51001.2 22466 I LINDA ANN' CT. '` Lot No. ]
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File Ne. 51001 . 2
Sanitary No. 4806
Data 8/5 196 6
Application is hereby made for a permit to
Erect a I story, Type ri T .T
to be occupied only as Single Family Dwelling
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated'-Value of Improvements ' $ 27,000.00
FEE$ 8,i •00 Plan Check $ 42- ''Q
owner Oak Knoll Co. + Addrase Box 911, Camp'.
Contr. Address
Phone 741 —Ri 61 State License
Approves W.D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
DateA�& 196 p FEE$ / 6 70
Conti. �=° Address f 20 S'��j�' -41 42z
Phone o?`1 ''02 L72 State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 7 196 GAS FEE $ /
q �/ PLUMBING FEE $
Cantr. 6X-7— '�"e'�c Z6 Address
Phone a'9 —o S .SZ State License -715—.3 --7
Approved
APP ICATION FOR APPLIANCE PERMIT 8 o a
Date y 196 ���� rr,, FEE$
AZ
Contr. a, (2& Z >� Address 77PJ.
Phone �/— 02'(7 0 ,,S— -Store license
1, Approved 4.1
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS,
FOUNDATION BUILDING ,
ra
UNDERFLOOR Inspector .. -
�
afe paetoi
FRAME - -
Dat-
/'�' pec or
LAT & PLASTER v
Date Inspector
FINAL
Do to I ns oe ctor
ELECTRICAL
,OUTLETS / (00
SERVICESIZ
SWITCHES ,,Jl!f SZ UNDERGROUND _T_ ilu
RECE PTACLESa ROUGH WIRING t� aa, ��sector
FIXTURES / 6o FINISH WIRING - db.ta G lns pector
° Z Z - I.9a to/ Inspector
H.P. CHARGE FIXTURES 111 l�
Date Inspector
PERMIT FEE Motors
7p / I � -ty CaKlnpcl-r
TOTAL FEES — FINAL lUU
Data Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES f/"° UNDERGROUN i
-7 -
FIXTURE FEE PARTIAL ROUGDQ �{ i
Date n
MAIN DRAIN FEE ROUGH COMPLETE -4/
Date for
STORM DRAIN FEE MAIN DRAIN
z Date
WATER SYSTEM FEE GAS PIPING -
GAS PIPING FEE .FINAL Date Inspector
Date Inspector
PERMIT FEE �- MISC
"40 - Date' Inspector
TOTAL FEE - /� MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES / DO COMBUSTIONS VENT o2 °o
SUSPENDED UNIT MISC -
GAS RANGE MISC
-GAS DRYER PERMIT�EE o2_ -4
FLOOR FURNACE TOTALI FEE Ov
INSPECTED,..
Do to Ins pe cfor �'
GAS SERVICE NOTICE OFFICE
COPY
uILDING INSPECTOR'S OFFICE
CITY OF'CUPERTINO
.......... ...... ....... 196-9
To
You are hereby authorized to connect the GAS service for
Owner or TcnanL
At . ......-.... .......... ......
New Service ..tr�:7�...........- —
No. of Meters ..... Reconnect . ...........—..............
Move Service .....---... ....-...
No. of Add. Meters .............. Move Meter .............. .........
PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY O/F/CUPERTINO
J .-............._..... ... ..�.V................... 196.7
To J/
You are he y aut riz d o con a electri a ice
(S5 .
Owner or Tenant .................... . ...................
At ............ . ....
�....................................i. Y OO A—
No. of Wires ........................ Size of Wires ...................... Size of Switch ...........:........
' Motor Load .......:................. Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W✓. .................................. Voltage ................................
tLight...._."...... 1t0.._.C.. ew Service... connect._...............
No. of Meters....................
' Heat......._/220...._... . T e................ Move Service............
No.of Add. Meters............
Power............... e................ Move Miter..............
'V �. .............. ...........
.......... ............... ....
ELECIIUCA INSP CrOR i -
TEMP, Q•RAAY ELECTRICAL SERVICE
��
i / p� 43 Q
DATE: !/ `.:..._....:.!....................._ Pee: d. J--.....----
....
: -fDEG/30 E,l
OWNER: ..._.... ......................................... ... ........ ... ............. ...
CITY (AlT . -)/pERPA!n--.._.............-------..._......-------- ----.._.......-----
LOT: ...._/1.../.................. .............. - ............-----
..-----
_...........
REASON: ....------ ..... ................... ........
The undersigned agrees to be responsible for the electrical service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
City o Cupertino.
phone ..................... ............................
0
- .
---t.. .. .... ...........
INSI 1:0011 N'P ORO NF,R
116 1/63-500
TEMFO'�r)
R D A
ARY - GAS SERVICE
I fDU,
DATE: ...........#................ ...... ................................ Fee: -------------
C!T'6W--
�NER .. ... ....... ........ ..... ........... --------- -
AT: ..................... .......................... ------------------------------------------------
LOT: ._.....././------------------------ ............... -------- ----
REASON: ----------------------------- - ----- ---- ---------------
-------------------------- --
--------
The undersigned agrees to be responsible for the gas service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino.
