NO PERMIT NUMBER_ 21541 I COLUMBUS AVE. Lot No. 9
No. Street —
APPLICATION FOR BUILDING PERMIT
CITY UPERTI�
File No. 51167
Sanitary No. 4765 ,
Dote 4/27/66' 196
Application is hereby made for a permit to
CnriSfrtl f a story, Type 5 I J
to be occupied only as Single Family Dwelling
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements §
28,000.00
FEE§ (95i-F)C Plan Check § 42.7')
0..r,e, Ditz-Crane Address Box 509, San Jose
Contr. Address
Phone 297-9544 State License 151791
257-1110 Approved W.D.Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
Date h pA ,196/ / FEE§
Contr. hL �! L�2w-�''i'-e't � Address
Phone 7 �"G-`-`�'�� State License �2 L 2, D
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date '3 `{ 196 GAS FEE §
� PLUMBING FEE $ 7 ��, /—
Contr. ��'�.-� l/�"�7 e4 Address �`:Zj / Z'C""w
Phone r 2 mss-, a�3�23 State License 14�s 7
Approved
APPL ATION FOR APPLIANCE(P/ERMIT jn�OPD
Date 7 111% FEES //�[��
Contr. rty /"'ya-c-u- �'"Zc'��C> Address � 'J'Al .
Phone k- State License J,���� �•��' /
Approved //✓^-�/r�-�no�'K'C�K//
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
le
RECORD OF INSPECTION APPROVALS �„rs 'CSI
FOUNDATION J ' 'fv� BUILDING /
^e/f spec tor
UNDERFLOOR •.J (o
FRAME {{.• /e
otf C' spector
H PLAST •J
Dr- Inspector
T
tte / Insor
I AL C
Pate Ins oa ctor
ELECTRICAL
OUTLETS 7
SERVICE SIZE
SWITCHES 7iS 76 UNDERGROUND
pDaje/ �tor
RECEPTACLES8' 7 ROUGH WIRING
/J / (D�n sector
FIXTURES FINISH WIRING
/ Os D toctor
H. . CHARGE 2-S FIXTURES
D I spector
PERMIT FEE / Motors
�/ , t J2ale ,( spector
TOTAL FEES !- � FINAL y 'b
Data Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES �� e't� UNDERGROUND r /e,//
FIXTURE FEE PARTIAL ROUGH.-4
MAIN DRAIN FEE ROUGH COMPLETE -M or
Dat'
STORM DRAIN FEE MAIN DRAIN -
yp,.,o Ptctor
WATER SYSTEM FEE GAS PIPIN
Doe (=or
GAS PIPING FEE FINALY-
oy' Data Impactor
PERMIT FEE a' '— MISC
Date Inspector
TOTAL FEE 6 — MISC
Data Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS. REGISTERS
BLOWER FURNACES COMBUSTION VENT 2� 2.0�
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERM T E o--
FLOOR FURNACE j TOT40F --�
INSPECTED 7 7.5
\ Do to Inspector
CITY OF CUPERTINO
10300 Torre Ave.
"' C'ORRECTION NOTICE
¢- -------------- -------
Department
Job Locatedr�_ '.+2,.���� C«-u!N-P- .?-,-_La�.�:..
�.--. A.P..�/--j.1.hae:..k11-tte-4----0..Fr-1M.G8-& .
------------------------------_--- --- -------------------------------------------
. . .................... . .........\..............................................
.................................. .
...................... - --
- ---- --------
.................. .. ..........\....... ----;-=-----------------
.......................... ------------ ------ :.. --------------
........ . .. ............ .... ................ . ,S- --- . --- - -- . --
.............. . . . ------ ----- -:........--- ... . -- . -....... -
...... . .................. . .. . . ........... . .........................
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.,
252.4505 Date:6'_--Zn(,�-.65--- ----------
City Telephone Inspector: ].t /r....................
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
fJ
CITY OF CUPERTINO
Date ....7. ....... .................... 19XI.. Building Permit No.`'�/t 6..7..
The Building Located at ....rS./.. ..................... e.-c ....... ..
n -a
.. ................. ..
Ownedby .......�`.�................:........................................._ ........ / ................
Has Been (Completed) For Use As: ........................
............................................... S lW `................
........................................"
......................................................................:..........................................................................
...................................................................................... r_ .........
:+. .......................
.........................................................................
BUILDING INSPECTOR
102 1/63-500
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
6:.-..2. ......6.9....:............................. 196......
To
You are hereby authorized to conned the GAS service for
Owner or Tenant .....Q. T Z — C(Z A N>=
At ......... umDvs A.v.c.
. ...................... ....... .. ..........................................................
New Service ...x.................
No. of Meters ...................... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move
DMeter
s.......................
.
.......................
V
PLUMBING INSPECTOR
(.O T Bltlg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO --77
Sewer Connection Sanitary Permit No. ..-4:.L....C?5.......
Plumbing Final Plumbing Permit No.5..11.6.7------..
LotNo. ........./-------------------
Owner or Tenant .... .LT.. ..'.. .��A.Ntr.................._............. ...................-...........
At ..._-..15.!.L....:.... .o.�u.t"-.(3�5........Ave......
