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NO PERMIT NUMBERNo. Street Lot No r4 %O APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. Sanitary No. 7yf Dore 196 Application is hereby made for a permit to a story, Type S- 1 \ 7- to be occupied only as in ar.cordanr#/with Plot Plan, Plans and Specification filed herewith, Estimated Valae of, Improvements s PS4Da 0 0—* FEE$ fj.S'S'C Owner Contr. Plan Check /S Address v _V ' AeJ r oto& Address Phone AS-4 — e21. 4f 7" 6 State License ? .2Z 3 A. 1 t Approved WILLIAiA D. C`GAr^trrr Lr APPLICATION FOR ELECTRICAL PERMITda Date 196 FEE$ aa' I Contr. / ge Address Phone�-4 t/ V e) 724L , State License APPLICATION FOR PLUMBING Date 196 Contr. 0 Phone Approved WILLIAM D. BENEVICH r GAS PERMIT GAS FEE $ PLUMBING FEE ${• Address XALl- it. State License Approved WILLIAM D. BENEVICH APP ICAL TION FOR APPLIANCE PERMIT a� Date 196 Sf FEE$ 11 Y tt O Co w E144_ (� aros16 Ph one ' State License i r Applicants agree not to violate any of theApproved WILLIAM D. BENEVICH Workmen's Compensation larus of the State of California RECORD OF INSPECTION APPROVALS .ff / �Z_6 i - BUILDING FOUNDATION , 2-' �' o DATE INSP R UNDERFLOOR31—kr �• DATE NSPECTOR FRAME DATE INSPECTOR LATH & PLASTER O4TE IN TOR FINAL a — s— 6 � DATE INSPECTOR ELECTRICAL ELECT UNDER ROUGH FINISH FIXTUF MOTOR. FINAL SERVICE DATE INSPECTOR 3ROUND 2 DATEK INSPECTOR WIRING DAl rf INSPECTOR WIRING b - l TE INSPECTOR ES i DATE INSPECTOR 1 ) O TE(o INSPECTOR DATE P UMBING & GAS 3 UND PAR ROU MAIN GAS FINA MISC MISC INSPECTOR ERGROUND ROUGHDGH SPECTORTIAL COMPLETE —✓ - #INSPECTOR SPECTORDRAINOVESPECTORPIPING GO{T.E SPECTORLDATE SPECTOR DATE INSPECTOR ^� INSPECTOR INSPECTED DATE MISC DATE MISC /DATE MISC �. DATE APPLIANCE 4NSPECTOR I INSPECTOR t I ' ^INSPECTOR INSPECTOR CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ..... / . .t$ — lfs�............... I dl ---- Building Permit .................... The Building Located at ..... --------- ............. ..... C ................................. Owned by -0:7�pw ..... J-V-.6#✓11-14 - ......4................-- .................................................... Has Been (Completed) For Use As: -------------------- -- --- ----- ------------------ ------ - ------------- ... owl - ----------------- ............ ..... .......... .......... ........................................................ ...................................... ---------------- ----------- ........... --------------- ........................................................................ BUILDING INSPECTOR 102 12/66-IM OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPI CTOR'S OFFICE CITY OF CUPERTINO To You "are hereby a thoped to connect clec Owner or Tenant ... At OW No. of Wires ..... Z ............ Size of Wires 9 i6l . ci ce for Size of Switch 196.6'. Motor Load ............ ........... .- Voltage ....... --------- ... .... - Pluse --.— ........... ... . Heating Load .... ................... K. W . ......... ........ ....... Voltage ... ................ No. of Meters...........,....... Lig No. of Add. Mete.�. Heat .... 220 ...... ee Wire Move Service.......... . Power ............... mP Nfove Mete v ............... - .............. 6 ................. ELECTRICAL INSPEVrOR GAS SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO • 196P ZZ .. ... .. . You are hereby. authorized to connect the GAS service for Owner or Tenant At............ ............................................ ............ ........................ New Service ............. No. of Meters .... ............. Reconnect ...................... Move Service .................... No. of Add. Meters .............. Move Meter ........................ ......................... 4;� PLUMBING INSPECTOR Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. _ --------/CT.......... /Plumbing Final Plumbing Permit No.,yl1%L/pl.-. Lot No..-. 4------------ ----- Owner or Tenant At --- /n/Q. Tract ----...`-45� Date Connected .. Date Final _........ 19.1.G INSPECTOR Ill 12/66-1M ROUTE SLIP File No. Date/O—lo-% 8 Location&7 % $� Subject - A Notes Approved, ^C natP Ins flrtctor ROUTE SLIP Filo No. Date 24 Location % f - - Subject Notes Oe Approved ,1-V r _ _ _ TRICAL PERMIT CITY FIC ll. 1968 d'_• Date I&I— Permit No. ?T ? 