51213•n!\1n Lot No.
NO2.Ot03 Cii"AAA COOPT
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERT 0
' Sanitary No.
S(O
p File No.
Data .796 ._9__
Application is hereby made for a permit to
�_`illlJ.�ID� a 01 story, Type
to be occupied only as CA- L., cst—�
in accordance with plot plan, Plans and Specification filed herewith
G Estimated Value o7 Improvements sS!94 b 0 10 4*0
FEES --��a y�� (�� Plan Check $ _``_ ''
Owner � s lQW11 L� %SIYIC. Address S���U�' ��76,Q t&Nk
Contr. Address
ty—•- -�1%�� t r
Phone `Na`, ' 11,1401a State License asttat s • Is
Approved _ WILLIAM D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Date �' oZ� 196 FEE`y{19 li
Contr. CC - 'Addras
Phone �J�' -,�. 1� State Li CWIEX �
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
0 D0
Date
196 GAS FEE $
PLUMBING FEE t
(�,� �.
Uas-
Contr. `,
\4% .�1-1- — ddress
/��mlA�
,l
(QN\a-"-�^�
1153'
Phone --act -0��
State License
1
Approved "01 N3E1 *Cl INVI-111116
J�
APP CATION FOR APPLIANCE PERMIT a a
Dare
1% FEES
�%
Contr.
) L � "7/;�...�'" /J �Q
`�LL�`-CT"-"er+ /`_?'
ti�a-n--%v
Phone
L s ^ State Licen
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
PAD FINAL_
FOUNDATION.
UNDERFLOOR
FRAME_
ATH PLASTER
GRADING FINAL
FINAL BLDG. ,&
UNDE
ROUC
FINIS
FIXT
MOT(
FINA
BUILDING
DATE INSPECTOR MISC.
ELECTRICAL
AIC!
RGROUND ROUGH
WIRING
H
WIRING
HED
n
ORES
IRS
L
i
/ 9/S/70
UNDERGROUND ROUGH
C
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
DATF .INSPECTOR,
DATE
C
Job
CITY OF CUPERTINO
10300 Torre Ave.
ORRECTION NOTICE
------- : ----------- -------
Located
--------------------------- * -------------
---------- --- --------- ---------------------
- ---------------------------- ---
-----------------. - ------
..........
- ------------- ---
------ ---------------- 1 r -3 ------------------ -----
-------- X — ------------
.................
----------
............... �?...................... �4e�4j7y�..
..... -------------------------- --------- ------
....................
.... --------------------- ---------
........... ............. ....... ......
ptil- tz�
- -------------- :-------------- -----------
dare
�4
You =r niified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: ----
----------------
City Telephone Inspector:
To
You are hereby
Owner or Tenant .....
At ....Z PA.q.q
No. of Wires ............
Motor Load ..............
Heating Load ........
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO ( G
........................ .' Z..... .. V ...... 196... �..
auth iz d [2Znoqt el ri I service for
.- Z
....o YC�3
........................................................................................r.
............ Size of Wires ...................... Size of Switch..— (ADA-
............ Voltage ................................ Phase ..................... ...
K.W. — ..................... ... Voltage y ........
Light ................ I IO....._..... N Service.l! ..
No. of Meters....... �...
H"at.
at..........220......... 1' re'
Wir ...........
No. of Add. Meters............
Power ............... P .....
ELECTRICAL INSP
Reconnect......... .... --
Move Service.........
L07- t
I119f Sewer Connection
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Sanitary Permit No. A��6� ..............
Plumbing Final Plumbing Permit Nor--.1213 ...........
X?PIC14F-Low PF-VISE- Lot No . ...... I ....................
Owner or Tenant .... Ur&tf ..... Hqive-s ....... //A/.u.: .............................................
At ... 2.0.Z.P3 ...... Cn.W.?r ............................ Tract C.Powl.e-an ........ CQV.&.1 . .....................................................................
DateConnected ...... / --- .... ..................................................... 19............
Date Final ............ J.21 ... . ... Lz .. . .... 6.5 19............
i.. Z *. ...................
PLUMBING INSPECTOR
OFFICE
LoT I GAS SERVICE NOTICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are hereby authorized
auytthhorrized to connect the GAS /service for
Owner or Tenant .....`..�.:......... y.om.�s..........
/..N.0:.......................................
At.o )9.q.... °.'.. 2...M.A20R....... ov.2T......................
New Service ...................
No. of Meters ..... .!r--.......... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move M r ........................
�.....................................................
PLUMBING INSPECTOR
ROUTE SLIP
File No.
Date
Location
L ell
Subject
Notes
Approved
• / � /i �...r=irk
Date I rrst - Oro
ROUTE SLIP
File No.1/3
Date
Location
Subject- � eQ
Notes
Approved T-/�- L �� � C.
Spector
/j
C�o c-A�LOT NO.
U. STREET
04
w z
k 0
Y W
oj a
3a
W W
f 0
0 W
oQ
>�
zU)
aW
Wx
a
00
> W
0a
zJ
J 0
J �
3<
— N
W W W
¢ a
<0
i
APPLICATION FOR BUILDING PERMIT
®!p CITY O( CLIPFRTINO / / q
�E'`� Sanitary No. to `s ltO / '!�/'
1'ai 1961 Permit No. SIIS{
����iiii Application is hereby made fora permit to I W\-Q
Building
in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, $+ Fee $—
i
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino w' I be ca rplicd with. ., ``QQt�t w`
Own L1' oME �L ` Address�l 1l,Ma�a��AAJE
By - A ( N
vl�h�
Approved!
