com.. Indust.. I nsl.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
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,Misc. Equip.
Under 15'High
Over 15'11 dah
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
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
Date ........8.-...-.3........................ 1917.... Budding Permit No.
The Building Located at ............a..........7
Ownedby .......D 77----Ca Ajtv.(F.........--------------------.........................*........
Has Been .G4 eted) or Use As: ...---- ...............
(Ailti
........................................................................................................ ................................
..............................I................................................................................................................
.................................................................................. .............................I...............
- -------------------
qBt6)IKG INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTORrN\ SC.
It
PAD FINAL,
FOUNDATION
UNDERFLOOR v n
FRAME 4? t 7
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
(3
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING - 1 `
FINISHED WIRING ( cl`7 -
FIXTURES � l - `
MOTORS �y
FINAL 6���
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH-A
PARTIAL ROUGH �t
ROUGH COMPLETE
MAIN DRAIN OX) 7y
FINAL PLBG. // 7
FINAL GAS ✓ -(
FINAL APPLIANCE _ 7
DATE INSPECTOR MISC.
MISC
MISC
MISC
Id S 72 I J' / �/�-A�`� 1LY Lot No.�tp
No. Street 1 - �y
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT Qp /� lyC�
/
Sanitary No.2 / /
File No.,�5Z2 7 3
Do to 19 Z
Application is hereby made for a permit to
J � a st�ory/, Type
to be occupied only as ?� 2
in accords .e with plot plan, Plans and Spe ication filed herewith,
Estimated Value of Improvements $
r
FEES — �� �� Plan Check $
Owner Z2/Z� Address C�
Contr. Address
Phone — �/ `1 - ��7� State License '� 4' l -23 (fn ,�,
Approved /
APPLICATION FOR ELECTRICAL PERMIT _
Date 19 2.3 FEE$ --- I9 S
Contr. _ c'�/ a-. Address
Phone --7,3 State License - .2 if
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
J
Date 79 7d\ GAS FEEE C� a
/
PLUMBING
/FEE
$
f -D
J` '-'�-�
Contr. — C Address
Phone a SSS �0�-.33;� State License
,(��0
Approved
Dare ' 79
APPLICATION FOR APPLIANCE PERMIT,
7-3 FEEf
Contr. Address 1-30 -z/'�+.- G
Phone -32 d `O 23 SZ State License yc:2 Sez �of f
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
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