51167 1.
IT
•
1//92 G I. 91,...40-.6..../ (/ OC.iJ' 24-'9w06'C ) Lot No. "Co
No. Street
APPLICATION FOR BUILDING PERMIT , •
CITY OF CUPERTINO
File No. vt 7/6.2
.:
r�
Sanitary No. ,49/r
Date L 7 ' 1967
Application is hereby made for a permit to
Ottet-�rona story, to -
to be occupied only as
in accord cc with plot Plan, Pla and Specification filed her. .a h.
Estimated Value of Improvements $ 1.?„-Qw0
` G
FEES D ( Plan Check $ -
Owner 4126.05 1.nn Address laolsi sY ✓ /Q 0 4
•
Contr. Address
Phone et,f•7//i0 State License /`/r��/7� 7 9�/
Approved �t-
-
•
/d
•
t
APPLICATION FOR ELECTRICAL PERMIT
Date 34
•196 7 FEES 5-2
-
/V & UJl 4.A t_� Address 9a`S €-4-1 e S / /Conor,
Phone /-3 f -.5-47‘a/ ' " State License /4'4�L
Y //////
APProved v ��// //:-c, 4
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 3 6-47// 196 7 GAS FEES
/y^� n s PLUMBING-FEE $ p?c —
Contr. VG-�/i�J 69-- Address AA le X Cy/ ,_ 9 S
Phone eR / -023 a 3 State License < S/t✓ 577
� "`�(/�
Approved l
Date 3,..i0 1
APPLICATION FOR
FOR FEES IANC PERMITQ//0 c' C
Contr. �C�si �wf ,'l-_( .._40 Address /3 d,J, &-.._,.J
Phone /C< f-o?3.5 Siete License /-71-2,6 Z.
Approved C/�
Applicants agree not to violate any of the /C2,
Workman's Compensation Laws of the ._
State of California
.. - �•
RECORD OF INSPECTION .APPROVALS
#,7, -.,.. (77 BUILDING i�4
FOUNDATION -
p fe/^ Ins pester
UNDERFLOOR J 4 / ,
FRAME
�at�7 �i inspector
H �roo
��� D ��
, '&pector PLASTERO / - Inspector
FINAL
Date I nectar / .
ELECTR r0 /
,OUTLETS / 3 V` U C' (O
VICE
SWITCHES '° / UNDERGROUND .
'� ,/ to Inspector
RECEPTACLE S S� ROUGH WIRING T - �' / Vie' p
1 l / A9 Inspector
FIXTURES (3 FINISH WIRING V '
/COO 3 tJ-a t 'r��^ I Inspector
H.P. CHARGE FIXTURES 1Ce `
' % cn' Date Incportor
_
P B/�T EEcil)
c9- Motors
(0_2Dyt!P • nspector
TOTAL FEES 4.•---- FINAL t
Dote Inspector
•
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL •
WATER SYSTEM I SIZE ATERIAL I
,TOTAL FIXTURES . 7 /',-cr- UNDERGROUND
ail
FIXTURE FEE PARTIAL ROUGHS/�/�(�-52 .7
r'"
/ ( / ' or
•
MAIN DRAIN FEE ��— ROUGH COMPLETE �%�
q Date v n j •r •
STORM DRAIN FEE MAIN DRAIN . 1-/-/G7'
0
G-� s7 ,.f.(or
WATER SYSTEM FEE //S-7- GAS PIPING �- ,-.rie
/ -8 - �'pte �: Pe for
GAS PIPING FEE /S^ • FINAL /l0 II t
• Date Inspector
PERMIT'FEE a' ✓; MISC
i3 Date Inspector
TOTAL FEE • . -MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS
REGISTERS 7 . a aS
BLOWER FURNACES c W COMBUSTION VENT a ate°
SUSPENDED UNIT
MISC -1-0--e-' / 2P8-
GAS RANGE ,e ,' MISC
GAS DRYER • . I . PERMIT4 EE . 02 `R=
I;
/0
1=
FLOOR FURNACE TOTAL E
INSPECTED ' -
Date Inspector
•
•
/// _ 6 /#I o Ue{zciQ r LOT NO.
