NO PERMIT NUMBER03
No.
.eB Lot No.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. " 71
File .No.X""/
Do to ZL 196 L
Application is hereby made for a permit to _.
a story, Type J
to be occupied only as -�e'_.._ k
Conte.
in accordanj,1with Plot Plan, Plans and Specification filed herewith„
p�Estimated Value of Improvements
FEES Plan Check $ -
��se� -�� �,/
Owner s'�[.L � Address yL"'$r� O"-
((((JJJJ Address C'
State License
Phone
Approved 9
APPLICATION FOR ELECTRICAL PERMIT
Date T"�— 196 Z D
Conte,
Phone
u,.4.
$
FEES
Address g Z Sl /�' f //
State License a 5-e
Approved 22L�
APPLICATION FOR PLUMBING & GAS PERMIT
Date / '� 196 70 GAS FEE S
PLUMBING FEE s n
r$ / �-G . r
Conte, _ Ct Address,/4% �"
y /
Phone -2 -2�3 �-� State License//'F���5// �
Approved ��-�'^'^�
g APPLI ATION FOR APPLIANCE/PERMIT Sz
Date 196` FEES �3
Conte. Address ��/`c---�✓ e�
Phone — 3-7 P — Cl 9 j
Applicants agree not to violate any -of the
Workman's Compensation Laws of the
State of California
State License 2-..1
Approved
sfC
pmv
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MI
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME -
AT & PLASTER
GRADING FINAL
FINAL BLDG.
/Z
6
U
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
` 0
FINISHED WIRING
d
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH —
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN "I 70 A Lawn �E
FINAL PLBG.
FINAL GAS e 6 ��•
FINAL APPLIANCE c
70
nATF INSP FL TCIR MISC.
misdumn sarm.
. -(;It& L
- WA816Te2I
MISC
MISC
n..
CERTIFICATE., OF. COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... Building Permit No.,
�The Bxiilding Located at ......... .. .........
Owned by
Has Been (Comp . leted) For,Usc As:
102 12/66-IM
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
i
You are hereby authorized to connect' electrical service for
-
Owner or Tenant....... n 'v"' /�f
At @
No. of Wires ........�......... e ... ? ...... Size of witch/�
Size of Wires ................ i `
jMotor Load ................ Voltage ............................... Phase :Y'% rfi' ..........
HeatingLoad ......................- K. W................................. Volt.,.............................
Light....... 110.... l/ New Sercicr.._........: HemnnecL................
No. of Meters ........ i.......... /
Heat ................. 220..1/.. Three Wire... .... (ace Ser,,irc............
No. of Add. Meters............
,Power ............... "Three phase .............
... Mo'v Meter........
� � ELE TRIGh1 INSPRQti4 r
LOT' �• I
`�j Sewer Connection
.Q Plumbing Final
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Sanitary Permit No..6..... !................
Plumbing Permit No.5.1i.7.7.J..
Lot No. .....1...........
Owner or Tenant ....Dl..l...'..,.C.,Q_A.N....E.................................................................
Tract _S1- --1;A C..T.........
t Date Connected ......--�.. .2...1........ Q............................................................ 19............
/`
Date Final ..........:�...'.2%—
19............
PLUMBING INSPECTOR
L-6-T- 5 GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........ s-....2...�...-.7 .......................... 196......
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .... 9.1.7....Z,77.. - K.A.N................................................................
At....... .j...3...5......... U.art...p5 ......�.�:...................................YY.................
New Service ....l.l ____._...
No. of Meters ........I .............
No. of Add. Meters ..............`
Reconnect .............................
Move Service .......................
Move Lle.......
............ .
....................
PLUMBING INSPECTOR
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
You are hereby auf riz nner*eleq*ric'al' service for 19
Owner or Tenant .............. N ... ..—.....%...-...� I ............... ........ I ...........
At........ P....................
No. of Wires ........................ Size of Wi - k...... ............ Size of Switch ....................
d----�
Motor Load .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .......................... Voltage . ...... - ..................
No. of Meters ........ (Light ................ 11( N Scr i ........... Reconnect.................
No. of Add. Meters Heat............. wlp 22..0..
2 0 . ..... I . 'h ...... . Nfa,e Service ...
,Power............... P � .............. - Mmr Meter...
. ... .. .... ........ m...
LLECTRICdINSPE,
ROUTE SLIP
File No.
Date �.
