NO PERMIT NUMBER (2)21621 1 Columbus Ave.
1;6 3 •e
Lot No. 16
No. Street
Model #1131
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 511167
Sanitary No. 4882
Date Dec. 27 196 6
Application is hereby made for a permit to
Construct a 2 story, Type 5 1 J
to be occapied only as Single Family Dwelling
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 28,000.00
FEES - 'q5rjn Plan Check $
Ow,,er Ditz-Crane Address 2295 De La Cruz Blvd.
Cont.
Address
Phone 244-2gio State License 151791
257-1110
Approved W.D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
Date 7 196 7 FEES
Cant,. y��-/^+ / Address
Phone! 3t�'"ST °Z'� State License
Approved
v
APPLICATION FOR PLUMBING & GAS PERMIT
Date / J1 196 7 GAS FEE $ /
Contr.
Phone a
PLUMBING FEE $
Address
State License-�/k�� Z9
Approved 4"/e -' ' -K�
APPLICATION FOR APPLIANCE PERMIT n
Date FEES
11996
��////y�Arp��l �j!
Contra i j"
Address 1'�d
Sto to License
Phone �� & 0 y'j
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUIL
UNDERFLOOR ^✓at%7
FINAL $ ro 'r/ T
Date Ins oe ctor
ELECTRICAL
,OUTLETS In
SWITCHES Y
SZ
RECEPTACLES
FIXTURES
o
H.P. CHA E
,.j
sv
a-,3
PERMIT FEE
�
u-J
TOTAL FEES
S
UNDERGROUND _
ROUGH WIRING
FINISH WIRING
In r
SERVICE SIZ
Date
FIXTURES
Motors
FINAL I Ve
Date
PLUMBING & &GAS
Inspector
4-
Inspector
Inspector
Inspector
Inspector
MAIN DRAIN
SIZE
MATERIAL
STORM DRAIN
SIZE
MATERIAL
WATER SYSTEM
SIZE
TERIAL
/
TOTAL FIXTURES
UNDERGROUND
FIXTURE FEE
PARTIAL ROUG - -6
Sao
pole
n or
MAIN DRAIN FEE
ROUGH COMPLETE
Dot!
I or
STORM DRAIN FEE
MAIN DRAT '
��
'Date
%
for
WATER SYSTEM FEE
GAS PIPING
Dote
�Iri <tor
GAS PIPING FEE
FINAL —���7
a �
Date
Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE �
S
MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
p
a sv
BLOWER FURNACES
�'�
COMBUSTION VENT
SUSPENDED UNIT
MSC
GAS RANGE
MISC
GAS DRYER
-
PERMIT FEE
FLOOR FURNACE
TOTAL.FEE
INSPECTED 1114' 9- K-%
Do to Inspector
LOT NO.
NO. $�� ,.
`; PP�LIC/�iTpppilON FOR BUILDING PERMIT
PICITY OF CUPERTINO
/DEG 28 19fi6 I $anitarp No.
y S//6 .7
[)are- ��, 196� Permit No.
o r
i s ta'ITY pQiatiof'kj?rcR eV r a permit toL.
m a_ story, Type &'�ji/ Building
w r
to be occupied only as in accordance with
o Plans, Specifications and Plot -Plan filed herewith. PI Ck F'e
Estimated Value of Improvements, 44. d�5 m9 Fez 3
J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i Z all other laws applicable to the construction, location, and use of buildings within the City of
! 0 Cupertino will be omplied with.
• a Owner — Address
N
a By Address
° Phone �' �7 /�/U
0 Approved
State Licens �/ BUILDING tNstV
21621 Cob:t us Ave. 16 Plan 1131 t NO. STREET LOT NO.79
APPLICC-ATION ' FOR ELECTRICAL PERMIT
J4N 7 n � CITY OF CUPERTINO PtN
Date. 195— Permit No.
!,,
'r-�,��1Ji,•Fee $ ,i
Application is'hefe%tmade-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 'aws applicable thereto.
Use of Premises
Owner Ditz—Crane
gy a Iau n n r COCi?
