5133222419 Janice -Ave. 24
NO. STREET
CITY 6F CUPERTINO'
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9120
FILE NO. 51 s 332
3
DATE lo/16/74 19
Application is hereby made for a permit to
Construct o 1 story, type 5 1 J
to be occupied only as Single Family Dwelling ( Plan 3320 )
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 43,000
FEE $ 166. 00 PLAN CHECK $
OWNER Ditz Crane ADDRESS 2295 De La Cruz Blvd.
PHONE 244-2910
PHONE 446-1568 STATE LICENSE 261734
r APPROVED James H. Sisk/h
RUDLDING INSPFrTIr)N RFrf)Pn
DATE
NSJOCTOR
DATE
INSPECTOR
FOUNDATION L
- ,6.7
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
WALLBOARDS - INT. & EXT.
-
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER -FLOOR /
TIEDOWNS
-MISC-
DIAPHRAMS
G 0
sL
PI PrTRICAL INSPECTLON RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING 1.fie'
a
ROUGH WIRING
FINISH WIRING Z
O -
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
FINAL Z.
j, D
EXTERIOR FIXTURES
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
IN PECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
• )�
BACK FLOW INSTALLED
DUCTS & INSULATION
UNDERGROUND ROUGH
FLUES & COMB. AIR
PARTIAL ROUGH
. %
CONDENSATE DRAINS
ROUGH COMPLETE /-
O �7S
FINAL APPLIANCE -
-7
ROOF DRAIN & LEADERS
o2
-
MAIN DRAIN 1)-
-%
FINAL GAS �L
/ -7
FINAL PLUMBING -
- %
MISCELLANEOUS
TEMPORARY GAS' SERVICE
Z 7DATM. j ......................
Fee: ........... .......
,Am.: ............................... .......... .......... P AT:j..)W-A47
.... ....................................................
LOT.. I
.... ................2,.........
---- ......
REASON: ..... ......................................................................
The undersigned agrees to be responsible for the gas service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino. Phone --4.4.4..— ./...5...-..9....5.......I
...............
.................................................................... I I ... 0;�. ..... .................
.. .................................
INSPECTOR TENANT OR OWNER
117 1/63-500
CITY OF CUPERTINO
TEMPORARY ELECTRICAL SERVICE
V
DATE:OIr .................... Fee: .......... =: ..............
k2l'. OWNER: . I ........ i�v,77zr ............................
? A,
AT: ........ .................................
...................................
LOT: ...... ................ ;?"2 514;
REASON: ...... ....... -Z 7—
... g .. ...............
...... 4; .............................
The undersigned agrees to be responsible for the electrical service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino. Phone .......
......................................
..........................
............................................. .................
INSPECTOR TENANT OR OWNER
1117
1/63-500 PDA
J I OUTF
FiIQ A'o.
Datc r
tocatlell eZiC) .yD_ .Q-Qr CcJ..�T
O' e s
pproved
Date Inspecto„
NOTICE OF CHARGE
ciTy of curziuirAo CITY OF CUPERTINO
BUILDING INSPECTOR'S OFFICF
Date
TO
Locatio
Reason
............
Deplart, $ ..... ... ----- --
O
Amount
fh-,F&M- $................ --
Permit No.
.............
.......................
.. . ...
....................
0
...... .......... ........ ..........
114 9 /60-200
A ^••CITYOFCUPERTINO COYE
GAS SERVICE NOTICE
To
You are hereby authorized to connect the GAS service for
Owner or Tenant--.1=,T CQ%1iyL.
At
New Service
No. of Meters Reconnect
Move Service
No. of Add. Meters
i jov ep/eter
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No....... ........
Plumbing Final Plumbing Permit No. .-3444-3> . .......
Lot No . ........... ) ------------_
Owner or Tenant .......
At
Tract
Date Connected
19 ............
DateFinal ................ ................. ................................................. 19...........
..................... ............
PLUMBING VINSP�ECTOR
ELECTRIC SERVICE NOTICE
,t
BUILDING )'NSPECTOR'S' _OFFICE
1 CITY. OF CUPERTINO.
.............................................
To % I
You are hereby authoriz d connect telectrical service for
Owner or
At..........
No. of Wires .....
Motor Load .......
OFFICE COPY
..........................::....
.......... Sizi of Wires ...................... Size of Switfga—)V:'. -
........... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W...... .............. ........... .... Voltage ................................