Location
47!� Iz
Subject %
Notes
Approved
Date Ind ect r
ROUTE*SLIP
Locati
Subject
Note
File No.i1177 -
Date d%
Approvedl�_/,, �9
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I il�T'��' _ /-•—✓ LOT NO. L �/
NO. 111
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
Sanitary No.
Date d 9 1`,a Permit No
1 {p7Q Pee $ �• sa
Application ' �h>4A� Iriae tto the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the rever de hereof, and agrees to install said prices
and/or fixtures in acc�rdanyryylB�JR6i ions of the Plumbing Code of the City of
Cupertino, apc�'�fN� of t r IaiiuubaI I �t73dble thereto.
lls�
Use of Premises Single Dwelling
Owner Ditz Crane Co. 22A95rDe La Cruz Blvd., S. C.
B ess
L. C. Bohart Plumging Co. 1(�7dddd ast Fremont Ave., Stvale
y ddress
CONTRACTOR,AGENT
�___ 245-2323
State License 1865791
Approved(
X PLUMBING INSPECTOR C/
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Uni
Fees
Water Heater
z
Size
water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
r/
Lavatories
To Existing
Kitchen in
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
SandTrap
TOTAL FEES
Urinal
Fixture Fee
G
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Vz1ve
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
/
Y15;0 11
Total Fee
10395 Dempster Ave.
3A ( NO. sTa ECT
zi
s rc
LOT NO. 5 1
Plan 1641
Y ° APP T OR ELECTRICAL PERMIT
S��_ CUPERTINO
T
:_
o Date Permit No.
0 W
G L
! F 1 el•
a to Application is II e�eby� o of Cupertino for a permit to install electrical
ar wiring ��oifil;�'res�dJlSIMIJ lJreverse side hereof, and agrees to install said
ii o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> m City of Cupertino, and all other laws applicable thereto. .
0 3
o ` 1 —fam, res.
z J Use of Premises
J z
J O
a. Owner Di tz—Crane
a a by _
O g Ur�1,NTRAG�TOR,AG ENT
a U Phi,n,,, UUNNYVAL-W, CAi.T?R IZAIA
�1 PHONVE 710"4E1
(� State License 12422
Address Sa a C
6pprove(El
t, INsreCTM
]TEIy
NENik
RPL
FEES
Vumber of Outlets
j
a
Vumw of Switches
Z1si
Vumber of Receptacles
G
'
Number of Fixtures
�•2a
Ran es or Ovens K.W.
Size of Main Service (N/
Number of Meters
Number of Panels - -
�—
S'-Tmnsformeis
Dryers
/.
Motors:
H-P. Pbas
H.P. Phase
H.P. Phase
Power Poles
Permit Fee
2.00
H.P. Charges
Total Vees
'�S
d 3`l i' 1J'e- M (i S k�� rl ' QY LOT NO. /
NO. STREET
CITY OF CUPERTINO
' 'APPLICATION FOR ELECTRICAL PERMIT
s'
Date ` , 19_
Permit No.
Fee $
%.
Applicationis hereby made to 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 the provisions
of the Electrical Code of the
Ci pertino, and all other laws a able thereto.
RJ t.ca
e
Use of Work a
Promises
t% 2;? bts%el.. .
` `PerformedtNa
Owner
Phone
ByL—t-:ii_T Address
octor, Agent
Phone'State
ZInspector
License.n,z)—\A � ApprovedElec
I AGREE I WILL NOT VIOLAT ANY OF THE OR EN' —
COMPENSATION LAWS OF THE STATE OF ORNIA.
L�' ® LA
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Q
Ranges or Ovens K.W.
Size of Main Service &Lk ty4i 114,3
Number of Meters a 'rbIljk4fla
Number of Panels
-�
Signs - Transformers
Dryers
Ajqorsa
H.P. Phase
H.P. Phase
H.P. Phase
Awqr,Poles
%.%3CkQ Qfts1 tCQ
Misc.
Permit Fee
H.P. Charges
Total Fees
APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPr:RTINO
/1 7./
Date � - Itcupertino
Permit No. II /��tpp��oo ((��PeeApplicatio is f1biABy madcWtQe for a permit to install electrical
wiring and/or fixtures as listed on .the reverse side hereof, and agrees to install said
wiring, and/jr.- in(99Q the provisions of the Electrical Code of the
City of Cupgpt n, aI ali'o h� I }icable thereto.
iANOWL.r.
Owner er, tea- ,r.
By
CON IRACTOA, (�(i aNT
Phone: ��� ?
