51273 Lot No.�J�O
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No.-- 1/12
File No.�4 ,273
Date 19 Z
Application is hereby made for a permit to
Q
a '� story, Type
to be occupied only as �� ;"7A `_'
in accordWnce with Plot Plan, Plans m Specification filed herewith.
Estimated Value of Improvements $
FEES ;7d .D D Plan Check $
Owner /2/�Z. -- L44y � Address 'rC-e
Contr. Address
Phone '� G// - ��6 State License �` �e / 7i L1
A r.
Approved
J.
APPLICATION FOR ELECTRICAL PERMIT
d
Date 19 FEES /7
Contr. -7Gt/L-. / Address
Phone C 6 "J �"7 State License
Approved
!.� / APPLICATION FOR PLUMBING & GAS PERMIT
Data 19 -7102- GAS FEE $
� T PLUMBING FEE $
Contr. Address /t' 7 `'
Phone - -t�1^"J,3 ;k3 State License ��Ff 7rS -
Approved —
APPLICATION FOR APPLIANCE PERMIT ea
Date J/-4 19 ,1 FEES 13�
Contr. 7 Address
Phone State License
y�1��p-���
Approved t/r �""-'�-�`-'� / -
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California '
PD-1
RECORD OF IkSPEGTION APPROVALS
BUILDING
DATE INSPECT micc.
PAD FINAL
FOUNDATION O q
UNDERFLOOR
IF
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING 4. '
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY N0.
UNDERGROUND ROUGHIA?
PARTIAL ROUGH �7
ROUGH COMPLETE 3 3
MAIN DRAIN �O 1
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE -
DATE INSPECTOR MISC.
MISC
MISC
MISC
LOT NO. /
NO. ST ET C (
N
W
CITY'OF CUPERTINO
R y
0 APPLICATION FOR BUILDING PERMIT
O Cm pp CUP"cFTINO Building Per.No._,5--/.d- ?3
W O A,Qrte
l . 1977- Sanitary Per.No. X/L1Lg G
i-o Application is hereby me for a permit to ` 4t -'- L
W
0 aLAst4y,Dype i Structure
Q w to be occupied only as �+U . in accordance with
aF Plans,Specifications and Plot-Plan f ileg herewith. PI Ck Fee$
0 o Estimated Value of Improvements,$ a 3, et-o .' Fee$ 7Z•re
oa Total Fee$ 73r6�
Z 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 w the City f Cypertino will be complied with. Q n �Q �
W W owner (n'�-t� Address
22'9 S �r`i &"t �4
6
Q O BY b Address 4
U Contr.on gent.
ld Phone 9gtl _ 2`9101 1 APOr etl _ s
1` State License � 17 YJ Building Inspector `
,✓� Q NO. STREET' LOT NO.
x o Of �urtra CITY OF CUPERTINO Plan r3
Q J
%WifLICATION FOR ELECTRICAL PERMIT
3 U CPN
rW Date �/�J) � , 19 ]� Permit No. /
L
O a
Fee S
a(1) Application is hereby made to the City of Cupertino for a permit to install electrical
W
,W, : 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
> N City of Cupertino, and all other laws applicable thereto.
. 3
z�_ Use of Premises_j am- res -
J
Q
3 < Owner Address C
N
W W B)W NBERER r!ECTRIC ING
������I AGENT PP A COV
u
Phone: ELECTRICAL INSFECUM
State License
ITEM NEW RPL FEES
Number of Outlets it
Number of Switches
Number of Receptacles 7�
Number of Fixtures
Ranym or A*PA4E:W. /
Size of Main Service
Number of Meters
Number of Panels
S' -Transformers
Dryers
Motors:H-P.Phase (>
t
H.P.Phase
H.P.Phase
Power Poles
Mlw
Permit Fee 2.00
H.P.Charges
Total Fees
J
?6922. I A)0e-r'q lFAV Squry/cB LOT NO.
NO. STREET
y
W VOT W1153140 CITY OF CUPERTINO
rc 191Z APPLICATION FOR ELECTRICAL PERMIT
�o
R LL O
U Ayl/ 72-
Permit No.
Q
w
F qDat Fee e
, 18-
p F Application is hereby made to the City of Cupertino for a permit to install electrical
>I.- wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
Z4 N wiring and/or fixtures in accordance wi ovisions Electrical Code of the
i City of Cupertino, and all other la applic a the to.
J LL
O p Use of Wo To
y Premises s. .&Vrr2 Pe
I-3
ZJ Owner1�l72 - CAeWAN a Aatlrate 2295 a b4 �'00a
j o
By y / Address
O9?lractor,Agent
Q Phone AJ 7o So
N
W Z
WState Licanse / • / APpro
Me. W
am Electrical In acto
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
sZ.. .(!-=� LOT NO.
NO. STRE
CITY OF CUPERTINO
.Z < cov of aPB'MAPPLICATION FOR PLUMBING PERMIT
SEP 20 1977 Sanitary No
3 a Datet y� y t 19 _ Permit No. S/� 73
W 4 n A e t Fee,� 3. S-0
To
Application 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
> . and/or fixtures in accordance with,the provisions of the Plumbing Code of the City of
Z
w Cupertino, and all other laws applicable thereto.
LL Use of Premises Single Dwelling
00 2295 De La Cruz Blvd.g S. C.
�
3 Owner Ditz Crane Co. Address
ZJ L. C. Bollart Plumbing Co. 167 E. Fremont AVei,q SIvale
z By 8 Address
O CONTRACTOR, AGENT
3 � 245-2323
W Z
— Phone
W w
ao State License 186579 Approved /
U !� PLUMBING INSPECTOR �/
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet 2 Material C
Bath Tub I To Curb
Shower I To Prop.Line
Lavatories o Existing
Kitchen 1 Not Conn.
Dish Washer
Waste D" sal
Wash Tin STORM DRAINAGE
WasMn 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 a
SmdTmp TOTAL FEES
Urinal Fixture.Fee 3. —c5
Area Drain Main Drain Fee
Water Leadert
Sprinkler System 11 Water Sys.Fee
Relief VnIve G..F.
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total P Total Fee
LOT No.
111 No. i^ STREET a .
e $F curamo
APPLICATION C�OF�ER�NCE PERMIT
w.
2Aa1974AAR 151973
19..— Permit No. s�a 73
hApplication is hereby mHde to the City-of Cupertino for a permit to
'o ` install ges appliances as listed on the reverse side hereof, and agrees to
z m install said appliances in accordance with the provisions of the Plumbing
FCode of the Ci" C pertino, and all other laws applicable thereto.
S 4 Use of Premises �V
o_o
' Owner Address
—
z
j z By Address \
O CONTRA &AGEW V -
3 '►
r= Phon-PLAG gwurx h41VTAL Ge•
W W CAMPBE!,.L. CALIR
i State Liceq;rsN&c $ --- APPrm
V,y PLUMBING INSPECTOR
APPLIANCE UNITS FEES
Lias I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. ✓�
Gas Fired Boilers
Warning Ovens
Susp. Units
Dwelling Kit.yBath r t{•W
Inde end.Vent System
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
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Equip.
Under 15'Hizh
Over 15'llqgh
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 --0
Total Total FeeVIV
CERTIFICATECOMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......O-.M,-.............................. 19-7."L. Building Permit No.
The Building Building Located at -lY: .....................
•
Ownedby ---....,.��-•�-'-----......:................---..-..._--.....-....---....-....---...--...-.-.-....--------....
- — s
Ilas Been � mom) or Use As: ----. ..�':....... ......::�P .............
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\ �J -----------------
UILDING INSPECTOR