NO PERMIT NUMBER (2) 21681 I COLUMBUS AVE. Lot No. 19
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51167
Sanitary No. 4830
Data Aug. 24 196 6
Application is hereby made for a permit to
Construct a 2 story, Type 5 I J
to be occupied only as Single Family Dwelling
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements ' $ 28,000'o`7
FEES 85 - 5() Plan Check f
owner Ditz-Crane Address P. 0. Box 509 , S. J.
Contr. Address
Phone �97—g544 State License 151791
257-1110
Approved W.D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
a-�
Date C;'—� 196 FEES '
Cont,. Address
I Phone �L''�b —`rT / State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date `� 196 GAS FEE $
PLUMBING FEE $
Contr. I-Z +J vu ' Address _ /L 3"'
Phone 1S—_d3 State License
Approved
AP PL CA1 TION'FOR APPLIANCE PERMIT 7 Do to y^ 1% G ,� n FEES
Contr. �/ /`^-4-r/ /'�,e-�--� Address /—3-0 � 7
.Phone Fre R— State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California t
RECORD OF INS ION APPROVALS
FOUNDATION UILUING
UNDERFLOOR
t m n
FRAME
to / /C)LATH n c
FINAL PLASTER (�
� (`�
grp pector
�
Date 1 ns oa ctor
ELECTRICAL
,OUTLETS /b SERVICE SIZE
SWITCHES 29 Sfl UNDERGROUND
Ila ^Da La 6/ Inspector
RECEPTACLES ROUGH WIRING
to Inspector
FIXTURES FINISH WIRING
' Dlte Inspector
N.P. CHARGE S FIXTURES.
�GSY Inspector
PERMIT FEE Motors
to Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND 9- -46
FIXTURE FEE PARTIAL ROUGH
for
MAIN DRAIN FEE u= ROUGH COMPLET oy�
STORM DRAIN FEE MAIN DRAIN p1y7•
WATER SYSTEM FEE /� GAS PIPING -F `{'lee or
ate e
GAS PIPING FEE FINAL
Date ns pe ctor
PERMIT FEE ��= MISC
o-e Date Inspector
TOTAL FEE 6 M_ ISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS --Z7S
BLOWER FURNACES /°?' COMBUSTION VENT 02 02 d_
SUSPENDED UNIT MISC
GAS RANGE ` MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE 1 TOTAL
INSPECTED
Data Inspector '•-
ROUTE SLIP
File No .
Date Out
Date In
Location �y —
Sub'jeC't
a '
Notes -
Approved
Date Inspector
i
4-=
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
N F n 2 N�
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IN and
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f CERTIFICATE OF` C 'OM'PLETION'
t BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO
Date ....;si?.. .........................
The Building Located at .C ^ ....... `..'.!+/`...fes%% .`.:
Owned by r ' +4. ... ...................... . .........................d� . :
....Alt:.............
Comte )� j • . ; . �...
�r
Has Been red> For Use As: ....... =r.-f :N,. -�i
.............................. ........
.::...
.....................................- .,........... .........
................... .................................. ...........................................I........................................
..........................
'BUILDING INSPECTOR '
102 1/63-500
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. .... ............
L?O�Plumbing Final Plumbing Permit Nctr//4�..!�!.............
Lot No. ..41.....................
Owner or Tenant zz; .....................................
..........
At .......
Tract .....
............. ..................................................
0
DateConceded ...................... ------------ ...... .......... ..............................
Date Final ............................le
�7z ............... .............................................
G ' PLUMBING INSPECT
OR
to 7/63-IM
CE
GAS SERVICE NOTICE COFFIOPY,
BUILDING INSPECTOR'S OFFICE
VVV CITY OF CUPERTINO
................._/./`....f...............__............. 196.. ..
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At .......... ...........................
New Service ....r/............
No. of Meters ..../.......... Reconnect ..............................
Move Service ............... ......
No. of Add. Meters .............. Move Meter ......... ............
PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
..........................I...j........ ............... 19�..
TO
You are hereby aut o 'zeq to nn. ct electrical service for
Owneror Tenant ............. .... ......... ........................... ... ...................
,At ...C>4/'1A.p&.. .......k.........9 t.
........... ... ... ...... ................................. .. .
06 No. of Wires ........................ Size of Wires .......— ... Size of Switcl!..........
Motor Load .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. ............ ..................... Voltage ................................
1, fLih. ........e'.
No. of Meters..... Service... Rmnnect..................
No.of Add.Mete :
220...... ree
Het--
Power ............
.............. . .......
�4pm'PDO
,,R'ARY. GAS SERVICE
DATE: .- 6 I.W
So
.......... .. . .
.w. ................ Fee:
.............
CITY Q�5vCMIDER-4�169
t.w.......................................
AT: -,R.Iwl......
LOT: ........./._..9
REASON:
The undersigned agrees to be responsible for the gas service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino. Phone ........ ......
.......... ........... ..........�P-i .7 -------------- . ... .----
W .
117 1/63-500 spwr&% 0 TENANT.T (1 OWN R
�� -TE'MORARY _ ELECTRICAL SERVICE
�... .r/....1? y.... Feer./ .......................
..
9D TL
NCC Il i9 ^.1 /L( -..Gf �l /
:OWIN R" .
Pf .� ... ......... ................... . .........
LOT: ��.r�.
.....-L9.......................:............ ............ - .........-...........
w.
The 'N .: . ..............................................................................................
deist n
d,
k RLASO
ed,agiees to;be responsible for the electrical service at the above location,
u Fil�tl mil d(n'g is ieady'for occupancy, and is released by the Building Department,
it Cupertino. /� / /
;. .1 Phone --..t ./...-ll..f...�.........
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.. .......................... ............... ....... ....}(//fin .. .. - ......... .....
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INSPECT A/ TENANT O OWNBR
'" 1 116.11/63 S00
ROUTE SLIP
File No .
Date Out 7�
Date In
Location / 9
Sub,jeot
Notes
Approved
Dat Ins `or