State License 0 ba aa+64 k
prEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service
H.P
\Ot\{`S I STF R a o C,.. LOT NO. � I
NO. S`rRI19T
„ < APgI.IC,A1N FOR APPLIANCE PERMIT
�S OF CUPERTINO
LL
Y° 31
3 < Date Y Q i f tat, Permit No. %.
i
" ° � 'eat' I � � �ade to the City -of Cupertino fore permit to
0 i rnsstall gas alil3li� de lsl�ls4ad on the reverse side hereof, and agrees to
z th install said appliances in accordance with the provisions of the Plumbing
„ i Code of the City of Cupertino, and all other laws applicable thereto.
Use of Premises
o_o
R
Owner Address S• L
oa
ZJ
Az By Pi oG b+�1EF_i -� A� Address �MPQL;L-
3'O CONTRACTOR,AGENT
N Phone (\X - O�j
u 2
W' W
a o StR&-QQj@ "IEET METAL CO. Approved
CAMPBELL, CALIF. rd PLUMBING INSPECTOR
�(Y LICENSE #252925 -4—
V
Type of Appliance I
Units Fees II
Remarks
(Check ✓:
New I
Replace I Relocate
Gas Ranges I
I
II
I
I
Wall Heaters I
I
II
I
i
Gas Plates I
I
II
I
I
Circulating Heaters I
I
I
I
Blower Furnaces I
l
a •Ob II
I
I
Gas Fired Boilers
Wamting Ovens I
I
I
Percolators
I 1
I
I
Griddles
Steam Tables
I
I
II
I
I
Gravity Furnaces
I
I
II
I
I
Suspended Unit
I
I
f—
Floor Furnace
I
I
II
I
1
I
II
I
Miscellaneous
(NAME TYPE)
SRN, .�
'
i�•��
II
I '
PP ,ance Fees
II
I I
Inspected and Approved ---- _.. ........ .....--....._.-_.
DATE DJSPECTOa
r 1 V -39 L DOMPs-rgr)e- LOT
NO. STREET
n :o CITY OF CUPERTINO
'APPLICATION FOR APPLIANCE PERMIT
Z2 g— Permit No.
Date I� 1 , 19 Fee $
Application is hereby made to the City of Cupertino for a 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 Work To Be
Premises Performed AC INS-1'1a4..r.p�'1OrriAMC F;A J
Owne2! SUV-ONICI(_. Address
By (t`x-- Address :'�3��
Contractor, Agent YYs O✓rsrrPsl sJ U I t;7...)
Phone r gfOppq—(n aso
itate License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY 4F THE WORKMEN'S /K
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® ',
APPLIANCE If UNITS I FEES
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
100,000 B.T.U.'S
2) FORCED AIR OR GRAVITY.FURN. OVER 100,0D0 B.T.U.'S
3) FLOOR FURNACE
4) SUSPENDED, REC. WALL, FLOOR HEATER
5) INSTALLATION OF APPL. VENT
6) REPAIR OF, ALTERATION OF, OR ADDITION TO
HEATING APPL., REFRIG. UNIT, ABSORP. UNIT,
COMFORT HEATING, COOLING, AB5ORP., OR EVAP.
COOLING SYSTEM
7) BOILER OR COMP. TO 4-HP. ABSORP. SYSTEM
TO 100,001 B.T.U.-S
8) BOILER OR COMP. TO ibHP. ABSORP. SYSTEM
100,000 TO 500,001 B.T.U.'S
9) BOILER OR COMP. TO 15-HP. TO31-HP. ABSORP.
SYSTEM 500,000 TO 1,0D0,001 B.T.U.'S
10) BOILER OR COMP. 30-HP. TO 51-HP. ABSORP.
SYSTEM 1,000,001 TO 1,750,001 B.T.U.'S
11) AIR HANDLER 10,000 CU. FT.
12) AIR HANDLER OVER 10,000 CU. FT.
13) EVAP. COOLER PORTABLE
14) VENT. FAN CON. TO SINGLE DUCT O'0
15) VENT. SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
16) HOOD - MECHANICAL EXHAUST
17) DOMESTIC INCINERATOR
18) COM. OR INDUST. INCINERATOR
191 FOUIPMENT NOT COVERED BY THE ABOVE
PERMIT REE
103G5 OEMPs7t-2 LOT
NO STREET
CITY OF CUPERTINO
f..'r :> APPLICATION FOR APPLIANCE PERMIT
�..
/{ s� Permit No.