07CUPERTINO Fee $ �. � Application is ereby made to the City of Cupertino for a permit to install 'electrical wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said wiring and/or fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino, and all other laws applicable thereto. Use of Address ,�?rn�r Address Approved W' L F .7 D. ps.PlaviCH ELECTRICAL INSPECIM State Licensevn-).2 / 1;4 y hr in �a NEW RPL FEES Size Service Conduit....., ---------Number of Outlets ----- 17 ---- - ....... .......... ......... .... Size Service Wires........ & .......... Number of Switches-0 -------- - -------- ---- ----- ----- Size Service Switch------ ----Number of Receptacles3.7 ----- ---------- ---------- -------------- Size Sub Feed Conduit ------------------ Number of Fixtures....... !-[. ..... I ...... ... Size Sub Feed Wires --- ..............Ranges ................ KW----....--------- ---- ---------- - -- * ...... Number of Circuits ........ 7 Oven .............. KW----------- ---------- ---------- -------------- Number of Meters ---------- ...............Signs.......... Transformers ........ .......... .......... .............. Misc------ - -- ers, ........... rPhase ). � ...................... . Motors - / Motors .................... HP -------------------- ....... Phase ........ ---------- ........ Permit Fee $1'.00 Motors -------------------- HP -------------------- Phase --------- ------- H P Charge........-------- ------ ------- TOTAL FEES 2-,r),,Fd RECORD OF INSPECTION APPROVALS Rough Wiring---------------- ----------- ---------------- Fixtures --- ------------------ DATE Finish Wiring ......--'--.....I----------------------- INSPECTOR DATE INSPECTOR Motors .... -------- DATE INSPECTOR I DATE INSPECTOR Final DATE INSPECTOR 10109 I Mello Place, 78 �qo� LOT NO. N NO. S"ERAM T r W a E i APP.L`ICi4�TiONrw OR BUILDING PERMIT ° Plan 2 CITY CUPERTINO o < 1 JUL 2 1968 ' Sanitary No. S7 u 5U �LL Date June 24 , 1968 Permit No. ° nITV (lC P+tln n�tnt construct o Application is hereby,made�or, perm�t to a iln a one story, Type S—I—J Building a� to be occupied only as a single family residence in accordance with o'o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee '0— > "; Estimated Value of Improvements, $ 28 000 Fee $ 8 5. 50 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, location, and use of buildings within the City of J o Cupertino w 11 be complied with. 3NB lderjOM, A LDERS ANC. AddressP•O.Box 1135, LosGatc t y Pre s .Address Same a ° Phone?56-2146 Approved WILLIAM D. BENEVICH _ u 1� State Licens 222326 BUILDING INSPECTOR "Ill h0. StA F. F.T ri-7,'ZAPrPLICATATIIOONt FOR PLUMBIN 1,� O Poly On-CUPI:RTINO uiYL2 �968 Sanitary �I Date , 1 6 Permi LOT NO. G PERMIT No. t No S/, 7 "I �Tlnt Pee$ Application is hereby made to.tIPCily9of 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 Owner Omega Builders Dwelling By Palm Plumbing Company CONTRACTOR,AGENT Phone 2h5-2323 186579 State License Address P. O• Box 1135— L. G. Address 123L N. HwP 9 — Smal e ApprovedWILL1AM D RFNFi/ICH 'PLUMBING INSPECTOR 1 `s ■11 FIXTURES NUWMGAIN DRAIN UNITUNITS FEES Water Heater Water Closet �.Bath Tub /Shower . LineLavatories ytinKitchen ink /n.Dish Washer ox Waste Disposal Wash Tray STORM DRAINAGE Washing Machine Softener Bar Sink / Comb.Sink&Tray =SizeWater Denial Unit Drinkin 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 Rater S s. Fee / Relief Valve Gas Fee al Vac Breaker Skimmer Filter Permit Fee rota] ,�� Total Fee -;t cal NO. STREET a APPLICATION FOR APPLIANCE PERMIT a Z ��C)Ty. OF CUPERT[NO 3 U Date—.J"•m®.9 196.$ 1 6 Permit No. w J U L 11 Fee $ = LL ° Application is hereby made to the City of Cupertino for a permit to o a installigitls' applian��a't.L„tgd�'on'�the reverse side hereof, and agrees to i m` install said appliances m accordance with the provisions of the Plumbing w Code of the City of Cope no, and all other laws applicable thereto. < Use of Premises 00 /� Q• Q� //3� owned�100� Address ° < 81 Pioneer Wayy Z By MERCURY SHEET METAL' & HEATING, INC, AddresV—Ountain View California 94G40 d-O CONTRACTOR, AGENT a Phone z WVILLIAM D. BENEVICFI 07 State License �G 1J2—sue Approved U PLUMBING INSPECTOR oel Type of Appliance Ms Ranges Units Fees Remarks II (Check ✓; New I Replace I Relocate Wall Heaters I I II i Gas Plates Circulating Heaters I I Blower Furnaces I� Odl Gas Fired Boilers Warning Ovens Percolators Griddles I I I I � Steam Tables I I 11 Gravity Furnaces I I II Suspended Unit Floor Furnace I I I II I Miscellaneous I u I (NAME TYPE) I I I II I Appliance Fees a �-- Inspected and Approved ........... .....':. DATE INSPECTOR