51187.1APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Dote .L� 196 f
Application is hereby made for a permit to
to be occupied only as
Sanitary No. 64(10
File No. SIIO /. I
a story, Type t✓ �.L "J
in accordarVe with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ �W 000.
�� Q f
FEES — (O / , 0--0 Plan Check $ /�, /� Q
Owner C.� Address �15—(!Gc a� e44n4.4 & M .
Contr. q Addresses
Phone .2.6 .l-.21DS'3 State License '/ri 71 V
Approved G%• 5X •�f
v
APPLICATION FOR ELECTRICAL PERMIT
Date _ ',L.'J`�o 196 9
Contr. �Qm.al fJnDil i
Phone
FEES -.9/.
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dare 5���`-�
196 /
GAS FEE $ �f•SO)
PLUMBING FEE $ -2-3"Ly
y/J
Contr. &M
Address 4�231
Phone — �5 �—
93�93
State License
Approved /i% e�' • Lit. N
'A-;2 7
APP ICATION FOR APPLIANCE PERMIT9.,y
Date
196
FEES
3�
Contr.
Address / ti• �r +'Y'��
Phone 3,=L
9.3�"
Stato License
s�
Approved G✓• ty. /.C2PMf4x!'�/ —
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MI
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME,�-
(LATH PLASTER
GRADING FINAL
FINAL BLDG.
7-L'q
1e
ELECTRICAL
n ATP INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
�a
WIRING
FINISHED
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
S L9 DATE INSPECTOR MISC.
BACK FLOW REQ.-
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
"2
'
I
�g
FINAL PLBG.
FINAL GAS
6
6
26
6
p
FINAL APPLIANCES
Z6
INSPECTOR M
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21650 I Fitzgerald Drive 8
NO, STREET LOT No,
�WLICy4TON FOR APPLIANCE PERMIT
® �' CITY OF CUPERTINO
t9'teMQT tV 196_ Permit No. _i— %�
�;,q �Ip Fee $ ) 3 . 5 (�
CITY 0,PPL-i7D)ERJOI& minde to the Cityof 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 Premises E�esidence
, Ditz-Crane
By Plog Sheet Metal
CONTRACTOR, AGENT
Phone 378-0934
State License 252825
Address2295 DeLaCruz Blvd.
130S Gilman Campbell
Approved WILLIAM D. BENEVICH
— U r J >C PLUMBING INSPECTOR
Type of Appliance
Units Fees
Remarks (Check V)
New
Replace
Relocate
Gas Ran es
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warning Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
(NAME TYPE)
Appliance Fees
3.50
No. Street
Lot No. /
JJ�jb PPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
„4� MAY 23 1969 Sanitary No. 110 yo 9
Date
Tv [ (�1May
1 }�69 Permit No. S 07. I
p' 8.ir.. Qf C V Fee $ 2�, -0
A p i � ion is hereby made to the 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 thereto.
Use of Premises Dwelling
Owner Ditz Crane Co,
By Palm Plumbing Co.
Contractor, Agent
Phone 245-2323
WDe La Cruz Blvd,
ress
1234 Sunnyvale -Saratoga Rd,
State License_ 1gfjK�+O--tip/— ApproveU �/ILLIAM D. DENEVICH
y Plumbing Inspector
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
/
To Pro12.Line
v
Lavatories
To Existin
Kitche inV'
Not Conn
Dish Washer
Waste Dis sal
Wash Tra
STORM DRAINAGE
Washin Machine
/
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Ho er
Size
Restaurant Sink
Material
Sand Tra
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
/
Vac Breaker
Skimmer
Filter
Pennit Fee
Q�
Total
Total Fee
d
N <_ NO. rY LOT NO.
Z Z
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S Q
r ° P,�'ii�Aj2 OR ELECTRICAL PERMIT
O � Vp
Gs� ..
3 U. CUPERTINO
w
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Date �SEP 111969
, 19'
Permit No. ,
O <
r
_
_
[-cc 's O-U
a W�o
�re�, ity of
Cupertino for a permit to install electrical
,{
wiring an /or fixtures as fisted on the reverse
hereof, and a ces to install said
00
wiring and/or fixtures in accordance with the
p ovisi
s of the Electr I Cade of the
> m
City of Cupertino, and all other laws appli
bl
2_j
Use of Premises RE 5 I z 2 rJ e r
�tho.
