51273.1D 171 lkv/'! l RQ JOAN RSL LOT NO 97 L41
NO. STREET ^�
Ha 41.4) 4-1
W z CITY OF CUPEMAC CITY OF CUPERTINO
Yo 19i34PPL[CATION FOR BUILDING PERMIT
LL n 8 S—/ .2 7 . /
O � oU Building Per. No.
WDate �� Z '1975 Sanitary Per. No.I u.
o Applica It on is hereby made forto g�%��p
LL !^
y,Fa
OH 2 story, Type Structure
a `a to be occupied only as 51d/8,% F0/4`11in accordance with
w w
a F Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee $
J LL
_o o Estimated Value of Improvements, $ 23, 000 Fee $ $3, 00 Y- 14
� N
o a Total Fee $ gy 16
2 -' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
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+ and all other laws applicable to the construction, location, and use of buildings within
3N the City of Cupertinowill be
complied with. pITZ-CRANE
¢ i owns.—t��ly/�T�Z — C/v N(3 Address qS OF LA CRUZ BLVD._
40 By f/`""�^'� O Addrew LARA, CALIF. 9505
U Contr. or t.
2u
Pone _ AAd Ad:.
State License Building Inspector
NOTICE OF IMPACTION CHARGE
CITY OF CUPERTINO
UILDING INSPECTOR'S OFFICE
Date
3 12
i,� --- ---- :?--, ........ ...... 196---- Permit No. A.1..
r r -
CERTIFICATE OF -COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OFF CUPERTINO
DATE T'/ Z I q� DI BLDG. PERMIT NO. s Z? 3
THE BLDG. LOCATED AT 20 ( %-) /V° b -, ° (L S -k
OWNED BY -PL/ T2 -CCIZ,6/T(`-Ir'
HAS BEEN (e�E FOR USE AS
(ALTERED)
d 111
BUILDING INSPECTOR'S .OFFICE
C= OF CUPERTINO
Owl
At
Trac
Bldg. Dept.
OffiM GDPY
Sewer Connection Sanitary Permit No. —zh6A—. ......
Plumbing Final Plumbing Permit No.... s.1.7....7.3L L
Lot No....---. a917
..................
DateConnected
...
...... 2!/ . ....... ................................
.............. ... 19 ............
DateFinal .... - ........
.....(3
---------------------- -----------------------------
---------------- 19— ....
PLUMBING INSPECTOR
77 /L/Or�h sSVllaA-12, LOT
yQ
NO. STREET
My OF r=13^'� CITY OF CUPERTINO
o0 DEC 3 197 APPLICATION FOR PLUMBING PERMIT
34: Sanitary No.
Date
l� ��, 9 ,19 Permit No.
F O Fee $ 9L3 ?�
O IW
-
y a Application is hereby made to the City of Cupertino for a permit to install plumbing
Z
w pipes and/or fixtures listed on the reverse .side hereof, and agrees to install said prices
F i and/or fixtures in accordance with the provisions of the Plumbing Code. of the City of
a Cupertino, and all other laws applicable thereto.
JLL
OO
to Uae of Work To Be
f-3 Premise: SinHle Dwe111n6 Performed Pltmmbing
z� Owner Crane Co. 2��d5eDe La Crtiz Blvd., Santa Clara
-io By L. C. Bohart Plumbing Addrea167 E. Fremont Ave., Sunnyvale
3Q, Contractor, Agent
w,W
Ph 245-2323
Ma. State License 186579 Approved
Q O Plumbing Inspector
_U
Washing
Be/ Bink To Main Drain
Comb. Sink&Tray To Curb
Dental
Floor Drain II WATER SYSTEM
Restaurant Sink
Units FeesWUnitsctsWater
yrµLi
I
Heater
TOTAL FEES
Urinal
Fixture Fee
Water Closet
d2
Water Leader
Storm Drain Fee
Bath Tub
Water Sys. Fee
Relief Valve
Gas Fee
Shower
Skimmer
Lavatories
Pool Sweeper
Kitchen Sink
�
Permit Fee
Washing
Be/ Bink To Main Drain
Comb. Sink&Tray To Curb
Dental
Floor Drain II WATER SYSTEM
Restaurant Sink
mawnai
yrµLi
I
Send Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Tbtal
Total Fee 31 ED
20177 I Northbrook Com- LOT No. 297 /
NO. STREET
.Z < CM OF C3FEtRNO Plan D
w z CITY OF CUPERTINO
¢o Qk� 113 APPLICATION FOR ELECTRICAL PERMIT
WO I`. Permit No.
