File 511673W"
::,
A
Lot No.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
DoteZ 196
Application is hereby made for a permit to
to be occupied only as
in
Estimated Value of Improvements
FEE$ — 'Cg—,
Owner'—Os+Kf
I Contr.
File No.
i
a AL story, Type s Z ✓
of Plan, -P Manns and Specification filed herewith,
Plan Check $/r -
Address
Address
Phone
-a //00 C7 State License
Approved WILLIAM D. Br.: i
n (/ APPLICATION FOR ELECTRICAL PERMIT
Dote 196 # FEE$
Contr, IA CI 00� aAAddress
Phone State L
Approve
APPLICATION FOR PLUMBING & GAS PERMIT
Date / 196'2 GAS FEE $
PLUMBING FEE $ c>'2 -L- J-0
Cont, Address iL3r"
Phone cr)- KS _2 3 2 Z State License
Approved WILLIAM D. BEIIE`YICK
APP ICATION FOR APPLIANCE PERMIT
Date 3—.,2 ? 196,,. ,� n� FEES — /3• 0'6
Contr. �.�+ R 7�t2ea� e . Addresd 38 .4. .f4e*(�
Phone State License - 2,�.?
Approved rt.LPnL4
Applicants agree not to violate any of the
Workman's Compensation Laws of the W -'
State of California i;.q..t
RECORD OF INSPECTION APPROVALS
r
i n �r7
DATE
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME Li
L7
LAT PLASTER
GRADING FINAL
FINAL BLDG. �-
UNDERGROUND R
ROUGH WIRING_
FINISHED WIRING
FIXTURES
MOTORS
BUILDING
ELECT ICAL
DATE INS? CTOR
f7PLUMBING, GAS APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.'� P
FINAL GAS
FINAL APPLIANCE
IN
N,�
ROUTE SLIP
File No.S!-�4-J
5r-
Locationu
Subject"-141�,T�
Notes
Approved
Date spector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... 6 ..... ......................... Building Permit Nol5..
f le -7 3
.................
Jj
The Building Located at ...... S57 U0
Owned by ------- zack cL&-,-C
............ ...... yz.—�
JJ - -------- --- * ------------------ ------------- ...........
Has Been (Completed)
(Aftered) For Use As: .............................................................................
_41 . .....................................................
---- -- ------ ------
--------------- . .... ............................... ...............
BUILDING INSPECTOR
102 12/66-1M
)LOT
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY
OF CUPERTINO
Sewer Connection
Sanitary Permit No. -----------
Plumbing Final
Plumbing Permit No. 5R -6!i
XJACK F40(d DEVISE
Lot No. -......`'f 7 --Owner
or Tenant ----D-Mr. . . ....
CA -PN
At ------- 2-1-9-31 . ......--- U.Qk ----- r=
Tract .... ..
---------
-----------------------------------------------------------------------------
DateConnected .......... 3-7.2.7--..17
-
9 ------------
------------------------------------------------------ 19--.--------.
/ p�
Date
Date Final 6-
------------- -------------------------------------------------------------------
19...----....
.............
t-/ PLUMBING INSPECTOR
111 12/66 -IM
L -0r 4z
GAS SERVICE NOTICE OFFtCI:
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.......... ....., I96.._.
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ..... ..Rg�.._........ _...._..._._...................._.........
At...2.Lg......SHit7Z'u.cK........._pR�.v.6..._....................._._.........__..._.
New Service ..... ...........
No. of Meters :...... I__......... Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. Move Meter ..........................
" PLUMBING INSPECTOR
ELECTRIC S1
BUILDING IN;
CITY OF
NOTICE
OFFICE COPY
TO P ...............................
-.3
196.f
You are hereby a t, tojinnn
e I service for
Owner or Tenant ............... ........
...........
At
..
....21.$..°....... ..... *** ......... ..................................................
............ ....... .......
I, No. of Wires ....... ................ Size of Wires .......... ;m�7 Size of Swfitch I
... # ..............
Motor Load ............. . : .......... Voltage ...............................
....... Phase
Heating Load ........................ K. W.
.... Voltage
...... ...........
........
No. of Meters.......
! Light...............110--
Service.._. ...........
Reconnect.._.............
Heat220............
No. of Add. Mete,
Three Wire................
Move Service.........._.
Power ...............
T ter .....
.... .' E CAL INSPECTOR
.........
LOT NO. 14�
=''STREET I I /13l
u/ APPLICATION FOR BUILDING PERMIT
r o AN 2q =1CITY OF CUPF.RTINO
o a Sanitary No.
I onr* amr��Tal 196 PermitNo.