NO STREET
CITY OF CU?cRTIHO s CITY OF CUPERTINO
JUL �P �QATION FOR PLUMBING PERMIT
P/ i' 0 Sanitary No.
Date ,19• Permit No. :Vag
Fee$ ('01)
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 /'" ` '� Work To Be / 7C
Premises +-� �K , . . ,,, '- A/ Performed •
A// �g 10 LSP eie
Owner • f�N u el�V Address C ('�� :
Phone25 if(�e,-� ,/ /�
By XI OJV/'A V s 1 Pt; , Address :2/6 7' . `-f Amef,'d t 4 Lb
Contractor, �/ / 4-z:A-
Phone 2- .� � -� 5�- ' �- G 4J�Gr
� -/ L_ 11(Cz
State License / 9 7 5 2 Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
e LA
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater Size
Water Closet Material
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&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size /
Restaurant Sink Materia Cpv?
Sand Trap ' TOTAL FEES '
Urinal Fixture Fee c2•
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee
Relief Value Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee gap e'
Tatol •
Total Fee a��
i/ LOT NO. ..
NO. STREET
z 5 APPLICAFOR BUILDING PERMIT / I
d "
wcr
a CITY OF CUPF.RTINO
o -, � ' Sanitary. No. - '4/l- - - "
5° 1r frEB9M7- { TION
' -- -- S//� 7
I• LL ,U?te , 1967 Permit No.
0
o Application is hereby.made for a permit to . ..-ei- ett •
o N CITY nr e `'"'gory, ype INO '•��1 a• Building
•.to be occupied only as.QGic�.C.! /2- / 44 XLC/ in accordance with
o o Plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee
F ; el
Estimated Value of Improvements,$ , na '- . i Fee$ Gj erO
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction,location, and use of buildings within the City of
d 0 Cupertino will be complied with. / .
- il Owner .1�� Address�VSc>'�/,�4a�1i1-G
w z
L,;.' By /,/ ��Gf� Address
a-U Phone iIJ ///O Approved
,W7
State License ,/4-?,. 9/ BUILDING INSPECTOR
tJ
I
11126 I Palos Verdes Dr.
NO. STREET LOT NO. 40 Plan 1109
tua •
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a rt.
APPLICATION,TION= FOR. ELECTRICAL PERMIT
O < 1 MAR 6 1967 1 Il ITY OF CUPERTINO
ill
LL W Date LL 3-2— , 19567 Permit No. ,'v 7
• CITY OF CUPERTINO Fee s 'Zei*
a m Application is hereby made to the,City of Cupertino for a permit to install electrical
w
LiLI N wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
IS i.. wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 a City of Cupertino, and all other laws applicable thereto.
1- 3
zJ Use of Premises 1-fam, res.
-Iz
3a Owner Ditz—Crane Address tante Clara
w iBH. G. WANDERER Address • i i
wa a .y •$2S KIrEH HUHU - '
▪ o SUNNYVAKL°lt;a'�i��4rabr°fIE;A Appro e.chuI1(� ' .�.
—UrJra .
Phone: PHONE 73u-3421 _ ELECTRICAL INSPE '
1
State License:
12422 • 4,
NEW RPL FEES
Size Service Conduit 'I 2 Number of Outlets /3
i ' J�
Size Service Wires Number of'Switches 3 U /•
Size Service Switch..-.!-//'' 9 Number of Receptacles 34 •
Size Sub Feed Conduit3/'r 3/S` Number of Fixtures 23-
1 /
Size Sub Feed,Wired_p 141 Ranges / - KW - ry ft /. ---
.Number of Circuits 1.12 Oven / KW I,
Number of Meters I Signs Transformers
Misc ,5-4 eirL-(.(./ Dryers / „„Z,'—
Motors hi HP...)4 Phase Fee $,j,00
Motors HP Phase ..
