511871�/ ce-.4 .0 Lot No.J
No. Street /
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 196 if
Application is hereby made for a permit to
to be occupied only as
in ac
Estimated Value of Improvements
FEES �►f,y o
Owner
Contr.
Phone -2 CA —Ar, T3
File No. -rw114r7
Sanitary No. tr 7 L
dr
story. Type
Plan, Plans and Specification filed herewith.
$02.1"a nel
Plan Check $
Address 9 drAL p
Address s`
State License - /S— of :E' /
Approved WUJAM D. EIENEVIQ4
APPLICATION FOR ELECTRICAL PERMIT
Date 196
Contr. If
Phone ,7 9
FEET
Address
State License
WILLIAM
Approved
APPLICATION F R PLUMBING R GAS PERMIT 3-a .
,�
Date 196
Contr. Vr� n
GAS FEE $ I . l / J
PLUMBING FEE $
Address Q�
State License . 1 JIO's7�
Approved
�% L 19A6PPLI TION FOR APPLIANCE PERMIT
Date
Contr. Address
Phone `j� �' d i jp State License
Approved WILLIAM D. 13ENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California -
i
RECORD OF INSPECTION APPROVALS
® .,_ %6 -d-l_ BUILDING
FOUNDATION'AG
DATE 1 PECTOR
UNDERFLOOR IL-6 P
_ _DrE IN9 R
FRAME � 6 pl _ �
DAT NSP R
LATH 8 PLASTER
INSPE OR
FINAL r A E-.ZO
DATE INSPECTOR
ELECTRICAL
ELECT.
UNDER(
ROUGH
FINISH
FI%TUR
MOTOR!
FINAL
SERVICE
PIAL ROUGH
DATE
INSPECTOR
{ROUND
DATE
IN PECTOR
_
DRAIN
AT"IN9
PECTOR
WIRING
Li
INSPECTOR
NIRING
I-1/ DATE
` r u
IN6 ECTOR
"
DATE
INSPECTOR
ES
r w
INSPECTOR
DATE
INSPECTOR
' DATE-
INl PEC TOR
DATE / INSPECTOR
PLUMBING & GAS
?RGROUND
PIAL ROUGH
DAT
CTOR
iH COMPLETE
DATE
IN PECTOR
_
DRAIN
— IyTe
a
ECTOR
PIPING
DATE
-�
INSPECTOR
L-
DATE
SPECTOR
"
DATE -
INSPECTOR
DATE
INSPECTOR
INSPECTED
MISE
MISC —/
MISC �2
APPLIANCE
DATE
INSPECTOR
DATE ECTOR
DATE
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... ... ........ go .................... 19.6.f ... Building Permit No. P1.0.
The Building Located at .....
................... .............
Owned by ..j(A�.... Gcot,msl ........................ !. ...............
Has Been (Completed) As: ..............rr..................................... .............................
L
..............................................................
..............................................................
BUILDING INSPECTOR
102 12/66.IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO It .
....... ....... ........... . ........ ... .. 196
TO
You are hereby a th riz d conn electrical service for
Owner of Ten t
At....... t:. u ................-----
........ ..
_r-*�
No. of Wires ...... 7;� ........... Size of Wires ........UZ ............. � Size ......
Motor Load ..........................
Voltage ..................
...........
Phase ........................... .. ...
Heating Load ........................
K. W . .............
................
Voltage .................. ........ .
No. of Meters....
Li" h
Service............
C., n:"
No. of Add. Metx:""�::��::�
He, t. 220 ......
--T
Wire......
e:,
Move Service..........
........ .
Power ...............
Tfhasai
Move Meter.:............
ELECTRICAL INSPEC T 0R
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
�3 CITY OF CUPERTINO
.................... fA............................... 196?..
T�
You are hereby aut ized to connect the GAS service for
o _
Owneror Tenant .................................... I ......... ........ .....
At
New -Service.�...........
No. of Meters ... ............. Reconnect .............................
Move Service
.......................
No. of Add. Meters .............. Move Meter ........................
..................
PLUMBING
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO pp�
❑ Sewer Connection Sanitary Permit No....J��r6r....--......
Plumbing Final Plumbing Permit No. X1117 .......
��................................. Lot No. ..... a:r.�................
Owner or Tenant ......✓-? r.t!....-./16�l�— _....... ..................
At .,�i/�iP/' %�/rid.,;:`.i.•'.+iaf.':...e..........................•---........................
Tract....... ...................f..............f_.rt.r....-...-........._---------..-.......-...---'�.i-..
Date Connected .............................
DateFinal ... -- ..........................A = .......................................................
............... ��- ....------
w
PLUMBING INSPECTOR
111 12/66-1M
ROUTE SLIP
File No.
