NO PERMIT NUMBERNo.
t
Lot No.
Street / (0
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTIN%, V7.fs--
Sanitary No, ii tsL0
Date b 196
Application is hereby made for a permit to
to be occupied only as
File No. r/i77i
a cp�' story, Type J" LJ
in accordance v,&Vh Plot Plan, Plans and Specification filed herewith,
gEstimated Value of Improvements
FEE$ /Q
Owner,
Contr.
$3e 3
Iae�m
Plan Check $
Address 9 rya. ✓maw/
Address
Phone aS� 2 J State License ZJ 7 Q
WILLIAM D. CIENEVICK
Approved
APPLICATION FOR ELECTRICAL PERMIT
% _,G ow
Date 77 1967e1 FEES 2 —
Contr. N19. /i1� i L�i / Address �!'�K`�L /c-CJ SC4,UA y
Phone %n �fl Zf State License 1
Approved
APPLICATION FOR PLUMBING & GAS PERMIT l
Date 196 16 GAS FEE $
PLUMBING FEE $ a Co - s�
Contr. Address __ / ('
Phone State License
Approved
S APP.� ICATION FOR APPLIANCE PERMIT o J 6
Date Q� 196 "V FEE$
Contr. /"' 'a Address
Phone '3 State License "Zs
- Approved
Applicants agree not to violate any of,the
Workman's Compensation laws of the
State of California ..
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR MISC.
PAD FINAL
FOUNDATION 0 Q'
UNDERFLOOR
FRAME - 7
LA H PLASTER -
GRADING FINAL
FINAL BLDG.-
u D`cW ELECTRICAL
46 A 4' INSPECTOR MISC.
U DERGROUND ROUGH
ROUGH WIRING -
FINISHED WIRING -
FIXTURES
?0
\
MOTORS
FINAL
BACK.FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH -
PARTIAL ROUGH 6
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS �G�<
FINAL APPLIANCE /0-
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
DATE INSPECTOR - MISC.
MISC
MISC
K�
MISC
y
{
ROUTE Slil'P"
File No.
� ��Date
�- 7D
Location c�dRie✓�c� y, -
Subject
Notes
Approved '-/S
Date. Spector
� al
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ................... 1....t.._�..�, 19...rfV- Building Permit No. ....
's.//
The Building Located at
Owned by
Has Been (ComPleted) For Use As:
(Altered)
BUILDING INSPECTOR
GAS SERVICE NOTICE C Y;
COPPY,
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ..... ../.„/t-p�,.2_ �......._....._._.......
At....�O�a..]1....... -......_..'......_....._............._....._......__................_.
New Service ..A.1 ..........
No. of Meters ..._..... Reconnect ............._...............
Move Service ._..................
No. of Add. Meters ....._...... (, Move Meter ..................
PLUMBING INSPECTOR
Jk OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
d......5...., tv7o.
................................... .
You are hereby authorized to connect electrical service for
Owner or Tenant ......... .....!...r��1 !c<
At..... /..ccs.J.............. . ........ ...:...............................................................
No. of Wires ........................ Size of Wires ...................... Six of Switch
Motor Load .......................... Voltage ................................ Phasc..................................
Heating Load ........................ K. W
Voltage...............................
Light ................ 1IU.._`.... New Service....... �.
No. of Add. Meters.... . Heconnert.............. ...
No. of Meters...................
Heat ................. 22o.. v... Three Wire ............... \fovc Sers•i.............
........
.Power ............... Three Phase......./......... Nf hfeter........
/P"/3 G�i�.............
ELECTRICAL INSPECTOR
.1 Sewer Connection
ling Find
BWg. Dept.
gffkt COPY
MY OF CUPSBTM
sWweWIMUMM
Santry Permit No. .........
Plunking Permit
r•- Lot No........... . ..............
Owner or Tenant -------- 3,r n. . {�:R� E:_.:.... _._...............................................
At..i i= — �#--—e...............................................................
`.,Trait ......... .��3............ .......... -........................................... .........
..
ROUTE SLIP
Fi7.e No.
Datz,9 —"6 - O
Locatio� ,r %�
Sub jectNbf�I'�L��
Notes
Approved- _ p
�—_. ata _. Tnariar nr
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
----------
aDeparfineM
Job Located at
(h��
...............................