Motors HP Phase • H P Charge =,_
TOTAL FEES 1.4)•SL7
RECORD OF INSPECTION APPROVALS
Rough Wiring ' I Fixtures I .
DATE INSPECTOR DATE INSPECTOR
Finish Wiring � otors
DATE INSPECTOR DATE INSPECTOR
Final
DATE INSPECTOR
NO. STR EF.I'
,,AP�PLIGAT,ION FOR PLUMBING PERMIT
a c e�� LaiY Off CUPERTINO
- E2 )4y , cl/�
•
y O 1 S:InIIBry NU. •0 q , S// 67
o Date MAyy9671962 Permit No
`r.
iLL rriTti ClC . Pee $ '�(- �3' —
o CAppi canon Is ierSb aEle�vo the City of Cupertino for a permit to install plumbing
o Q pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices. .
>N and/or fixtures in accordance with the provisions of the Plumbing Code of the City'of
'_a w Cupertino; and all other laws applicable thereto.
• w
oo
a Use of Premises
00
F. 3 Ownead/Lrix,e, - - Addres - - ./1 _ .i /<
oa
ZJ
dJOi� ?��:� z• By i. �j. i -ii i Adres -_o
CONTRACTOR, AGE.
317
- tIr. Phone 4J—‘W-
tez
•
• a o • State License ../.17.20---799. I, Approved (/ /t.O -
PLUMBING INSPECTOR
YYY
yaa♦ ..
FIX'I.URES, NUMHhR MA[N<DRAIN
t' -
UNITS FEES UNITS FEES`
Water Heate - / /ref Size ,'
ater Closets 9,F Material C�/,
iz Bath Tubs / ./ SU To Curb
.Showers / /L5-70 To Prop. Line ✓
Lavatories z yen To Existing
(„Kitchen Sinks - / /.f4 Not Conn.
r Dish Washers Sewer Boxes
''.'Waste Disposals -p
Wash Trays STORM DRAINAGE
',tTWashing'Machines / /,SQ Size
4,t\Vater Softeners Material
Bar Sinks To Main Drain
}Comb. Sink a Trays To Curb
"Dental Units
,{Drinking Fountains
i door Drains WATER SYSTEM
`.Hoppers Size
:Restaurant Sinks Material
. and Traps TOTAL FEES
::Urinals Fixture Fee V9-0-7)
;n`Area Drains Main Drain Fee ,...„1:"0-22
\Vater Leaderse- /•S-p
ASprinkler Valves Water Sys. Fee �J-0
/ Permit Fee 6a.
TOTAL • „(357, TOTAL FEE ,�1/45,�5
RECORD OF INSPECTION
.Underground Rough
l.PartialdRough
L:'Rough. Complete
?:Main Drain •
'a Final .
11126IPalos Verdes Dr, 40
LOT NO.
NO. STREET ,
n4
-;\
APPLICATION FOR APPLIANCE PERMIT
d z Z fel jC1tI Y".OF CUPERTINO
1 ow
3u.
V Date (MAD on 1QQ7 `6_ Permit No" ...(7/‘ 7
W LL Fee-$ t0. 25
° -,Application:isiherebymadeLto the City-of Cupertino for a permit to "
o e install gas appliances asllistedton the reverse side hereof, and agrees to
aN install said appliances in accordance with the provisions of the Plumbing
ILi Code of the City of Cupertino, and all other laws applicable thereto.
S � .
Use of Premises Ravina,�ra
o °
> In Owner Ditz—Crane Address P.O . Box 509 S, J,
I Z J
FLOG S iiT t 'LI'AL CO.
- z Byat_GLIM.A09 34ddress
1 3 0 Vam:p`4z ,°t tifcrnia -
- m Phone
re " STATE CONTRACTOR'S � �
o s State License Approved l7
<�,) LICENSE #142642 ,--
PLUMBING INSPECTOR
, .
