51187 Lot No.
30L/I 7r'f
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO p
File No. ts'
Sanitary No. .�G/a 7
Do to 0 196
)(
Application its hereby made for a permit to
" &A^Aa story, Type
to be occupied only as
in accordance 6APlot Plan, Plans and Specification filed herewith,
Estimated Value o4 Improvements E sat 0 Q d 0
FEES ^P� Plan Check E
Ow r.er Address C9-ss)__'* JO&C—
Contr. Address
Phone s2 S—.d State License
Approved WILLIAM D. BENEVICH
�4
APPLICATION FOR ELECTRICAL PERMIT
Date �a ��� 196 8 FEEE a
I
Contr. fq✓ Address
Phone State License 2—V L z✓
Approved WILLIAM D. BENEVICFI
0
APPLICATION FOR PLUMBING & GAS PERMIT
Date /t/Y 196 GAS FEE E
� PLUMBING FEE E 'z 3. a q
Contr: _ Address 1 3
Phone State License �j G S 7 rj
WILLIAM D. BENFInru
Approved
APPLICATION FOR APPLIANCE PERMIT /� 7 S—
D\te 196 .P` FEEE
Contr. Address _13s—37� �,�/ �
Phone (O y 3 SC State License � r 'L6 L
Approved WILLIAm U. e, IVGvICH
Applicants,agree not to violate any of the
Workman's Compensation Laws of the
State-of California
RECORD OF INSPECTION APPpROVAL$
FOUNDATION - I -6/ BUJLDING
Dat^ 6 8 r far
UNDERFLOOR
J e Inspector
FRAME
Dot Inspector
LATH 8 PLASTER � ,p
FINAL
Date Inspector
ELECTRICAL
,OUTLETS SERVICE SI
SWITCHES UNDERGROUND � I A
Data Inspector
RECEPTACLES ROUGH WIRING ' flmS
2 fe ( Wn
ctor
FIXTURES FINISH WIRING �
to ctor
H.P. CHARGE FIXTURES
��- -- Inspector
PERMIT FEE Motors
Ir..
pector
TOTAL FEES FINAL Z ' .
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
6
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
toor
MAIN DRAIN FEE ROUGH COMPL/ETE 9 -G
D&tt
STORM DRAIN FEE MAIN DRAIN
to fw
WATER SYSTEM FEE GAS PIPING
Date for
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Dote nspector
TOTAL FEE MISC
Data 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
Date Inspector
ROUTE SLIP
File No. c// I;
Date �— ��— C9•
Location
51 4
j Subject
Notes
/O
Approved ,2
Date ns for
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...2........a ..0................... Building Permit No-S--#,97......
'Me Building Located at ........ JO.A.............
...........
Owned by ... ............................... ...... J,
pk
Has Been (Com( ed)Akered� For Use As: ............................................
-----------**..............—*......*........................................ .......................1*.............
...................................................................... .........................................................................
....................................................................... ...... ... ...................... . ...........................
.............................. ..........I..............................
BUILDING INSPECTOR
102 12/66-IM
OFFICE COPY
CITY 6F CIIP�RTINO
��� ELECTRIC" SERVICE NOTICE
CQ
You are hereby ho o nett electrical service for
Owner or Tenant ......�..... .. Q
�....�..... �...... ..... .. ......... .
i
. ...................................
At OZ k�? 1....._.... ..
No. of Wires ..... ................. Size of Wire Size of Switch
..................
MotorLoad .......................... Voltage ................................ Phase ..............................,...
Heating Load ................. ...... K. CV. .........................
I. LrghG............... 110.._..:..... New Service L
e....... ....... lteaunnec ...._..........
.No. of Meters.................... `
" Heat................. ?'.0..."./ rre ire.... ...... .. >fove $errirc.,........,.
No. of Add. Meters............
- .Power............... rre base......'...... DtoerNie
r .
ELECTRICAL INS'F.CTO.4
GAS ,SERVICE NOTICE COPY COPY
BUILDING, INSPECTOR'S OFFICE p
CITY' OF,. .CUPERTINO/. ._ T
_re
You are-hereby
/authorized to conned the GAS service for
��. OH•ner or Tenant ..lU' ^ ._. • . ...
•
At .cod/ /. .hc .✓r.. . ...:.. .... ....'.................
._..
New Service ...
No. of Meters ./............... Reconnect ,.............._.._..........
Move Service :...... ,
'No. of Add. Meters ....... Move Meter !..........................
PLUMBING INSPECTOR
• V Bldg. Dept.
Office Copy
BUILDING INSPEC' TOR'S OFFICE
CITY OF CUPERTINO
0 Sewer Connection . Sanitary Permit No. ..-> // .--------
�Plumbing Final Plumbing Permit No. . l� ?.......
Lot No. ....?. ...:..............
Owner or Tenant . /,......................:...............................
At c25���.�,� '..1/.!�'/ 1... .....................................................
Tract ......-%;:. .00.....sf:0/�Q......./....�.. ! ........................................................
/ ....
Date Connected ..............................s,...��Q :.......................................... . 19L�!!.
DateFinal ................................caC/!r ..1.......................... .......I................... 19-4
PLUMBING INSPECTOR
111 12/66-1M
LOT NO. T
NO. STREET
` APPLI T/jI F ��27111U ING PERMIT C/ /
Y 9C 0,
O Ir S nia v No. 7
W W Date �9�9 Perm o. J—// e,Z_
Io
o Q �Applic�ation is ereby m'a 'elf'r aMwnitt tto
<in ` story, fy lJr "UPF T►nr J Building
W
to be occupied only as in accordance with
00 plans, Specifications and Plot-Plan herewith.j PI Ck Fee
I_ "; Estimated Value of Improvements, Fee f —
°z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
f j Z . all other laws applicable to the construction, location, and use of buildings within the City of
o CupeAnowI be comp ' d with.m OwnAddress
W Z
W a By Addres/
<u Phone '��� -ac s Approved 02 WILLIAM D. BENEVICI}
(� State License BUILDING INSPEC/TOR
LOT NO._„�
NO. TRE
APPLICATION f-QR PLUMBING PERMIT
Qv ff l
y ,
xo San taey No.
3 < Date Septembell I n pqq 1968 &crmit No
w 4 Pee $a 3-N-6
10
Application is hereby m4clq•v thSLCityf16�y�� Fjq fps' a permit to install plumbing
`o pipes and/or fixtures listed An.theLrever oIsideLherofi,c d 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.
w x
� r
J
Use of Premises DwW li ng
0
3 Owner Ditz Crane Company2A2d9 eSDe La Cruz Boulevard
oa
J , Palm Plumbing J , By ng C ompuv V44sPun�yvale-Saratoga Rd,
O CONTRACTOR, AGENT
3245-2323
— 0 Phone
. Z
w w WILLL47.-j D.
a a 11579 `2—'- SVICH
a o State License Approved
ti —U PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater Size
Water Closet Material G
Bath Tub / To Curb
Shower / To Prop. Line
Lavatories o2� To Existing
Kitchen ink Not Conn.
Dish Washer Sewer Box
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine / Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinkin Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee i
Water Leader Stom Drain Fee
Sprinkler Valve Water Sys.Fee 11519
Relief Valve Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total Total Fee of