51273.1 l09 3yor;w3KLOTNO 221z y2
to NO. STREET phAA) U
Q
W z CITY OF CUP9TNO CITY OF CUPERTINO
YD
LL APPLICATION FOR BUILDING PERMIT
OCT 8�0 7 /
3 a 973 Building Per.No. S 3_
W U Date Z ' 197,3 . Sanitary Per.No.
1-o AilpliAtiok iJ?ereby made for a permit 50/�'JD
LL _
0 a a 2 story, Type �--
Structure
Z
" to be occupied only as 6/NGx ff — Fi w/,4 in accordance with
w l"
't F Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$
2o Estimated Value of Improvements,$ 1'23/ 001, ' Fee$ 83
>y
o a Total Fee$
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
o and all other laws applicable to the construction, location, and use of buildings within
3P the Cit of Cupertino will be complied with,
Owner ' 1 Tz- ,U • DITZ-CRANE
Address
4 0 By �" Add,
—U U Contr,or nt. '
Phorre 2-u:l{ - Z b APP,oved
State License Building InsPa.,.,
r
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
DATE 616-", 19 7 SG BLDG. PERMIT NO.
THE BLDG. LOCATED AT 1O C// -3
OWNED BY 0<12,i
U // -
HAS BEEN COMPLETED FOR USE AS -7�_r,.___e
(ALTERED) Gi
O
-BUILDING INSPECTOR
10963 I Northsky Sq. 228 /
LOTNO.
NO. STREET Plan B
w z at°AO CITY OF CUPERTINO
X0 o` 1c1���PPLICATION FOR ELECTRICAL PERMIT
OD
W Uto 'D PermNo.
f O Date— ' 19— Fee
S
o 1-. App II cation is hereby made to the City of Cupertino for a permit to install electrical
Z wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said >
<0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the '
i City of Cupertino, and all other laws applicable thereto.
a�
JWork To Be
o Promises
1-fam. req- Performed electrical
Owner Ditz-Crane Santa Clara
Z J Address
&d,' EREfBv CT IS, >Aadr. Sunnyvale
3 a 7315-5�+� "nt
Mon..
w2 27 7
ww
wy Stets License Approved
Q20 Electrical actor
—O
ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or
Size of Mein Service
Number of Meters
Number of Panels
Signs -'Transformers
Dryers'
Motors:
H.P. Phase
H.fs. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges 3.00
Total Fears 17.70
Z6&3 LOT NO..3
NO. STREET T—
ul Q ,
atv OF cwamNo CITY' OF CUPERTINO
VO APPLICATION FOR PLUMBING PERMIT
M, NOV 30 '1973
Sanitary No.
Is Permit No.
�o P f E fVW
t FeaS 9 j•
0
OF
�< Application is hereby made to the City of Cupertino for a permit to install plumbing
a w pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
F= and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
<I- Cupertino, and all other laws applicable thereto.
J LL
00
Use of
Premise: Single Dwelling wPr;cmed Plumbing
o< Ditz Crane Co. 2295 E. Fremont Ave., Santa Clara
z J Owner Address
-10 By L. C. Bohart Plumbing Ad
r[L7 E. Fremont Ave., Sunnyvale
3 Q contractor,Agent
wZ Phone_ 245-2327
W,
186579
02 State License Approved
<0 Plumbing inspector
—U
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
Fldor Drain WATER SYSTEM
Hopper Size
Resmurent Sink Material
Sand Trap TOTAL FEES
Urinal Fixture F <0
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee S0
Relief Valve Gas Fee
Vac Breaker
Skimmer
Filler
Pool Sweeper
Permit Fee Q
Total 3, Total Fee
\ LOT N O. �'•-�- J
NO. S REET
a
CITY OF CUPERTINO
wZ t tt0
2 �jB`' _ APPLICATION FOR APPLIANCE PERMIT
C04O-1 O' 1 \�I I/ Permit No. 5 -3-F/
. 19 Fees 1-4.00
I=-o Application is hereby made to the City of Cupertino for a permit to install gas
o F appliances as listed on the reverse side hereof, and agrees to install said appliances in
>a accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
Z
o other laws applicable thereto.
W
Qt
, Ute of � Work to Be
0 O Premien. ('(V� Performed
Owner ` V
H Address
2-1 6y Address
J 2 contractor, Ag t
J.0
Phone
/
m
-
0a0 State Liranr Approwtl l
m W t Plumbing Inepector
& PtOG Am commoNiNG
g cAmpeEur CALIF. . I►-
LICENSE #k252825
APPLIANCE UNITS FEES
Gas Top
Gas Oven
Wall, Gravity or Forced Air Furn. } lb
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Beth •bO
Indepand. Vent System
Com., Indust., Inst. Kit.
Hood & Vent System
Fprced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without Comfort Cool.)
Forced Air. Mach. each Power
Gsavity System
No. of Air Outlets
No. of Flues °1
Stacks for Metal Fireplaces
Smoke Stocks, Misc. Equip.
'Under 15' High
Over 15' High
Comfort Cooling
Comp. of 20 HP or less &
absorp. units with input
of 500,000 STU or less
Comp. over 20 HP & Under 60 HP
& absorp. units with Input
of 500,001 & Under 1,000,000
Permit Fee ,0
Total Total Fee
10963 I Northsks SQuare Lot No. 228
No. Street
CITY OF CUPERTINO 1.61
APPLICATION FOR BUILDING PERMIT
Sanitary No. 8697
10/8/73 File No.
51,273.1
Data 19
Application is hereby made for a permit to
Construct (Plan B) a ll2 sea T p e 5 1 J
to be occupied only as Single Family Dweing T6Wr hOl1Se�
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ 23,000
FEES 83'00 Plan Check $
Owner ni+.v. flrnnP Address - PP95 nP T.R Cr t . Blvd. S.C.
Contr. Address
Phone 244-2910 State License 261734
255-7050 _ Approved Jf 9-q H. risk/h
> 7�/
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation haws of the
State of California
PD.]
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPEC OR_ MISC.
PAD FINAL -Y
FOUNDATION Z' Z
UNDERFLOOR 2L1
FRAME s 7'
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR C.
UNDERGROUND ROUGH
ROUGH WIRING—
FINISHED
IRING FINISHED WIRING
FIXTURES s
MOTORS r
FINAL `
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH 13
ROUGH COMPLET O J
MAIN DRAIN L 4 1/7
FINAL PLBG. L �2 -7�
FINAL GAS �7
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC 1E