FILE 51167.3 Lot No.-xa
No. Street
APPLICATION-FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. S//G 7-
Sanitary
Sanitary No.
• Do to / a eyJ' 196
Application is hereby made for a permit to T
L./ti e./ a -a' story. Type
to be occupied only as
in accordance h Plot Plan, plans and Specification filed herewith,
�
`Estimated Value of Improvements § Pi �0.10WO
FEES - V Ste/) Pion Check E /�
Owner CJ�w-�./µ� Address Qoh
' Conor. �7 Address
c
Phone ��!— d State License S�
Approved WILLIAM D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Date �� 196 X FEES
Contr. _V2
1�2y� n-i Address '/ d
Phone - / �� �.� State License f-?
WILLIAM D, r"NEVICH
Approved
APPLICATION FOR PLUMBING & GAS PERMIT _
Date /d/3 / 196 � GAS FEE E
PLUMBING FEE $ - J�
c
Conor. � Address — X1'3 Y X /61w4. /
Phone S State License - leG-c-7 9
Approved WILLIAM D. r-ZiIEVIC14
! & 1% FEES ICATION FOR APPLIANCE PERMIT
Dote 1
��pD
Contr. iLiC / Add ass j3e)J. ,b/LC/J/rG..c.t.Ifi Q-� �ja'IXGYstY
PhoneState License - �05 L?t7,,9,,5
Approved WILLIAM D. BENEVICH
Applicants agree not to violate any of the �°•
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION 2- Y-6 It
�Od4 TE I ECTOR
UNDERFLOOR s��a
D/ATE IN SP OR
FRAME _ b
DATEry IN SPE OR
LATH PLASTER Z- 10 -
D4TE NSP
FINAL
. _ DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DAYINSPECTOR
ROUGH WIRING I Z�
^D DA INSPECTOR
FINISH WIRING `-�' - �
` DATE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
DA E INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
NDERGROUND
DATE PECTOR
PARTIAL ROUGH
DATE NSPECTOR
ROUGH COMPLETE - -47
DATE INSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL mf
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSP CTED
ie INSPECTOR
MI [
TE i INSPECTOR
MISC
DATE - INSPECTOR
MISC
DATE INSPECTOR
i
iT
ROUTE SLIP
File No . ,S/i /j� 7-3
Date 3/;:L —AO 9
Location Zr! 2 o
Subject
Notes
i
Approved 3 -/—I-,-
Date Inspect
CERTIFICATE -OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... .......................... 19.A.1... Building Permit No.57)14.7.3
....................................
The Building Located at w...... a-&-c
Owned by -----"-.; Ck,�-�.....sZp�.............
...........................
Has Been (Completed) For Use As: ...................
S ..............................................................
(.A1tcw.d4- Fj0!,L- ,k,,
..................................................................................................................................................
.................................................................................................................................................
...................................................................................... ------
........................................................................
BUILDING INSPECTOR
102 12/66-1M
I
} OFFICE COPY
CITY OF CUPERTINO
7A ELECTRIC SERVICE NOTICE
I ,
...i
I
You are hereby auth r ed t nett leer Ical service for
Owneror T ant ...... ........... ....�......:. _ ........... ....................... y................
.t a t �%...S........ ...............
At ............... . ........................... II f�
41-
No. of Wires ... .............. Size of Wires : ....Y......... Size of Switch' ..4L
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage .... ,:.................. ....
tLight.............. IIU...C...... N Sereicr........ ...... l<emnnett_....._......,
No. of Meters.............
Heat................. 220...... ree W rc.............. Move Service............
No. of Add. Meters............ '
,Power............... ' ree c._:.. . .... Muco hfetnr.......
_............................:........................... .. ... .....,.......
LLHCTatCAL INSPlCTOk _
GAS -SERVICE NOTICE OFFICE
COP),
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN
.. .... 19(e
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .. 7..
At 4,119vll
New Service 14/................
No. of Meters .../............. Reconnect ................__....
Move Service .......... ............
No. of Add. Meters .............. Move Meter ......
PLUMBING INSPECTOR
• 131di. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r-1 Sewer Connection Sanitary Permit No. tom/,0./._......_....
Plumbing Final Plumbing Permit
Lot No. 1=1�0....................
Owner or Tenant ------
At
Tract ............
Date Connected ....................... 19.
Date Final .............................4 19.45?.
...........................................................
. ..............................
PLUMBING INSPECTOR
111 12/66-IM
21941 I Columbus Avg _ LOT No. 39
N aNO. STREET 1131
z z APPLIC ATILOLI��O a8 II DI G PERMIT
° ,�CITY OF CUPERTINO �
5U t'rOCT 25 1968 Star} No. Gd G
W , Unte OC t• 18 196-8 Permit No.
_ o
' W Application is hereby rPhde fora permit tti rrpZtNlrr,�eC t
O ` yrs r c i VUi CIU jIY
i U) a 2 story,Type 5 I J Building
aW
to be occupied only as S.F.R. in accordance with
0 0 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements,$ 28 , 000 Fee$ . 85. 50
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
DITZ-CRANE
W Z Owner Address ZDtVD.
W a By Add o 0
ao257-1110
U Phone Approved P
State License 151791 ILDING INSPECTOR ✓
� /& \3'/ T;THE WORKMEN*S
OF CALIFORNIA.
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IINUMBERN151(
UNITS FEES UNITS FEES
Water Heate-- Size
Water C osets Material
Bath Tubs To Cur
Showers To Prop. Line
avatones To Existing
itc en Sinks Not Conn.
Dish Was Sewer Boxes
Waste Disposals
as'h Trays STORM DRAINAGE
Ging Machines Size _
Water Softeners 1 Material
Ba[ _Sinks To Main Drain
•om . .Sink &'Trays To Curb
Dental Units _
Drinking Fountains
1 oor Drains WATER SYSTEM _
Hoppers Size
Restaurant Sinks Material
San 1San l r�— TOTAL FEES
rina s Fixture Fee
rea rams Main Drain Fee
Water Leaders Storm Drain Fee
Sprinkler VAves Water Sys. Fee 1.50
Permit Fee Q 00
TOTAL TOTAL FEE 3, 0
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough, Complete..
Main Drain
Final e5le0 — 4