51273 /0 �j.l `'W ✓VI7nD. /C
CITY OF COPi O. STREET
EP 14 1972 CITY OF CUPERTINO
23
Yo APPLICATION FOR BUILDING PERMIT
O!p ^ ,/ Building Per.No.
wU Date 19�v _ . Sanitary Per.NO. 'P.)_ S
o Application is hereby a for a permit to
0 w
F a.2-- story, Type Structure
Z
�+ to be occupied only as in accordance with
aw O^
3: Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$�-�
-' I 25,600• on
0 o Estimated Value of Improvements,$ Fee$ 70,&v
>y
1-3 Total Fee$ 7 9.75
oa
Z J It is hereby 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 a the City of Cupertino will be complied with. ,p
w _Citip�„� 2Z?-5— a�wr-ry /d Q�ua�
wZ Address
W
Owner
Q By " ' Address t� e
U C��tOtrn(tjr,O Ogent.
Phone p—/le //^���
Approved s
State License Og3 V IFBuilding Inspector
1D835 Nnrthx,o Aw CSS LOT NO, 149
NO. STREET Plan 10-D
m Z CITY OF CUPERTINO
YS
O city or cuPERARLICATION FOR ELECTRICAL PERMIT
0a MAY 141973 permit No. I ��
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f 0 Date p , 19 Fee$ Q
o F Application is hereby made to the City of Cupertino for a permit to insta ele trical
>F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a'a wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
F i City of Cupertino, and all other laws applicable thereto.
a
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00 Use of Work To Be
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Premises—� 1�—�titA. ✓1-t� Performed
Z Q Owner iC�A �YL 'l/�Q h-Q Address il 16 Aa
o ey PANDERER ELECTRIC, INC. d� Un,Q p ,
3 I.-
Contractor,.Agent
_a Phone
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a State License Approvetl
6
O2 Electrical Inspector
40
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ITEM NEW RPL FEES
Number of Outlets )
Number of Switches fS —
Number of Receptacles a
Number of Fixtures ,
Ranges or-0vaocJG.N'r ) ).
Size of Main Service
Number of Meters 1
Number of Panels ) 1,
Signs.- Transformers
Dryers )
Motors: 6
i.H,P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees
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l 60 3S- 4'! > .' �yt.L - Lor NO.
NO. STREET'
my OF GUPERWO CITY OF CUPERTINO
Z DEC 5 1OPPLICATION FOR PLUMBING PERMIT
ZZ
Z p n1 Sanitary No.
3 a
Date. WAN 1��� 19 _ Permit No
0 Fee$
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To
Application is hereby made to the City of Cupertino for a permit to install plumbing
0a 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
wCupertino, and all other laws applicable thereto.
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ao Use of Premises Single Dwelling
' " Ditz Crane .Co. ?p9 De La Cruz Blvd. S. C.
� 3 Owner A�dre s
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ZJ
J Z By L. C. Bohart Plumbing Co. AWssE. Fremont AVe.g SIvale
O CONTRACTOR, AGENT
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- Phone 245-2323
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W W
a o (State License }56529 Approved
—U ,� PLUMBING INSPECTOR
Pzo-,,, 0'e
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / Size /I
Water Closet Material
Bath Tub I To Curb
Shower I To Prop.Line
Lavatories To Existin
'tche Sink Not Conn,
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing 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
-Sand Trap TOTAL FEES
Urinal Fixture Fee SD
Area Drain Main Drain Fee
Water Leader Stom Drain Fee
Sprinkler System Water Sys.Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total Total Fee Z 3,.TD
/p d 3J I C l�trV U✓r w� /d�iJ LOT NO. Z �y
NO. STREET T
CIVI OF cAPPLICATION FOR APPLIANCE PERMIT
2 2 1913 OP CUPERT'
O i ate 19• _ Permit No. 51> 73
Fee•$
' 0Application is hereby made to the City-of Cupertino for a permit to
W <` 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
WCode of the City o CWpertino, and all other laws applicable thereto.
F ` Use of Premises00
.
Owner Address d
0 ICM
ZJ �'`
J Z By tet/ Address G�
J ° PLOGc CrOR, GENT
3 w Phone E E7 M.ETAL rrp
#I'ctte8'CL CALIF
W LICENSE252a�
ox
State License g Approved
PLUMBING INSPECTOR
1
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Pum. I
Gas Fred Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath prU
Inde end.Vent System
Com.,Indust..Inst.Kit.
ent ystem W
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
r_
Ind. Ventilation System
without Comfort fort
Forced Air.Mech.each Power
Gravity System
No.of Air Outlets,No.of Flues
Stacks for Metal Fireplaces
Smoke Stacks,Mise. E ui .
_Under 15' Fligh
Over 15'Fliel
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 3 v�
Total Total Fee QO
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .........9
.... ._-4.................... 19 Building Permit No.
The Building Located at SO
.............I...............
Ownedby .._!.J ......................D...................................
Use As: — ... ..... ...........
His Been ..
................................................................................................................................................
......................................I.............................................................. ............................................
........................................... ............................... .... .. .....................
----------------
UILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPEC T 05ne2 Im w.
PAD FINAL 0' 'TL
FOUNDATION 4' 0"
23
UNDERFLOOR
FRAME 7
(j:j> & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES 0' /
MOTORS
FINAL /
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH l a
PARTIAL ROUGH '� G
ROUGH COMPLETE a'�
7.
MAIN DRAIN
FINAL PLBG. -1 73
FINAL GAS - 3 7j
FINAL APPLIANCE �G
DATE INSPECTOR MISC.
MISC
MISC
MISC
10T -3s1 / ir?A U Lot No. I� Z
No. Street
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
Sanitary No,g) S.sS7'
File No. 51•.2 3-
Do te
Data 79 :2 2-
Application is hereby made for a permit to
Z a story, Type
to be occupied only as 15 AQ
in accordance with Plot Plan, Plans and h,
Specification filed herewit
Estimated Value of Improvements $ 2, l 4600
im
FEES N - 40^4::: Plan Check f a�
OwnL
er Address 2. q.4 LL-q-�
1 f
it 1
Contr. Address y
Phone �� 2 O State License 7.4o 111
.7
r
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �1 19 7aZ� GAS FEE f -`" --r�)
T PLUMBING FEE f -
Contr. Address /4; ;? v C/
Phone —� �S �'1'j A--J State License to S7
Approved
Dote AP KATION FOR APPLIANCE PERMIT.
19 FEES
Contr. Address 12, 0 C�
State License'
Approved /~
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State, of California
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