Phone,,-----------------------------------------------------
................. ------ - .........
-�T
INrPECTOR TEE OR 0
117 1/63-500
Dp11 C"AL CHARGE
ss OF CUPERTINO
' ' S'
15 n196&u' INSPECTOR'S OFFICE
Date / / $- q(.� Permit No. .
�ItT�Y�o % ........:� -r.............---.............
TO•........................... _
7 f ....... .C,r..........
�.,rc.t; ^... fir.......-ocx:........ ...t ...................................
Reason .... ..... ....................�:
:.......... .. -+ ...... �-s-s.t..t .............------. ........................................
............................_.......................................................-..........................................................
Mrioant i .a(...,,r.... Signed.. ��.....................
106 3/39.300 Y 'e.
ROUTE SLAP
Fiil.e -No.
Date Out
Date In
Location
subJ ec't
Notes jr
�
ApprInspector
Date
J�� z f (661 L, aA A13 C� LOT NO. ?'S
�i
No. STREET MQ"C)e L LO
w Z i° ATION FOR BUILDING PERMIT
a -t
t 0 CITY OP CUPERTINO �F g c L
M .' �VAUrj _ 5 19 D Sanitary No, �F C
c(
5(j UV O��Q�� 2
W UV;tte ,tl 196_ Permit No,
nI TI �gpyE�tgby de for a permit to �aeLr
o < rr( bb
i N a story, S Building
c
W ;
to be occupied only as r •mow � n accordance with
0 o plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
"
Estimated Value of Im rovements, $ -7 0000 Fee$ 43
� 3 P
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws applicable t the construction, location, and use of buildings within the City of
o Caper II be col pled oh. �
3 a Owne 60 Ch AddresR_b
a,
Z
By Address
a U phoneZ ) Approve
State License 1 - BOILDING WSYF.Ca'pR V
a.�? /b A /y'fy�- _ LOT NO.� f
W
NO. SOLI ATION FOR GAS PERMIT
0
, T
® ty ITY OF CUPERTINO
� 0 'AUS 17 E
Y 2
0 :; Uare 196& Permit No.
S/O U/.
3 U /+ T (fir /� I C ��(� 50
W 0 Cl WV fedi' 1 �Npplld8'b Fee S �`
xo
ppl ion i3 r a t the City of Cupertino for a permit to install gas pipes
'o 1- and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
r a and/or appliances inaccordance with the provisions of the Plumbing Code of the City
z W of Cupertino;-and all other ws applicable.thereto.
Use of Premises
00
3 Owner Address�0.6tX
z J /�
J z By � n/�Ylfl, i�(� Address'�S/ C'VYzEats
ef/ . s/JctS1E
3 CONTRACTOR, AGENT TJ-
— 0 Phone 8 Ob
W
W W �/
¢ a ��� Approved 4
a° o State License �,� pp
i
_ 0 PLU\f0t\G I"SPECTOR
V
U
Remarks (Check ✓)
Type of Appliance Units Fees I� New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boi!ers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit _
Floor Furnace
Miscellaneous
NAME TYPE.)
HOUSE GAS PIPING
Number of Outlets a, Size of Main
Gas Piping Fees
Tested and Approved ..... .............._.................._......----...........
DATE. WSPECTOR
/ ( t 1 C-74, LOT NO.
NO. MEET
® PATION FOR PLUMBING PERMIT
< TY OF CUPERTINO
z
x 0 �AUu Sanitary No.
LL
� U 17 .1
0 j Date 196 Permit No �Sid d y
<
3 LL �tl �.f YPia Fee $ �� �6
� 0 L
lie n i Aj0the City of Cupertino for a permit to install plumbing
o a ATpipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i- and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
<w Cupertino, and all other laws applicable thereto. /-
Use of Premiseslel�
00 Q Q
3 Owner �ORl �/t �AN,c Address
zJ /
z By�/l�Z�/QL /� ✓ `v' Address
O CONTRACTOR,AGENT
— a Phone J / 7W W /// J�/ �C/'L/
a
a o State License Approved
—Ur/ PLUMBING INSPECTOR �/ I
lAXIUKES NUIN BER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heate /100
Water Closets Materi L',=
Bath Tubs To Curb
Showers .ma o Pro . L—
Lavatories To Existing
Kitchen Sinks ,m0 Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines ,0?) Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sink v Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size /1
Restaurant Sinks Material GAl,t/
San Traps TOTAL FEES
rinals Fixture Fee ,mQ
Area Drains Main Drain Fee ,
Water Leaders Storm Drain Fee
sprinkler Valles Water Sys. Fee , p0
Permit Fee ,&jo
TOTAL 1414011 TOTALFEE p
RECORD OF INSPECTION
Underground Rough...
Partial Rough-
Rough. Complete..
Main Drain
Final...