(Light..C'".......... u0.�'� New ,$ervice...r'�ry Reconnect -----
No.
of Meters....._...........) -/
Heat ................. 220........t[�17vee/V(!ifa .<.......... Move Service .......
No. of Add. Meters...._......" P/h/
.Move Me ..............
Power ............... :.:..........
................................................. .........:., :.
areucn� trrsr croa
rnl <...__.
COT NO. 941!�
�. 5 REET
CITY O� CUCE-.TlNO
CITY OF CUPERTINO
J AN 3 APPLICATION FOR APPLIANCE PERMIT
/ Permit No.
Date r 0—e
, 19Fee $ / g s?
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 K
Premises
Owner
Phone
iBY
o factor e t
CAMffB�LZ, CALIF.
Phone
State license
Work To Be
Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0u
APPUANCE 11 UNITS I FEES
TO
TO
161 HOOD - MECHANICAL EXHAUST II 1 1z) 1, 1.
TOTAL
vt
r NO. - /STREET ' _ VALiS,O_QC
CITY CP C�7c: T!Nf1 •CITY OF CUPERTINO CAP.
d 1 6A� I�I,�ATION FOR BUILDING, PERMIT FEE A 0/
w OPT `++ l�f ! /D r 19 Building Per. No. 1 Z
�0 Date V �. 597 �
San�it�arYPer. No.
O a P ppliLatidn iilaereby made for a permit to 1/ �s a..Q4
3u
Y= u_ a�story, Type'?; .S T &ur, .�32� Structure
O k
,LL W to be occupied only a"s in accordance with
OQ
Z Plans, Specifications and Plot -Plan filed herewith.
aw -
a, F Estimated Value of Improvements, $ yeo, O
a PI Ck Fee $
00 It is hereby agreed that the requirements of the p0
> ut Cupertino Building and Zoning Ordinances and all Fee $ t"
aother laws applicable to the construction, location, and Total Fee $
z use of buildings within the City of Cupertino will be
z complied with.
O
W w NER PHONE ADDRESS
UFo
< 0 CONTR. OR AGENT A R S
_ V p(
PHONEY STATE LICEN E BUILDING INSPECTOR
k o LA
.21, a/ G7 '->�//h"p.' - LOT Ni
N— O.6 1 STREET
CITY OF CUPE;TWO CITE' OF CUPERTINO
DEC 3 O 197� PPLICATION FOR ELECTRICAL PERMIT
Date A A �' / , 19
a2.
Permit No.
Fee S
Application is 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 with the provisions of the Electrical Code'of the
City of Cupertino, and all other laws applicable thereto.
Use of I Work ToBe
_1GcLPremis Performed —
Address Owner — Address A1 `ice>' C
Phone — 56 � p q
By Address / S z`- d 9SS�7
ontra<tor, Agent � —
Phone a-26 ";1-0 1 O _ A /1,0
State License
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
�j COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
� - a 3- z S
ITEM
NEW
RPL
PEES
Number of Outlets
Number of Switches
,22
Number of Receptacles
Number of Fixtures
�[
Ranges or Ovens K.W.
CU
Size of Main Service
00
Number of Meters
, a
Number of Panels
Signs - Transformers
Dryers
/
/. DO
Motors:
H.P. Phase
-
H.P.Phase
-
H.P. Phase
Power Poles
Misc.
Permit Fee
H.P. Charges
Total Fees
a3-zs
®'.
ULM
CITY OF CUPERTINO
CITY Of Cur.CTU1D
ly1 APPLICATION FOR PLUMBING PERMIT
NOV 5 197 ^J.[ Sanitary No. _
Date �� 19 �' G Permit No. _S
P n a n Pees 30 0:�e
Application 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 _ Work To B
Premises "; Performed
Own T'L!/ tl ra��u//
BV
Contractor, Agents 'S7
Phone ���//ky7''��J
State License 1 41 J L Approved
/� Plumbing Inspector
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
1121.
Bath Tub
i
To Curb
Shower
/
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
I
STORM DRAINAGE
Washing'Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
-
Comb. Sink &Tray
To Curb
Dental Unit
_
Drinking Fountain
• F:Dbr Drain
WATER SYSTEM
- Hopper-
Size
I / ,
Restaurant Sink
Material -I
ggA
_ Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee