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NO PERMIT NUMBER (2) ��370 .TAni np Ame, '' 20
NO. STREET I - E - LOT NO.
CITY OFCUPERTINO 4,27
APPLICATION FOR BUILDING PERMIT
t
SANITARY NO. 9140
FILE NO. 51,112
DATE 1Q/pA/74 19_
Application is hereby made for a permit to
Q4�T1S tY'llf t a P story,type 5 T IT
to be occupied only as Ri ngl p Fami l Y Dtrpl l i n g (Pl an 131 6)
)
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 61 X000
FEE$ 2QQ, QQ PLAN CHECK$
OWNER Dltz Crane ADDRESS 2295 De La Cruz Blvd. S.0
PHONE 244-2910
CONTR, ADDRESS
PHONE 446-1568 STATE LICENSE 261734
APPROVED James H. S'sk/h
BUILDING INSPECTION RECORD
DATE PECTOR DATE INSPECTOR
FOUNDATION .JFLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.&EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. r
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC..L1
ELECTRICAL INSPECTION RECORD
RESIDENTIAL *JINSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGHUNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURESINTERIOR FIXTURES
MOTORSEXTERIOR FIXTURES
FINAL d►•� MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M. —S`�
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH ..�,f 7 FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE -)
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS -L 7
FINAL PLUMBING
MISCELLANEOUS
CERTIF'1� .PE OF COMPLETIGN
BUILD NSPECTOR'S OFFICE"'
CITY FFCUPERTINO
DATE �' "^ ", 1r9 BLDG. PER IT NO.
f
THE BLDG. LOCATED AT. - 1
' OWNED BY /
HAS BEEN(COMPLETE -EOR USE AS
(AL--TER Dl
,.4
OM
/"\C
1 UI DI G INSPECT, R
RIOT:T SLIP
File No.
Date s
,oeat'_^n 2-nn -2e.�e2
.otes
pprove"I
Date inspector
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
T-A Sewer Connection Sanitary Permit No. 116-..-.----
Plumbing Final Plumbing Permit No. . .....
Lot No. ..........d_0.. .......
Owner or Tenant ......'1:2,k)_.(;L _.,>JL�.........................................................
At ............................................ .........
ITract ..........................................................................................:...... ...................................
DateConnected ..... ........71 ..........................................:.............. 19............
II'I Date Final ............. ........a.d....... ................................................................ 19---.........
..................... ................
PLUMBING INSPECTOR
OFFICE Copy
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
To You are hereby� ao�t Bz
0 DIP ?_tonne electrical service for
Owner or Tena
At .....
No. of Wires ..... ...(S
izeg0Wies ..... Size of Switch ...h..
Motor Load ......................__• ae ....... �... .........
Phase .................
Heating Load ........................ K. W. .—............. ...... Voltage ..........
No. of Meters.............(.-
Light....... 110....... Se Ic....... ...... I(ecollnect connect.._.............
No. of Add. Meters H,.t 2 20"........ I V re Scrvi..........
Power........ ree mmr Mete?.. ....
, �................ ......
it ECTMCAL INS TO
.� _.
Q a O �C.LY OF CUPERTINt -'-� COPYE
GAS SERVICE NOTICE
✓tJ `� 19 7-�-
To
You are hereby authorized to c�onnneci the GAS service for .
Owner or Tenant
At 3 2 3 7 - �•
/ New Service—
No.
ervice No. of Meters J Reconnect
No. of Add. Meters Move Service
/Move Meter
PLUMBING INSPECTOR /�7"J�`YGUi�-L ©M
of Q,'?74 VLr/N, .aJ .� LOT NO a Q S b
NO. ST ET
071•C,.. p� CITY OF CUPF'RTINO•, CAP. IVAL.
Af'PLIG4TION FOR BUILDING PERMIT i FEE -2
w Ql+ T 2 R ^^ 19� Building Per.No. S/.33 .4 -
O 0 - d 2 SanitaryPar.No. 9� O
3 v 4pliFption is�hhereby made for a permit to--^^��G/�'�'/�
x p a—��ory! Type�..�1_ L N 3i G Structure
to be occupied only as in accordance with
a
'Z N .
Plans,Specifications and Plot-Plan filed herewit
a w
F Estimated Value of Improvements,
g PI Ck Fee$
O O It is hereby agreed that the requirements of the
> vt Cupertino Building and Zoning'Ordinances and ail Fee $
00 a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
OZ complied with.
JOWa+� NER PHONE ADDRESS
�QMt
OF CONTR.OR AGENT
_ U a t l ?3 V
I� PHONE STATE LICENSE BUILDING INS ECTOR /
5C. e„(/
LOT NO. ao
NO. STREET •
C�,.:flrtp CITY OF CUPERTINO
aT'r p' APPLICATION FOR APPLIANCE PERMIT
JAN 23 1915
Permit No.
Date r I419157, Fee$ 4JOC2 G
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 /a/4 Q Work To Be
(Premises l � Performed
(Owner Address
Phone
BY Address
Contractor Ant
(Phone PLOD AIR CONDITIONING CO.
CAMPBELL, CAL'i-.
Stole license "C-FV;'. X645^'" Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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,2_2 LOT NO. o?O
NO. 7REET
CITY OF CUP2771NO CITY OF CUPERTINO
U[C $ Q 1974PPLICATION FOR ELECTRICAL PERMIT
Permit No.
Date Z (' ,19 Fee EL3S—{r--
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino,and all other laws applicable thereto.
Use of Work To Be
Prcmi Performed
Owner Address 2 C
Phone G --SSG _
By
.CGQ Addre J 9S/SC)
o7 tractor,Agent
Phone—11
`a.0 a 0
�S
State License of Approved
Electrical ins ctor
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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Z Z Z Z K N Z Z
�9
NO. EET
W Cfty OFCur ,to
CITY OF CUPERTINO
Yo Nov 5 1974APPLICATION FOR PLUMBING PERMIT
W LL
O J sanitary No.
W O Dafa�'T 12 , ig_ Permit No.
HO s Fee$ 3Y��
LL
o 1- Application is hereby made to the City of Cupertino for a permit to install plumbing
ay pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
W W and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Q1- Cupertino, and all other laws applicable thereto.
y vam�eSingle Dwelling wPorr,meaPlumbing New Construction
i aOwner Ditz Crane Company .Address 2295 De La Cruz Boulevard
�z L. C. Bohart Plumbink, 167 E . Fremont Ave., Stvale
.�2 By ddress
3 Contractor,Agent
w i Phone 245-2323
WW 186 579
Qd State License 'Approved
Q 0 P mbing Inspector X/'
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