51179/044�4� Lot No. /0
No. Street Af 7 L
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. S//7 9
Sanitary No. S lelp
Date _/_� 196
cation is hereby made for a permit to
to be occupied only as
in accordance w
Estimated Value of Improvements
FEES
�yf `.'�
Owner /%! ` d� 4"
or
Contr. Phone is / -02WI/ dr
a �� story, Type of L Z
Plan, Plans and Specification filed herewith„
s��sae •'
Plan Check E`A�/
Address / o l4a 6 IL
Address
State License ._ s��.x 2. a.Z+(1 '
Approved /-i /
APPLICATION FOR ELECTRICAL PERMIT
Date S// 196� FEE$ - / %- 7 J
Contr. �/�-C.-� Address // 7
Phone '� .3� _ O % d State License
Approved 1M11 1 tnan Q GE-HE10'eil--
APPLICATION FOR PLUMBING & GAS PERMIT
��`
Data 196
GAS FEES
PLUMBING FEE $
a 3..t7J
Lr�,, 1
Contr. _ 10-4-.----�
Address �E 3�
S
Phone e2 5e-s- — Y 3 �'3
State License zi- G
4r!,
Approved WILLIAM
D.
DCNE:V►CH
APPLICATION FOR
APPLIANCE PERMIT
Date 9 196
FEE$
��
S
Contr.
Address 1p,,,j
/
Phone a-
State License
Approved WILLIAIVI
D. EENEVIC
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
^4 _ e,,)? BUILDING Cyr
FOUNDATION / - I -G O
DATE OR
UNDERFLOOR -
FRAME - 2 7-
DATE INSPECTOR
LATH & PLASTER
CTOR
FINAL D YY!!
F l ^ - jE N CTDR
!' ELECTRICAL
ELECT
UNDER
ROUGH
FINISH
FIXTUF
MOTOR
FINAL
UND!
PAR'
ROUI
MAIN
GAS
FINA
MISC
MISC
SERVICE
DATE
INSPECTOR
:ROUND
DAT
INSPECTOR
��-
V3 O
WIRING
DgTE
INSPECTOR
WIRING
•�/l•>
r /
DA E
INSPECTOR
� � �
ES
DATE
INSPECTOR
' GOAT
INSPECTOR
DATE INSPECTOR
PLUMBING & GAS
:RGROUND
SPECTOR
'IAL ROUGH
DAT
SPECTOR
IH COMPLETE
y
^Z/
DA
NSPECTOR
DRAIN
DATE
INSPECTOR
�I PING _
_
L
^�D,yTE
1//
INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED
DATE IN. I., IVN
APPLIANCE
DATE INSPECTOR
DATE INSPECTOR
_77�E�✓ I TS IX/ CTOR
INSPECTOR
CITY OF CUPERTINO
10300 Torre Ave.
CORRE-CTION NOTICE
... .....................
Department
Job Located at .............. I ....... - ..........
Gtu
...............................
...............
......... ..... & --- t ... A .... &- rr ......
......... ......................... I ...................................
.................................................... ........... -
........................................................... ......................
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the 1%spector.
252.4S05 Date: A ----------------
City Telephone Inspector- .............. .........
10138 COL-D #41zoarc A v LOT NO.
NO STREET L
CITY OF rLlZTINO
c`.'I Or Ogesr"APPLICATION FOR PLUMBING PERMIT
41g1_� Sanitary No.
Date , Permit Na. 5��� ,z!s
Fee s
ApplicaRon'ts 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 te CS' Work To Be
Premises Q , Performed
Owner ' V �I G'A r 0 Address 5,1^ E
Phone ;Z,5"3" c7a/ 4/
By .4CE PAOCa- GLlb•-..' Address
Contract Agent
Phone "2-�7 %—t�pp/O
State License & / Z J 7 Approved
'Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® LA
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Z,CO
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
TOTALFEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Vac Breaker
Skimmer
/
Filter
Pool Sweeper
Permit Fee
Total
2 ,od
Total Fee
ra U
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
ry CITY OFp CUPERTINO �j
Date ...,a........!Z.-'...................., 19�e.P..... i Building
/'Permit No.-?�/�T.L.._
The Building Located at `....l.Q .L................................................`�T
Owned by
OPPLCE COPY
ELECTRIC
SERVICE
NOTICE
BUILDING
INSPECTOR'S
OFFICE
CITY
OF CUPERTINO
TO...............
/
.. ... .... 71.t............, 19f.
You are here apffia)ized to connect electr' 1 e e or
Owner or Tenant ................
.. ..... . . ......... .. ...... .....................
At........... ............. . ........
No. of Wires ... Z .............. Size of Wires Size of Switch
Motor Load .......................... Voltage ................................ Phase ... ................ ..............
HeatingLoad ........................ K. W . .................................. Voltage ................................
