51273 09/3 `7�tnX.�1.Ae.QiP 5-c� /o Z }-sys
LOT NO. n
NO. STRE L�•:r l L, .. J-
z c CITY OF CUPERTINO
f¢ OI' curzilTitl
Y�Tr APPLICATION FOR BUILDING PERMIT
O Building Per. No. C
w�t+"DB[e �' 7 , 1972 Sanitary Per.No. p/" O
ILL L / n
l- o AfiplidetiPis hereby made for a permit to
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0 F a Z story, Type Structure
rn to be occupied only as in accordance with
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a r Plans,Specifications and Plot-Plan filed erewith. PI Ck Fee$ _
20 Estimated Value of Improvements, $ 23 Lre C? ' Fee$ 72
04 Total Fee$
73 •k (
Z J 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
3 P the City of Cupertino will be complied with. µ7-
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�� - G c�.�.- 22ys CLIL
Own /) r�e ra, c�
W w �elrq' Address
U 4 Address
contr.or ftent.
Phone 1,9 25 I Approved a
State License 2� I7 3 Y` Building inspector ' `
M9/3 I NorLhl i endS4Ilgro.
N Q N0. s'rRr.r .•, IAT NO. In -2
w ��p strto /�1Q n G
r u qry N AP�P.LICATION FOR ELECTRICAL PERMIT
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CITY OF CUPE•RTINO
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n w }''��� 19 Permit No
° < Fee S / e�F f{
<m Application is hereby made to the City of Cupertino for a permit to ms alctrical
I wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
ii o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
0 City of Cupertino, and all other Imus applicable thereto.
03
o J Use of Premises
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3 a Owner Address
W BIMIANDERER ELECTRIC, INC.t*TaT.- "
°°ress
CONTRACTOR, AGENT
�r
a u Phone 7'Jf�-5y�l API p4 ELEMIUIL INSP
`e State License ;)76b 7q
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures 11 1
Ranges orAvene-IfcW.
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryers
Motors:
H.P.Phase _
H.P.Phase
Power Poles
Mose
Permit Fee 2.00
H.P.Charges
Total ees
/6/1 3 LOT NO.
NO. STR .l'
CITY OF CUPERTINO
" < APPLICATION FOR PLUMBING PERMIT
z p
x o QTY OF CUPERTINO Sanitary No. O �/ U
LL rJ<+t y + i .� 19 _ Permit No �/y73
3 $�� �FIt 1 7 f f Fee $
= LL
0 AAplilati® 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
> r and/or fixtures in accordance with the provisions of the Plumbing Code of the Carty of
wCupertino, and all other laws applicable thereto.
LL Use of Premises Single Dwelling
00
oa Owner Ditz Crane Co. AAq,s De La Cruz Blvd., S. C.
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z By L. C. Bohart Plumbing Co. Aj&jssE. Fremont Ave.. S'vale
O CONTRACTOR,AGENT
3r
- 0 Phone 245-2323
W 2
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o State License 1$6379 Approved _.
_U .� PLUMBING INSPECTOR
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FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater ( Size
Water Closet Z Material
Bath Tub To Curb
Shower I To Prop.Line ✓
Lavatories To Existing
Kitchen
x' tin
tchen Sink Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Wash=Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
mental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee .
Area Drain Main Drain Fee.
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Relief Valve Gnn F�.
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 2-61V
Total Total Fee I 2-
109/3 �7_p l rf 1_ fi . LOT NO. 1D.a
NO. STREET - C
b APPLICATION FOR APPLIANCE PERMIT
d C11Y OF CUPERTTNO
a ox C1111 61
W :1 Date KN 19, _ Permit No.
WW LL� � Fee-$/S "
' 0 OAgplicftion is hereby ffmde to the City-of Cupertino for a permit to
o i 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
W Code of the City of Cupertino, and all other laws applicable thereto.
3 Use of Premises
00
Owner Address a-2 A o/V 6
2J
Z By Address 13a 1Azl.._
�'O CONTRA OR,AGENT x_7_'00�
3
— w Phone -TOIL-02311
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WW
aoState License �saBaS— Approved
-U II PLUMBING INSPECTOR
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 ?i Independ. Vent Svstem
Com., Indust.,Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without Cornrort Cool.)
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues OY/
Stacks for Metal Fireplaces
Smoke Stacks,Misc. E ui t.
Under IS'High
Over 15'High
Coin fort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Com . over 20 HP& Under 50 HP
&Abso .units with input
of 500,001 &Under 1,000,000
Pemtit Fee d0�r/
Total Total Fee l-ri
CERTIFICATE ,. OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date nzz....................... 19.2 15 Building Permit No. i?.'2.71
.......... .. ... ..
The Building Located at .1P.?1_3....A19-4-n-4--4 eaof.....S.-*,......................
...C.424,61.Aft
Owned by 1 ...........................................................................
Has Been (Q(A�For Use AS: ...... .................I...................
ltered)
.............................................................................11..................................................................
.........................................................................I........................................................... ...........
...................................................................... ............... ...................
...............
6ILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSP T R C.
PAD FINAL 'L
FOUNDATION
UNDERFLOOR-
FRAME
NDERFLOOR FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
�• G DATE INSPECTOR MISC.
UNDERGROUND ROUGH •�
ROUGH WIRING-
FINISHED
IRING FINISHED WIRING
FIXTURES
MOTORS
FINAL r
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR`S MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH-9/25r/2
PARTIAL ROUGH ROUGHCOMPLETEMAIN DRAINFINAL PLBG.FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
Lot NoJ'O,Z
No. Street
CITY OF CUPERTINO (�
APPLICATION FOR BUILDING PERMIT �(
Sanitary No.
File No.
Dote 19 ' -2-
Application
Appplication is hereby made for a permit to
a story. Type
to be occupied only as 67 � � � :l y is
in acenrdanc pith Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
i
FEES Z ,, 1,J700 Plan Check $ /1 )
Owner//i/�1 Address D/ ya�LL'� /
Conte, / Address
Phone �`7/ f� ��O State License -12+ �6
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 ;;1,3 FEES /
Conte, Address4g f(/
Phone - 736 -SKJ-1 State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
9
Date � 19 7 lr GAS FEEE C/r—/
PLUMBING FEE $ -
/�- 7 �
Conte. Address
Phone ff 23 d-3 State License L7 p
Approved /
i
APPLICATION FOR APPLIANCE PERMIT
Dote 19 73 FEES
Conte. Address me
Phone37 d —O f 3 State License
-- Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State, of California
PD-1