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NO PERMIT NUMBER21601 I Columbus Ave. Lot No. 14 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. 51167 Sanitary No. 4880 Data Dec. 27 t966 Application is hereby made for a permit to Construct a 2 story, Type 5 ly I J to be occupied only as Sinizle FamiDWPll ing in accordance with plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements § 28, 000. oo FEE$ 85.50 Plan Check $ Owner-ILiAddress 2295 DeLa Cruz Blvd. S.C. Contr, Address Phone 244-2910 State License 151791 257-1110 Approved W.D. Benevich/h APPLICATION FOR ELECTRICAL PERMIT ' 2i7 iG Date 196 FEE$ G—+�—=Q— � 921 le_'( ✓ J � Contr, Address Phone . �� `S� State license Approved �— //✓��[ APPLICATION FOR PLUMBING & GAS PERMIT Ste' / Date 196 / GAS FEE $ PLUMBING FEE $ cont'. Q/ Address Z j - '9 `r'k' Phone 'z 7_ 3 2-3 /—I-L State License S7 //��` Approved I�� _ APPLICATION FOR 'pZ APPLIANCE PERMIT Date ////3-4 �11% Contr FEE$ Address Phone 3-7 a 0%3i State License 2— 6 z� i Approved Applicants agree not to violate any of the U Workmen's Compensation Laws of the State of California � r RECORD OF INSPECTION APPROVALS' ' FOUNDATION BUILDING _ to actor UNDERFLOOR - Date -Spector FRAME DgteSpector AT '& PLASTER OY� D e Ws pector - FINAL Date Inspector .OUTLETS / SWITCHES 1L Sa RECEPTACLES/ FIXTURES 4 H.P. CHARGE 0-✓ P MIT FEE TOTAL FEES ELECTRICAL SERVICE SIZ UNDERGROUND Dgra spoctor ROUGH WIRING / e Inspector FINISH WIRING lR Inspector FIXTURES �Dete� Inspector Motors .._ 6 ate f �10 Ppe Isetor FINAL 14L Date Inspector _ PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES /D UNDERGROUND FIXTURE FEE PARTIAL ROUGH Dota c MAIN DRAIN FEE ROUGH COMPLETE %QZ�- Dotd for STORM DRAIN FEE MAIN DRAIN b ��- ate or WATER SYSTEM FEE GAS PIPING Date �1nspector GAS PIPING FEE FINAL Date Inspector PERMIT FEE e�� MISC S7 Date Inspector TOTAL FEE - MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS' REGISTERS / J 2- BLOWER FURNACES ` ,� /�- COMBUSTION VENT Z SUSPENDED UNIT MISC - GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE ' TOTAL FEE INSPECTED Do to ins Pe cror LOT NO. NO. ST P-P,LIGAT�IO,N FOR BUILDING PERMIT. TY EC p CIOF CUPERTINO 28 gog U Sanitary No./o Date d' �" 196�' Permit No. J 11% 7 ��-- C I App1 zafion hlrs fieTa$emr a permit toy�A� story, Type .5lll Building to be occupied only as -.S� 4&Z4�in accordance with Plans, Specifications and Pot -PI t filed herewith. P1 Ck Fee Estimated Value of Improvements, S . ,iA/a9 Fee $ AJ JO It is hereby agreed 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 Cupertino will be conplied with. Owner : — Address By Address Phone Approve State Licens �J / BUILDING INS / 21601 Colwnbas Ave. Joan1u NO. STREET LOT NO. 31 APPLICATION) FOR ELECTRICAL PERMIT �1A 27` �GITY'F CUPERTWO �, IRF /r� Date " Tv n •— 12-30-66 195— Permit No. F�ce ti / Application is hereby made td 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 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino, and all other !arcs applicable thereto. Use of Premises 1—Yam, res. Owner Ditz—Crane S Clara Address H. WAiV is : By, �� _ Address ,ONi.M`TO.R: A.GE'U'i(dlA Approve Phone: St$te License- 12422 NEW RPL FEES W Size Service Conduit ----- !3 ------------- Number of Outlets..__..__...... Size Service Wires.-..._:30� --------- Number of Switches ---------------- Size Service ....... Number of Receptacles......._... IAAVNumber Size Sub Feed ConduO of Fixtures.._ -------------- Size Sub Feed Wire4-A---aJQRanges ..... / -------- KW -------------- Number of Circuits ------- /.D ---- Oven .... ......... KW -------------- Number of Meters -----.-- .............Signs.......... Transformers...__. Misc ---- -- ---------- e ------- ------------ --------- -Dryers--- / ... 'r. HP --- Motors ............ - -------- - Phase ----------- -------- Mcytors------------------ - HP ----------- -------- Phase -------------------- Motors ------------------- HP -------------------- Phase -------------------- HP Ch ff*YIF." RECORD OF INSPECTION AF Rough Wiring ........ ------- 1. --------------------------- Fixtures DATE INSPECTOR Finish Wiring ........ ....... I ------------------------ otors . TFinal - DATE INSPECTOR - ------- --------- ---- --------- -- 'sA/ ---------- - -------- -------------- ---- ------ --------- ---------- ---------- - ------------ or ------ --------- ---------- C ------- !�l I-------------- --------- ---------- Permit Fee $MO DATE INSPECTOR .............. DATE ---------------------------- INSPECTOR * .............. DATE ---------------------------- INSPECTOR LOT NO, // h0. STRE F.T _ .� AP�PPLL jCWTION FOR PLUMBING PERMIT - Y OF CUPERTINO r— ! Sanitary No. Date , Y196_ Permit No PjiQCV q?