CONTRAC{OR AGENTI
Phone: SUNNYVALE, CALIFORNIA .
NEW RPL FEES
Size Service Conduit_. ---------- Number of Outlets.....
Size Service Wires ------ *L....... Number of Switches_
Size Service Switch ---- LEA ----- Number of Receptacle
y e .
Size Sub Feed Conduit..... --------_Number of Fixtures_-
Size Sub Feed Wires'./' Oar Ran es .............. KW
Number of Circuits_ ---- !�. P----- Oven ../--------- KW
Number of Meters. ---..-/ .............Signs---------. Transform
/C
---------
- -------
-------- ----
�Z
�/
- �.q
- -- -
--------
------ -------
--
----7
I o0
P
--------
„ 100
1S
----
---------
------'�7�
. -�.:-....c.��.-....� ..'...-------------------------------------
Motors ........�-------- HP .. ............Phase -------------------
I---------- I ---------- I ...........
Permit Fee $2..00
Motors-----------------
HP -------------------- Phase -----------------
Motors--------_-------
HP ------------------- Phase ---------
---------- H P Charge----------------
--�' -
TOTAL FEES
�L Soo
RECORD OF INSPECTION APPROVALS
/10 �
RoughWiring
--- ...------------------------- __.......
Fixtures -------- -------- --------------------
DATE INSPECTOR
DATE
INSPECTOR
Finish Wiring
................- .......... ..
otors ... ......... - .......
------...--
DATE INSPECTOR
DATE
INSPECTOR
Final_-.......----'-"-----�-------------'---------
DATE
INSPECTOR
NO COT NO. ZY
APPLICA=TiI%f0�CUPERTI.,OR .PLUMBING PERMIT ,
d - _INW JAN 2 9 19i7i
t r o _ Sanitary No.
3 a Date;- - p ..}�''196_ .permit No
i LL B - €P [\ € 0 Fee $ -
t 0- -Application is hereby, made to, the City of Cupertino
fora permit to m'stall;plumbing
'f p4Q pipes and/qr fixtures listed on the: reverseside hereof;'an&agrees to install -said prices;
.-:and/or4�fixtureOn accordance with the provisions of the Plumbing_ Code'o_f_the City -of,_
z a � ..Cupertino," and all -other- laws applicable thereto.
aUse of Premises - -- - S%-9��i - -- -----
3 Owner - Address`- =' -
oa
Address3
CONTRACTOR AGENT J -x
m P.iio�ne 3'tbs
ao Si%te�L�cen<e -
# •-- arid' €'' £}'sT.ity . y t
`^ ' �4s p1UMffiNG INSPECTOR -
G
---
UNITS
FEES
UNITSI
FEE;
Water Heate
01
Size
at
Water Closets
,,3Z
Material
bath Tubs
0
To Cur
Showers
, "a
To Prop. Line
Lavaturies
C, O
I To Existing
Kitchen Sinks
,3
Not Conn.
is) Washers
Sewer Boxes
Waste Disposals
ash Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
bar Sinks
To Main Drain
Comb. Sink s Trays
To Curb
Dental Units
Drinking. Fountains
I+oor Drains
WATER SYSTEM
Hoppers
Size
Restaurant Sinks
Material
San raps
TOTAL FEES
Urinals
Fixture Fee
re:t Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
Sprinkler Valves
Water Sys. Fee
,,,y"
Permit Fee
, C9
TOTAL
TOTAL FEE ✓.A —
RECORD OF INSPECTION
216211 Columbus Ave, 16
10T NO.
NO. STREET
-APPLICATION FOR APPLIANCE PERMIT /
�a;J 1711,96—
'ITYOF CUPERTINO PLANJ IIPJtDate fjAIV 30 i9;7 , Permit No.
Fee $ `o� �pplicatidn7'S hereb ade to the Ci of Cu ertino for permit to
.,�:.i tiitY�t tY P P
install gas appli l� S a§Milted 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
Own Ditz—Crane Address P.O. Box 509 S.J.
