51167.1TRacr teSS-j
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Data 196 �R
Application is hereby made for a permit to
to be occupied only as
Lot No. T O
// Lp
Sanitary No.
File No, S//L 7. d-
a / story, Type S Lz -�7
in accordancA"ith plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements j
OOd do
FEES Plan Check $ �p n
Owr.er �/�-+-+v.�.� Address A. 19� -ri
Contr. Address �C"r
Phone OZX 7 — I e" J
State License /`S / 71 /
WILLIAM D. E3EfVEV1C;H
Approved
'- '^ �ry APPLICATION FOR ELECTRICAL PERMIT q
Data �5`� 196 1 FEEE - - �1 3•y
/ Contr. �ar r�!t!w Address 1
Phone _ 7� 110 9 �j� State License
Approved /�-/b/• ��
d
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 GAS FEE $
����
PLUMBING FEE S • aZ
Contr. - .'O-� Addres
Phone a wS —oZ'3 1-3 State L
APProv
Z ,� APPL CATION FOR
- 3 -� 7
�g
APPLI.
Date 1%
FEES
Contr. r�i-�c.1/t D� a/
Addres
Phone
,State L
APProv
Applicants agree not to violate any of tKc
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
't°d�
UNDERFLOORY-6
FRAME
ATH PLASTER
GRADING FINAL
FINAL BLDG.
s,/
519�
UNDERGROUND R(
ROUGH WIRING_
FINISHED WIRING.
FIXTURES
FINAL
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH_
ROUGH COMPLETE _
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE - -
ELECTRICAL
DATE Ip$PECTOR MISC.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
IW:
DATE INSPECTOR
MISC
'MISC
Y�
L
MISC
ROUTE SLIP
File No_44/G7.7
Date
Locatiiioon
Subject
Notes
Approved
Da le/ nsp� ector'
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... .`.�.......`...:�....................... 19..4.!.. Building Permit No. SIIF.7-.3
The Building Located at-.21..!/(-.�._�.7........ . , vl_ ......
Owned by �....� �' K.. /•. C
V --
�[1 _........---......._...s...--
(Completed)
Has Been (A$erc For Use As:
........................... .......... .��. ..:-...��....... .... ......_.... .......
... ................... ....... ......... ............ ...... n...........
ins
BUILDING INSPECTOR
102 12/66-1 M
Lor �� GAS SERVICE NOTICE COFFIC
OPYY'
C
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
2.F1.,...L.9_ .9...._., I96....
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ... P. 07Z._- C- (Z A N d .
At..21.9.0�........sN T UcK........DR ............................ _ _ ...Y.......... . .......
New Service ....�`........_......
No. of Meters ........I.... .........
Reconnect .................. ....:..... ..
Move Service ........................
No. of Add. Meters .............. Move Meter ..........................
PLUMBING INSPECTOR
.4o7- -f 0
Bldg. Dept,
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. -6.T44' .............
Plumbing Final Plumbing Permit No.WeO73 --**-,
j2f 13hct F'14DW DEVICE Lot No. ---------
Owner or Tenant -----------
At-------
... 7 ....... Y.UB-TrVWK: ... 0.9 - -------------------------------------------------
Tract -----
DateConnected ..... -------------------------------------------------------- 19...... ......
DateFinal ........5... . .. ---- --------------------------------------------------------- y,-- 19..
Ill 12/66-1M PLUMBING INSPECTOR
0
0 -4�
'ELECTRIC
SERVICE
OFFICE COPY
NOTICE
OFFICEP4�pp
BUILDING
INSPECTOR'S
OFFICE
CITY OF E ..CUIJM�T 0 2f
V/- .... ..... 196..
TO
You are hereby aLjtho[j'zed to connect electrical service for
Owner or Ten; 44!2j.7� ag_�
At .... 06,
No. of Wires ......... 3 ............ Size of Wires Size of Switch
Motor Load ----- -------------------- Voltage .................... ........ Phase ......
Heating Load ............... K. W. ........ ...... .... ... voltage .... - ....... .............
No. 'of Meters ---- - Light�,.. L� New Servick��7 Reconnect._...............
Ha
No. of Add. Meter,t2,2,0,,. ... 4�ree Wire...._...._... Move Service..........
Power........._._. Thr Move Meter ----- * ........
A �S,,c
dz
Ia
'0
2
O
3�
W a
'0
,W
0
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u z
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00
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oa
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W' W
21907 I Shattuck Drive LOT NO. Lot #40
NO. STEEET,
APPLICATlbi k4OR APPLIANCE PERMIT
r
CITY OF CUPERTINO
Date 196— Permit No.
Fee $_12-2
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 Premises Rdsidence
11 . �M-r
i ta
R
State License I
Aaarga�06 SH€€T M€TAL�.
