51273 ID / I M1a& G LIQ & LOT
NO. STREET
CITY OF CUPERTINO
ZZ cnr OF G'
¢ "-"XPPLICATION FOR APPLIANCE PERMIT
f
D 0 C TAUS Ta 1972 19 _ Permit No. r�a 3
u
ie P A 1 Fee-$ /S�8
4 W Application is hereby mx& to the City-of Cupertino for a permit to
o : install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
F Code of the.
City* Cu rtino, and all other laws applicable thereto.
S e Use of Premises
00
U Owner, ` Q Address
Z PLC G SHEETJOETAL CO.
�
2 By _ CAMPBELL, 1 IF Address
LICE��t'n'
—m Phon
Du LOG SHEET METgL CO,
461 State Lice1g6MPBFi 1 � F, Approve
_U LICENSE X252825 PLUMBING INSPECTOR v
APPLIANCE jUNITSFEES
Lias op
GasOven
Wall Furnace _
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit. Bath IV `E D�
Inde end. Vent S stem
Com. Indust. I nst.K it.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(Without
Forced Air. Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Misc. Eq ui .
Under 15' Hi
Over 15'1H
Coin fort 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 1000;000
Permit Fee
Total Total Fee 0�
CERTIFICATE ' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
MY OF CUPERTINO
Date ...... ........ 19-------..:-. Building Permit No.
The Building Located at ... ....j.Voe/7.Vr{,1*.xC---
Owned by ....p-I-xz. .... .....
..................•-•-----...........----.....,............
Has -en For Use As:.......5, ...................... -
..- --•Be
.................. ............. .......... ...............:--------------- .......................... .............................
.............I....... .........I..............—................................ ........ ...............
..........................------ ............................. .....................
............ .
... .. .......
BUILDING
2•!X>
10979 Northshore SgLa p�
No. 'Street - Lot No. 24 i/
CITY OF CUPERTINO .) s, oo
QTY OF CUPEA "' 73—
Sanitary T°iFPPLICATION FOR BUILDING PERMIT p J
M�Ye ], 1 1972 , 19 _ Sanitary No. 7.7 60 l2/-
v Permit-No. S/d- -A3
YA
'E App_^ati n shereby made.for a permit to
o 2 D „ _
3 = a story,Type .� 1 ✓ Building
v to be occupied only as in accordance with
`o
r Plans,Specifications and.Plot-Plan filedher ith- PI Ck Fee
c in
z Estimated Value of Improvements,$ 02 4 0 0 0 rr-u Fee$ 71
iO .. It is hereby 0 o y a greed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
A Cupertino will be complied with.
c
3 Owner Di a Address 2295 De La Cruz Blvd.
A
a By Address Santa Clara
o Phone 255•. 050 Approveu - d
State License 261734
ildin Inspector
N 10979 1 Northshore Sq 24
STREET LOT NO.
.z a No. Plan —
pum
o ° Q1 °R COPPLICATION FOR ELECTRICAL PERMIT
3� SEP 121972 CITY OF CUPERTINO
W ,
[)SEP 5 19n
'o Fatyq: 1 ' 19 _ Permit No.
> Fee S
ZW Application is hereby made to the City of Cupertino for a permit to install electrical
ia 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
> W City of Cupertino, andall other laws applicable thereto.
�3
zJ Use of Premises 1—fam. res.
J Z
3 a Owner Di tz-Crane Address a s ara t
N
W z By H. GHudr to ca o Address
WW
W L
a o COSM_A0D3jtR4e3NT APProveOLECMCAL
-0 Phone: 829 KIF'ER ROAD WSPE
SUNNYVAIS, CA 9,4088
�� State License 12422
ITEM NEW RPL FEES
Number of Outlets Z
Number of Switches �s
Number of Receptacles �3
Number of Fixtures y 2'
Ranges or Ovaas-Y.aV-
Size of Main Service !°D
Number of Meters
Number of Panels �• —
Signs-Transformers
Dryers
Motors:
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Ch es
Total ees 3a
(—^ LOT NO. '-- `lam
NO. STREET
CITY OF C PERTINO
,W `
zarr OF COP"WPLICATION FOR'•.'PLUMBING PERMIT
—
WZ JUN
U
X° 9 1972 Sanitary No. '76�'
3u Ute ^ ^^ , 197�� Perinii No. S/Z73
iLL •� ! I.I Fee $ cP 4. Si
o 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
r and/or fixtures in accordance with the provisions of they Plumbing Code of the City of
wW Cupertino, and all other laws applicable thereto.
� r
J
Use of Premises Townhouse
0
O O
> W 2295 De La Cruz Blvd., S. C.
o a Owner Ditz Crane Co. Address
z167 E. Fremont Ave., SIvale
o By L. C. Bohart Plumbing Co Address
3 r CONTRACTOR, AGENT
w i Phone 245-2323
W W
a U State License 186579 Approved -! �
ld ,�/ PLUMBING INSPECTOR
l f4 e tJC I
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet y Material
Bath Tub To Curb
Shower ' To Pro ..Line
Lavat 'e y o Exist
ti
Kitchen Sin �
Dish Washer
Waste Dis osal
Wash Tra STORM DRAINAGE
Washin .Machine r Size
Water Softener Material
B rSink To Main Drain
Comb.Sink&Tia To Curb
Dental Unit
Dririkin Fountain
Floor Drain WATER SYSTEM
Honner 11 Size
Restaurant:Sink 1 11 Material.
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Relief
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fea
d� 7 I Lot No. o2D
$
t
No. Street � .O
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT G
Sanitary No. -7 760
File No. �,�V�L
Dote 19
Application is hereby made for a permit to
n story, pe
to be occupied only os '
in accordance job plot plan, plans an#.Specification filed 64with.,
Estimated Value of Improvements §
a-,r(1r1 d'+t
FEE§ �O - Pion Check §
Owner _ y1-i-.-�l� Address X93 to 0�, 06-Cii,-.YP
Contr. Address
Phone 02 "e",0-C7L 'fi
'9,'y Store Licen b 73.)"`/
02 S s- 70 S-D Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 9 6L 19 7 FEE§ /
Contr. 4;�Al' Address �a`f
Phone - 73 State License �' `l '-1-D
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date G/� 19 c2 'GAS FEE § ��
PLUMBING FEE § - - yy�23.
Conor. Address _ �G 7 U(T_-,tn`�,.�CC.,_,�
Phone - 5�J -01 .3 1-.i State License l 7.
Approved
APPLICATION FOR APPLIANCERMI 66
Data b 19 7 1 FEE§
Contr. 7 Address /
Phone �(�-� /�3 1W State License - ) _ -1
Approved Aae-C
Applicants agree not to violate any of the
IYbrkman's Compensation Laws of the
State of California
PD.1
RECORD OF INSP.ECTtON APPROVALS
�gLdr 1101LW elf o J?
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME L
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
WetzRD � ELECTRICAL
1G7,`,v DATE INSPE R MISC.
UNDERGROUND ROUGH
ROUGH WIRING r-v
FINISHED WIRINGFIXTURESMOTORSFINAL C) �� y
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW. REO.
SANITARY NO.
UNDERGROUND ROUJ
PARTIAL ROUGH ROUGH COMPLETEMAIN DRAIN
FINAL PLBG. ,FINALGAS
FINAL'APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
I