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FILE 51167.1-,2-1` O 3 I &, Lot No. / 7 No. Street �ii�6 SCJ APPLICATION FOR BUILDING PERMIT J CITY OF CUPERTINO Date ` J 196 ' 7 File No.n��G%" 1 Sanitary No. d-11 S— Application is hereby made for a permit to ✓� a , story r to be occupied only as in accords .e with Plot Plan, PlailK and Specification filed h IFith, pp O`Estimated Volue of Improvements '$ d1 t7IL FEES Owner Contr. Phone ct-C 7 - /// 0 Plan Check $ Address State License /r/ 7fZ Approved WILLIAM D. BENEVICH APPLICATION FOR ELECTRICAL PERMIT Date /�/ 196 7� Contr. Phone FEE$ � .2.�� Address State License �"'Z ^� 0 -- Approved WILLIAM D. BENEVICH APPLICATION FOR PLUMBING & GAS PERMIT Date �j7.' 2. 196 GAS FEE $ /� / PLUMBING FEE $ 7 fes~ Contr. Address a 3 Phone ca VS- 13 0-"'3 Sfa to License � � ` `r7 Approved WILLIAM D. 13ENEVICH . APPLICATION FOR APPLIANCE PERMI�3d-S— Date �96-� o , FEES Contr. ✓"-'^-^ �' �-"-�` Address Phone 7 gl' 0,73 14 State License Approved Applicants agree not to violate any of the Blorkman's Compensation Laws of the State of Califamia ' SIZE TERIAL 4 RECORD OF INSPECTION APPROVALS- UNDERGROUND SWITCHES d BUILDING RECEPTACLES FOUNDATION Dot It' FIXTURES Ina pe cfor FINISH WIRING N.P. CHARGE ./� pector UNDERFLOOR _Date FIXTURES TOTAL FEES 3 ate46 Dgla Ins ter FRAME � GAS PIPING (� j•,,p Date r Inspector ' FINAL FINAL G% FLOOR FURNACE ata s PERMIT FEE TOTAL FEE f r _ LATH R PLASTER Data Inspector TOTAL FEE s en Dye FINAL c Data Insoactor ELECTRICAL SIZE TERIAL OUTLETS TOTAL FIXTURES UNDERGROUND SWITCHES FIXTURE FEE t^ ROUGH WIRING 61 RECEPTACLES ct I speer Dot It' FIXTURES Ina pe cfor FINISH WIRING N.P. CHARGE D e PERMIT FEE Inspector" FIXTURES TOTAL FEES O^'^ ELECTRICAL SIZE TERIAL TYPE OF APPLIANCE TOTAL FIXTURES UNDERGROUND UNDERGROUND FIXTURE FEE t^ ROUGH WIRING 61 �+ ,� PARTIAL ROUGH S-3a� C-fA�a.�Q/1�r ct I speer Dot It' Dat p r Ina pe cfor FINISH WIRING ROUGH COMPLETE D e ato r Inspector" FIXTURES MAIN DRAIN ^C O^'^ Dgla Inspector' Motors GAS PIPING (� `t Date b Date r Inspector ' FINAL FINAL G% Date Ins cfor PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE TERIAL TYPE OF APPLIANCE TOTAL FIXTURES FEE UNDERGROUND FIXTURE FEE �+ ,� PARTIAL ROUGH S-3a� C-fA�a.�Q/1�r Dat p r MAIN DRAIN FEE ROUGH COMPLETE ato r STORM DRAIN FEE MAIN DRAIN ^C Dgla WATER SYSTEM FEE GAS PIPING (� Date r GAS PIPING FEE FINAL G% FLOOR FURNACE Data na pector PERMIT FEE TOTAL FEE MISC Data Inspector TOTAL FEE MISC vme ms pe oor APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Do to Inspector Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. ,y — 7 Sanitary No. Do to 196 Application is hereby made for a permit to a Ty e to be occupied only as in accordance with Plot Plan, Ws and Specification filed herewith. Estimated Value of Improvements S QQ FEESPlan Check $ Owner Address ` Contr. Address C... de 6 Phone State License ) 0 9yJ,2.2-a. � t Approved r-//L7/C'1 - - w - •!/, APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Phone Address State License Approved APPLICATION FOR PLUMBING & GAS PERMIT 1� Data ,�,� 196 GAS FEES PLUMBING FEE $ ` Contr. _ c-.tel'/LJ Address P one 7, 1,3 `r' O State License ''-d (.,4 / Approved �/v,i, �./• — i � � �C/ � APP (CATION FOR APPLIANCE PERMITs� �Sl Date 196 FEES Contr. - — �• - Address 'f i Phone A'3 G 0 State License Approved Applicants agree not to violate any of the d/ Workman's Compensation Laws of the State of California - RECORD OF INSPECTION APPROVALS ELECT. UNDERG ROUGH FINISH W FIXTUR MOTORS FINAL UND PAR' ROUT MAIN GAS FINA MISC MISC DATE INSPECTOR ELECTRICAL SERVICE WIRING ES ByUILDING C-A-Qla� FOUNDATIO �Zv 60 D�^rE iH COMPLETE DATE INSPECTOR INSPECTOR UNDERFLO INSPECTOR ROUND IN SPEC INSPECTOR DATE FRAME INSPECTOR INSPECTOR DATE INSPECTOR INSPECTOR LATH & PLASTER INSPECTOR IR ING INS PEC /T ' ^ DATE FINAL YIiY ELECT. UNDERG ROUGH FINISH W FIXTUR MOTORS FINAL UND PAR' ROUT MAIN GAS FINA MISC MISC DATE INSPECTOR ELECTRICAL SERVICE WIRING ES LZ -6 O C-A-Qla� NAL ROUGH DATE D�^rE iH COMPLETE IN5P R INSPECTOR DRAIN DATE INSPECTOR ROUND IN SPEC _ L - ^ DATE Y DA INSPECTOR INSPECTOR DATE INSPECTOR DATE INSPECTOR IR ING DATE / INSPECTOR DAT 9PECTOR - A INSPE TOR DDA_TEA- s PLUMBING & GAS ' INSPECTOR ARGROUND LZ -6 O C-A-Qla� NAL ROUGH DATE INSPECTOR iH COMPLETE DATE INSPECTOR DRAIN DATE INSPECTOR PIPING , D12AT IN SPEC _ L - ^ DATE Y OR DATE INSPECTOR DATE INSPECTOR INSPECTED MISC MISC MISC J DATE INSPECTOR DATE DATE APPLIANCE INSPECTOR INSPECTOR {SECTOR CERTIFICATE 0 , COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date _...(F.............. XA ...... i ......... I 19-47. Building Permit &o.�Z!42.1 The Building Located at Owned by Has Been' ror use ns: ...... :r......._-.:................................................... FICE COPY ELECTRIC, SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY or -CUPERTINO TO........... .......... - ......... 1967... You are hcreV ed. I to &conect electrical service for owner QLTenant .a . .................... At .............. 's '.S ...... ............. ........... No. of Wires ....................... Size of Wires ............ LF.— Size of, Switch AAMP Si ...... Motor Load ................. : ........ Voltage .......... 1 ................. Phase .................................. ':,Heating Load ....... .............. K., W . .......................... Voltage ........... ....... r ............ ........... 11077.� ..... New Service-, Reconnect.................. 22� .... . .— ree Move Servim:.L No.:, of Meters ...... . . L' ... No. of Add. Meters............ .Heat................ ....... � F'r": - 4 Power ........... hree JA Move Meter ............. ........................................... .. . .. -SLECMCALINSpacro GAS .SERVICE NOTICE BUILDING INSPECTOR'S OFFiCE, CITY OF �UPERTWO . . :. ...... .-'t ......... '1117 .... TO OFFICE COPY :.1 196,,7 You are hereby, authorized to connect the GAS service for Owner or Tenantp...... ............... ................ M.— At New Service ... ............... No. of Meters ... .......... Reconnect .. ........................... Move Service ...... ...... ......... No., of Add. Meters .............. MoVe' Meter ........................ INSPECTOR PE`�*�T .................. i�C OR 4 PLUMBING , " Bldg. Dept. f Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No..- 113............ Plumbing Final Plumbing Permit No:., „lf4714 Lot No SLI! G -_ .................... 1' Owner or Tenannt�� .- :..-.- -. --..:............ ............. ..... At Tract.......................... :.:............:........ Date Connected ......................... Date Final ............................... -fry...... 19. /...... I �-"NSP-vr,OR 111 12/66-IM " ROUTE SLIP File No.57/16 2,L - Date Out �— Date In 0-6 Locatioii �.- 17 Subjeot Notes — i Approved Date Inspector ROUTE SLIP File No. Date Out Date In I I -i3 -i 2 Locatioti j167-3 Subjeat ra:x- Notes Approved 9 Date Insp,a,ctorl w TRENCHING, PERMIT SIDEWALK ;PERMIT' , DRIVEWAY APPROAcg PERMIT- CITY ERMIT CITY OF CUPERTINO, Fee $:. 0.00..--, Date.... :iiPR/L �UNK/7C. .F....£..._L...7/..N...O. 1o96w 6 Is Granted - ^r �STI0- Location /i 0.3TFly ..lD Purpose M- yt ✓G--%�oo� r , -- y Contractor ' S[u.�'�. S T �Ools ' ._ .., ' - NOTE: All work shall comply to all, conditions'.contamed In Ordinance 130.". ,Issued by . ..� ww^^; /---/- `. .... .. .. r Ct RECORD OF INSPECTION'.. V TIME . DATE � '` � „[NSPI'CTOR � DRCIS TIMI INSPI'CTOR I'_....................................__. DATE.. i1T1I � ' - ,INSPCC70R i- DATE - � IIhIr �� - � �-4NSPECTOR NOTE: Inspector must be given '24hours'n'otice on, each inspection Its 9/60 -500. I., LOT N0. to < No.I �A �CRa T� FrAUG 'APRLIA�TI�N�FOR BUILDING PERMIT 0 CITY -OF CUPERTINO of ]. 1967 !t' Sanitary No..��s' W Urate 3 1962 Permit No. '0 ('ITE �C /11'I"lr�r•al aL o Application Is hereby mr.de for�a3permit to G/Y� i to a Y story, Type Building <w to be occupied only as f$' 0zle �/i/ily ir4�/Ry. in accordance with a 0 o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee Estimated Value of Improvements, S Y cV0 0// Fee a ,3?5eAd iJ 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 j 0 Cupertino w%ifco�h. N Owne / Address z a- 2;' wZ / W By Address ,1 -vi K� Ily/el_ < 0 Phone .�S7=///O Approved.... • ..-- -- — --- PP r..__ ... . State Licens �� 6UII.DING INSeFCt'OR �N v. 0 12 l,li�r3 C'asf/etoar Sf; ' No. Street Lot No. APPLICATION FOR PLUMBING PERMIT r,...'I I�CITy OF CUPERTINO Sanitary No. .� _ Date , 196_ Permit No.�Ji Y Fee $ 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 IA I �77 Owner k /M,—S Jo4ti /7a//ey Address By _ Jo Am !7a isle % ! Addrit i iw R 6ENEVICH Contractor, Agent Phone x S% ,S/19- State Approved'ILLIAIN D. C."-.NZV-1C;L Plumbing Inspector u 33m"v 1a2o3333mu f+. F -i LOT NO. NO. '- STRPF.T ,, T )i �! -') N N 1 APPLICATION40VPLUMBING PERMIT d;.S,A�R CITY'OF CUPERTINO z 1 r o //q' 1S68 Sanitary No. 14 L / i 3 < Date 'tr - _ 196_ Permit No Fee S 2 S� Z LL I O Application is hereby made to the City of Cupertino for a permit to install plumbing 0 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 wCupertino, and all other laws applicable thereto. w S � r Use of Premises 00 3 Owner kllLl Addresj-/6 a o By u-4-1- o Addrl�ss o '!n CONTRACTOR, AGENT 3 0Phone `�`j � / 36 O t w z 7 a-D A ro r� a U State License. pp l PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN UNITS FEES UNrrS FEES Water Heater Size Water Closet Material Bath Tub To Curb Shower To Prop. Line Lavatories To Existing Kitchen ink Not Conn. Dish Washer Sewer Box Waste Disposal Wash Tray STORM DRAINAGE Washing Machine Size Water Softener H 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 I Main Drain Fee Water Leader - Storm Drain Fee Sprinkler Valve Water Sys. Fee Relief Valve / j 5 Gas Fee Vac Breaker Skimmer Filter o "a ' Permit Fee . — Total (o — Total Fee r, nl