NO PERMIT NUMBERLot No.
!Z"
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.. 71179•1
Sanitary No.
Dote 196
Application is hereby made for a permit to
to be occupied only as
.story, Type S 2 J
in accordance , h Plot Plan, Plans
and Specification filed herewith,
Estimated Value of Improvements s C?. (30002
FEE$ �7�• O 0
Owrar
Contr.
Plan Check $
Address /�+�% i. jd- X �L
Address
Phone - 3 SM6 - 3 / f« State License -A- 1 a 3 A- L
Approved WILLIAM D. BENEVICH .
APPLICATION FOR ELECTRICAL PERMIT
Date 1196 O FEES C1 a '
Contr.01frr�`,j f�/�'� w % Addressk` ^ g 0
Phone 3 t `6 `1 ✓ Store Lice nse �•S /� D ��
Approyediplij r seM n. BENEVICH
a!
APPLICATION FOR PLUMBING & GAS PERMIT
Date 1 196 GAS FEE $
PLUMBING FEE $ /�/�
Contr.�f�� ^ O^ Address•�12-77/!%"Aq
Q
Phone Q•� �� QS.� r� State License \� / l
WILLIAM D. BENEVICH
Approved
APP (CATION FOR APPLIANCE PERMIT
DaIto
196 FEES 1\
a *n0
Con • drlross$
Phone itA4 O�LZ13 State License • t (A 3 9
'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
VdA-- 7-1L-6 j` C.A
_/J
FOUNDATION Z-- G - _e
-tea
DATE
(o
INCP CTOR
UNDERFLOOR - �-"
DATE
INSPECT
FRAME '6
DATE
INSPECTOR
LATH & PLASTER
INS OR
/ DATE
FINAL O 6 -6/
DATE
INSPECTOR
ELECTRICAL
ELECT
UNDER
ROUGH
FINISH
FIXTUR
MOTOR:
FINAL
SERVICE
DATE
INSPECTOR
;ROUND
D=�
INSPECTOR
WIRING
DATC<
INSPECTOR
WIRINGd'
D 4TE
. - INSPECTOR
ES
V
T.
DATE
INSPECTOR
DATE
INSPECTOR
DATE (I --
INSPECTOR
I
PLUMBING"& GAS '
UND
PAR
ROU
MAIN
GAS
FINA
MISC
MISC
ERGROUND
GH
T
DAE
CTOR
- f
TIAL ROUGH
7 DATE
o�6
INSPE R
COMPLETE
J
DAT
ECTOR
DRAIN
�5
P(ATE
5WS ECTOR
3"
PIPING
.S- ey
�
ATE
,IN RECTOR
L
✓G O�
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED.
MISC
MISC
MISC
DATE INSPECTOR
APPLIANCE
5
DATE
DATE
' DATE
DATE
CTOR
INSPECTOR
IN RECTOR
INSPECTOR
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NO.
LOT NO. 10r)
�A ,PI! '�N� y�jj'OR, ELECTRICAL PERMIT
Itl 11 196�31T r F. CUPERTINO
Date ^ �pI'94YL. Permit No.
! 1! CfGf\ trvv
Application is hereby, ade 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 Premises
Owner
By -,Z
AGENT
U Phonc: /�36' 19/ V
State License- VQa
(2 - --T
Address t A l/ v
Address 14
Approved — "I " ` P'
ELECTRICAL INSPECYOR
_ _ ___ _ _
-- NEW RPL FEES
Size Service Conduit___ q-------.Number
of Outlets.._..%�_.._
Size Service Wires ----------- --- ----
Number of Switches_20__.-.........
.
Size Service Switch ------ &M---
—Number of Rece tacle
Size Sub Feed Conduit— ____.......
Number of Fixtures __../--6................ .--
_------------
Size Sub Feed Wires ------- ------------ Ranges ............... KW --- ........... .-----
--- -----
Number of Circuits ----- ---- -1-------- Oven ............. KW------------' ------- ---------- -------.._..
Number of Meters --------- ...........
---- Signs _... __ Transformers .... _.'d.___._L.....---- ,--...------ .
Mist.------`--/-------------------r..... Dryers.. _----.
Motors ....- HP �.:. �,�. .. Phase ____........._ Permit Fee $y,.00
Motors----- ---...----- HP -------------------- Phase .........
Motors.----------... HP ..... Phase ......... ------- H P Charge. .:.....:..:...
TOTAL FEES
RECORD OF INSPECTION APPROVALS
-..........---........... Fixtures ----._.._.- _...... Rough Wiring.----------- - .....................----
GATE INSPECTOR DATE INSPECTOR
Finish Wiring ._._ _ - -
........I............-------- Motors ............----— - �.---..-- --
.-----------
DATE INSPECTOR DATE INSPECTOR
Final----...---- .............�.._..... -----------
GATE INSPECTOR
10118 e o Place
No... //STeeer I.orNo. 80
s (A �A'P� P ICATIO, �F�,�blt BUILDING PERMIT
p ° Plan 26�8 ? 1968CI�F CUPERTINO sa
o j Sanitary No. - %
a
U '
Date Ue 4 - 19 $ Permit No. 5Y��� /
0 11 1 OF Qj
o Application is hereby made for a permit to Construct
a
iw a one story, Type S—I—J Building
aN
,w.,I. to be occupied only as a single family residence in accordance with
00 Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee —0
> ; Estimated Value of Improvements, $ 23 , 0 0 0 Fee $ 72 :.0 0
iJ 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
O Cupertino j11 be complied with,
3NBo� OM GA ILDERS NC. AddressP.O.Box 1135, LosGatc
W w res. Address Same
¢ a
iU Phone356-2146 Approved WILLIAM D. BENEVICH
State License222326 BUILDING INSPECTOR /
c �
aU
101i 81 Mal I n P1 aria LOT NO. —791-gz)
NO. STREET
Alp PLICA�T ON YO�R ttPLUMBING PERMIT
C�ITj� sOD CiJPFRTINO
�JUL 6 1968 1I" Sanitary No.
