51037Lot No. "-
No. Street
APPLICATION FOR BUILDING PERMIT /
CITY OF CUPERTINO
J& File No. 1-7
olOCi9�64 �Sanitary Na. a �
Dote 596
for a permit to
a _� story, Type
to be occupied only as .(��(� „ f/
in accordaq�WwiM Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements
FEE$ — �/
Owner (L�tri
&I—�j�/t-/tJ
Phone /LX �� —y O
Plan Check $
Add,... / �3 Y
q 'e
Address
State License 9a 6 0 9
Approved WILLIAPA D. E4EIVL-:VICH
APPLI ATIO_ N FOR ELECTRICAL PERMIT
Date 196 'T FEE$ �7 c
Contr. a Address Zt 4T .1\`M14x-
Phone .State License 7'O
Approved
�,I,C�jrIQN FL III G & GAS PERMIT,
Contr. ,(,f'
P ne
D�
Date �'Df
Contr.
Phon — U
. Ap icents agree not to violate any 'of the
Workman's Compensation Laws pf the
State of California
GAS FEE $ /
PLUMBING FEE $
Address ,/" /f-//--'
State License
Approved WILLIAM D. BEI�EVICH
APPLIANCE PERMIT 7 7S
'EEC$ ry y -- v
'CA`td'drass / 7,0
v
State L'icenssee
Approved S/`!�%—"`��-'.�ri-�-c��/
RECORD OF INSPECTION APPROVALS
'L BUILDING
- FOUNDATION
Da a
nspector
UNDERFLOOR
'
D to
FRAME "-3'
Inspector
D4fo s
Inspector
AT PLASTER
Spector
-/;zDa9s
FINAL
Date
Insoector
4r +o
ELECTRICAL
,OUTfETS
)4'
IV_s
SWITCHES
ZO°
RECEPTACLES
��^
FIXTURES
tq
I'M
H.P. CHARGE*
' '
.d
PERMIT FEE'
TOTAL FEES
If I
SERVICE
SIZE
UNDERGROUND
� actor
ROUGH WIRING '
aty
-6S
Inspector
Data
FINISH WIRING
Inspector
FIXTURES
Date
Inspector
Date
Motors
ctor
Z Dqt��
FINAL SL.
Date Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
MATERIAL
STORM DRAIN
SIZE
11,66TERIAL
WATER SYSTEM
SIZE
TERIAL
TOTAL FIXTURES
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH
MAIN DRAIN FEE
ROUGH COMPLET
Date
-.3'F
for
STORM DRAIN FEE
MAIN DRAIN
/-
D:�ee y
r
WATER SYSTEM FEE
/ 0-o
GAS PIPING
- Z Dob.S�
07
GAS PIPING FEE
-a
/ "5
FINAL' ,�- 2
Dafa
'6�
r
PERMIT FEE
�-��'
MISC
Date
ns pecfor
TOTAL FEE
S-a
MISC
Date
Ins pecfor
Date Inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
02 77-s
BLOWER FURNACES
/ w
C MBUSTION VENT
SUSPENDED UNIT
-.+
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
'2-=
FLOOR FURNACE
TOTAL FEE
75"'
INSPECTED J 11i2
Date Inspector
LOT NO.
NO. STREET ,
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date (!DC-' . 1 —,h- , 196__L,(- eF rmit No.
Application is hereby made for a permit to C_e,_ iyfh oc cl;(_
a /vtirJe— story, Type 1 O 2� Building
to be occupied only as KL- G�.w e Q11� o
in accordance with Plans, Speafications Ld Plot -Plan &d herewith.
Estimated Value of Improvements, $ 110 : 0-0-0- — , Fee $
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.
RECORD OF INSPECTION APPROVALS
FOUNDATION _
DATF. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
LATH and PLASTER
FINAL BLDG.
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
FINAL ELEC. I
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATF. INSPECTOR '
11
W - NO. E T\ LOT NO.
N d ELECTRICAL PERMIT
� C28CI CUPERTINO
f 64
o / by SL o�/O37
Date 195— Permit No.
