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NO PERMIT NUMBER_ 21611 I Columbus Ave. Lot No. 15 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. 91167 Sanitary No. 4881 Date Dec. 27 1966 Application is hereby made for a permit to Con q t " i pt. a I story, Type T .T to be occupied only as Single Family Dwelling in accordance with plot plan, plans and Specification filed herewith, Estimated Value of Improvements $ Oi, 00g.riO FEES 6g • 00 Plan Check $ Q,,,r,er Ditz—Crane Address 2295 De La Cruz Blvd. Contr. Phone 244-2910 257-1110 Address State License 151791 Approved W T) Ranovi phi/h APPLICATION FOR ELECTRICAL PERMIT / Data 7 196 FEES / Cont'. r�lems-ch� Addres. Phone �7S6 State L Approve APPLICATION FOR PLUMBING & GAS PERMIT 5� Date - y 196 7 GAS FEE $� w Contr. Phone o2 1�4 5 — eZ,3 1.3 PLUMBING FEE $ / Address /y7 3 sz p/j c,i......y i s State License Approved APPLICATION TION FOR APPLIANCE PERMITDo to 1196 /� FEES Cotr. ^� i'"-�G' /'."-'�_ Address �.S ri �iu<"„'„'�-.�"' �/✓ Phone 3 State -License- ?' Approved /o".""�c• Applicants agree not to violate any of the - (/ Workman's Compensation Laws of the State of California RECORD OFiiNSPECTIp N A Gla ,6�e� FOUNDATION / — NG Da ' - spactor UNDERFLOOR Date Inspector FRAME-�o2-C7 D teC7 - Inspector LATH & PLASTER - Ji"� ? Inspector FINAL Dote Inspector .OUTLETS /3 SWITCHES N L RECEPTACLES' FIXTURES j3 J H.P. CHARGE 3 / o-p PERA44 FEE TOTAL FEES T ELECTRICAL SERVICE SIZ UNDERGROUND 7" �aAyv actor ROUGH WIRIN e I specfor FINISH WIRING Inspector /FIXTURES `its/e e&7I 0 Ins actor Dote }/ Ins oector I/111/07 Obwy`PLUMBING & GAs MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES �� UNDERGROUND FIXTURE FEE PARTIAL ROUGH, -C7 MAIN DRAIN FEE �---�q 7 — i�° t ROUGH COMPLETa' E for ! STORM DRAIN FEE MAIN DRAIN��atY WATER SYSTEM FEE /OU t GAS PIPING 11'2� or GAS PIPING FEE ate FINAL peBi PERMIT FEE IaZ a-v Date MISC Inspector TOTAL FEE 1A.7 - Data MISC Inspector Vote Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS 2 LS BLOWER FURNACES COMBUSTION VEOfi Z W- SUSPENDED UNIT MISC GAS RANGE - - MISC GAS DRYER - PERMIT FEE FLOOR FURNACE TOTAL FEE --yam.-, /O `2S INSPECTED to Inspector ROUTE SLIP File No: Date Out Date In rT Location 1-e�/j— �f Subject, Notes Approved Date Inspector 4 LOT NO. z < m T�` 1/ 'APPLICATION FOR BUILDING PERMIT ° 'CITY OF CUPFRTINO SO (DEC 28 1S66 Sanitary No. �jl/ Uate Z;/7 196E Permit No. . ��L ^% ° �r oog1 R9Tby" fl LL Y Applicahonl er by rnade for a permit to i to a story, Type ..�-ram%/✓ O /� Building a; to be occupied only as -S /q X/Aud-Yi il'G.�GI�.«� in accordance with 0 o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee Estimated Value of Improvements, $ Fez E �l/G� iJ 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 beycomplied with. State 216n I Columbus Ave. _ q� 1� 11 NO. STREET LOT NO. 15• Plan 09 APPLICATION FOR ELECTRICAL PERMIT cmf-,OF CUPERT]NO t b` - Date =* /`JAN 2 7 1g12-30 5_ Permit No. Ila <�. Fee 5 �. _ A lica'tibn is hereLy madet he Cit of Cupertino for permit to install electrical PP... , , 1, t Yi f �-,,}�.� n!„ Y P wiring and/or tixtures as'hste n'-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 laws applicable thereto. Use of Premises 1—£am, res. Owner Di.ta—Crane Address a H. G• WAtVuarc�:•. By v,arR ROAD _ Address 9UNN tC:ONTRA(3roa,jXaNV1A PHONE 73G-34P1 Approve Phone: E[ECTRIU[ INSlE 12422 L State License d NEW RPL FEES ) Size Service Conduit.