By130 S. Gilman FR &_0934Address
Phone
STATE CONTRACTOR'S
State License Approved
PLUMBING INSPECTOR
Type of Appliance
Units Fees II
Remarks
(Ciledr ✓,
New I
Replace I Relocate
Gas Ranges
I
II
I
Wall Heaters I
II
I
Gas Plates
II
Circulating Heaters
Blower Furnaces
1-0cO
Gas Fired Boilers
Warming nvens
Percolators
Griddles I
I
II I
Steam Tables I
I
II I
I
Gravity Furnaces
II
I
Suspended Unit
Floor Furnace
2,oD
I
Miscella e s
n
(NAMF. TYPE.)
ID
12.5D11
I
o �
pp lance ees�—r�—
Inspected and Approved.................................................................
DATE. INSPECTOR
CERTIFICATE OF COMPLETION
71k,
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
'I-,'
Date .... ..................... 19.40/ ..... ? Byilding Permit No.
Locate . . . ... ......... 64:0--k ..........
The Building �.,at ... .. ......
Ownedby .... ...........................................................
(Completed �Lpo�,Use As: ........... . ...... ....................................
'-
Has Been
TWItered)fffJJJ
............. ................................................ ..... .. .............
.........................
k�,,,wl . . ............ ............
r:D61NG INSPECTOR
102 12/66-1M
01TICE
GAS SERVICE NOTICE COPY
j BUILDING INSPECTOR'S OFFICE
(� CITY OF CUPERTINO
C _ r
T'o
You are hereby authorized to conned the GAS service for
Owner or Tenant .. 4 - �?eo'- '"'
Atj.l...�1,..--.C-hw^2..C"rC-GG............. _....... ..... ......_.... ................ _...
New Service ...-
.................
No. of Meters ... /.............. Reconnect ........................
Move Service ......._— .............
No. of Add. Meters .............. Move Meter _...... ..............
....
54LUEING
e'� .......................
INSPECTOR
Bldg, Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
7 'Sewer Connection Sanitary Permit No . ...... /Opm ............
[!Plumbing Final Plumbing Permit No.-.:�1-1617 ............
. Lot No. ...16 ....................
Owner or Tenant ..... .................................................
At .....
Tract ........... >�&Azzt—e el�
Date Connected ........................
Date Final ................................. a.-9 ..........
............................
7-- ... PL MBI G -INSPECTOR
III 7/63-IM
ROUTE SLIP
File No'.'
Date Out
Date In . —Tj
Location D��
Subjeot...Notes
Approved
Date Inspector
ROUTE SLIP
File No. S/i6
Date Out �7 4
Date In /—
Location ��� G
Subjeat
Notes
Approved ��i'dz �/Lu occy
Date Insp:ctor
i
ROUTE SLIP
File No.
Date Out
Date In
Locationv /
Subieat.
Notes .. N N1
Approved'_
Date
A
Inspector
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINe 196'L.
...................................................
TO
You are hereby a t r' d nect electrical service for
Owner or Tenant .............. ..
At............ Z.S..2................................................................. .........................AA.. .
No. of Wires ........................ Size of Wire s�.1!...... Size of Switch'. �.'..1....
Motor Load .......................... Voltage ....................... :........ Phase ..................................
HeatingLoad ........................ K. WW.................................... Voltage ................................
Light... l.... It0.. '2-l"m
Se .�� ... Reconnect ..................
No. of Meters ....................
Heat.... �. 220....e �(Yrita'.......... Move Service............
No. of Add. Meters............ '" r : / "
Power ............... Phale.... A._ Move Metrt..............
ELECTRICAL INSPECTOR
BUILDING DEPARTMENT
CITY OF CUPERTINO
Correction Notice
Job Located at
I have this day ins �th}'� s ctu d these premises
and have found th Igry ng f' ations ity and/or State
0
You are hereby notified that no more work shall be done
upon these premises until the above violations are corrected,
When corrections have been made call the inspector.
Date /:;a.: ... ..................
Iasp r for Bu ding Dept.
DO NOT REMOVE THIS TAG
1o1 6/63-1M