NO PERMIT NUMBER (2) 22369 Janice Ave. c r - i 19
NO. STREET LOT NO.
f 4.13
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9139
FILE NO. 51,332
DATE 10/28/74 19_
Application is hereby made for a permit to
Construct a 2 story,type 5 1 J
to be occupied only as Sinale Family Dwelling (Plan 3301 )
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 59.000
FEES 205.00 PLAN CHECK$
OWNER ➢its. Cra.nP ADDRESS ?995 D ru . Blvd,
PHONE 9411_9910
CONTR, ADDRESS
PHONE 44f 568 STATE LICENSE 261734
n APPROVED James H. Sisk/h
a/! /IWCL✓a--c—c S//�.-.
BUILDING INSPECTION RECORD -'
DATE ECTOR DATE INSPECTOR
FOUNDATION 'FLOOR STEEL
PRE-GUNITE FRAME ZL7
BOND BEAMS LATH
WALLBOARDS-INT.8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOORp
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC,LP
ELECTRICAL INSPEC RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UAPERGROUND ROUGH
ROUGH WIRINGJloz-elf RO HWIRING
FINISH WIRING FINIS IRING
FIXTURES INTERIOR TURES
MOTORS EXTERIOR FIX ES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE I INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. /,_/j-7✓
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGHFLUES&COMB.AIR
-
PARTIAL ROUGH f/- CONDENSATE DRAINS
ROUGH COMPLETE /- 2,7 -] FINAL APPLIANCE -f
ROOF DRAIN&LEADERS
MAIN DRAIN y- -)
FINAL GAS -7S
FINAL PLUMBING p
MISCELLANEOUS
I
I �
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CLRDFICATE OF'COMPLETION,
BUILOIRINSPECTOR'S OFFICE
1 1 , "OF- PERTINO
DATE ^, 19/=&--, PERMIT NO.
THE BLDG. LOCA AT G/Z�
OWNED BY `
HAS BEEN .1 OMPLETED FOR USE AS I 11L
1,,�1AL-TEREDI
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BUILDING INSPECTOR
ROUP.. S-D
File Yo.
Da'. e6��-.
Local icnt�y�_/gyp—�
Subject
Notes __
Approved /'fes/*% T
Dame lr spec io_
i
Bldg. Dept. .
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
i
Sewer Connettion Sanitary Permit No. ..:..lJ! r............
Plumbing Final Plumbing Permit No. -6-Z.33:4:.......
Lot No. ..........,l9 .........
Owner or Tenant ------l_/.r,_!: ......................:..........._ ..:..........:.......
At . 1..J.j ��.......-.. s i....%a.. r r-._......................................... ......
Tract ...................... ............................................................ ........... ....
Date,Connected ............. .. _r..7.r.................................................... 19............
DateFinal ...--.............. ...-...,7 4..-.. 5.. ..-............................................. 19............
f PLUMBING INSPECTOR
OFFICE Copy
CITY OF CUPERTINO
ELECTRIC 'SERVICE NOTICE
1. CA
To
You are hereby a t ci e to-co electrical service for
Owner or Tenanjs
At _...._ .... 9 ..............
No. of Wires e 0 Wires ......._........ Size of Switch to )A4—
Motor Load ........... .......... Voltage ..... Phase ......
Heating Load ........................ K. W. ......... Voltage
t......_. I I 0._.. New Ser,ice..
No. of Meters....._............. 1
r ... .. MservserviceNo. of Add..Meters_........ Heat.............. .. 22U....._.../Thr WiI
Power.__.... e h. 0 p1leje,"
FLF.CIR! 'S'EC A
OFFICE
_ 4 CITY O�•CUPERTI O � �~• FFiC
��7 y OPY
GAS SERVICE NOTICE
c
To
You are hereby authorized to connect the GAS service for
Owner or Tenant L
At
New Service
No. of Meters l Reconnect
No. of Add. Meters Move Service
Move/Meter � '
PLUMBING INSPECTOR 16z%2P� n.
STR Lia irr I-.r C > .6 'L,Ctf- LOT NO. .5
NCCI
noAr
r CO— p CITY OFCUPERTINO CAP. VAL.aL20
_Q OCT�1gl)g5.ATION FOR BUILDING PERMIT FEE
w Z 4 /0 �1/� 19 Building Per.No.
Date `•(�L9 i3
O n Sanitary Per.No.—�
vAppli tiorf is J4�eby made for a permit to -100'X-0- _.Il[t.0 14
= O astory, Type Structure
~ -� �a�+-�... ��t
OLL F to be occupied only as_.2Q.! in accordance with
'Z W Plans,Specifications and Plot-Plan filed herewith.
au
F X Estimated Value of Improvements,$
Ou_ PI Ck Fee$
O It is hereby agreed that the requirements of the
3 Cupertino Building and Zoning Ordinances and oil Fee $
other laws applicable to the construction,location,and
Z
g use of buildings within the City of Cupertino will be Total Fee$
Z complied with.
61
�+ Z NER `^ PHONE - ADDRESS
Q OF
CONTR. AGENT 7,� �F7D iQ5
r
PHONE STATE LICENSE BUILDING INSPECTOR
oCOsff!'7 ST04 1ET _ ,LOT NO.
NO.
Clio O. CUT-^Tula CITWOFCUPERTINO
,APPLICATION FOR APPLIANCE PERMIT
JAN 23
n y� PermitF
.Data 'T r ,19J� Fee
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 �/�Q Work To Be
Premises "[) Performed
Owner Address
Phone
By Address
o CO,
Phone— CAMPBELL. CALF.
-"
State License LICEhr5n Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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�2� 3G9 LOT NO.
19.
NO. STR.EET
CRY OF CUA:.^,itNO CITY OF CUPERTINO
DEC 3 O 197#PPLICATION FOR ELECTRICAL PERMIT
Permit No.
Date / _,I
I9FZ
Application is hereby made 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 laws applicable thereto.
Use of Work To Be �p
Premises Performed1L�� //Y� Q�
Owner #/1 -'Z
�� Address .4.29 AA44 �//4-
Phone — S f
BY to � • Address rnU S Sc,— S/Sp
CoN tor,ABen1
Phone -2 - �o a o
State License IS9.3 It)IF
� Approved
Electrical l pecto
I AGREE I WILL NOT VIOLATE ANY OF THE WORKME
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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i - CITY OF CUPERTINO
s M City 07 11Ki.nraPPLICATION FOR PLUMBING PERMIT
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O J N OV J 1974 Sanitary No.
W DDate MIT o R 1O7t1 tg_ Permit No. S/3 3 L'
F O ..^ .... - Fee$ 36O�
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o 1- Application is hereby made to the City of Cupertino for a permit to install plumbing
aa
0 pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
W W and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
aI Cupertino,'and all other laws.applicable thereto.
JLL
00 use of Single. Dwe1ling Work ToBePlumbing New Construction
to Premises Performed
is owner Ditz Crane Co. Addfess 2295 De La Cruz Blvd., S. C.
�a By L. C. BOHART PLUHBINQddress 167 R . Fremont Ave. Srvale
?i Q Contractor Agant
WN
Phone _245-292J
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WW state License 186579 Approved
Q00 Plumbind Inspector
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