Date• JU1V 2. 196_8 Permit No `5 // 7 %
ClTv or �'�7� OT Ins Pee$ 624, C3
Application is hereby made to the'C.rtylof �, _ Perrino 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
Omega Builders
Dwelling
B Palm Plumbing Company
i CONTRACTOR, AGENT
Phone 245-2323
186579
State License.
Address P. 0. Box 1135 — L. G.
Address 1234 N. Hwy 9 — Seale
WILLIAM D. E�—NEVIC;i
Approved / /
PLUMBING INSPECTOR V
FIXTURES
NUMBER
MAIN DRAIN
UNITS
FEES
FEES
Watei fleater
Size
Water Closet
,--
MateriBat
Tub
To CurShower
7
To ProLavatries
ffb
a—
To ExiKitchen
ink
Not CoDish
Washer
Sewer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washin Machine
/
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
-
Drinkin Fountain
Floor Drain
WATER SYSTEM
flopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Area Drain
Water Leader
Sprinkler Valve
%AaterSys.Fee
Relief Valve
/
Vac Breaker
Skimmer
Filter
Permit Fee
o2bii
Total
Total Fee
�6l�
LQ�a I-/ /�/ �GO� wC..LLC�+ LOT NO.
NO.
APPLICATION FOR APPLIANCE PERMIT
�2C NeOF CUPERTINO
Q
npp � i1ate 1J60 Y196'I Permit No.
' JUL 1368 'e rer$ � 7 �1'.ri�
Application is hereby made to the City of Cupertino for a permit to
install 5s Bi pliauccgsr?�s�lisTted� n the reverse side hereof, and agrees to
instill said appliances in accordance with the provisions of the Plumbing
Code of the City of Cu no, and all other laws applicable thereto.
Use of Premises - _ - > > � , �—� I-
Owner' �-�' ,k-44�
By MERCURY SHEET METAL' & HEATING. INC.
CONTRACTOR, AGENT
Phone-739
State License �/ G�3��
Addresmmintain View, California 94040
VNlLLI4AN D. B6NEV1V
Approved .
PLUMBING INSPECTOR
Type of Appliance
GP,s Ranges
Units Fees (
Remarks (Check ✓;
New I Replace I Relocate
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
I
I
I I
Percolators
Griddles
I II
I
Steam Tables
I
I II
Gravity Furnaces
I
I
�
I �
Suspended Unit
I
i it
I
Floor Furnace
it
I
II
I
Miscellaneous I
I ii
I
' (NAME TYPE) (
I II
I
• — 13
I
a•�.r'If
I
I
I
II
I
r��F.ae.
_—
Appliance Fees�--
Inspected and Approved — .... ..._ ..... :........_;._..,............
......... .................
_ DATE _ MSPEfTA.
ROUTE SLIP
Daf�t e 7 L G f
Location � e'
Subject 6,—j !2�
Notes
Approved 713 .�
ROUTE 'SLIP
bile No.
Date /o-/N- GC/
Location . 2�;� FD
Subject -��
Notes
Approved/a-/s _G_/'�
Date. ns"ector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... .rn.'...... 136................... 19..�.�?... B 'lding Permit No.-3.-PzLJ
The Building Located at ....... ...........................................((; ....................... ..............
Owned by �•ni .eta �........ \ � � � U )
Has Been (Completed For Use As: ................. ....
........................................................SC� w, h.. _......_..... .... .....
.. ....A ..........................
BUILDING INSPECTOR
102 12/66-1 M
GAS SERVICE NOTICE
p(Q BUILDING INSPECTOR'S OFPICE
/ 3 CITY OF CUPERTINO
-r.
ro
OFFICE
COPY
t 9G..'p
You are hereby authorized to connect the
GAS service for
Owner or Tenant ..................................
AL �/...���r�P z-._..........._......... ..................
. New Service `..._...............
No. of Meters .... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
J-�
.....:_u;// ---- .............................
PLUMBING INSPECTOR
• Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .......
?'Plumbing Final Plumbing Permit
Lot No. ---A---
--Ab--- ................
Owner or Tenant . ... ............................................
At
Tract ...... z�-1&4-- e11
Date Connected ..............
Date Final ......................
INSPECTOR
111 12/66-1M
r b
To
You are hereby
1 1. OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
195
...... ... tut orizt-d to co . servi f
Owner or Tenant .................. ..
At ... ... (.(.� ........ . ..
.. . ... .............
No. of Wires ....... 5 ........... Size of Wiresk Size of Switcd .()C)A-n.....
Motor Load .......................... Voltage Phase ........ - ................ ....
HeatingLoad ----- .. . ... .... K. \X/ . ..... ..................... . . . Voltage ... ........... .........
No.of Meters ................ Light...._ ...... f!�� Service......... 1,777 ReconneLl— ... ...........
No. of Meters ............... �
Hea............... 220 ........... �TIT
t .rft Wir Move Service_........
No. of Add. Meters............
Power ....... Move Meter ..............
ELECTRICAL INSPECT