NO PERMIT NUMBERz0�29I Lot No. JC
No. Street Z y 7
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. .7/�' /
y Sanitary No. 'r 7,
Data 196 0
Application is hereby made for a permit to
a / story, Type "r 1 \?
to be occupied only as
in accordance U141plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements s '2.rfi GO 00
FEES 7 P 6 6
Owner
Cart,.
Plan Check $
Address / 3y,
Address
Phone -; M — Z• IcL State License J 1 Z- 3"
Approved WILLIArd D. I3ENr_VI(,M
APPLICATION FOR ELECTRICAL PERMIT
DateA/196 ,,ppO FEES
�/ Q IOAYw.L.P L_ Address1� Contr. r�
Phone rD �—/ D _ State License 7- d 06 /u
Approved WILLIAM O. AF..NEVICH
APPLICATION FOR PLUMBING & GAS PERMI
Date 196 GAS FEES '
PLUMBING FEE $
O
Contr. • Address`
�� /� Z 1
Phone �`.33_:XSA!3 State License 1
Approved WILLIAM D. BENEVICH
APPLICATION FOR APPLIANCE PERMIT 1\001
-
Date 196 as FEES
1
i
Co A dress
Phone State License
Approved WILLIAM D. BENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECQRD OFINSPECSION APRROVALS
(F7 Iz-6
P CAD
BUILDING
O UNDATION
DolSO'6
UNDERFLOOR
1Li P
FRAME
Date
LATH & PLASTER
FINAL
Date
0
Do to
,OUTLETS
SWITCHES
RECEPTACLES
FIXTURES
H.P. CHARGE
PERMIT FEE
TOTAL FEES
ELECTRICAL
��w•0..-rL� ..
Inspector
Ins as Oar
SERVICE SIZE
UNDERGROUND
Sot- _�
Inspector
ROUGH WIRING
Date
FINISH WIRING
( Q�pactor
Date
0I
Inspector
FIXTURES
Date
Inspector
Motors
1
Qa o
Inspector
FINAL l
1
Date
Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
MATERIAL
STORM DRAIN
SIZE
MATERIAL
— 7_30 -6 d c ,-d
WATER SYSTEM
I SIZE
I
ATERIAL
TOTAL FIXTURES
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH
Date
Ins pecto
MAIN DRAIN FEE
ROUGH COMPLETEV2?40'
Da
or
STORM DRAIN FEE
MAIN DRAIN —
Date,
In T r
WATER SYSTEM FEE
GAS PIPING 0-6
Date
— actor
GAS PIPING FEE
_
- FINAL y
- --Z
' Date
Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
MISC
uate Inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
SUSPENDED UNIT
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
-
FLOOR FURNACE
TOTAL FEE
INSPECTED itsccv /� �D
Do te'
Inspector --
l�
APPL9IMR ELECTRICAL PERMIT
CIT �F, CUPERTINO
� t j 1 1968 l pp
Date 19l�1L Permit No.
�tT�/ `�!PERTINO Fee
Appli tiT 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.
co .•
Phone: 7 , AGENT
_ ,_ 9 i/•
Address SU t
Address
Approved _ WILLI D. DEN ICH
ELECMIUL INSPECMA
-i V (0
lq�- NEW
RPL� FEES
Size Service Conduit ----- a .............Number
of Outlets... Z ----- .. ..........
...
Size Service Wires---.-.-- .........Number
of Switches.,v.:_?/.. .... ..........
.......... ..............
Size Sm.ice'Switch ...... /OM -----
Number of Receptacles_&, --- ----------
---- ---- --------------
Size Sub Feed Conduit .................
Number of Fixtures ........ /6 -- ----------
---- a, 70
.... .............
Size Sub Feed Wires --------------------
Ranges ---------------- KW -------------- ----------
---- ------ --------------
Number of Circuits--- ... --------
Oven -------------- KW------ ---- ----------
---- ----- --------------
Number of Meters -----------------------
Signs ---------- Transformers.....--- ----------
---- ----- --- /I
-----------
Misc .............. ---------- * -------------- .--Dryers.----- ------- / ------------------------ ----------
Motors --------- ---------- HP - - ---- Phase ----
---------- --- 4.
Motors._....---------- HP ----_--------------
-
Phase..-.-._-----.----- Permit
Fee $2.00
Motors-------------------- HP....._.....-------
Phase.................... H P Charge ......
------....I- _Le2�
TOTAL FEES
1'/ '?, 7
RECORD
OF INSPECTION APPROVALS
Rough Rough Wiring ................ I----------------------------
Fixtures ---------------------- ----
---- -----
DATE INSPECTOR DA
Finish Wiring ......------...I.:---------------_----
............... I.: ---------------------- Motors ......... ATE
-----
INSPECTOR
DATE INSPECTOR DATE
INSPECTOR
Final ......... . - - ......... --------
- - - - . . - ........
D AT I
IN S P E C T 0 R
10129 Mello Place 76 /F94
LOT NO.
NO. STREET
W Z APPLIC IpN F R 14,I4ILDING PERMIT
r o Plan 2876 1p CITY OP C I ATINO
o a JUL ? 1968 ' Sanitary No. S ��'
su
i Uare June 24 1968 Permit No. .i// 7f.T
,. o
o Applicationis(her'Nm`a8eforipei`nE61h IF%`Onstruct
a
iN a One story, Type S—I—J Building
to be occupied only as a single family residence in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee —0—
3 Estimated Value of Improvements, $ 25,000 Fee $ 78.00
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
a all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be com lied with.
