51167.2 C;V!OGGp/ I (�(M� Lot No. -1-
No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File 7
p Sanitary No. J—V 1xj—'81C-
Data 3196 a
Application is hereby made for a permit to
a story. Type S`LT
J
to be occupied only as
in accordant ith Plot Plan, Plans yand Specification filed herewith,
Estimated Value of Improvements $ v2; if d d
FEES /QS dy Plan Check $
Owner - Address
aa9rdA- 44-
Contr. Address
Phone State License
Approved K/ '
t
APPLICATION FOR ELECTRICAL PERMIT
�S
Date 196 _ FEES ':Q-ca
Cont,. / J / Qd�.�.Address
-5- 444:12AV-
Phone 6 �a,L— State License ��•
WILLIAM D. BENEVfcfa
Approved
APPLICATION FOR PLUMBING & GAS PERMIT J
Date S 196 GAS FEE $ Gsz
PLUMBING FEE $ `4G, sZ
Contr. t/ � �� Address �13 K
1
Phone u'� - Z3 Z j _ State License - 1jF-6 5--7 9
Approved WILLIAM D. BENIEVICH
APPLICATION FOR APPLIANCE PERMI
Date 196 FEE$
Contr. Address
1
Phone `3 'd.p:3 State License
- Approved WILLIAM D. BEP,, VICH
Applicants agree not to violate any of the
Workman's Compensation Laws ofthe
State of Ca lifom is -
RECORD OF INSPECTION APPROVALS '
Foal — S-- 7 -6 y y BUILDING
FOUNDATION 5� 7 -6 ,v
rr
DATE INS-P OR
UNDERFLOOR-
FRAME
NDERFLOOR FRAME
DATE y INS ft
ATH PLASTER -6 a
' �1 IN SP C OR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE��.(� INSPECTOR
ROUGH WIRING �+
V DAjE INSPECTOR
FINISH WIRING \(�
D4TE INSPECTOR
FIXTURES
ATE INSPECTOR
MOTORS
l DTE INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DAT I ECTOR
PARTIAL ROUGH S
ECTOR
ROUGH COMPLETE C✓I/
DATE NSPECTOR
MAIN DRAIN -6
DATE SPECTOR
GAS PIPINGLIP-
gSPECTOR
!JY, '.
FINAL
' DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
E� `[ +••
MIst ��..-1� PECTOR
O(/
A- DA E I INSPECTOR
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTI(N�O— �y
.........................Q.".�l.......................... 196.d:
You are hereby authorized to cojehe GAS service for
Owneror Teenaant ...... . ....... ... /1 ...................................................
At cal .0.(J/. (✓e �n .GIiLL .........................................I..........
v
New Service ..........................
i
No. of Meters .....,1............ Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
PLUMBING INSPECTOR
itvult: .�l.lr -
K '
File No.
L Date 9/0 - 6
Location
Subject
Notes
Approved
Date 'In's p6 Itor
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
ra -]] p +c— r
Date .....°a...--.......Sx.!................ 19:�'_?.... /- /7Buildinpg Permit No.. . -! �-_....Z
The Building Located at ..."1.�.ff.F... .-......L .. ..... "✓isa....�A.....**..:r-.. ............
Owned by .....
..... ::.............................................e . ............ ►- )...........
(Completed) (�}
Has Been For Use As: ..-....
................................................................------........................................--.............----.............
..................................................................................................................................................
........._.---'---....................._....------...........-...................... ..:................. .....
.-.............
.A...................................
BUILDING INSPECTOR
102 12/66-IM
ICE COPY
ELECTRIC SERVICE NOTICE
v BUILDING INSPECTOR'S OFFICE
CITY OP CUPL•RTINO
To
You are hereby at u e to con
e t electrical service for
Owner or Tenant .......... - ..... ... .............................................
At ..0 .�. .�.......... - _---.: ..---._............. .:
No. of Wires ...V:............. Size of Wires ... Size of Switch .�_�..Q.�f--•
Motor Load .......................... Voltage ... ................. .......... Phase .............. ............... ...