---;'- ------------ Number of Outlets_._------------- -- Size Service Wires ... -4A ----------- Number of Switches__-------_--- AD -- ---- ---- -------------- Size Service Switch .... Z kTfl ..... Number of Receptacles....-------- - � ,,/ ------- 7-- -------- - -------------- A3 1� Size Sub Feed Conduityl/,-3/—�--Number of Fixtures ----------------- ------ -, -- ------- -------------- Size Sub Feed WireOR ---/r Ranges .... / --------- KW----.....--_- -1-4--- - --- ------ ---------- --- Number of Circuits ........ . o!P ... Oven ---/ -------- KW------------ ---------- -- ---------- -------- ... Number of Meters --------- ------------- Signs .......... Transformers -------- ---------- ---------- ---- --------- Mist: ........ ...--------- --- Dryers .... -- ----- * -------- -------- -------- - -- --------- - Motors ... HP- o -------- Phase ----- -- Permit Fee $'LW Motors ......... ---------- HP -------------------- Phase -------------------- Motors -------------------- HP -------------------- Phase ------------- -.— HP Charge ---------------- A TOTAL FEES RECORD OF INSPECTION APPROVALS RoughWiring ---------------- -------------------- - ------ Fixtures -------------- ------- ----------------- 04TE INSPECTOR 0'" FinishWiring ---------------- ------I-------------- tors ------------- ..........------------------ INSPECTOR ....... AT EASE INSPECTOR D I SP T 0 R IN C 9 ?Firal ------------ - - ......... -------- - - . . . . ... DATE INSPECTOR G i'ye� LOT NO. RE/�1�• __ NO. _ -STET._- VP N � APHEII AT ONtr-OR PLUMBING PERMIT a F IT-1- (DOE CUPERTINO 70 OAN 2 �; 1967. bt Sanitary No. C LL �//�17 o a Date - 7' {s p 196_ Permit No. n `v� 1-�.^� t,i ��IITtn Fee 0 - Application is hereby made to the City of Cupertino for -a permit to install plumbing `o a _ pipes-Arid/or_ fixtures listed on the reverse side -hereof, and agrees toinstallsaidprices im and/or _fixtures inaccordancewith the provisions of the Plumbing Code of the City of - a w Cupertino, and all other laws applicable thereto. wx a Use of- Premises 00 0 3 Owner'= Address 0a Address /�z y�O & s; CONTRACTOR AGENT 4-7 §.ry??ir - ,✓ - rr ire =Fzq ",�[sztai. t' ' •- .'. �- PLUMBING INSPECTOR FIXTURES NUIN BER MAIN DRAIN UNITS FEES FEE'. `vater Hcatc Size _UNITSj Water Closets / �� Material ( L Bath Tubs So To Curb Showers -5v To Prop. Line Lavatories vri To Existing Kitchen Sinks eO Not Conn. Dish Washers Sewer Boxes Waste Disposals Wash Trays STORM DRAINAGE Wasting g Machines —Softeners ,5V Size Water Material Bar Sinks To Main Drain Com . Sink s Trays To Curb Dental Units Drin ing Fountains I oi—( DDrains WATER SYSTEM Hoppers Size Restaurant Sinks Material San raps TOTAL FEES Urinals Fixture Fee S rea rains Main Drain Fee Water Leaders Storm Drain Fee Sprinkler Valves Water Sys. Fee Permit Fee 0 TOTAL jZ TOTAL FEE RECORD OF INSPECTION Underground Rough Partial WmL, Rough Complete Alain Drain Final . 216111 Columbus Ave. LOT No. 15 NO. STREET -APPLICAT,ION . FOR- APPLIANCE PERMIT OF CUPERTINO Pl ^V //eJV 1 , Date��i�l 4n + �� -�196— Permit No. - , lU2S Fee E CITY Apphc atipu61-hereby made to the City -of Cupertino for a permit to install gas appliances Jas fisted 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 Residence Owner Ditz—Crane Address P.O. Box 509 S.J, PLOD SHER7 METAL CO. �0 G AGE j.Q Address Camp ��1, Zalifarnia 37�'O9''}� Phon 5f3L�.