AddreUO $. GILMAN AVE (P 0 Rnx 97)
CAMPBELL, CALIF. 95008
Of ..
Approved'-_._... _ ..... _ ..
PLUMBING INSPECTOR
Type of Appliance
Units Fees
Remarks (Check V)
New
Replace
Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Fumaces
1
2.pO
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
`
Suspended Unit
Floor Furnace
Miscellaneous
(NAME TYPE)
CD V-S l6T S
2•
SPrm [
/
Q•BO
Appliance Fees
122�
21907 I Shattuck Dr„
.N <�' no. srn r.rt Lot No. 40_
s tt 1120
o ° APPLICATION; ..FOR ELECTRIC
99'�L PERM
3 CITY OF CUPERTINO 7
=o JAN'241969 An,
' Date 19' _ Permit No. r//d`T•9f +`^_�+
°� n vlce� A 3:6D
w Application is hereby made to the City of Cupertino for a�pe"Q tocinctall-electrical
I11t;
" F µ wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
;a.
-o o wiring and/or fixtures in acconlance with 4he provisions of the Electrical Code of the
:i:-> W City of Cupertino, and all other laws applicable thereto.
'-'0114
�'�
Use of Premises 1-fam. rPc
' J,'Z
Owner - Ditz-Crane
tAntn Clara
lll. G. WANDEnrm
.Address
Wz
,
W W
BY
Address
. a,o
3u coViA�CTOR`,enG6F N OR IA
N
Approved tir'ILl_[r.�.1 D. Cr.:P�EWIGTrf
— U
Phonc: ' PHONE 736.5421
_.
ELECTRICAL INSPECTOR
I'1 State LicenSCL 12422
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches
33
Ca•
Number of Receptacles
Number of Fixtures
/ ems••
Ranges or Ovens K.W.
Size of Main Service d-n P¢
Number of Meters
Number of Panels
/
Signs - Transformers
Dryers•
—
Motors:
C
H.P. Phase
H.P. Phase
Power Poles
misc
Permit Fee
2.00
H.P. Charges
S�
Total Fees
0
No. Street
APPLICATION FOR PLUMBING PERMIT
I rY OF CUPERTINO
Sanitary No.
1
Date J � �tr� 1Q99196
Lot No. yL,a_
Permit No. r1l G 7, {
//�� Fee �? 3 S?l
Applicalion1is heUy � City of Cupertino for a permit to install plumbing pipes
and/or fixtures listed on`dUre {Y1,
iElv�h'�reof, and agrees to install said prices and/or fixtures
in accordance with the provisions of t e Plumbing Code of the City of Cupertino, and all other
laws applicable thereto.
Use of Premises Dwelling
Owner Ditz Crane Company
2�ydDe La Cruz Boulevard
ress
By Palm Plumbing Company 4& Sunnyvale -Saratoga Road
Contractor, Agent
Phone 245-2323
186579 MnLLIAM D. 13[NEVICtj
State License Approved
X Plumbing Inspector
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
/
Size
Water Closet
7.
Material
Bath Tub
/
To Curb
Shower
To Pro . Line
✓
Lavatories
Z
To Existin
Kitchen ink
/
Not Corm,
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
washing Machine
Size
Water Softener
Material
nk
To Main Drain
.Sink & Tray
To Curb
l Unitng
untainDrain
WATER SYSTEM
r
Size
rant Sink
g
Material
ra
TOTAL FEES
rain
Leader
Storm Drain Fee
ler System
Water Sys. Fee
Fee
Vac Breaker
Skimmer
Filter
ki�
ei.
Total
l/W %/ 0 . 'iI id,
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Sanitary No. _
Date , 19-' -' Permit No.
Application is hereby made to the City of Cupertino for a,perrmt to -install plumbing
pipes and/or fixtures listed on the reverse side hereof, andtadreesr to,ihstall 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.
Work ToBe
Performed -
Address
Address
(r
Adores5� cJ
Approved
0 plumbin Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S `
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
0 L.
FIXTURES
NUMBER
MMDDRAINUnits
Fees
Water Heater
Size
Water Closet
Material
:Fees
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
- Comb. Sink 8 Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restourant Sink
Material
Sand Trop
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
Total Fee
9--3 y
LOT NO.
N J r CSTREET:�J'
APPLICATIONI FOR BUILDING PERMIT
1 J pN `t. Ijby CITY OF CUPERTINO
qq Sanitary No. i G 4A:
Date �,��r �02+0� 1 �ij 6� Permit No.
i r /
Application is hereby made for a permit toiS.c.�i'
a story, Type Building
to be occupied only as_ � n accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, $ -�(� a a o Fee $ Ao.sc,
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 be complied with.
Phone a75 '1- �//o
State License /.S/ 7 i/
Address
Addri2 BLVD.
Appdp CLARA, CALIF. 9Z
P �BUILOING AS�CT R��VfcFf