...........
Tract v.NT (36u0
Date Final ......... -?..--r77��....�//.6 —' 6L[�.......................................................... 19............
Date Connected ........1......1....x.... .G?..
....... ..... . 19............
P . " . ... .
LUMBING INSPECTOR
111 12/66-1M
• OFFIC4 COPY
ELECTRIC SERVICE NOTICE
ry BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
�'" •� I. Y, .., 196.. ..
To
You are hereby•a ri con ct electrical service for
Owner or Ten nt ......... ... _ - . .... .._...... .._ . . .
_ ,. ..0 .
No. of Wires .... ............... Size of Wires �...)....... Size of Switch
Motor Load .......................... Voltage ..............------:........... Phase .. ...
Heating Load ........................
1K. W.
/.................. Voltages.........................................
No. of Meters...... ght....�W. Nrv / Reconnect........
Heat.........e/2?0........ Thr .
' ........ ... Move Service..........
No. of Add. Meter............
Power............... T .......... .. ove Meter.... .......
. .. . ..... .. ... .............
F..LECTIU L INSPECTOR
GAS SERVICE NOTICE 01TIC:
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CU T1
�Ell N�,
To
YOU are hereby itho iz to co ed the GAS�service for
'oe��orl. a
Owner T ...... ......
At
New Service
No. of Meters
...... Reconnect ......... ...........
Move Service ........
ve
No. of Add. Meters .............. ve Meter ..........................
.......... .. .... ..
7�
PLUMBIN 1 PE OR
Y Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY, OF., CVPGRTINO
❑ Sewer Connection Sanitary Permit No. .......
Plumbing Final Plumbing Permit No. .st.,..1-1... �......
Lot No. ..........
...................
Owner or Tenant .............. .. .... ...... -- .................---....................
At ...... .
Tract ............ .. ........ . .. .... ..
.. ...................................................
DateConnected ......................................f.'....I....=.... ...... .. .a.....................
DateFinal ............................................�..'... --- ---- ... . .. . . ..................... 19.�3b
............................ ......................J.... ......... ... ...
ttt 7/63-IM
PLUMBING INS P KTO
� -
TE
t, RA E'
LEC'
TRICAL SERVICE
OFfU , -� j,
DATE �6
�P O' a... pee: 3..r.... ..............
+ 1 .... �o
�0
AT: ......a�s.- /. ...f..................................... -5 .........
LOT: ..... .....`1..... ......_.... ........................ ..................... ..... .........
'REASON: .............�'!w /774�
TheiirideFsigried agrees to be responsible for the electrical service at the above location,
wOungt; the buildingis ready for occupancy, and is released by the Building Department,
@i ' sof pe tino.
Phone .....
IL• AN
A
I� :0 INSI, TOR �r OR OWNER
6'1 50
R
11 /63- V
W,,R A R Y GAS SERVICE
.......................
DfA
lfo-q/�.. .... .................I........ Fee: ..
CITY CP P ERTIVA-5........ . ......................................
... .......... ..... ..
.
AT: ...4�• 77.ez
LOT: ......../...........................................................................................
REASON: ..............
..................................................................... .................
The undersigned agrees to be responsible for the gas service at the above location,
Until Y—building is ready for occupancy, and is released by the Building Department,
City uper
INSPE 0*1
CUP4 Phone ....+2..5-.7......1160.............
16
....... ........
........ .......... .. . ....... .......
.. ....... 'I'NSPECTO
TENANT OR OWNER
117 1/63-900
ROUTE SLIP
File• No .
Date Out
Date In _
Locab'icn oU�l — `� S 5C/
--
Notes /
ApprovedDate Inspector Inspector
NOTICE OF ADDITIONAL CHARGE
CITY OP•CUPERTINO
BUILDING INSPECTOR'S OFFICE
n
........ LC-..�? Permit No. .,d-Z1.�'../.......-._.
.................. ...... 79
To ......_....�/ . ............ ............... .. .. ............_....... ........
Address .........r�...a�... ..!�/� ,, c''✓ --
Reason .-......L4:-f%......-...................
L�.
........_........................................................-_..........------ ......__........... ............................
a
Amount$ ............�.. Signed ................................. ........... . ........
...........
...........
io6 3/59-300
Ott S'W s/y
w ®, � WPLI N FOR BUILDING PERMIT
e 1969 Tv OF cvPEaTINo
O Sanitary No.
W , q 611(a
W „ 1�1f ��(Up, 1961 Permit No.
' o ,ull ICU
o W Application is hereby made for a permit to
a
im astory,Type_/%17IAar'P_ Building
aW
to be occupied only as in accordance with
0 o Plans, Specifications and Plot-Pan filed terewrth. PI Ck Fee _�0 —
": Estimated Value of Improvements, $ /Q '6 Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Zall other laws applicable to the construction, location, and use of buildings within the City of
J o Cupertino will be complied with, /
3
_ m Owner /3r ✓.�frSlLar! Address �,(S"!1/ (n 1 �f
a
W z y �7laz—lll� ��1
W a B d' o. c'ay[_ Address
a 0Phone to — D4rrQ 9 Approv
State License (r1aS-I-K DING INSPECTOR /
1 r