Date f�Z;-� r� ,197 i� Fee$
Application is hereby made to the City of Cupertino for a 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 Work G ToIZf �/
Premises >)Sf f«-.� Performeded 12 r /S 'rc7 76 /I I Z
Owner 0406-1 { C11_
Phoned-89Sq.
By I--.�Ot lA,1L•
Conrraclor, Agenr
Phone l�ca�—(o130
313 (o
Z
Address Mm sP/kce Pi4.�
Wtou&rcj�1rJ vtu-Kjt GA OQ.vrYi
'74 04 3
State License 3 ¢ Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 L.
APPLIANCE
UNITS'
+FEESi
1) FORCED AIR OR GRAVITY FURN. TO AND INCLUDING
100,000 B.T.U.'S
2) FORCED AIR OR GRAVITY FURN. OVER 100,000 B.T.U.'S
3)FLOOR FURNACE
4) SUSPENDED, REC. WALL. FLOOR HEATER
5) INSTALLATION OF&EELVENT
6 REPA&QEL6TERATlON OR ADDITION TO
EATING AP L., REFRIG. UNIT, ABSORP. UNIT,
EATIN , COOLING, ABSORP., OR EVAP.
MMCO
LI G TE
7) BOILER COMP. TO 4-HP. ABSORP. SYSTEM
TO 100,001 B.T.U.'S
B) BOILER OR COMP. T%ABSORP. P. ABSORP. SYSTEM100,000
TO 500,001 S9)
BOILER OR COMP. TP. TO 31-HP. ABSORP.SYSTEM
5DO.000 TO001 B.T.U: SIO)BOILERORCOMP.3O
50-HP. ABSORP.SYSTEM
i,000,00DT0,000 B.T.U.'S11)
BOILER OR COMP. 5ND OVER ABSORP.SYSTEM
OVER 1,750.T.U.'S12)
AIR HANDLER 10,00FT.13)
AIR HANDLER OVER CU. FT.
id) "AP. COOLER PORTABLE
151 VENT. FAN CON. TO SINGLE DUCT
161 VENT. SYSTEM NOT A PART OF HEATING OR
AIR CONDITIONING
17)HOOD-MECHANICAL EXHAUST
18) DOMESTIC INCINERATOR
19) COM. OR INDUST. INCINERATOR
20) EQUIPMENT NOT COVERED BY THE ABOVE
r
110 I kXtA)OC e=—PLAOr4AA� f
NG-fw,l UN
rr—
WVD A00wL, A-t§ZNA' Ou"N 0;1)
ro rt ,APAoC $�
TOTAL FFE
foT
rot 10395 Dempster Avenue 51
LOT NO.
O. STREET
\\ N APPLICATION FOR APPLIANCE PERMIT
� t
d z CITY OF CUPERTINO
W
0
Y
3 Date _ Permit No. // 7-7
W 4 (MAR 91gq70 Fees _ 13, sz
O Application is Icreby to the City of Cupertino for a permit to
°o a install gas appliances as listed on the reverse side hereof, and agrees to
z a i D TYSIIiPFP I � g� lance with the provisions of the Plumbing
► F Code of the.CeSinCP , and all other laws applicable thereto.
5, Use of Premises
00
M
Owner
Ditz-Crane Co.
04
ZJ
J 0
By
0
CONTRACTOR,AGENT
378-0934
—
Phone_
m
PLOG SHEET ML'tAL I615;
°a
State LicenseGAMPBEI_I_ F8!_Ijk
o
— U
t l
LICENSE #252825
Address2595 DeLaCruz Blvd.
Approved
PLUMBING INSPECTOR
Uo
of Appliance I Units Fees 11 New
Ovens
Furnaces
Appliance Fees
103 9Xs _ IOT NO. 5-
NO. STREE 1641
APPLICATION FOR BUILDING PERMIT
"Arebtr9lal
OF CUPERTINO �/ J�
Sanitary No.
Date ; /I G_ Permit No,Aita[ermit to hui Id
two ,to9 J 5 Building
f^ family res.
to be occupied onl� ase in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, $ 29.,000.00 Fee $ 88.00
It is hereby agreed that the requirements of
all other laws applicable to the construction,
Cupertino will be complied with.
nn,ne, Ditz=Crane Constructie
252-2653
State License 151791
the Cupertino Building and Zoning Ordinances and
location, and use of buildings within the City of
Address2295 De La Cruz Blvd.
.AA,...Santp. Clara, Californi
X
INSPECTOR