= a• Data_ 1 2-1 D • tg1� Fee S
FO
OW Application is hereby made to the City of Cupertino for a permit t i ta11 electrical
i F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a" wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
I- I City of Cupertino, and all other laws applicable thereto.
a
JLL
00 Use of Work To Be
iN Promisee 1-fam_ res Performed electrical
z- Owner Ditz-Crane AddfB34 Santa Clara
= a Phone 736-5421
w;z .
W w278674
o. State uCeme_
RPhese
r of Outlets oC
r of Switches
r of Receptacles a
r of Fixtures
or-6rana-K'W.
f Main Service /r of Meterser of Panels- Transformers s:. Phase /K.P. Phese
H.P. Phase
'Power Poles
H.P. Charges
Total Fees
`• 3
LOT NO. 9 (.
.D
CITY OF CUPERTINO
Cm O� Cu"'"PLICATION FOR APPLIANCE PERMIT
P+i AY 17 1974
Dote Fee S (3 GS
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 Work To Be
Premises ^ Performed
Owner ` 6 7 C, C Address.
By
Address
Contrador, Agent
P4,11,00 AIR CONDITIONING CO.
itate license CAMPBELL, CALIF.
Approved /�
1rPlumbing Inspector
I AGREE I WILL. NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. t
® L.
APPUANCE 11 UNITS I FEES
20177 Northbrook Square
No. Street
Lot No. 297
CITY OF CUPERTINO 1.61
APPLICATION FOR BUILDING PERMIT
Sanitary No. 8766
' •
10/8/73 Fila No. 51,273.1
Date 19
Application is hereby made for a permiteto
Construct (Plan 41-) a 2 story, Type 5 I J
to be occapied only as Single Family Dwelling (Townhouse)
in accordance with -Plot plan, plans and Specification filed herewith.
Estimated Value of Improvements $
23,000
FEES 83.00 Plan Check b
owr,or Ditz Crane Addr85S 2295 De La Cruz Blvd. S.C.
Contr. Address
244-2910 261734
Phone State License
255-7050 Approvad James H. Sisk/h
Contr.
Phone
Date
Contr.
Phone
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEES
Address
State License
Approved
Applicants agree not to violate any of the.
IVorknton's Compensation Laois of the
State of California
PD -1 -
APPLICATION FOR ELECTRICAL PERMIT
Date
19 FEES
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
19 GAS FEE'S
PLUMBING FEE $
Contr.
Phone
Date
Contr.
Phone
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
19 FEES
Address
State License
Approved
Applicants agree not to violate any of the.
IVorknton's Compensation Laois of the
State of California
PD -1 -
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTO
PAD FINAL
FOUNDATION
UNDERFLOOR 1•
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECT
PLUMBING, GAS 8& APPLIANCE
OATE INSPECTOR
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH )-
PARTIAL ROUGH -3 `
ROUGH COMPLETE %1
MAIN DRAIN `r/ t
FINAL PLBG. 7-��"
FINAL GAS
FINAL APPLIANCE -
I
INSP
MISC.
_16-7f0
DATE
UNDERGROUND ROU
ROUGH WIRING
FINISHED WIRING
--7
FIXTURES'
MOTORS
FINAL -1
PLUMBING, GAS 8& APPLIANCE
OATE INSPECTOR
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH )-
PARTIAL ROUGH -3 `
ROUGH COMPLETE %1
MAIN DRAIN `r/ t
FINAL PLBG. 7-��"
FINAL GAS
FINAL APPLIANCE -
I
INSP
MISC.
_16-7f0
0
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f
,i
0
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