J2
O
3
Owner QilllAtI T EQ12CE1Zn
Addre I6 Grra�o ve•
- N
W a
i
By
Add s
Q 0
CONTRACTOR, AGO NT
r
PP _.
— U
Phone: � S'7 .��•J.S
1
Rr.ecrRruc rrrsra
State License
ITEM I NEW IRPL (FEES
of
Number of
Service
Number
H.P
2.00
21650 Fitzgerald Dr. l
No. _ ` Street Lot No. 8
Plan 1641
APPLICATION FOR ELECTRICAL PERMIT
CITY OF CUPE:RTINO
la�llptl MMt� i
Data AY 21 qp 1519689 Permit No. SI/� �•
., , ., Fee $ 15�6. V ti
Application is herebylmade 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 with the provisions of the Electrical Code of the City of Cupertino, and
all other laws applicable thereto.
Use of Premises 1-fam. res.
Owner Ditz-Crane Address Santa Clara
Iiy H. G. V•1ABlD'T r'%d
nn
JU NNYVALLContAec r;TAgeAt
Phone PHONE 730-54P1
State License 12422
X
Approved , ntr`H
Elect�pector
IFA
ITEM
NEpW-
RPL
FEES
Number of Outlets
!O
Number of Switches
��•
Number of Receptacles
Number of Fixtures
3+�
Ranges or Ovens K.W.
�•'�
Size of Main Service
Number of Meters
Number of Panels
!
Signs - Transfortners
Dryers
Motors:
6
H P. Phase
H.P. Phase
H.P. Phase '
Power Poles
MOSC
Permit Fee
2.00
H.P. Charges
Total Fees
yr ��
CERTIFICATE AOF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date 1t......0..:...................7....... 1916�c .... Building Permit No.
The Building Located(.a........ :..1 . fCI�J;:G�/ r J L
.....................................................
Ownedby ..........................(:.1............................
Has Been (Completed) For Use As: .._. r/.1[l.5 .......i:.G-:!i._�-S.4.u.
(Altered) ) \
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
....... ... . .. 4.7... ...................... 196......
To
You are hereby authorized to connect&Q the GAS service for
I 4 .
Owner or Tenant P.I..T-X_._ fut�.g-
..............................................................
At ...... Z1.6.4.0 ........ ........ V.g
New Service ... x ................
No. of Meters Reconnect .............................
Move Service .....................
No. of Add. Meters .............. Move Meter .. ...................
............. .........
PLUMBING INSPECTOR
u UT"
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Bldg. Dept.
Office Copy
TS7� Sewer Connection
Sanitary Permit. No...
�:./:C..tt10
Plumbing Final
Plumbing Permit No.
77..---..
-5-%1..NT'l
Lot No. ------
Ei.....................................................
/. ----------------
Owneror Tenant ...........
.... _."-._
1...!-Lk�...
At........................................
Tract -•� —�
S
......
Date Connected ......��-,....... .............................................................
19 .
r_Z
Date Final ....... R--.:-......_�!..._..:-....1
C/
.................._..-
.............^-------------
.-/. 19............
PLUMBING INSPECTOR
111 12/66-1M '
m
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE .
OFFICE. COPY
You are hereby, a thorized conned electrical service for
Owner or Tenant_.-.. -- -...,_....-------......_..:------------------
17
r
No. of Wires _.. � ... Size of Wires - -- - Size of,S_p]jich.� ...
Motor Load ----- Voltage Phase
Heating Load ...."-I---------- _ K. W. ----._.. ........... Voltage .......
( (Light ---.._ 110 7. New Service �/ - ltemnnec[ _-...
No. of Meters -----
Heat- ....... 220 Three Wire-v/ \foce Scruu .............
No. of Add Meters_.-, - -
eo✓pt.✓ ,Power. _- .... Than P ' \fuer Mete,
. f1l I`�',t"yIyJ�J •�, .r/y --- :C- --.� � _........-
' ELECTRICAL I:.SYFCTCR
File No.
Date
Location
�irw A
Subject e
/`� a �
Notes
rrrnvPd
Date Inspecto
nr
ROUTE SLIP
File No
Date 5LL G9
Location 1,QpA..1J �•
r
Subject���
Notes
Approved S= -G ���✓
Date spector