� Fee$ . Applicatidniis hereby naad�totthe City of Cupertino for a permit to install plumbing 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 Cupertino, and all other laws applicable theretg - - Use of Phone J jCS' � 3 �3 State License` PLUMBING l - —MAIN, —.UNITS FECS .?UNITS F.EE3 g Heine .Ylatcr Water,`;!Cpsetstl � Material , j„" } bash Tubs ;.,Slt Tb Guib Shower's'-. Lav .0 To Existing ^. Kltc ent"Sinks 3� Not Conn. tsh Washer`s Sewer Boxes aste Di-sposuls as - STORM DRAINAGE - ashing"Mlctirie;. ',3ZI -Size ' Witer,Soffeners Material - "BatSink's r To Main Drain Crom Sin J« rays To Curb Dentvl�UnitS`„ , Dnn mg,Fountaips WATER SYSTEM df onr D"rams w I�estaur�nt Material Sin, _ iaps TOTAL FEES Fixture Fee'— �' rct=^Pains .' - Drain'Feea0 tVn�ter Le°dde—'rs' pnnl.lyi„aN ilvcs _Main Storm Drain Fee .Water Sys. Eee ,�- ! r- • ' - "Permit Fee .elc TOTAL FEE RECORD, OF. INSPECTION 21601I Columbus Ave. NO. STREET j APPI.ICATIONta FOR QAN 30 1967 J P o LOT NO. 14 APPLIANCE PERMIT F CUPERTINO Jft oftf JW 1/ Date 196— Permit No.�� % CITY A9�lica��' ir�e�`'4nade to the City p Fee $ i P y ty of Cu ertino fora permit to install gas appliances as listed on the reverse side hereof, and agrees to install said appliances in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. Use of Premises _Re, sidPnnP (honer ns t:a rr•"F'3E Address P.O. Box 509 S T. FLOG S°HEM METAL CO. By 3eddress Phone. Ccmpb-Jl, California STATE _C0 NTRACTOR'S State LicenseApprove �V_ / LICENSE PLUMBING INSPECTOR I/ Type of Appliance Units Fees I Remarks (C2tedc ✓) New Replace I Relocate Gas Ranges Wall Heaters I II i I Gas Plates_�— Circu.lating Heaters Blower Furnaces I ,tl011 Gas Fired Boilers I I II I I Warning Ovens I I II I Percolators Griddles Steam Tables Gravity Furnaces I _ Suspended Unit I it Floor Furnace 2.00 I Misce a eous I (NAME. TYPE) I II - I �.00, - Appliance Fees i,— Inspected and Approved ............ . DATE. CERTIFICATE- ,. CF " COMPLETION' q BUILDING' INSPECtOR'S ,OFFICE - ' CITY.'OP CUPERTINO Date ......fr..... ........................... 19. 4trm2 Building Permit ;f The Building Located at;_r.�./....t.::.......... Ownedb T y ..(...._Mpr.::............................. ................. " Coni "leted Has Been .... or Use As:........, cx1 �^^ F (Altered) :............... .................................................. .......... _..........::.............................. �V%r�.,r-•�%,.+� BUILDING INSPF-CTOR'; 102 12/ 66-1M - c� To You are hereby Owner or At........... No. of Wires ....... OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OP CUPERTINO i r...v.......... 196 service ............................................. _............ _.. _ .......................a..... Size of Wires ...Y......... .Size of Switch OC�fT. Motor Load .......................... Voltage ................ Heating Load ........................ K. W . .................. of Meters...IrghL ....... IIO. . �............. 1 Heat.. _�.. 2 2 0.1r:.... No.'of Add. Meten............1� l Power ............... .......... Phase ................................. Voltage ....................... Reconnect .................. Move Service............ ....................................... ELECMA CL INSPECTOR . ... GAS SERVICE NOTICE OFFICE COPY, BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ...... - ........... �X,9 .. ...... ... .. 196..�F To You are hereby authorized to connect the GAS service for Owner or Tenant .......�.� ....... ......... - - ........ ..................... New Service No. of Meters ..... ........... Reconnect .............................. Move Service ... .................... No of Add. Meters Move Meter .......................... J 4 PLUMBING INSPECTOR 131dY, Dept Office ropy BUILDING INSPECTOR'S OFFICE Cln' OF CUPERTINO F-1 Sewer Connection Sanitary Permit No . ..... .......... IT -*'Plumbing Final Plumbing Permit No.s--3/—/,6.-7 ........ Lot No. .................. Owner or Tenant ---- ..... ... ........... "..............."'1. ...... *'*'*"* ---------------------- .............. ---- ............................................ At.......... Tract .......... DateConnected ........................... ..................................................... 19.147 DateFinal .............. ............. ........................................................... ....... Z� LU BING" INSPECTOR . ............. 1 7 63-1M ROUTE SLIP File No. —/ !o Date Out S 3 ya Date In 4 Location c �� Subject. yY.�,^y� Notes �vw �6eG• o,i Approved Date Inspector ROUT$ SLIP File No. Date Out tom/ 2 Z4 Date In %"777�� Location c� ice_ Stzbject,�_ Notes Approved4hi At&, Date Inspector