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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