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51187 1 r Lot No. No. Street ` • /`�j APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO p File No. G7 Sanitary No. O p Dara / O 196 Ir Application is hereby made for a permit to r r T `�-A— ona / story. 7Y'. .S i ✓ to be occupied only as in accordance h Plot Plan, Plans and Specification filed herewith Estimated Value of Improvements $ a ov-a o.— FEE$ (a Pion Check $ Owner Address '2,;L J-'�a' Core Address Phone - OCS� —C;� (i S-3 State License WILLIAM D. BENEVICH„ Approved, APPLICATION FOR ELECTRICAL PERMIT Date d 196 FEE$ Contr. W 4. / Address - 15P.1 J-- Phone Phone -7 State License Z 1 Approved WILLIMA D. BENEVICFY APPLICATION FOR PLUMBING & GAS PERMIT p Date / 196 P GAS FEE $ PLUMBING FEE $ -,9 3- .t Contr. _S.7rt2-�J Address Phone -,),3 z State License Approved WILLIAM D. BENEVICH APP ICA TION FOR APPLIANCE PERMIT Date 196 FEE$ Co rat. Address f34 Phone `37� .� �-3 "t;State License x $; WILLIAM D. BENEVICH It ':'Approved Applicants agree not to violate any of the 1V Workman's Compensation Laws of the State of California ' RECORD OF INSPECTION .APPROVALS FOUNDATION '/0— 9-6 t BUILDING UNDERFLOOR °3al— 6 8 Inape _ ^` f' Insp r FRAME tl ATH Dote Inspect LPLASTER L— Da Inspector FINAL — O Dote Ins as c for ELECTRICAL ,OUTLETS SERVICESIZE SWITCHES UNDERGROUND Data Inspector RECEPTACLES ROUGH WIRING • nspector FIXTURES FINISH WIRING l"1 Dat `�Q Inspector H.P. CHARGE FIXTURES Dote Inspector- PERMIT FEE Motors 1 Dafen'_/ (7 In pector TOTAL FEES FINAL � l0 l Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES . UNDERGROUND FIXTURE FEE PARTIAL ROUGH 16-,30-6A Dote I specto MAIN DRAIN FEE ROUGH COMPLETE to STORM DRAIN FEE MAIN DRAIN ' 7 re n r WATER SYSTEM FEE GAS PIPING/— Date s GAS PIPING FEE FINAL 7�G Date Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC Dote 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 Fi];e to pp ,,��--- Date Ty Location � Subject �ry -2 Notes�� Approved CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF QCUPERTINO p Date ---/..`.......3.V..................... 19...6'...1.. Buildin Permit No. if 16' The Building Located at ...c -. J ..�............ Lt,Y .. 1 P ��.:.......... Owned by ..... , . -� ...-..c% .- ........................:C. . t......... ... ...:... Com Has Been (Al ptere e ) For Use As: .............................................................. ......................................-.- --F..Q.w.^.................------..............................._........ ................... ..................................................... .................. .....................:................................ .-._------..........................................-------"----................, .."7.................... ------.................... ..........................................................---------.... BUILDING INSPECTOR 102 12/66-1M� ' --OFFICE COPY' ELECTRIC SERVICE NOTICE r BUILDING INSPECTOR'S OFFICE b CITY OF CUPERTINO 196 To _ You are hereby auth iz d o nnect' lectrical 'service for Owner or Tenant ...........: ....... I i GAt .........Q�.�. .(� �...... .. .. .. ... . . .. . ;.. ......:............................ No. of Wires ............ ........... Size of Wires .. ...r..... Size of Switch Motor Load ...........................Voltage ................................ Phase ......................1'....,...... i, Heating Load. ........................ K. W. .................................. Voltage ............... h ............... 110_Yew . ...... NService.....,�.r'.:�Reconnect.._..,...... t ...... No: of Meters.................. ./ ..__,__ _ Move Meter Heat.:............... 220.`...,.e�: e...:........ No,of Add.Meters............ Power............... ree P Ir ove Meter.. I ELECTRICAL INSPECTOR II .. GAS SERVICE NOTICE OtttCI: BUILDING INSPECTOR'S OFFICE CONT CITY OF CUPERTIN i9 _ <, To You are hereby authorized to con 'ct the GAS service for � Owner or Tenant .. ...... ..... ... . . ........... ..............................._....._................. At r New Service . ................ No. of Meters ... .............. Reconnect ............... ,Move Service .................:...... No. of Add. Meters .... Mone Meter ......:................... . � PLUMBING INSPECTOR - .. Bldg. Depl. - ; O'ffke Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. i �y Plumbing Final, - } Plumbing Permit No.151-1 ..: 7........ Lot N o...:........ ... Owner or Tenant . .:N: ........................ ...... ......... / .-.. .... .... ..-. . At �+ G�� ............. `'. -................................ Tract k`'" -.-.-. .. -� _� ............... Date Connected ........ ..... . s-;/rte .............................. 19.1q �,� , r Date Final --..-:.........:...........:......1.;,-_ r --......-.-......-.-.. -.� � 19..a? . ............ IiSPLUMBING INSPECTOR 111 12/66-1M 4, LOT NO. NO. APPLICATION FOR PLUMBING PERMIT 0 z i RTIN initiry No. 0 j r I oil Permit No < Dite— u 1 9 0 0 Q� JIUL: l Idb Fee $ c;) 3-2� 0 Application is hereby made to the City of Cu ertino for a permit to install plumbing 0 pipes and/or fixturrftyd hev�IaE of, and agrees to install said prices I and/or fixtures in accord!mce with t Olpf'ovisions'14 U) OF , �Tj"i A the Plumbing Code of the City of < Cupertino, and all other laws applicable thereto. Use of Premises lina 0 0 > M Ditz Cram Company 2295De La Craa Boulevard , 3: Owner Address 0 < zj Palm Plumbing Company 123h S —Saratoga Rd. , By 7-d�fres,unnyvale 0 CONTRACTOR,AGENT 245-2323 0 Phone- Z State License 186579 !D- o Y Approved � 0 _ U 1�k PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water Reuter 11 Size 4/ Water Closet —2� Material Bath Tub To Curb Shower To Prop. Line L�, Lavatories To—Existing Kitchen Sink 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 DrinkingFountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FE ES Urinal Fixture Fee Area Drain Main Drain Fee Water Leader Stom Drain Fec Sprinkler Valve Water Sys.Fee Relief Valve Gas Fee Vac Breaker Skirnrner Filter Permit Fee Total o5W 1&,TV Total Fee