�q / State LicenseSTATE CONTRACTOR'S Approved UCENSE 2642 — pproveV 'PLUMBING INSPECTOR Type of Appliance Units Fees II Remarks (Chedr ✓; New ( Replace I Relocate Gas Ranges I I� Will Heaters I I II Gas Plates I I II Circulating Heaters ' Blower Furnaces I I I COG II I I Gas Fired Boilers 11 I Warming Ovens II I I Percolators Griddles I I II I Steam Tables Gravity Furnaces Suspended Unit � _ Floor Furnace Miscell n ous I I (NAME TYPE) 12.0011 2 / i _ pp lance Pecs Inspected and Approved................................................................. DATE. INSPECTOR ROUTE SLIP File No, J-//6 7 Date Out s�— Date In Location_�L�-C �S Subjeot .-•-�� Notes F f.tr �el,��irT tL eC Approved 4u D—atInsp:ctor �'/ CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE * r// CITY OF. CUPERTINO Date "' f Building Permit No. The Building Located?G...y_ 1 ............... .. ......... . Owned by ......b`-.r, �aP ' ..../ ..r!s?= ....:.... :...................... _ ............................. ((Coin letr8~ ~ ,: r ,,i Has Been ` P For Use As:..........'.s:= _ �j : + (Altered).......................................... ........:.......................................................:................................................................................ BUILDING INSPECTOR '.IW 1/63.500 _ j Bldg. Dept Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO r-1 Sewer Connection Sanitary Permit No. .110W .......... 120"Plumbing Final Plumbing Permit No.-rr;;5� ........... Lot No . ..... 47 ................ Owner or Tenant ----- Date Connected Date Final Ill 7/63-1M 110-110*4114" TEMPORARY GAS SERVICE DATE: ........ OWNER:• :.......:..:...:.. ("APR 26 196J" LOT: ............... IJIRYAS N °:1.�.....RT! uV .................................... The undersigned agrees to be responsible for the gas until a buildin s ready for occupancy, and is release City f/Cuj?(in�� Phone 117 1/63.500 Fee: ..-. S.......... at the above location, RT.ELECTRICAL - ---------- - ........................ ....................... COPERTI'M CITYRfAnEON: ..: ...................................................... ....... The un'digned agrees to be responsible for the electrical Z112ui1d'n,,is read for A I I occupancy, ncy, and : s release11 INSPECTOR 63;POO, SERVICE Fee: ...... ........... ................. . se au, the,09ye location, ep 11 ing epartmeni, , AId =40- " 1ELECTRIC , SERVICE NOTICE OFFICE COPY rN"14 BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO TO.......................... !i .... ............11 1967 You are hereby Ear o o cottt electrical service for I Owner of Tenant ................................. ............. .......... At ........... Z I . �I ..........I.............. .............................................................................................. No. of Wires ............. Size of Wires .... Size of Switch t.l� (!).p .... ........ .. ........ .. t ... Motor Load Heating Load Voltage................................ Phase .................................. K. W No, of Meters........ I .......... ught, ..... I No. of,Add. Meters............ Heat ................ 2 Power .............. ......... Voltage ................................ , Service..... /Z m—nnect .................. Move Service............ Iv We Meter .............. ELECTRICAL