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51167 Lot No. 30 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. 51167 Sanitary No. 4769 Da to A pj 11 196 moi_ Application is hereby made for a permit to M Construct_ a 2 stay, Type 5 I J to be occupied only as Single Family Dwelling in accordance with Plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements $ 28/ooci• oo FEES R. 5-r) Plan Check $ OY,,ie, Ditz-Crane Address Box 509 , San Jose Contr. Address Phone State License 1 ;ge (257-1110) Approved W.D. Benevich/h APPLICATION FOR ELECTRICAL PERMIT Data y p,/ 196..6 / FEE$ /j Z/ .1/1 Contr. 1 .V ��. / Address s— y � Phone / 3 6 Sy State License y�t� 1 u 1 L Approved ( � APPLICATION FOR-PLUMBING & GAS PERMIT Date v o2Z 196 GAS FEE $ / ov PLUMBING FEE $ Conir. 62"0"1 Address/-'�3 L/ G Phone `r °'Z� State License Approved AP4LICATION FOR APPLIANCE PERMIT. Dote 196 t" pFEE$ Contr. "`�'r Address �i - "'-'�-u'-�-✓P Ph $tote License L2— one one /—Oe- Approved,_ Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION at pector UNDERFLOOR �a •pector FRAME pec tar LATH'& PLASTER �( `Z' Inspector FINAL Date" Inspector ELECTRICAL OUTLETS SERVICE SIZ SWITCHES y/ UNDERGROUND _ `� Date ns actor RECEPTACLES ROUGH WIRING ' P D e Inspector FIXTURES FINISH WIRING Q J'D ate Inspector M.P. CHARGE w FIXTURES / a-a to Inspector PE IT FEE Motors TOTAL FEES 13 7d FINAL (� ctor Data !• Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES ��= UNDERGROUND FIXTURE FEE PARTIAL ROUGH 6 ;2-cr. ate or MAIN DRAIN FEE . ROUGH COMPLETE G Date or STORM DRAIN FEE MAIN DRAIN WATER SYSTEM FEE GAS PIPING 'GD((tope r GAS PIPING FEE FINAL Date Inspector PERMIT FEE �� MISC to C y ate Inspector TOTAL FEE MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS /J L.r'a BLOWER FURNACES COMBUSTION VENT 2 2-0--j SUSPENDED UNIT - MISC GAS RANGE MISC GAS DRYER PERMIT FEE yam?' FLOOR FURNACE / TOTAL FEE " , INSPECTED Date Inspector lu✓� CERTIFICATE OF "' COMPLETION . 1 BUILDING INSPECTOR'S OFFICE 1 / CITY OF CUPERTINO Date �. ..................... 9..... �I f The Building Locate/d at . ,? L f� ----- ' Owned by...... f! i soL i' 1' ........ Has Been- Completed' 8 # - ( ) .! (Alfered)., .... Use As: ........ .. ..T' For .....�.---....�'� �r� _ f 0 ...........................: . .............. r ....................'..: :....:.C..:.. .............. ...:...... .. L is 1.:. � .. .........� Y} ....._'.. .... ...... r . , ' . ° l' _BUILDING INSPECCOR. 102 1/63.500 a _ Bldg. Dept Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO n Sewer Connection Sanitary Permit No. ..... .......... �lurnbing Final Plumbing Permit No. ........................ Lot No. .syo.................... Owner or Tenant ............................................... At Tract .......... Date Connected ............................ DateFinal ............................/D... .. ........ .............................. ........................... PLUMBING BING INSPECTOR 111 7/63-1M GAS SERVICE NOTICE OFFIC: BUILDING INSPECTOR'S OFFICE COPY CITY OF CUPERTINO To You are hereby authorized to connect the GAS service for Owner or Tenant .... ....- At . ........ New Service ................ No. of Meters ... Reconnect ........................ Move Service ......... ............. No. of Add, Meters .............. Move Meter .......................... PLUMBING INSPECTOR L • � ELECTRIC SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY OF �UPERTINNO / ................1...�.... To ...................... 196.KT You are hereby au t ed o conn lectrical service for Ownerr/TTeenanntt�.. V .................................................. At aNf..7 '�...... ................................ . I No. of Wires ...................... Size of Wires .....`^............ Size of Switc✓ao ' Motor Load .......................... Voltage ................................ Phase ............................ HeatingLoad ........................ K. W. .................................. Voltage ................................ Light............._ !I0....._..... New Service................ Rmnnect.................. No. of Meters.................... ......... Heat................. 220. ..... Three Wire................ Move Service............ No. of Add. Meter... t, Power............... e............ .. Move Meter.............. ........... .. .........._.......................................... -'ELECMCAL INSPECTOR ROUTE ,SLIP File No. Date Out 9 s �- Date in Location 3o _ Subject Notes Approved Date Insp ctor ROUTE SLIP File No . Date Out Date In Location n I j Sub'oeot i Notes Approved — Date Inspector NOTICE OF ADDITIONAL CHARGE CITY OF CUPERTINO BUILDING INSPECTOR'S OFFICE Date .....:......a" o' �i ig.(-.[c Permit No. :�/ ........... To ........... ........................------------.._... ...... -....._.............--- l/................... Address ........ yo2. S� �'✓ f ��'� ........................... ................_..................._......---....................__................... Reason ........ �....:° 0............... !.......L-G.: ._ �>`.............. / = ... ..... . ....................... r./ ........................... ............ ............ ..__......... ...._........................_................_................... Amount$ .' -_.`-:'.... Signed ............ Lwt .<.........................._........... 106 3/59300 !� U/�o� rte' I S 3 LOT NO. NO STREET CITY OF CUPERTINO c�'tt,APPLICATION FOR PLUMBING PERMIT ecl 1 Sanitary No. Date I ,19 Permit No. Fu$ ApplicationQs 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 Premisr�es��//LL Ll.�/Y—GLS^ Pert. Owner ^k't'L A. Address Phone vc.�7 7 3 O fil By Address raCi.l� Cont/ra�ctor,A Phone / State License Approved Plumbing Inspector �j- 1 AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ®oe s W F _ y G O ° ; C Y Ln °1 e N O ° fs Y y `u x U `u u` c E..�e t E o A o U a w o w o 0 U w o y o o` ° o oe Z W f° Y• 7- C E 7 o ,y f x U o O r a 9i in w p u` i F _u`` j u u 3 K `u u` v ° o 'o o i X c d o u ` ° 33 S � 0 ;ic3333 moUo6sxo JRa3No > N LOT NO. l 51O NO C 4 F.l' 02 AP/Pt'.1 "' OR PLUMBING PERMIT a I �IAY 2 �IT F CU PF,RTINO 7 1966 Sanitary No. D'Ite t 6fe Permit No OF Pee S �6 Application is hereby, Wtb/AlyVity 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 Premises Dwelling Owner Ditz-Crane CO, Address P. 0. Bac 509 -Sen .ince By Palm Plumbing Cc) - CONTRACT R, AGENT Phone 215-2323 State License 186579 -A� Address 1234 N Hwy 9—Sunnyvale Approved PLUMBING INSPECTOR UNITS I FEES rea Boxes Fee Sprinkler Valvcs I 1 II Water Sys. Fee I /,�e RECORD OF INSPECTION Underground Rough Partial Rough Rough. Complete :Hain Drain Final .