II Remarks (Check
Type of Appliance Units Fees II New. I Replace I Relocate
Gas Ranges II ,
Wall Heaters II
Gas Plates II
Circulating Heaters
./7
Blower Furnaces I 1400 II
Gas Fired Boilers II
Wa!ming Ovens II
Percolators • II
Griddles II I,
Steam Tables II I
Gravity Furnaces II
Suspended Unit il
Floor Furnace . II
• I ,
Miscellaneous ii •
II
(NAME TYPE) II -
2.-2. I
. , __Op ii •
Lao li
t /..,tto II .
1ATirtrice Tees
Inspected and Approved .
DATE narecrent
•
, .
, 1
CERTIFICATE ,;OFCOMPLETIO0,4• *_•,_;
• �IIC, BUILDING. INSPECTOR'S"OPPICE ' _ ;sr“•:t'-
CITY/ OF CUPERTINO : :
// ( • > ni 0t.:.r.l:
Date Ca -S` -1J� ,�--`.'• "i`Butidin „Permit No.``- • ''R .,
The Building Located_at 1 L �' L,C, t << E?,.k:.".h as-y”.:,•,•:•: tav`.Y�>✓
•
, t=� .
1 tc—(Completed)...-- C-- ,,7-.-.-.. � ' �.
Has_.,Beeq•_„•„IAltered For Use As: c.7*---•'s t..1., Let.'u : I .. ,
/ 1 �
II /f '- -)14 ,,i . '
i
t_ .c29 a ( r bit A r, 7 c
1021 7/63'500 BUILDING INSPECTOR"c- - eti
, .
- OFFICE COPY
0/ ELECTRIC SERVICE NOTICE .
• BUILDING INSPECTOR'S OFFICE
• CITY OF• CUPERTIN
r • - 197
To . •
' You are-hereby a . '. ',%. -. ect a ectrical service for .
Owner or Tenant
At ( 1 f 2et- . .
No. of Wires; Size of I Wires') Size of Switch' 00A
j�
Motor Load Voltage . Phase' - -
•
.
Heating LoadK.. W.. ' "' • Voltage
No. of Meters ' " Light/ �it0..L."./N - Sevicse" Reconnect
No.'of Add. Meters Heat . 220- Thr ,,ir. Move Service
I
•- • PoorerT !• •h: •ve Meter
Y
.... . _ _ - ELEI AL Od .
GAS SERVICE NOTICE... OFFICE
x`11 . COPY
♦ BUILDING INSPECTOR'S OFFICE '`
- . . CITY.OF CUPERT O
�_ � 196
To -
i. You.are hereby aut o ii'. to coo nneect the GAS
service for •
Owner or Tenant " l J ' `''' ` -t�;,yCa
At '11 l Z.(� $ ' � rk- • '
. .. .. .. New-Service
.
of. Meters
-• Move Service
No. of Add Mete ss ove Meter
' PLUMBING.•I PE4TOR'
•• Bldg. Dept
Office Copy
'` BUILDING INSPECTOR'S OFFICE
-/-------- CITY OF CUPERTINO
419 hr.
❑ Sewer Connection Sanitary Permit No.
9i'c
;r nlumbing Final Plumbing Permit No. ii I1.- -7I - 4,317. U
�t No.
Owner or Tenant -'-',. ('�
At 1 1 1 7.-�o V ilit a..-.
Tract
Date Connected v 9 19- 7-
Date Final /(9 19
) ,I
I
PLUMBING INSP1 out R
' 111 7/63-1M
' ROUTE SLIP
File No. S7/6
Date Out V .
' Date In
Location
G'K.(9-4L 7-� ' i
Subject
GTU j 30A'j41
Notes
Approved ' o-4,--6
Dat Inspector. 1
ROUTN' SLIP
File No: J%/6 7
,Date Out f/, "4„
Date In
Location .�''a:
Subject
Notes (/
Approved,/2 4 (L� !Glci
Date Inspector