NO PERMIT NUMBERao�o Let
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. Us La 1
File No.
Dare ._J�_ � 196 Q
((��(I Application is hereby made for a permit to
k�
\�Qk a Jim. story, Type
to be occupied only as
in accordance with plot plan,
Estimated Value of Improvements
AC
�. .e• !_ s
Specification filed herewith.,
$ !1� O O 0 r=
Plan Check $1�- 2
due-
p1 Address w N M d- ",
Address�V�.
Approved Wit I IWNI D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Date M .as- �196 9 FEES
Contr. V,�mLI{{yy 1 (� a
^ _ Address �7�
Phone oC�o�-�a' I State License/Y �y 1,
ApproveAII..L.IAM 0. BENEVIGH
q APPLICATION FOR PLUMBING & GAS PERMIT
Dare . 196 GAS FEE $ 2`D O
PLUMBING FEE $ .Sd
s
Address k1ID.S. �pp S J
State License I1�.�1 (J3 1
Approved WILLIAM D M;rNEVtn�__
APPLI ATION FOR APPLIANCE PERMIT
Date �y 196 FEnE$�=0�4n
Contr. � .e'-KL,t_.!� /�A rX s % % fC 61 `—c "^"s-'�
Phone State License
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 —
UNDERFLOOR _
FRAME
in) all's-
GRADING FINAL_
FINAL BLDG.—
ELECTRICAL
INSPECTOR
ROUGH WIRING_
FINISHED WIRING
FIXTURES
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
UA�R rLU. RL V•_
SANITARY NO. _
UNDERGROUND ROU
PARTIAL ROUGH_
ROUGH COMPLETE.
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE _
ROUTE SLIP
File No.rL /
Date
Approved ������
Date 'Date ' pe�'
ROUTE SLIP
File No. � /L/S
Location) /
Sub j e c---
Notes
Approved /aea - 4 � ,rIs --G-✓
Date Insp or
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
rfmsnt
Job Located at ..- .-...2..... w` 2CC?vi--...-
--- ..................................
..............................
--------------------- .....................
--' - -- ----------- --------- -- ---*-----
You are°hereby `notified that no more work shall be
done until the above violations are corrected. When
corrections havg b ee n made call the inspector.
Date: i2.'18-� 9 252.4505 �Px
-------------------City Telephone Inspector:...................
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
Depart ant
Job Located at t -. -,.....l.Cy'�:1-:..-/L'
.. .i.L yti/ru/)---...L>.±..ni......4----------
L-nEG
i, ,11.1
cli
.... �. _..�-1.....................
y.............................
You are hereby notifie tha no more work shall be
done until the above violations are corrected. When
corrections have been made all a//inspector
.
252-4505 Date: �� 1. ..- .............
City Telephone Inspector: ..............
LOT- Z GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........ .. ..61 ............................ 196......
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .... L)7-,VH .....
At.......... .............................
New Service ... x ...............
No. of Meters ... �............ Reconnect .............................
Move Service .......................
No. of Add. Meters .............. MovgWeter ........................
.....................
PLUMBING INSPECTOR
- OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING 'INSPEC'TOR'S OFFICE
CITY OF CUPERTINO
.......................
.. .... 19(9
autho "M to coon ct el ctr' at service for
Owner or Tenant ............... ........ ....... d ......... ..
At - ... 7Z...
No. of Wires ........................ Size of Wires ...................... Size of SwitchZ--ICDA-..
MotorLoad .......................... Voltage ................................ Phase ... ......... - ............... —
Heating Load ........................ K. W. -- ... ....... ................ Voltage .............................. .
a
No. of Meters ....... L h New Servic !onnect.................
220 .... 6,�t Th Wit connect.
Service..........
Heal
No. of Add. Meters........... Power .............. Phasz.move Meter.............
ELECTRICAL INSPECTOR
rV Sewer Connection
Plumbing Final
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Sanitary Permit No. ..6.5.47 ........
Plumbing Permit NoS.l ?- .I
.......................
Owner or Tenant ...... Yo. M. C., E ........ hic. .........................................
At 14, ...... ZJQ.?n-(.)..-j ......... coul?...1 ..........
TractCam.,Peatq ......... covf.r ....................................................... ..........
Date Connected ... ... . .... 6.9 .......................................................... 19............
Date Final ........ .. . ...
PLUMBING INSPECTOR
�0LkrA,< I, OT NO. • NZ
NO, STREET
Ti IPJ=ATION FOR BUILDING PERMIT
° n OF CUPERTINO
RLL D Gt�7 ° a Sanitan� No.
