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