State Licensee 1 �. 8 J� ^ \ BUII.DING INSVEc OR /
20199 Camarda Ct,
No. Street Lot No.
5 At`PL,ICA-rhDN FOR APPLIANCE PERMIT
C .' City of Cupertino
Date 8/26Z0, 196
Permit No. S / y/,3
Fee$ aa.SV
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 Premises Res,
owner Utah Homes, Ino, AddressP.O. Box #2405
EySan Carlos Sheet Me ;I
Contractor, Agent
Phone 591-2605
Slate License =828
F-
Address77q Old County Rd_
Approved
umbing Inspector r/
APPLIANCE
UNITS
FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Fum.
Forced Air Furn.
p
110(
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
Inde end. Vent System
Com. Indust.. I nst. K it.
Hood & Vent System
Is
A-nr
Forced Air Under 4000 CFNI
Forced Air Over 4000 CFNI
Ind. Ventilation Svstem
without Comfort Cool.)
Forced Air. Nlech. each Power
Gravity System
No. of Air Outlets. No. of Flues
Stacks for Metal Fireplaces
Smoke Stacks. Misc. Equip.
Under 15'High
Over 15'Hieh
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
Permit Fee
2 00
Total 11
Total Fee
122.50
10/7 C <%mri4 Ate% C7- LOT NO.
NO. STREET
�'+114PC ON FOR PLUMBING PERMIT
w i ef
ITY OP CUPERTINO
y uo Sanitar N3 196� Permit No.
i LL
Pee $ �V
C n��pCpT'n' �i
LL w C.�� II as ryn �t{,Kd3I1\nl.'�k180 the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
= m` and/or fixtures in aaordance with the provisions of the Plumbing Code of the Carty of
a w Cupertino, and all other laws applicable thereto.
mx
.ai Use of Premises ej/3Y- Cx
_oo
> N
3 Owner LI ram./ yb Q? -T+� e. AddressST 7 W. //79rN7�da iRrtr. Jo
oa r
ZJ A
Z ey l G�J 70eA, ZZR
3 r-
CONTRACTOR, AGENT
-am one.--9P-osSZe
w Z
rca .�
a o ate License %�37
-U
Address
Approved ;tLAO-V
PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
'
Units
Fees
Units
Fees
Water Heater
�—
$. O
Size
S. C
Water Closet
. O
Material
. 2
Bath Tub
_ Z'
3.6
To Curb
Shower
1
6
To Prop. Line
Lavatories
.0
To Existin
Kitchen Sink
3.6
Not Conn
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Y
3. c3C
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM . 51
Hopper
Size
Restaurant Sink
Material
K 9,
SandTrap
TOTAL FEES
Urinal
Fee
33. 00
Area Drain
Vure
Drain Fee
S. 04
Water Leader
n DrainFeeSprinkler
System
r Sys. Fee
4,57
Relief VnIve
H Gas Fee
Vac Breaker
3.60
Skimmer
Filter
Pool Sweeper
Permit Fee
Z• 0 0
Total
1 i
133. C41
Total Fee
• -54
UI Q' NO. 5'rR CCT LOT NO.
=z
W Q
o < P ION FOR ELECTRICAL PERMIT
3 y�L CITY OF CID CRTINO
W LL .tt AD
� (y
W �tt9 , 19 h—! Permit No. _S
o Q L
ee
r �7� �ti to the Cityof Cupertino for a permit to install electrical
,�tvlinl tn(I r ix Ps'a� ted on the reverse side hereof, and agrees to install said
0 0 wiring and/or fixtures in accordance. with the provisions of the Electrical Code of the
>> City of Cupertino, and I other laws applicable thereto.
`o a ca rf
z _ Use Of Premis�— D �%C/ l
j L
3 Owner Address tiS✓,.
m c c p
W z y —t Addres�i h h
WW
an CONTRACTOR A R.NT
) Approved --
F'hnnc:a �2 S 7 B, KCAL rNSPBCTI /
State License�zo/ /l V
- ITEM -
NEW
RPL
FEES -
Number of Outlets
24-
- Numbei of Switches
j
Number of Receptaclm
¢- C
s• - Number of Fixtures
S
"Pages,or Ovens K.W.
- -
;
a
Size of Main Service
1
- Number of Meters
Number of Panels
S' - Transformers
Dryers
Motbis.
3i
H.P. Phase
i
HP. Phase
Power. Poles
5
gym= km
N C NO. 5'rR ELT LOT NO.
Z Z
T 0
x ° m, N FOR ELECTRICAL PERMIT
3 U TY OF CUPFRTINO
F 0 /
LL w Da _, 19 b y Permit No. _
Oa l'!SS
I
(+j�S�ic he Cityof Cupertino for a permit to install electrical
a µ sb t h}; , ti �Mqe [M P permit
f i an or e on the reverse side hereof, and agrees to install said
oo wiring, and/or fixtures in accordance with the provisions of the Electrical Code of the
> City of Cupertino, and all ;her laws applicable thereto.
Z J
Use of Premiscs�..D x"�� �
0
3 `a Owner Address
N
w w ffy Addres�i5 U
aR 2 CONTRACTOR, ACNT Approved
u� /^''� �^ hi,nr. C'�� J � �� � � j� CrR�r Ns►CGIOl '
State License r% � � / V/
ITEM I NEW IRPL IFEES
Number of
of Panels
Phase