3_ U; 196A Permit No. 5(k5AI t ro
'o Application is hereby rtt�de for a permit to
a i In a��A fir
r''p�pTT �(^
'IIf''T��f SLfl�KA� 11' Building
a w U� hCt to be occupied only as � in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee °-
"; Estimated Value of Improvements, $ d Q �= Fee $
z 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 wi 'be co plied with,
3 N Ow r L' Address!(89
wZ
w w B
rc a
`7 Phone !)-sR2, 1i.\4 APP
rove r
1� �I (.�S��
\ State License BUILDINJ`GI NSe F.CI'OR
�/
\ V/
20198 Camarda Ct
No. Street Lot No. 2
t ABP NsATION FOR APPLIANCE PERMIT
City of Cupertino
Da 26 /69 +nn1 6E'' Permit No. .S /'1-�)
Fee 2.a.SU
hereb.ypimul
iances
op (thesreverse s detl as
hercol (Indiagrees of ttocinstall rtinof sor aid appliances in accordancea permit to insll gas) with the
o isions of the Plumbing Code of the City of Cupertino, and all other laws applicable
'thereto.
-!i Use of Premises Res,
';., Contractor, Agent
50!a Phone ,r+91-26Q
U
,SYate License 110828
Address P.0. Box; I)I0�T
.i ' -ale
Address779 Old County Rd.
Approved
umbing Inspector
APPLIANCE - - -.
UNITS
FEES
Gas I op
Gas Oven
-
Wall Furnace
Gravity Furn.
e
Forced Air Furn. - - -�,'�:
s"
Gas Fired Boilers -
Warming Ovens
-
-
Sus . Units
Dwelling Kit./Bath
Inde end. Vents stem
Com., Indust_ Inst.KiL-
Hood & Vent System-_
-
♦�I
Forced Air Under 4000-CFA1
Forced Air Over 4000 CFM
I -
Ind. Ventilation System
_
without Comfort Cool.Y-
--
Forced Air. Mech. each Power
Gravity System -
No. of Air Outlets, No. of Flues
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
-
Under 15'High
v
Comfort Cooling
Comp. of 20 HP or less
- -
& absorp. units with input
of 500,000 BTU or less
Comp. over 20 HP & Under 50 HP
& Absorp. units with input
of 500,001 & Under 1,000,000
PermitFee
0
Total
Total Fee
22,5(
,' b / 9 U I l Fq / '-4-�eD /-7. e6 ueT LOT NO, 3�
NO. STREW
o P N FOR PLUMBING PERMIT
® Y OP CUPI'sRTINO
a 9 � Sanitary No.
U;I1 �pT n1f�, I96 Permit No �/el-/
C�►+1 t I �kY`f Pee $ 114. SZ�
ji`il�cat�is y ce t e City of Cupertino for a permit to install plumbing
pi and/or fixtures listed on the reverse side hereof, anti 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 J�UPt.�
Owner Qr094 /inir,6S � ie
s
zJ
J z By C r ne L SF�✓. �O • YN �,
0 CONTRACTOR, AGENT
3a 9P- pssG
- one
w
a -zest,
te License 71 S 3 7
_U
Address`sY 7 A/Ya97'W1 -,d4 4V& 34w. m4
Address
Approved _ . A
� ---Z7/
XPLUMEING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
,y
3OO
Size
-/"
5-.0
Water Close[
10
Material
Z
Bath Tub
1-
3.Ob
To Curb
Shower
3.Ob
To Prop.
lavatories
.00
To Existing
Kitchen Sink
3.06
Not Conn.
Dish Washer
Waste Dis sal
Wash T
STORM DRAINAGE
Wagling Machine
1-
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
qe
Sand Trap
TOTAL FEES
Al, '
Urinal '
Fixture Fee
3 3.0 0
Area Drain
Main Drain Fee
. O d
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Valve
I
Ga% Fee
Vac Breaker
,- 4..i E-I
3.00
Skimmer
Filter
Pool Sweeper
Permit Fee
.2 . DO
Total
1
kf,0o
Total Fee
it,4 S-o
<
-
LOT NO
No.
s'Fit C RT
Z Z
s �
r ° FOR ELECTRICAL PERMIT
H D
3 < 'CITY OF CUP[R9'INO
4 DatIA 5 ,� —190 Permit No.
0
` CIJl Fcc $ i
mTY Apl? ti P �Tc Q o the City of Cupertino for a permit to install electrical
a
w
w wiring and/or fixtures as listed on (lie reverse side hereof, and agrees to install said
ii o wiring and/or fixtures in accordance. with the provisions of the Electrical Code of 0
> 0 City of Cupertino, and all other laws apph He thereto.
`oa
z Use of Prcrn s e a
J
J n
3 a Owner
w w By
LL CONTRACTOR, AGENT
-2 f-� (3 Zr
— U Phnnc
State License0- S /q
o
Address
A dd rest'+-.
Approved
pA.,'Svl
1 4 P.4
r ia� 0,
s
INSYdeTDt! � j
Number
Size
ITEM RPL ,FEES
�X
of Panels
Phase