........................................................................................
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: ...... 1D-�--=T -
City Telephone Inspector:
10651 Stokes Ave.
NO. 5'rE 1!ET LOT NO.
21 /
Plan 1661
APPLICATION FOR ELECTRICAL PERMIT
Xi
I F CUPERTINO
Date n 1 19 �— Permit No.
1=cc ? 4�
App/t�iication is hereb made to the City of Cupertino for a permit to install electrical
wiringiahTy, a1r-ur(!&PE` R& 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 Premises 1-fam. res.
Owner Ditz-Crane Address4agnBy f:1, rR WVJ" ..,, Address
�iTXACMA,VAGEN7
O OOMALA. CALIPOC3rMA Approve
Ph.1Ocu
State License 12422 p�
ITEM
NEW
RPL
FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
t'
Ranges or Ovens K.W.
—7
Size of Main Service
Number of Meters
Number of Panels
Signs - Transformers
Dryers
�•
Motors:
H.P. Phase
H.P. Phase
Power Poles
Permit Fee
2.00
H.P. Charges.
Total Fees
B�
LOT NO. Ol/
NO. STRFFa' j'LAN J661
�P E ION FOR PLUMBING PERMIT
® CITY OF CUPERTINO
i
IJUN 1 Sanitary No.
e C p[pRT �°y 19670 Permit No .S //
n6 C� m�� Pee $ �` G. SZ
�'tATp�ilicLl n i NtOthe 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 Premises Si r�o1e Dwell
Owner Crane Company 229,ydR&La Cruz Boulevard — S. C.
By Bohart Plumbing Company 167 East Fremont Ave., SIvale
— Adds
CONTRACTOR,AGENT
245-2323
State License 186579
Ar, d 7 Apppproved
PLUMBING INSPECTOR
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 in
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
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys.
Be, qef Valve
11
Gas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
/
Total Fee
LOT
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Da�1HFi.� Permit No. �1� 7 %
nv � Fee $
4MApplication is hereby made to the City -of Cupertino for a permit to
install gas appliances a 11'�ted on the reverse side hereof, and agrees to
it talib'.iid U�. A cordance with the provisions of the Plumbing
CIC'Metof the Citv of Cupertino, and all other laws applicable thereto.
Use of Premises —_ Q ,Q./ AA Q_.NrQ,
Owner ��• — �� , m a
Approved%6
PLUMBING INSPECTOR
lb 12)
Type of Appliance I
Units Fees II
Remarks (check ✓,
New I
Replace I Relocate
Gas Ranges
I
II
I
I
Wall Heaters I
I
II
1
I
Gas Plates I
II
I
I
Circulating Heaters
Blower Furnaces
I
cl .ov II
I
I
Gas Fired Boilers
Warming Ovens
I
II I
I
Percolators
I
Griddles I
I
II
Steam Tables
II
I
I
Gravity Furnaces
I
I
I
I
Suspended Unit
I
it
i
Floor Furnace
II
I
I
II
I
Miscellaneous
I
i
(NAME TYPE)
1
II
I
-
I
t) oII
I
pp lance Fees
p
Inspected and Approved .......... ._...__.........................................
DATE INSPECTOR
ioG5-/ S io /rs 4c)e . IOTNO. 21
NO. sTKEET ! /
3 i1 FOR BUILDING PERMIT /7
r ° C +OP CUPF:RTINO
o Sanitan� No.
jMgY 1970 1 G �a�
3 a �
U �7
i 4 Date 1967� Permit No. S %/ 7 7,
n w &lifatitlis hereby.,r.'Iiaermit to
ovva� at_s�p''�ta.�l
aN a '2i story, Type 1 ' S Building
to be occupied only as `/ in accordance with
0 o Plans, Specifications and Plot -PI n filed h rewtth. PI Ck Fee
Estimated Value of Improvements, $ 3 3, �� ' �, Fee $
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within the City of
d O Cupertino will be complied with.
Address ZZ 5'S
I By lit "C'"�! Address
0 Phone ZS L— Z. ,� 3 Approved r
State License /S / % l�� BUILDING INSPFc oB