PERTINIn,
a pee S i
a w Application is hereby made to the City of Cupertino for a permit to Install electrical
awiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> w City of Cupertino, and 1 other laws applicable thereto.
03
oa
z _j Use of Premises
J Z
J O
3 a Owne Address
N \
W Z p
W W L ._ Address
¢ a
Q O �/NTRACTOR, AGEN7 Approve
-
-�n Phone: pp ELEGIRIUL INSIE
L`/(f/ State License;-/"m
NEW RPL FEES
Size Service Conduit ----------------------
Number of Outlets ,-------...._..
Size Service Wires..........................Number
of Switches..............
Size Service Switch ------------------------
Number of Receptacles...._....
Size Sub Feed Conduit ------------------
Number ofFixtures ----------------
fF
Size Sub Feed Wires...................
Ranges...."----- KW............
Number of Circuits------------------- Oven --- l/......KW.
Number of Meters ------------------------ Signs ........ .-
Misc------------------------------------------ ------ Dryers .....
.
J......._-._
9's"o
./o-----------
� 9�
---------- ---------
--....
-/ - - --------
----- 7...r
/
0.
------ ------
/
.1. ...'r-
%vl�-
Motors ------------------
HP --------------------
Phase -.-..-----..----
Permit Fee $1.00
Motors .............
Motors ........ .....
HP .----�->>----
HP ...-2'.�------
----- Phase -----------....--
Phase ----.—.-------
CV
H P Charge-...- ` ,f t��
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring ----------------
-------------------'-------
Fixtures -------------------- -- �--.----- -----..-
-
DATE
INSPECTOR
DATE INSPECTOR
Finish Wiring ..........
------
...... ........................
Motors----------....------'-�-'-----"--"-----"--'---
DATE
INSPECTOR
DATE INSPECTOR
Final ------------ ............
DATE INSPECTOR
218371 Terrace Drive LOT NO. 85
NO. STREET
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
Sanitary No.
Date H1�� , 1964 1!lmit No S/O S%
ovem er ,
Fee $ 15.00
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 Premises Residence
Owner Ward Crump Dev., In c.Add,,,,PO Box 634 Cupertino
By Crowley Company
CONTRACTOR, AGENT
Phone VO 7_557g
State License
Address 855 Jackson Mt View
Approved
PLUMBING INSPECTOR
UNITS
FEES
UNITS FEES
Vater Heate
/CO
Size
Nate- Closets
':
),,Co
Materi 0_;
3ath Tubs
.00
To Curb
ihowerS
To Prop. Line
-avaturies
.pp
To Existing
titchen Sinks
_
,p
Not on.
Dish Washers
Sewer Boxes
Waste Disposals
ash Trays
STORM DRAINAGE
Washing Machines
djp
Size
Water Softeners
Material
Bar Sinks
To Main Drain
Com . Sink s Trays
To Curb
Dental Units
Drinking Fountains
t
floor Drains
WATER SYSTEM
Hoppers -
Size
Restaurant Sinks
Material 'L."
MO
San Traps
TOTAL FEES
Urinals '
Fixture Fee
co
Area Drains
Main Drain Fee
'Y
Water Leaders
Storm Drain Fee
Sprinkler Valves
Water Sys. Fee
Permit Fee
TOTAL
V
TOTAL FEE o�
RECORD,OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain "
21837 1 Terrace Drive LOT NO, 85
NO. STREET '
APPLICATION FOR GAS PERMIT
CITY OF CUPERTINO
Date November 3 1964 Permit No. `S �� 3.7
Fee•$ 1.50
Application is hereby made to the City of Cupertino fora permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or 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 Ward Crump Dev., Inc. Address PO Box 634 CuAertino
By CrCompanm
CONii=R, AGENT
Phone YO 7-5578
State License
Address R55 .Tar LsDi Mt View
Approved
LUMBING INSPECTOR
of Appliance I Units Fees
Miscellaneous
(NAME, TYPE)
HOUSE GAS PING
Number of Outlets NT/ Size'of Main l4 tL�
Gas Piping Fees
Tested and Approved ............ ............... ..._.......... .....................