F /
o Applica' on is hereby made For a permit to
a
aN a story, Type- p���� Building
W to be occupied only as in accordance with
Plot-Plan filed herewith. Pl Ck Fee
o o Plans, Specifications and
F; Estimated Value of Improvements, S dao Fee $ J%S, SO
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied with.
3P
— W Owner Address SITZCRANE
W W SDE LA CRUZ BLV0.
W W By Adt
< 0 Phone 11 Sts ///o WILLIAM D. BEN
I Ap�roved_ EVICFt
State License /J / / / J BUILDING INSPECTOR
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21887 (Shattuck Drive Lot #42
LOT NO.
NO. - STREET
1 d..
�APPLICATION FOR APPLIANCE PERMIT
C11Y OF CUPERTINO
L.
Vate 196— Permit No.
Fee $
Application is hereby nmxle 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 Residence
Owner Dit7—Crane
AddresspLO H T M TA m
Address130 S. GILMAN AVE. (P. 0. BOX 97)
CAMPBELL, CALIF. 95008
Approved WILLIAbd D. BENEVICH
PLUMBING INSPECTOR
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NPT SrREE
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APPLIC010.
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'<= o'JAS
-24 1
Y�'irW
Date
oma,
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- Application Is,hereby made -t
L i
-wiring ,and/or fixhves°"as-listE
F M
030
,wiringrand/tor fixtures -in acro
LCity�of Cupertino, anEd all of
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Use Premises
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�a ..Owner
Dltz=Crane
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M<�
CONTE ACTOR, ADEN
cn a<VA
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JPhcinc 90Ngs+y,t;,,�• CALIF(
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State License, 12422
7, "s. ab.
LOT NO.
1fi}y
k'S
FOR };ELECT�RrCAL0FERMIT:_� "
,Y OF CUPLR7�IN0
AN . 8 1 p Iu
;erfAit} of Cupertino -,fora permit toinstall?el n�f
j, the. reverse side+ licrcof, and agrees to install 1s9id
�`e c Ivith"the provisions of the Electrical Code of, the � t
».1
"I nvs'a' ,icable-thereto. 'i r
PIl
i_
Address Santa Clara
Address ._
WILLIAM D. SENEVICjA
Approved. _.
Ih ELECTRICAL INSPECTM j
ITEM I NEW JRPL (FEES - -
Number of Outlets
Number of Receptacles 1 -19 7
Size of Main Service ( "09 1 1 1
Number of Panels I / I I /. —
o No. Street Lot No.
_'S � PLICATION FOR PLUMBING PERMIT
� CITY OF CUPERTINO
�J Qfl96
Sanitary No.
Date 9 Permit No. ?.—S
CITY OF��'�el�d(� Fee s
Application is e y ((he 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
Owner Ditz Crane Company
By Palm Plumbing Company
Contractor, Agent
Phone 245-2323
State License 186579
2�y�De La Cruz Boulevard
ress
4& Sunnyvale -Saratoga Rd.
WILLIAM U. BL-NEVICt
Approved
dumbing Inspector
zA OCU lh2lk �' Ck LOT
NO STREET
_ – –:SP:TO CITY OF CUPERTINO
CZ . APPLICATION FOR PLUMBING PERMIT
Al
`� Q Sanitary No.
PDate "l –j_, 19_S l)_ Permit No.
Application is hereby made to the City of Cupertino for a permit to instal plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said pipes
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 so—T V Work To d + \ I 1 L
Premises {� Performed_/ /• l:i� l
Owner (r�,��2�'/' Address
Phone zJL-3J �{ 1� p –7 ��/--� f] T
By- � ''� Oa !
—' w Address S� 7 y 5�0f%C�–
//��Co�n-t(ractor�/A ent –t
Phone �"s `p''
State License 20 12-3 •� Approved
Plumping Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
1'j COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
� u
FIXTURES NUMBER
Units Fees
Water Heater Q'
Water Closet
Bath Tub
Shower
Lavatories
Kitchen Sink
Dish Washer
Waste Disposal
Wash Troy
Washing Machine
Water Softener
Bar Sink
Comb. Sink & Tray
Dental Unit
Drinking Fountain
Floor Drain
Hopper
Restaurant Sink
Sand Trap
Urinal
Area Drain
Water Leader
Sprinkler System
Relief Value
Vac Breaker
Skimmer
Filter
Pool Sweeper
Total
MAIN DRAIN
Units Fees
Size _
Material
To Curb
To Prop. Line
To Existing
Not Conn.
STORM DRAINAGE
Size
Material
To Main Drain
To Curb
WATER SYSTEM _
Size
Material
TOTAL FEES
Fixture Fee
Main Drain Fee
Storm Drain fee
Water Sys. Fee
Gas Fee
Permit Fee ,
Total Fee ��