51273 LOT NO.
NO. STREET 0
ni
CRY OP CUPEERNO CITY OF CUPERTINO
OCT (CATION FOR APPLIANCE PERMIT
° 91T
x4
3 U Date 19 _ Permit No: �� 3
= 4 Fees
° Application is hereby made to the City-of Cupertino for a permit.to
o F install gas appliances as listed on the reverse side hereof, and agrees to
<m install said appliances in accordance with the provisions of the Plumbing
W Code of the. City C o, and all other laws applicable thereto.
S ~
Use of Premises
0
.50
01Address CU Ca L
z� QLO SHEE METAL CO.
o By CAMPS t rA Lp , Address
LICEiv9 ff*lr
—mPhone
Wd PLUG SHEET MET
ex 1�State LiceRSAMPRFI , t? kAL Co. Approved—
_U
pprove /
_U 1( LICENSE X s__8 'V• v PLUMBING @ISPECTOR /
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn. I
Gas Fired Boilers
Warming Ovens
Suso Units
Dwelling Kit. Bath t{Pr+
Inde end.Vent System
Com. Indust. I nst.K i t.
Hood&Vent System t •vcv
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 Fii:u
s
Smoke Stacks,Mis ._Under 15'Hi tOver 1 S'I tialCCoolingComp.of 20 HP o&absorp.units wiof 500 000 OTU oComp.over 20 HPer 50 HP&Absor .units wtof 500 001 &Und0,000 _ �
Permit Fee
Total Total Fee /
1
11009 Northshore Square -196
No. Street Lot No. 21 L
CRY OF CUPanNo CITY OF CUPERTINO d3, coo
/1 APPLICATION FOR BUILDING PERMIT
Kt1 1 1972 _Sanitary No. —7 7 �o f
a
v , I9 _ Permit No.
o D ARhcition hereby made for a permit to
o`
3 'F a story,Type es Building
o
to be occupied only as in accordance with
0 Plans,Specifications and Plot-Plan filed I /with PI Ck Fee
c o
v � Estimated Value of Improvements,$d3 O O O Fee$ 7�
0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other lawsapplicableto the construction, location, and use of buildings within the City of
m Cupertino will be complied with.
3 Owner z ane Address 2295 De La Cruz Blvd.
v a By — Address Santa Clara
o Phone 255-7050 Approved
vState License 261734 uilding Inspector
V
11009 Northshore S /
< NO. STREET Q LOT NO. 21
i Z Plan 3> "C"
r o CITY OF CUPERTINO
0 , CRY 0' r- i$PPLICATION FOR ELECTRICAL PERMIT
u SEP 121972
y, LL t
rq
°o F Date ^ I - - 19
F Fee
Z Permit No.
>
i w Application is hereby made to the City of Cupertino for a permit to in.tall electrical
iwiring 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.
03
zJ Use of Premises 1-fam. res.
_ z
o Ditz-Cr ne.
' F�. �. WANDERER
3N Owner eI -C�Rlr- Address Sa t Clara
m Z By 925 KIFER ROAD Addres
w w
02 SUN1t*W 1ATolrlNdK98G
A ro
03 1
- U Phone: PP ELECmtU1 7 /8
FJ State License. 12422
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles 22—
Number of Fixtures 2• Ar
Ranges or QueuB.K Y,-
Size of Main Service
Number of Meters
Number of Panels
Signs-Transformers
Dryers
Motors:
HY.Phase
H.P.Phase
H.P.Phase
Power Poles
Permit Fee 2.00
i
I H.P.C es
Total Fees /
I' LOT NO.
NO.. (STREET
IV
CITY OF CUPERTINO
w Z CRY of cupumNo APPLICATION FOR PLUMBING PERMIT
r o ��� Sanitar No. 7�� 5'
3� JYlate 9 1972 197y Permit No 7
`o P ^ ( n Fee $ 3
Application is hereby.made to the City of Cupertino.for a permit to install plumbing
o pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i m
and futures in accordance with the provisions.of the Plumbing Code of the City of
a W Cupertino, and all other laws applicable thereto.
w x
0 o Use of Premises Townhouse
oa Owner Ditz Crane Co. 73j95 De La Cruz Blvd., S. C.
A ress
Zj 167 z By L. C. Bohart Plumbing Co. AddresE. Fremont Ave. S'vale
3 �
CONTRACTOR, AGENT
w i Phone 245-2323
aW W ��
o $tate License 186579 Approved /
_U 4,
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN I
Units Fees U its Fees
Water Hca[er Size
Water Closet �/ Material
Bath Tub i To Curb
Shower To Pro . Line
Lav 'c^ To Exist
in
Dish Washer
Waste Dis oral
Wash Tray STORM DRAINAGE
Washin Machine Size
Water Softener Material
Bar Sink To Main Dtain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
_ Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee
Water Leader Fe
Sprinkler System Water Sys.Fee
Relief Valve Ga�Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee a
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
�( CITY OF CUPERTINO
Date .. .... 19�y. BWIding P t No. -- ..'---7.3
L
The Budding
—Located at ...:.(4.i]_A?:........�V. :..
Ownedby ...c,JS d fir...._.........._.._.........`--...............................
r.
Has Beenor Use As: _ �?:: .--..: - ..-......_
............. ...............................................................................-............................................
..:_
-........................................................--......-------........------..............._..................:----•
a. li'LDINGd
... � .�'.......-----
SPECTOR
Lot No. .2-,'�
No. Street G
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No. 776 f
`. 7� File No. �
Date //19 .y
Application is hereby made for a pemit
7to
it
a `� story, Type
to be occupied only as '
in accordant ith,Plot Plan, plans d Specification filed h ith.
Estimated Value of Improvements s c;23, d`rz P°
FEE$ - �7,.;-- Plan Check-$ �// �y�
Owner _ ,' Address ad'c) S 04X 02f' vK�
Contr. Address
Phone d- 4 ,1 State Lice ns 751-4
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date / /9 19 7 '2' FEES 1,7 - ,p
Cont,, _ �(/.0 —� _- � Address J—
Phone 7,3 J
State License —/,I-
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 6�J 19 oZ GAS FEE $ y a=J
PLUMBING FEE $ C�123. 7
Cont,, Address
Phone oZ ...—'o(.j .L{ State License
Approved
APPLICATION FOR APPLIANCE ERMIT
Date J Contr. AddressPhone F—C' '9
State License o2 Y
Approved
Applicants agree noto violate any of the
Workmnn's Compensation Laws of the
State of California
PD-7
RECORD OF INSPECTION `'APPROVALS
BUILDING
DATE INSPECTOR i MISG.
PAD FINAL L
FOUNDATION 24
UNDERFLOOR 6
FRAME _ 7y
i
LATH & PLASTER Y
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPE OR 000pC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS /17y
FINAL
I
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISG.
BACK FLOW REQ.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
I'
FINAL GAS
FINAL APPLIANCE
' I
DATE INSPECTOR MISC.
MISC
MISC
MISC