HeatingLoad ........................ K. W. .............................. ... Voltage ............... ....... ...... .
Light......:_....... uo.. New Servicr.y,�.'."�. Reconnect..........
No. of Meters.........._...... ^
1 Thr Wire.... ._... Move Service.........
No, of Add. Meters..._:......1 Heat................. 220....
(Power............... Thr P ase-- .. -.-..... Move Meter.--:..........
RLECTRICAL INSPECT
IN& Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r-1 Sewer Connection Sanitary Permit No.
Cpisjumbing Final Plumbing Permit
LotNo. .....21......................
Owner or Tenant ...726, .......................................................
At
Tract ..... V.*L�- -
Date Connected ............................
5_'...................... ..................... 19L7.
DateFinal .....................................
.. .............................. .................. ......
........... 19L..................
PLUMBING INSPECTOR
111 12/66-IM
VIOLATE 2 / E_OMPENSATIJ \ �y A
fy {/
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LOT NO. z
A ST E�
14
'JA Iv FOR BUILDING PERMIT 131
III h
MAY 9 1968 CITY OF CUPERTINO
Sanitary No. .r1.2! G'F
U� f I 196_ Permit No.
Application is hereby ma a or a permit to erect
story, Type
to be occupied only as S. F. R.
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 28, onn
Building
in accordance with
Pl Ck Fee
Feel 85.50
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 will he complied with. DITZ-MNE
Owner Address o1ee ne I • rnrrl ..,,
By B. Harper Address 'AF!TA CLARA. CALIF 91; q()
Phone 257-1110
\�- State License 151791
Approved WIT t tens n. nT--N t/ICii,
BUILDING INSPECTOR . /
-<. v
21881 lColumbus Aver_ue
NO. STREET
APPLICATION ((FOR
�C1TY UP Jji4
LOT NO. #2
APPLIANCE PERMIT
CUPERTINO
Date MAY 13 1968 196 Permit No. '5-//6 a
%�--
pp Fee $ �� O
QAp Ificatlon is9JebyrtrTaffe Qp 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 Residence
Owner Ditz—Crane
By Plog Sheet Metal
CONIRACTOR,AGENT
Phon —
State License #142642
Address 130 S. Gilman, C.
WILLIAM D. RENEVICH
PLUMBING INSPECTOR Jl-4-
— —
Type of Appliance
I Units Fees II
Remarks (Check ✓;
New Replace I Relocate
Gas Ranges
I
II
Wall Heaters
I
I
II I
Gas Plates
I
II I I
Circulating Heaters
I
I
I I
Blower Furnaces
/
12. 4011
I I
Gas Fired Boilers
I
I
II I I
Warming Ovens
Percolators
Griddles
I
I
I I
Steam Tables
I
I
I I
Gravity Furnaces
I
II I
Suspended Unit
Floor Furnace
I
II I
Miscellaneous
(NAME TYPE)
I
I
II I
pp lance Fees
Inspected and Approved ..... ........ .............................
DATE. INSPECTOR
/ C/ LOT No.
NO. STREE.I'
MI"GATjION FOR PLUMBING PERMIT
CUPERTINO
PY,1 s issa a Sanitary No
Ume 1'96— Permit N
Fee -,2-6;,3�
Apphcatibn Is the"reby,.rA RERTWi 1, 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 Dwelling
OwnLpditz Crane Co ?� ?5sDe La Cruz Boulevard
Palm Plumbing Co,
CONTRACTOR.AGENT
2115-2323
State License 186579
r Hwy 9
WILLIA1 D.
PLUMBING INSPECTOR 61/
FIXTURES NUMBER MAIN DRAIN
- UMTS FEES UNITS FEES
Water I[cater Size
Water Closet Material
Bath Tub / To Curb
Shower / 'I'o Proo. Line ✓
Kitchen §ink /
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
WashingMachine /
Size
Water Softener
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
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee /
Relief Valve
Cas Fee
Vac Breaker
Skimmer
Filter
Permit Fee o2�v
Total
G SL1 Total Fee /