51273 rJ / I 1J wr 0 _o A LM NO.
NO. STREET 4
e i GTI Op CUPERTNO CITY OF CUPERTINO
Q o OCT 9 19
I24PPLICATION FOR APPLIANCE PERMIT ..
3� gate Allrl2 5 1972 iq _ Permit No. -1273
W 4 D N Fee$ rr0
4W Application is hereby tirade to the City-of Cupertino for a permit to
° F install gas appliances as listed on the reverse side hereof, and agrees to
W install said appliances in acc rdance with the provisions of the Plumbing
Code of the City o u e and all other laws applicable thereto.
a Use of Premises
oc /�
�
3 Owner - Address
i_j FLOG SHEE
J
z BY METAL CO Address
W Phon LICENS 2�9
E Ii2528
W LOG SHEET
- C
a State Licen ME Approved
—
QA
CALIF, () �/ PLUMBING INSPECTOR
24e __ /\
APPLIANCE UNITS FEES
as op
Gas Oven
Wall Fumace
Gravity Furn.
Forced Air Furn. 1
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bathp I 'YVO
Inde end. Vent System
Com..Indust. I nst.Kit.
Hood& Vent System I •�'�
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(Without Corariarl Cool.)
Forced Air.Mech.each Power '
Gravity system
No.of Air Outlets,No.of Flues
Stacks for Metal Fire places
Smoke Slacks,Misc. Eq ui p.
Under 15'Higb
OverOver--IT
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
&Absorn,units with in ut
of 500,001 &Under 1,000,000
Permit Fee
Total Total Fee $
10929 Northshorn Square
No. StreetLot No. 23 1J
City OP CUPffiT1N0 CITY OF CUPERTINO d or"
i (j,MAY 11 19"PLICATION FOR BUILDING PERMIT
Date
Sanitary No. 76 ;2��
•�
d � D 19Permit No.
m 'E Applicationis hereby made for a permit to
o`
3 a story,Type _.L- ✓ Building
U
`o to be occupied only as in accordance with
Plans,Specifications and Plot-Plan filed h ewith.
� PI Ck Fee
v
Estimated Value of Improvements,S 022 &-O--V = Fee S 7J5
oIt is hereby a
'o Y gr eed that the requirements the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
T Cupertino will be complied with.
° Owner D1 — e 2295 De La Cruz Blvd.,
3 '„ Address
c By ` Santa Clara
Address
E Phone' 255-7050 Approved
Y� State License 261734 fuilding Inspector
1
16989 I Northshore Sq. 23
N < NO.
WPSTREET -LOT NO
cny of ctwroan
Y o CITY OF CUPERTINO
0 SEP 12 1972 APPLICATION FOR ELECTRICAL PERMIT
' oP g
`o F L'�te � Int 9-9 , 1972 Permit No.
a f ee
<,w Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
00 wiring and/or fixtures in accordance with theprovisions of the Electrical Code of the
> ,a City of Cupertino, and all other laws applicable thereto.
03
oa
zJ Use of Premises 1—fam. req-
J ,
� O
3 < Owner 61 tz-Crane OELECrRICAL
ra
_ N Addre
W W By H. G. WANDERER Addre
d 6
O' MNTRAGTOR�AGENT
—0 925 KIFER ROAD Appro
Phone: TM
9UtJtVYVALl, L�. bM�d6State License 12422 ,
ITEM N W RPL FEES
Number of Outlets Z
Number of Switches D
Number of Receptacles /6
Number of Fixtures /Z. Z-
Ranges ox&mmd= /•
Size of Main Service
Number of Meters
Number of Panels -
Signs-Transformers
Dryers
Motors: S
HP Ph
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
H.P.Ch. es Z v
Total Pees z.
/ IV LOT NO. 1 5
NO. STREF.I'AD
CITY 0 CUPERTINO
W Z CITY OF cuPERnNAPPLICATION FOR PLUMBING PERMIT
7,r-J76
JUN 9 1972 sanitary \n. 7
3U Dare 19��� Permit No /�73
= 4 I n Fee'$��'
o Application is herebymade to the City of Cupertino for a permit to install plumbing
o < pipes and/or fixtures lsted on the reverse side hereof, and agrees to install said prices
a and/or fixtures in accordance with the provisions of the Plumbing Code of the CityOf
Z w Cupertino, and all other laws applicable thereto.
W =
F F
00
Use of Premises Townhou�
' " Ditz CYane Co. 2295 De La Cruz Blvd., S. C.
O <a Owner Address
Z-j 167
o By L. C. Bohart Plumbing Co. AddressE. Fremont Ave., S'vale
3 F CONTRACTOR,AGENT
Phone 245-2323
A o State License 186579 Approved
C1 I%//d PLUMBING INSPECTOR 'SG
FIXTURES NUMBER MAIN DRAIN
Units Fees lUnIts irees
Water Heater I Size
Water Closet i Material
Bath Tub I To Curb
Shower To Pro . Line
Lav t *e To Existi
't 1
Dish Washer
Waste Dis osal
Wash.Tra STORM DRAINAGE
Washin Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain 11 WATER SYSTEM
Ho er Size
Restaurant Sink Material
Sand Trap TOTAL FEE
Urinal Fixture Fee
Area Drain 11 Main Drain Fee
Water t Fee
Sprinkler System Water Sys.Fee /
Relief Valve ("Rq Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CIIY OF CUPERTINO
Date ......-..i...c...JY................... 19:-��,3. Buil
The Building Loqaed at ... ...`...-.�y�$tl
Owned by ...-: �� .-:....:- fV><-
Has Beenfere ) or Use As: .<!`f; ='•-.'- .................... ..........:...........
..........................-.:.--...................................... --.........-.......--........-.....--.....--...------
..-. ..
B LDING INSPECTOR
Lot No. a I
No. Street A
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sonitory No. 77 6 J
�7 File No. /oZ 71j
Dote 19 ' --
Application is hereby'made for a permit to
-- _�. story, a—T—
to be occupied only as a Ty
in accordant ith Plot Plan, Plans a d Specification filed h ith.,
r
Estimated Value of Improvements § 02
FEE§ r�si—�' Plan Check §
Owner Address — �- -9 / oft 'moi A
Contr. Address `
Phone �`/ U State License 6 d >`/
o23-S-- 70 Sa t
Approved -
.61
/U'L----4 71'�/.3 (4' ')
APPLICATION FOR ELECTRICAL PERMIT
Date / 19 7-L— FEES ��', Lv
Contr. /iV�/-tet_¢. / Address 9,2 f -P/
Phone _ 7� G —� S' vt-/ State License -z'
Approved '�5A� A--�
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE §
/j �� PLUMBING FEE § - y�9 ---
Contr. lk- �.0 Address Z 6 7
Phone .�.� Stott Liconso S
Approved
.nG
/e 19 P�LI�TION FOR APPLIANCE PERMIT,j
Date / FEE§ /f
Contr. ^/ Address
Phone 0-f State License JiS
Approved
Applicants agree not to violate any of the
R'arhown's Compensation Lams of the
State of(.'n/ifornia
PD-1
RECORD OF INSPECTION APPROVALS
(;—w c. w"."—
BUILDING
,RlZBUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION • Z
UNDERFLOOR 46,
FRAME -2 -S
LATH 8 PLASTER
GRADING FINAL
FINAL BLDG.- /4
ELECT CAL'""`Z
DATE INSPE OR M C V
UNDERGROUND RO
ROUGH WIRING-
FINISHED FINISHED WIRING FIXTURES
MOTORS
I1 u 1v
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. 1 � -
LEEI I
FINAL GAS '.7y
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
r MISC