51273.1 lG Z V012 fN5,KY �/,�0AP—a- LOT NO. 2- 0 " 1,/1-
yQ
NO. STREET PAAA1 C
fa CM CUPErnND CITY OF CUPERTINO
xo j�qnICATION FOR BUILDING PERMIT
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O J )r11�`T t1 Building Par.No. s �- 7 33
U Date �/V-- 2-
W u , 1973 3 Sanitary Per.No.
=u. A
t o ApplicatQn is hereby made for a permit to
LL
Ofa�- _
F story, Type = Structure
Z
w to be occupied only as 5/N61 it rfPt14V in accordance with
a Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$
2 a31 c>bo . oo S3•an r I G
o Estimated Value of Improvements,$ Fee$
o a Total Fee$
Z J 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
3 athe City of Cupertino will be complied with. RITZ-CRAKE
W WX
W Owner tT�- C�/f �' Address none BE ra:'tenrrZ 6•-v..
OF
Q O By Address : ;
—U contr.or A nt.
Phone Approyetl
State LicenselLic
Building Inspector AW—
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
DATE /� 19Z BLDG. PERMIT NO. �� n 7'3•
THE BLDG. LOCATED AT
OWNED BY C< -Z
HAS BEEN ICOM EIE-0)) FOR USE AS
(ALTERED)
L�
�`f L ING INSPECTOR
1102ND I NOrSQ LOT NO. 208
STREET
yQ Plan C
W¢ ky r ���j CITY OF CUPERTINO
¢o Q�PLICATION FOR ELECTRICAL PERMIT
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,e U YG[, 3 1JlJ Permit No.
F O Date YL 19_ Pee$
o lW. Application is hereby made to the City of Cupertino for a permit to install electrical
Z F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a m wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
i.-F City of Cupertino, and all other laws applicable thereto.
a
J LL
20 Use of 1-fam. res. Work To Be electrical
> Premiws Performed
1- Itz- rane anta ara
zJ Owner Addrew
M1gNDEFetNFIFC7Rtf. IN^ t'—= p--- Sunnyvale
--�Adaraw. .
3 a73tf-T4.2 spent
y
Phan e I
Wz 27 7
2 y State Licenw Approved
U PP
a 0 Electrical sp for
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lb 'hec'
TEMYFJEJES of Outlets of Switchesr of Receptaclesr of Fixtures o Main Servicer of Metersr of Panels- Transformers
:
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee 2.00
H.P. Charges
Total Fees
LOT NO a�
NO. STREE U
N Q
W a Cr. CITY OF CUPERTINO
xp c. APPLICATION FOR PLUMBING PERMIT
2 LL 973
3 U '�"�l Sanitary No.
W Date
Fop 1 Permit No.
Fees �3
o F Application is hereby made to the City of Cupertino for a permit to install plumbing
a H 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
a Cupertino, and all other laws applicable thereto.
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Op
Use ofWork To Be
F3 Premises Single Dwelling Performed Plumbing
pa
2 J Owner Ditz Crane Co. . De La Cruz Blvd., Santa Clara
.J,o By L. C. Bohart Plunging Ajj77 E. Fremont Ave., Sunnyvale
3 P Contractor,Ayent
w Z Pnone 245-2323
u,u
ism State License 186579 Approved
<O Plum mg Inspector
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FIXTURES NUMBER MAIN DRAIN 1I
Units Fees Units Fees
n
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 Materiel
Bar Sink To Main Drain
Comb.Sink&Trey To Curb
Dehtel Unit
Drinking Fountain
Flpor Drain WATER SYSTEM
Hopper Size
Rastaumnt Sink Material
Sand Trap TOTAL EES
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
Total Total Fee
lloao I IJ -N aoR
LOT NO.
NO. STREET - C .
„ � APPLICATION FOR APPLIANCE PERMIT
= CIrY OF CUM'TWO Cpry of CUPERnNo
3 DWR 1
U
19. — Permit No.
Fo D n I D Fres J?C
LL W Application is hereby made to the City of Cupertino for a permit to
Finstall gas appliances as listed on the reverse side hereof, and agrees to
z a install said appliances in accordance with the provisions of the Plumbing
i F Code of the City of Cupertino, and all other laws applicable thereto.
5 , Use of Premises tc-S
00
>0
M ; Uwner 17T` - L'-Q- — Address aa9 c 7r( a C-,Eil-'�-
z� S .
�.o By�l_r 1p Address i0o C tkMA � �rnplti
F CONTRACTOR, AGENT
- m
Phone�rl5t og zy
uz
vW
ao0 State Licene aCRApprovedy
—U P&MB&G INSPECTOR
APPLIANCE UNITS FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Fum.
Gas Fired Boilers
Warming Ovens
Susp. Units
Dwelling Kit./Bath
Inde end.Vent System
Com.,Indust., Inst.Kit.
Hood&Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
wit[ i
Forced Air.Mech.each Power
Gravit S stein
No.of Air Outlets,No.of Flues
Stacks for Metal Fire laces
Smoke Stacks,Misc. I' ui
Under 15'Hi
Over 15'IHeh
Comfort Cooling
Comp.of 20 HP or less
&absorp.units with input
of 500,000 BTU or less
Comp over 2011P&Under 50 HP
&Absorp.units with input
of 500,001 &Under 1,000.000
Permit Fee �o
Total
Total Fceoo
11020 I Northsky Square Lot No. 208
No. Street
CITY OF CUPERTINO 1.61
APPLICATION FOR BUILDING PERMIT
Sanitary No. 8677
File No. 51,273.1
Date 10/8/73 19
Application is hereby made for a permit to
Cnnstruet (Plan C) a 2 story, Type 5 I J
to be occupied only as Single Family Welling (Townhouse)
in accordance with plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ 23,000
FEES 83.00 Plan Check $
Dwnor _Ditz Crane Address 2295 De La Cruz Blvd. S.0
Cont,. Address
Phone 244-2910 261734
State License
255-7050 Approved James H. Sisk%h
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 Laws of the
Slate of California
PD-1
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPEC}',pR MISC.
PAD FINAL �o AWCT�' S
FOUNDATION-
UNDERFLOOR—
FRAME-
OUNDATIONUNDERFLOOR FRAME •t
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE NSPEqff0R MISC.
UNDERGROUND ROUGH m
ROUGH WIRING q
FINISHED WIRING b
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR -MIS
BACK FLOW REO. 3 ��
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH �p-
ROUGH COMPLETE
MAIN DRAIN ,to3
FINAL PLBG. 7
FINAL GAS
FINAL APPLIANCE S 7
DATE INSPECTOR MISC.
MISC
MISC
MISC