Date/v —I4{ 6,;1
Location /o
Subject
Notes
Approved-,
Date- Y J •
0
ELECTRIC SERVICE NOTICE
INSPECTOR'S OFFICE
CITY OF CUPERTINO
. ....................
TO .......... 19�
You are hereby a t oriz d- colnoc I ctrica service
for
Owner or Tenant ............. .. ----- - .....
At ................ I. C-->
No. of Wires ........... ............ Size of Wires ....
Motor Load .......................... Voltage ...............
Heating Load ........................ K. W . ..... ................
No. of Meters ....... ...... 110 ...... N
No. of Add. Meters............
Ligll�...
H".,t. : 21 ........
Power....
Size of Switch
........... Phase � .... --- ....... — ",— ..
........... Voltage ........ — -- ..........
Reconnect........ ---.
Move Service..........
Move Meter ..............
LOT NO.
. r NO.'• : SnInT
1 APPLICATION FOR PLUMBING PERMIT
I�uJ
= CITY OF CUPERTINO
z
w
r o Sanitary No.
0 'Q Date - 196 ' Permit No
W U Pee $ 9� .S—V
LL
'_' 0 Application is hereby made to 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
i a and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
< w Cupertino, and all other laws applicable thereto.
wx
�r
LL Use of Premises
00
3 OwnerA,%.a w&.+/ Address A211fl
e
J o D t Address ua
3 F CONTRACTOR, AGENT
- 0 Phone az414''t
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< o State License 4.4Uv., ` / Approved WIC LIAM D. BENEVI
CH
- PLUMBING INSPECTOR
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STREET
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
"Bi
Sanitary No.
I%196Permit No. .S /�� 7
,�!-�
pp sn is hereby ma a ora permit to
3--
1 Building
ttlkhbfpnlyKA' ��P�(.4P �eQ'GLLL in accordance with
Plans, Specifications and Plot -Plan filed herewit o P1 Ck Fee
Estimated Value of Improvements, $—at—ill
�l Fee $ o v
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
Cuoertim) will be conmlied:with.
Phone _b 3LI'04r'
State License
0C/ T e/ I C'T- X C/V!/ LOT NO.. S�
H < NO. Q EE
3 1 h FOR BUILDING PERMITT
° C OF CUPERTINO
0 :3�JUL 9 a Sanitary No.
SUpp�
W
Uate 19tC1
pz
Permit No. ���d
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W
I�
AnpXiYatioA s Itep�yl r ft� a.&rmit to
o`
N
a story, Type vr_
Building
W
to be occupied only as
in accordance with
<
00
plans, Specifications and Plot -Plan fil d herewith.
Pl Ck Fee
> ;
Estimated Value of Improvements, 1,9.S. 06h
Fee j �•-
i J
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 ity of
O
3�
Cupertino 'll b comp] with.
_ m
Owne
Addres 6m�
WZ
W
a
By
Addr
� 0Phone�,5
Q —a6 ,4 3
Approved WILLIAM D. BENEVICH
State License 467Y 7l
BUILDING INSPECTOR
'w („ SfRliliT
APPLIC'ATION°,FOR
LOT NO.
ELECTRICAL PERMIT
�4lY
II CITY OF CUPCRTINO
Date 19Gz� Permit No. _
' Pec t5 /
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 accordanre with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Usc Of Preirises /
Owner Address1
By —t Address
C� �j �i CONTRACTOR, AGENT ✓ �� �u
v "— 91990 P�PP�'oved _ECTRIr L IN ECT04 VI<
Phone: E[R['rA1UL INI�BCTOI
State License IL'7 /-35
el
n1y,
sTR E EY
eAPPLICAT
' AUG ; 1968
LOT NO. Sri
PLUMBING PERMIT
CUPERTINO
Sanitary No.
Date July +^196'_ Permit No
"' � Uf WIL-IL IWO Fee$ �2,3.�—z
Application is hereby made to the 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
Owner Ditz Creno Comp ffiip Add
La Cruz Boulevard
Palm Plumbing Company
CONTRACTOR, AGENT
245-2323
State License 18b579
N
dffTJ le—Saratoga Road
WILLIAM D. BENEVICH
Approved
qPLUMBING INSPECTOR
FIXTURES NUMBER II MAIN DRAIN
UNITS I FEES UNITS FEES
Closet
Shower I / 1 11 T. POD. Line I r,�'
Kitchen ink / Not Conn.
Dish Washer I H Sewer Box
ze
Bar Sink
To Main Drain
Comb.Sink&'fray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYS'T'EM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL, FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
_
Sprinkler Valve
Water Sys. Fee
Relief Valve
Cas Fee
Vac Breaker
Skimmer
Fi Iter
Permit Fee(4
'notal
'Total Fee