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51187 /1s Lot No. No. Street OF APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. r.eir7 Sanitary No. Date t 96 Application is hereby made for a permit to , a � story, Type - wc to be occupied only as in accordance t# Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements act 0-t FEES 0 Plan Check $ ^- Ow no Address Contr. �s Address Phone ASA State License Approved APPLICATION FOR ELECTRICAL PERMIT Date FEES Contr. ���--�'-r� � Address d— Phone z 6 - su a State License AJ- 4e 1- y Approved WILLltuyl D. 61ENEVIC4i APPLICATION FORPLUMBING & GAS PERMIT- Do to j D 196 o GAS FEES /_ PLUMBING FEE $ Contr. _,/'�-"� Address -/- 3 �L Gyt�-•� Phone State License �� S Approved 'WILLIAM D. 6ENF'.r APPLICATION FOR APPLIANCE PERMIT Date 2- 1% FEES Contr. Address Phone C37L D 5 .>' /" State License / SCiG SLL Approved WILLIAM D. BF-NEVICH Applicants agree not to violate any of the Workman's.Compensation Laws of the State of California RECORD OF INSPECTION ALPPROVALS ti �4�3 �wQ FOUNDATION v ^ !"e'� BUILDING UNDERFLOOR D.Qfe Ins pe FRAME z J Do to I ns pe`c for LAT PLASTER at , Ins pa o FINAL / Dore Insoector ELECTRICAL ,OUTLETS SERVICE SIk SWITCHES UNDERGROUND D to I Inspector RECEPTACLES ROUGH WIRING FIXTURES FINISH WIRING I -'Pt";' rE, Inspector of nspector H.P. CHARGE FIXTURES Inspector' PERMIT FEE Motors —D31e_� Inspector TOTAL FEES FINAL Data Inspector - PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE MATERIAL TOTAL FIXTURES UNDERGROUND / FIXTURE FEE PARTIAL ROUGH b Dat or MAIN DRAIN FEE ROUGH COMPLET Da or - STORM DRAIN FEE MAIN DRAIN — O pe ct r WATER SYSTEM FEE GAS PIPING '-6 D7 to cto GAS PIPING FEE - FINAL " -2 � Dote Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC Date 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 _ q n_.- 'Insoactor n 1LV�1J:..�J11 L File No. Date ,/— 7— e'9 Location. y3 ' 913 U '-?' Subject Notes Approved / 7-6y Date Ins eXlr CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTIN'O Date .... ------- ..................... 19.A?.... Buil ing NO Permit '511 k7 . - -------------------- The Building Located at ....... A-..-L Ownedby ...............0........................................................( /L6-z- , IV3 ..........................I....................... Has Been (Completed) (-A itered; For Use As: ................................................................................. ....................................................... .1) Uj/-- ------- ----------------------..........-----........ ----------------------- ......................................................... ....................................................................................... .............................................................. ..................... ........................ ....... ..... ........................................................................ BUILDING INSPECTOR 102 12/66-1M • "' Bldgr Dept. Office Copy BUILDING INSPECTOR'S OFFICE i CITY 'OF CUPERTINO p G /Sewer Connection Sanitary Permit No: ._J..//.:c0:..7.9:. Plumbing Final Plumbing Permit No.'s./IF -7, o. s.LI F-7, ..... Lot No. :-----,---/-1-7------------- Owner or Tenant ....... .:".':`.------: .......-....: ................................' TractDate Con.............--- ... .............................................-.: 1- 6 61.. ..................................................... 9........ - Date Final u ` --:--- :;.'. • 1 .................................................:............:......... PLUMBING INSPECTOR 111 12/66-IM - - GAS SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ......... ........o2,3................................ 196.7.. To You are hereby authorized to connect the GAS service for Owner or-.),Tenant ... .. .. At . .......... ....... ...... 13�.t7v............ ....... ...../ ..................... ..... .. ..... ...... ........... ........ .New Service ............ ........... No. of Meters ..... ................ Reconnect ............................. Move Service ....................... No. of Add. Meters .............. move mejer ........................ III ..............7���.......................... PLUMBING INSPECTOR CE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO TO- Owner or en t y uth i ed nedri al s` for . " f You are hereby aco I At ...............�..�.1.......... :1 a.F+ : r+`'_ iA`� '�.! r....:. .....1� S` .(.I........ No, of Wires .....` ............. Size of W es ......`....1...... Size of Switc 1. Motor Load .......................... Voltage ...,............................ Phase ...t.:.:.... :......;..::......... Heating Load .................. of ........ Voltage, ........., `............. ...:. No. of Meters................:. L..ht.............. 11 ............ ew Service..:. .. Reconnect.::.........I....... 1 No,of Add.Metera............1 Heat................. 220..,, .. . Thiee i .. '. move Service............ t Power............... hree. Move.Meter.............. ' ELECTRICAL INSP8CT08 ' R LOT NO. NO. TR "M jaekTRN FOR PLUMBING PERMIT Y OP CUPERTINO VAUG 30 lVdy Sanitary Nu. � // if Date 1968 Permit No QT!' tILdtt[i}Cd�i 110 Pee s.!2-6,5 picaQ a he Cit}' of Cupertino for permit to install plumbing 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 Duelling Owner Ditz Crane CompmW 230re a La Cruz Boulevard By Palm Plumbing Company 1RA,§pn�ale-Saratoga Rd, CONTRACTOR, AGENT Phone 2-2323 State License 186579 Approved .. ✓ PLUMBING INSPECTOR Permit Fee Total Fee FIXTURES NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water Heater / Size Wster Closet Material / Bath 'Cub J To Curb Shower / To Prop. Line ✓ Lavatories To Existin Kitchen Sink / Not Conn. Dish Washer Sewer Box Waste Disposal Wash Tray STORM DRAINAGE Washin iMachine Size Water Softener Material Bar Sink To Main Drain Comb.Sink R Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee 111r, I Area Drain Main Drain Fee Water Leader Storm Drain Fee Sprinkler Valve Water Sys. Fee Relief Valve Gas Fee Vac Breaker Skimmer Filter Permit Fee Total Fee