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51187 i 1 I /of0 3.I Lot No.7�/ No. Street f APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO c File No. �lla Sanitary No. -rf3 Ac Data 196av Application is hereby made for a permit to a story, Type "r Z '7- to be lobe occupied only as in accordanr, wit lot Plan, Plans rind Specification filed herewith. Estimated Value of Improvements $ 42djdC)d dv FEES @ ? O! — Plan Check $ Owner d95:K Q.a.� Address %.L 9 04- 4/ Contr. Address , Phone 1P.r:.3 State License / X-/ -7 Approved `A-�� APPLICATION FOR ELECTRICAL PERMIT 5 Date ,r196-A FEES ContrAddress -9a- 1 Phone X3State License ,u"•Z�2-- Approved �" ' 4 APPLICATION FOR PLUMBING & GAS PERMIT Date 196 /P GAS FEE $ ,l� n PLUMBING FEE $ a 3/S-Z Contr. Address 3 1G Phone a'�'S�^ d' 3 1--3 State License /k G Approved WILLWA D. BENEVICH APP ICATION FOR APPLIANCE PERMIT Date 's// 1% FEES / O , S--6 Contr. a' Address 1-74 "&? Q-- Phone - ..37� 9jt5Z State License Approved WILLIADA D. G3 Ne-VI .fa Applicants agree not to violate any of the Workman's Compensation Laws of the State of California ..- RECORD OF INSPECTION APPROVALS ' „h Q ��7?�6p` 6„" BUILDING T,,l- y-2s-6 t FOUNDATION L(,.2S6, -e.-JZ "--` Z pATE AE UNDERFLOOR 5- /6- 6 P FTE RECTOR FRAME _ - 6 P - 3 - A,T� rj Jt{ RECTOR ATH 8 PLASTER 6 � � / L DATEirAIN CTOR FINAL - DATE INSPECTOR ELECTRICAL ELECT. SERVICE DATE INSPECTOR UNDERGROUND DATE INSPECTOR ROUGH WIRING DATU"' INSPECTOR FINISH WIRING /I� - pAT��E g INSPECTOR FIXTURES /l./ OCXJ TE" INSPECTOR MOTORS INSPECTOR FINAL DATE INSPECTOR 4 ,PLUAABING & GAS UNO UND DAT INSPECTOR PARTIAL ROUGH _/DATE SPECTOR ROUGH COMPLETE b /DATE SPECTOR MAIN DRAIN -6 DATE INSPECTOR GAS PIPING DATE INSPECTOR FINAL DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR MISC D ArE y _ I croR MISC - DATE INSPECTOR 2 I 1 A/A.�A/ .�/O"( LOT NO. NO. STREET z � APPL'ICATIO�FOR BUILDING PERMIT SQ n It ° E CITY OF mCUPERTINO 2 j , e f's 3 a o < 4P �- ��68 Sanitary \o. = LL Date— - 196_ Permit No. ° .. / o W Application is hereby made fora per itt - i m a story,Type Building < W itO be occupied only as n accordance with 00 Plans" , Specifications and Plot-Plan filed herewith. P1 Ck Fee a qq O ; Estimated Value of Improvements, 0 Fee; 6!. O o < 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 O Cupertino 'll be compl' d with. 3 � _ m OwneAddres Z W Z i By Addres Is <V Phone -2F r3 —r-24s3 Approved WILLIAM D. HENEVICH State License /,5-/ 7.5;� BUILDING INSPECTOR u RVV1L', JL1C File No . 1 Date Location—,4?— Subject ocation. ,4?—Subject Notes Approved —G 9,� _ Date Inspr6etor CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date .... .......I/................. 19.6.4.... Building Permit No.,571d.7 i The Building Located at ./jo... ........................ Owned by ---------A.4-4. - ot,4 IV ------------- ....... .................. ..................... ..........0........ . ..4 --- ............. .... ... ........... Has Been (Completed) For Use As: .............................................. ................................................................................................................................................. - ---------------------------:.......................... ......11.............I-----------I'll.......I..,..,....... ...........................j.......................... ......... .......................... ........................................................................ BUILDING INSPECTOR 102 12/66-IM GAS SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY OF ,CUPERTTN9 .......... . .//................................. 196c? �To You are hereby authorized to connect the GAS service for Owner or Tenant ele ........................................................... At ......................................... New Service .......................... No. of Meters ... ........... Reconnect ............................. Move Service ....................... No. of Add. Meters .............. Move Meter ................. ...... ...........W--'Ve'o .................... .... . PLUMBING INSPECTOR Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO � Sewer Connection Sanitary Permit No. 7 Lam........ FL]/Plumbing Final Plumbing Permit No. ------- Lot No. .....91............. Owner or Tenant . ......... . . .. ............ ........... ----- At 7. ------------------- ...... . ........ Tract .......... Ole DateConnected .................................% ------------------------------ 19 Date Final ......................................... .................................. . .......... .................. I dPL;-U-ZMBING INSPECTOR 111 12166-IM OFFICE COPY �C ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OI', CUPERTINO ,. C( = I. 1967..1 TO You are hereby o 'i d tq, con a electrical service for Owner or Tenant ............... 1 .... ........................._`. ..........�...�_..... ........_........ .•...._..... :..... . .. At .._0'� j Size of Wires ..:................'. Size of Switch .00 No. of Wires .....z...... nn _ �. Motor Load ......................._:,Voltage Phase Heating Load ........................ K. W. .......__...... Voltage INo. of Meters..... . Lihtw Service.. .... leconnect......_.......... No. of Add. Meters............ Heat................. 220....... ' Wire....... ..... Move service......... . Power............... as .__....._ Move Meter. ........... .......................... . . V I, P.LQCTRIGAL INSPECTOR /21 rr ' I—/l J'�'�� �� 'LOT NO. NO. STREET ` APPLICATION FOR PLUMBING PERMIT W S �n CITY OF1CUPF.RTINO r a ;:� — —� ���� Sanitary iNLi. `�`r3'6 LL 3j Date ,., 196 Permit No. WLL Fee$ 0Z 3,36 xo � Applicahon.is; hereby made lto t1iqCity(of Cupertino for a permit to install plumbing `o 1- pipes andbr fixtures listed'Iod ihe%re,'efsetside hereof, and agrees to install said prices > i- and/or fixtures in accordance with the provisions of the Plumbing Code of the City of a w Cupertino, and all Lithe laws applicable thereto. W $ LL Use of Premises 00 >m 0 3 Owner Z J ZDy /ir O CONTRACTOR, RACTOA, AGENT 3 f• cV 5X3 N Phone W Z 0 a State License — a�—' U l Address_ �A3 � A aa.e.. WILLIAM D. DENEVICH PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water Heater / Size 41 Water Closet oZ- Material / Bath Tub i To Curb Shower / To Prop. Line Lavatories To Existing Kitchen Sink Not Conn. Dish Washer Sewer Box Waste Disposal Wash Tray STORM DRAINAGE Washing Machine / Size Water Softener Material Bar Sink To Main Drain Comb.Sink&'pray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM I opper Size Restaurant Sink Material Sand Trap TO'T'AL FEES Urinal Fixture Fee Area Drain Main Drain Fee Water Leader I Storm Drain Fee Sprinkler Valve Water Sys. Fee Relief Valve Gas Fee Vac Breaker Skimmer Filter Permit Fee Total Total Fee cz3jv