NO PERMIT NUMBER (2) ` 0 �O _ ® � 0•1r+vV \ Lot N
o.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO `-
Sanitary No. C O a r
File Ndl%,� r I
Date
App 'cation is hereby made for a permit to
arY. Type v
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
02�/ Lr-0-0
Estimated Value of Improvements $.
0
FEE$ -Plan Check $
Owner Address���'
MOP
Contr, Address
Phoner� + �
`�� � State License
Approved WILLIAM' D. BENEVICH
�
APPLICATION FOR ELECTRICAL PERMIT
q —3 a
Date 9 �2- 196 7 a FEE$ e�S
Contr. JL 2 l'(/°- '�'^-�-�� Address /t�' /4X_ C�
Phone �-7 3 State License �'�' L 7
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 7 d GAS FEE $
/ y� PLUMBING FEE $
Contr - !`�e Z'—I tet' Address /G -2 C -
Phone - '2"eo t — ,?3 a a State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date l/ 1196 ) I FEE$ /f
Contr. �C-/'1' /.ws""c-'-'� /' �, Address / x z —
Phone 7/f`d'9'.3 �� State License
/ i
Approved `"`-�
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION -
UNDERFLOOR C
FRAM
;LATH PLASTER 7- _
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING X70
FINISHED WIRING '7t
FIXTURES 7/
MOTORS-
FINAL
OTORS FINAL (4� 7/
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH__j
PARTIAL ROUGH '?
ROU(PH`M�PLE TE l
MAIN DRAIN-
FINAL
RAIN FINAL PLBG. - 7
FINAL GAS (_ 7
FINAL APPLIANCE 7 7�
DATE INSPECTOR MISC.
MISC
MISC
MISC
1
ROUTE SLIP
File No.
e� _
Location d ftt .e Sh
Oe
Subject A'
Notes
Approved,
Date I pec o
11VV 11i JL1L
File No.
Date
Location-,.,,, 77,�
Subject-
Notes—
Approved
ub ject_�`t =`�� _
Notes_
Approved_ ��- 7 a
Date s.pector
3 CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Building Permit No.
Date ....................)f_7,1A) " rl 19..... .'....n . ...........
The Building
. ................................................
Owned by .........L...!,/. ....... .............
------------ ------- ----- ------- ------------ ----- --
Has Been (Completed)
For Use A . .......
(Altered) ..................................................... ...................
................................................................................................................................... .............
.............................................................. ..................................................................................
.................................... .................................................................../................. ...
........................ ............
BUILDING INSPECTOR
3
I OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
_........._..(.`/.. ,.ret .........1%_.., Iv 7/
You are hereby authorized to conned electrical service for
f
Owner or Tenant ............
..................._......_.........._..............._....._..........
At ---/hS ��t......X. <.:.....f�fn _c. ........_...........................................................
No. of Wires ........................ Size of Wires ...................... Size of Switch/fro... .
Motor Load .......................... Voltage . .... ....._._............... Phase .......... ..........
HeatingLoad ........................ K. W. .._........_---------........... Voltage ......._......... .... ........
v
Light.... ll0............ New
....... toewnnect.._.............
No. of Meters..................
No.of Add. Meters......
Heat................ 220... .... Three Wire... mo, 5ercicc............
......
.Power..........._ 'Three/Phase................ M...e Meter........
UECTRICAL INSPECTOR
GAS SERVICE NOTICEoff °o;; ''
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO /
To
You are hereby authorized tto/o�� connect. the GAS service for
Owner or Tenant _. ...! ...C.ILQQ ...... . . ...... . ...._ ...._ f .
At ../_QS"rp,0 _ ._. .Ct. ..r.. _ ......
• // New Service ....—4/.....
No. of Meters ........1........... Reconnect
..............................
. dove Service ......._.............
_
No. of Add. Meters .... ........ MoJee Metteeerr�......_.................
PLUMBING INSPECTOR
_ 2 Bldg. Dept.
J Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection68Ci a2
Sanitary Permit No. ............. .............
[� Plumbing Final Plumbing Permit No. �..� ..77.1
....
- ... Lot No. ....... ._ 3..... -
Owner or Tenant ..........:.�%.`.
..............-------- - ............-----.....----........-------...
At
..---- '11------...---'---........ . lrirF
Tract ------- z* •.n -. 1/`��•
_....Y....................------------.------------------------ --
DateConnected ..........fit. .`�..-.7.U................................................................. 19.... ..
Date Final .-�-�_ y1
----.....--------------------------------------------------------------- 19-----------
PLUMBING INSPECTOR
10520 Stokes Ave. 3 /
!� < NO. LOT NO.
N FOR ELECTRICAL PERMIT Plan
162 t
Q J
3 u CIff.S' OF CUPERTINO
� �1
o20 `
w D Y N —, 19 _ Permit No. _
. � Fee, j .�
a W Ap At ion is 11creby made to the City of Cupertino for a permit to install electrical
W z wiring and/t�f,xtures as listed on the reverse side hereof,'and agrees to install said
0 o wirin,r, acf• or fixtures in iccordanre with the provisions of the Electrical Code of the
> 0 City of 'upertino, and all other laws applicable thereto.
oa 1-fam. res.
z _j Use of Premises
JO Ditz-Crane Santa Clara .
a Owner _ Address
w w by �- C' Wnn nuurcaa
a `` nnco axrtc€LI7o RAEyDnn`fr� a-pproveNNYVALE• Cd
raonrrAL rNSP7AV
`1\ State License 12422
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ryryry��� 10520 I Stokes Avenue LOT NO. 3
NO. STREET
n . DFOR APPLIANCE PERMIT
Q OF CUPERTINO
3V D e,INOV �4 1970 19 _ Permit No. S // 7 7. /
= nr /�{� p �p,�� � � Fee $ /.2 71--
' 0 W CITY %liclrll9l ERTrt-K0,Mr!e to the City-of Cupertino for a permit to
OF install gas appliances as listed on the reverse side hereof, and agrees to
i N instal said appliances in accordance with the provisions of the Plumbing
W = Code of the City of Cupertino, and all other laws applicable thereto.
Residence
3 , Use of Premises
00
> 3 Owner Ditz-Crane Co. Address 2295 DeLa.Cruz Blvd.
o <
2J
z BY AddresfLOG SHEET METAL CO.
CONTRACTOR, AGENT CAW
3 < Phone 378-0934 !^.�N E rr29 5
NZ
W.W
ao State License Approved
t�U PLUMBING INSPECTOR
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/(Jszv I S '770 �.5 /9U/�, 1�3LOT NO.
NO. STREET Vu �O. ///[� A
w P ATION FOR BUILDING PERMIT / r
r O TY OF CUPERTINO T'M f�73s
3 a A Sanitary No.
U
= LL U 19�0 Permit No._ 7 7.�
o - -
o � Application is hereby made for a permit to
CI
a w ak�iI-T ---, �T--yy jQ Building
to be occupied only as V J �L`�--�-'� in accordance with
a
0 o Plans, Specifications and Plot. an filed h rewith. P] Ck Fee
> 0
r ; Estimated Value of Improvements,$ z Sa RDy • 0-0 Fee$ 7 aD
iJ 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 building% within the City of
o Cupertino will be complied with.
Q
- N Owner L� Address ZLySa g Caws gk4 �7
w G�•n,yrfL< G
W B sp r-C'lcrt�
a y Address
a o 2 5 2 -z& s-
`-U State
Approved
L!� State License / / BUILDING INSPFco
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