No. of Meters ...... h I e Rmnnect ..................
ce ic Lig 220 ;J��
No. of Add. "O::�.�ATF ird. Move Service............
P
Power ............... T P ........ ... Move Meter.............
..........................
ELECTRICAL INSPECTOR
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
.............. ................ 196..?
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At
at .......... '' ........ ............
New Service ... ............
No. of Meters ............ Reconnect ...............
Move Service ........................
No. of Add. Meters ...... Move Meter ..........................
PLUMBING INSPECTOR
I . .
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r-1 Sewer Connection Sanitary Permit No....... r...... I05A9
.., ... I .....
E-'Plumbing Final Plumbing Permit No.lf�l-le�7. ........
Lot No. ....... 119
ZY ...................
Owner or Tenant .....
At ...
............
Tract ......... ,, X-
...............
`7 ... . .... ... ........................................ .......... -------
DateConnected ............................ ...... .................................................. 1 qzlD
DateFinal .................................. -04r.2 .............. �W� ...........................
PLUMBING INSPECTOR
111 12/66-IM
�10138 COLD HARBOR AVENUE 19 f43c
Q� LOT NO.
1'' ^ d N 1'r1 , A Plan 2876
f - ' CAT OpNlj tIOR BUILDING PERMIT
o ° , ,1MAR 29 1968 CI,Tv��"JJJOP CUPERTINO
s a Sanitan No. P 5499
U
i LL llare March 18 _l!��II� 8 Permit No.
oW Applicatiofflherebymaeforavpermitto build
a
a N a One story, Type V — 1' J. Building
W to be occupied only as S.F. Dwl
6
20 in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 2 5, 0 0 0. 00 Pee $ 7 8. 0 0
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
d 0 y e tioo will be c lid with.
3 � [n ;,j � ton fir. a Ltd. Partnership ,B�. O. Box 1135
<_ caner .. ♦ A _.ase
Phon-'"-11µb / WILLIAM D. SENEVICH
Stale I 1�?A§5 26 Approved
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
�—
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATE
INSPECTOR
1z1j' I &"'e b' al_' LOT NO. Z%
(� NO. STREET
0
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
L� Sanitary No. 3—iG%,'
Dlt 96 8 Permit No.
NAY 2 1968 Pee $ a2 3 .r°
Application is hereby made $t'it City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
andjt�%yrxttf finq�'K fie provisions of the Plumbing Code of the City of
C&I t n t c all r4 icable thereto.
Use of Premises Dwelling
Owner_Omega Buildera Address P (1Rpy 1135 By Palm Plumbing Co. Address 1234 N. Hwy 9
CONTRACTOR,AGENT
Phone. 245-2323
State License 166579
WILLIAM D. WEN—=VICH
PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
UNITS
FEES
UNITS
FEES
Water Heater
/
Size
Water Closet
oL
Material
Bath Tub
To Curb
Shower
i
To Prop. Line
Lavatories
�7 -
To Existing
Kitchen Sink
/
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washin Machine
j
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinkin Fountain
Floor Drain
WATER SYSTEM
Ho' er
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
rinkler Valve
Water Sys. Fee
/
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
o2
Total
Total Fee
3�rQ
na
W�
'O
Y LL
o<
3U
xo
0 W
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W
w
ux
SF
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> N
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J'0
3 P
N
W W
°ao
O
/ 0/3 ---2 JCif/ — LOT NO. //
NO. �SrflEET `� 'ergy. ? ji'f�
APPLICATION''FOR 'APPLIANCE PERMIT
( OF CUPERTINO
APR 16� �19�68 � 7 �
Date 196 Permit No.
Fee$���s�
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 Cupert' z , and • 1 other laws applicable thereto.
Use of Premises
Owner - Address
MERCU E M & HEATING, INa Of Pioneer Way
By Address Mountain View. California 94040
CONTRACTOR,AGENT
Phone %39— V-7----�te.3
State License 166835'
Approved WILLIAM 0. OC19MCH
PLUMBING INSPECTOR v
Type of Appliance
Units Fees N
Remarks (Check J;
New I Replan I Relocate
—Gas Rang I
I
II
I
I
Wall Heaters
Gas Plates I
I
II
I
I
Circulating Heaters I
1
I
I
Blower Furnaces
Gas Fired Boilers I
I
II
I
I
Wa-ming Ovens
Percolators
I
I
I 1
Griddles
1
I
II
I
Steam Tables
(
I
If
I I
Gravity Furnaces
Suspended Unit
Floor Furnace
I
I
II
I
I
I
Miscellaneous
I
1
ri
I
(NAME riPE)
1/
13•�
I
I
ef
I
I ,?• o
II
I
I
13.a
II
I
P�Fee5
Inspected and Approved ......... ...._....................................................
DATE INSPECTOR