DATE INSPECTOR
7 It Tract #3150 #85
./1AN-'CI LOT NO. —
NO. STREET
„Q APPLICATION FOR APPLIANCE PERMIT
arc CITY OF CUPERTINO
YLL ad
3 a Date fit• � 196 �' Pit No. J� /
U �j-
= W Fee $_�
'0 Application is herebv made to the City of Cupertino for a permit to
' W
0 F install gas appliances as listed on the reverse side hereof, and agrees to
z W install said appliances in accordance with the provisions of the Plumbing
W i Code of the City of Cupertino, and all other laws applicable thereto.
LL Use of Premises Res
00
Owner Ward Crump Address P• 0. Box #634
z J sap a.o+...., ....__. ..._rct Works 779 OLD tOUN}y ROdD
J z By Address seu
O CO R, AGENT
P
— Phone ban .
W Z T
W W
°s State License 110826 o Approved
ao
U PLUMBING INSPECTOR
Type of Appliance
Units Fees II
Remarks (Check J,
New I Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Haters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
I
�_
Griddles
Steam Tables
Gravity Furnaces
Winded Unit
Floor Furnace
if
Miscellaneous
NAME TYPE)
11 ouilet
1
1 2.7511
1
Htr. vent
11
Water htr.vent
1 1.06
1 _
Fee
pp lance Fees
Inspected and Approved ............................................... ...................
DATE INSPECTOR
CERTIFICATE OF. COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......... ..................................... 119 --- V/. Building Permit No.
The Building Located ..... X- --------------------------------------
Owned by ..... 4:M .. ~. . C-' i -
. ... ... . . ...... ..
...........................................
Has Been For Use As: -------
(Altered) --- ....................................
..............................
---------------
.. ............. ..........
102 1/63-500 �BUILDING INSPECTOR
GAS SERVICE NOTICE oFFtCI:
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are hereby authorized to connect the GAS
service for
Owner or Tenant ._k4*-d..L%itf xf�l ............_....._ ...__.........
At .__o/_�=7_.-..ce�:race..........:.__..................................._..._..........
New Service .....
No. of Meters .. ............... Reconnect _..... .......... ......
_....
Move Service __...... ............
No. of Add. Meters .............. Move Meter ......
.. ... ... . .
LUMBING INSPECTOR
OFFICE COPY ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S. OFFICE
CITY OF CUPERTINO
............. .. ... .... ........ ... ..... 1964
To
You are hereby authorized to connect electrical service for
OvAjer or Tenant .... ....... ......................................................
AtC . ..................... ...............................................................................
No. of Wires S — ------------- Size of Wires �g ...... ----- Size of Switch "'19'
1 ------------------
Motor Load .......................... Voltage ................................ Phase ------------------------------
HeatingLoad ......... .............. K. W . .................................. Voltage --------------------------------
No. of Meters-LtgLNew Service---------------- Reconnect....-----------_-
H,a a , t.. ... 220............ Three Wire ............... Move Service ------------
No. of Add. Meters............
Power ............... Three Phase................ Move Meter..............
--- --------
ELECTRICAL INSPECTOR
104 7/63-500
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary PerInit No . ..... �/ 1.0 ------------
4umbing Final Plumb�oe4rit .......
Lot No. ----------------
Owner or Tenant ........................ .............
At- ----------------------------------------------------------
Tract -------- - i ---
41'
DateConnected ----------------- ------------------------ - ----------------------------------- --- -------- 19. 4
Date-Final ------------------------------------- &-s-1-12 ------ ------- ---- ----- --------- - -- ---------
-- ---- -- - ....... ...... --- ------ ** ---- ---------
PLUMBING INSPECTOR
III 7/63-IM
ROUTE SLIP
File No.
Date Out
Date In
Location /L-o '?
3/ t
'T—
Subject.
Notes _.
Approved 3--4-6k5r
Date
inspector