3Q B der/OME�A BUILDERS, IN C.AddressP•O.Box 1135,LosGatoE
- N r
w w reS -Address Same
¢a
au Phone 56-2146 Approved WILLIAM D. 13ENEVICH
State License 222 326 BmLowC INSPECTOR OK
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10129 IM011o Place LOT NO.
—
No, �,s—rnEAr ¢�
Af-PPLIC—�TION r�OR PLUMBING PERMIT
p CITCjIy CUPF.RTINO
,JUL 8 1968 0 Sanitary No.
76
Date — July 2 , 196-8 Permit No '// 79 /
3 i I (.l- ��s°EOINo Pee $ C�? Ci- 0"
Application is hereby made to the City 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
Omega Builders
Dwelling
By Palm Plumbing Company
CONTRACTOR,AG£NT
Phone 245-2323
186579
State License
Address P. 0. Box 1135' — L. G.
Rd
Address 1234 Sunnyvale -Saratoga
Approved A?,, V VArA n BFNEVIr"'
1L PLUMBING INSPECTOR
FIXTURES1NUMBER
MAIN DRAIN
TS
FEES
UNITS
FEES
Water Heater
$ize
Water Closet
Material
C�.Bath
Tub
To Curb
Shower
To Pro . Line
./Lavatories
To Existin
Kitchen ink
/
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
WashingMachine
/
$ize
Water Softener
Material
Bar Sink
/
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Si ze
Restaurant Sink
Material
Sand Trap
TU I AL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
�—�
Relief Valve
Gas Fee
1--/J
Vac Breaker
Skimmer
Filter
Permit Fee
Total
/Q
SQjf
Total Fee
Z!2 O ] 1 OA.(.w-+ J� 1 _ LOT NO, NO. 1 'STREET ' d 7 b
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Dat "''�� �'8 ���� �196_ Permit No.
f JUI. 11 19GS I Fee '$
Application is hereby made to the City of Cupertino for a permit to
install gas ap �liancp a , listed on the reverse side hereof, and agrees to
Piristall said apiilia cesQiu Itisccortlance with the provisions of the Plumbing
Code of the Citv oio, and all other laws applicable thereto.
Use of premises �ri'�eA� /.3S
Owner [ gmc�= ��^�'� G Address
81 Pioneer Way
By MERCURY SHEET METAL & HEATING INC. Address Mountain ViPW California 94040
CONTRACTOR, AGENT
Phone
State License 7-�
— Ull
Approved 1N16LIflP4 n. saHhj�;Cl
PLUMBING INSPECTOR
Type Appliance
Gas Rangges
I Units Fees
Remarks
I
(Check ✓;
New
j Replace j Relocate
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
I �Q
Gas Fired Boilers
I�
Warming evens
Percolators
I
Griddles
�
�
�
I
Steam Tables
Gravity Furnaces
I
II
Suspended Unit
it
Floor Furnace
Miscellaneous
NAME TYPE I
II
pp Dance Fees
Inspected and and Approved ..... ....... ... _C.............. .......................
DATP. MSPECTOa
ROUTE SLIP
Fi].a No. '
Date 7/z-/6 (�
Location
Sub ject
Notes
Approved 7�3
F4,`JTE% SLIP
File No.
Date /B—/D-6R"
Location 4mr
Subject .4"z"A
i
Notes
Approved.
Date p ctor
•
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No . ..... --------
Plumbing Final Plumbing Permit No.z.2/0�/
Lot No....... . •k1 -------------- ----
Owneror Tenant ..... ----------------------------------------------------
AtA—e — ---------------------------------------------- --------
Tract ----------- A ------------
------------------------------ -------------- -------
DateConnected ........................... 7 a------......- ............. ------------------------------ 19.......0..
Date Final ......................... A ------- -------------- . ............... .......... ...... 19.4).>
/Z - — -
PLUMBING INSPECTOR
III 12/66-IM
OFFICE
GAS SERVICE NOTICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
................. ..................
To
You are hereby. authorized to connect the GAS service for
Owner or Tenant ......................... ............ ..............
At.............. I ----- ... - ----- ......... .............
New Service ...
..... ..........
No. of Meters .... .......... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
.......................
PLUMBING INSPECTOR
FICE OF COPY
ELECTRIC' SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
TO You are hereby autb6(6�,p`Dto connect electrical service for
Owner or Tenant
Ci
At...........
No. of Wires ....... L .......... Size of Wires ....{.`.."...L.
Size of Switch
Motor Load .......................... Voltage .... ........ ......... Phase ....
Heating Load ........................ K. W. ......... Voltage
No. of Meters ..... (Light..... 10— ,"'-"New,S'Frvjce ........ . Reconnect........_........
220 Move Service ......... .
No. of Add. Mete",
Power... ............ Move Meter......._._..
...................... .. . .............. ..........
ELECTRICAL INSPECTOR L� I
CERTIFICATE"OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r.... i!
Date ..... �0. .- �-' 19..�?Q..... Building Permit No. �.............I..I.
The Building Located at...1�_U.I!!�.1......... I;✓...._:!1....U.....r......................................... ..
Ownedby _..........q...........[Q..............................t......- /-..........
Has Been (Completed) For Use As: ------------------------------------ ---- -- -................... ...............
'V :t�.w � ................... ..... .....................'.
....
Jzo
... .......... ..............
BUILDING INSPECTOR
102 12/66-1 M