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5104619930 I OLIVEWOOD ST. Lot No. No. Street Model B APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. ci1046 Sanitary No. 4823 Date -SPI1t - 15 1966__ Application is hereby made for a permit to Construct a 2 story, Type e y -H to be occupied only as 4 Uni t Ana rtment in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ 49.000.07 FEES 138.00 Plan Check $ 69' oo Owr.er Bernard Wolfe Address San Mateo Contr. William White, Inc. Address 969 La Prenda, Millbrae Phone 342-9081 State License B-1202267 Approved W.D. Benevich/h • APPLICATION FOR ELECTRICAL PERMIT Date � 196 � FEE$ Contr. �"�'—r �J'(�—/°"//"�'r'_� Address a9s, `� r r' 6 State License Phone Approved ll�� APPLICATION FOR PLUMBING & GAS PERMIT �r Date / 196 GAS FEE $ PLUMBING FEE Contr.V/"/✓''7 Address / �/ r Phone P— (° � / State License C Z T' APPLICATION FOR APPLICATION Approved � APPLIANCE PEIffAIT Z Z 1._ ,Date �Z" 196 FEE$ may, Cont,.y�r""�v.'iuc'�w%,7�-r�� Address Phone 37e— 3 State License /G'����� Aooroved s RECORD OF INSPECTION APPROVALS FOUNDATION -211- 4� BUILDING Date Inspector UNDERFLOOR to ns pe ctor FRAME / zz - Spector AT 8 PLASTER FINAL. Z D Ins paetor • • (� UNITS ELECTRI L II ,OUTLETS. FEE CIRCULATING HEATERS It, b SERVICE SIZE .AGO SWITCHES 60 % BLOWER FURNACES UNDER UND `f Qz COMBUSTION VENT �6D (° MAIN DRAIN FEE 7' �� j Komr.tar ROUGH COMP LET -Date RECEPTACLES STORM DRAIN FEE i/` ROUGH WIRING I I -D�e_ l0 -J D t or � � GAS PIPING 47 Date Inspector FIXTURES T FLOOR FURNAC FINISH WIRING TO A FEE" E nr PERMIT FEE`� .� Y a: - MISC Date Inspector H. ,CHARGE `� FIXTURES Date Inspector Data Inspector PERMIT FEE I.To Motors U Inspector TOTAL FEES O - FINAL Date Inspector PLUMBING & GAS WATER SYSTEM UNITS SIZE II MA 1 i—MATERIAL FEE CIRCULATING HEATERS TOTAL FIXTURES rs .AGO UNDERGROUND //// --6(p , BLOWER FURNACES FIXTURE FEE `f Qz COMBUSTION VENT PARTIAL ROUGH yi C MAIN DRAIN FEE 7' �� '� ROUGH COMP LET -Date or STORM DRAIN FEE i/` MAIN DRAIN -J D t or WATER SYSTEM FEE / a` -D GAS PIPING 47 to or GAS PIPING FEEepecto FLOOR FURNAC FINAL i TO A FEE" E nr PERMIT FEE`� .� Y a: - MISC Dae nsp actor TOTAL FEE MISC Date Inspector uare Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS 2-y BLOWER FURNACES �4 `f Qz COMBUSTION VENT y yi C SUSPENDED UNIT MISC %, a 7,zv 6-0 GAS RANGE MISC GAS DRYER PEIT FEE ,� J FLOOR FURNAC TO A FEE" E 21 L ` INSPECTED _ �' VV k.*1 1 Date Inspector t t 1 No. 0 I OLIVEWOOD ST. Stree t APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Carport Lot No. File No. 51046 Sanitary No. Date =Sol f- 15 196 Application is hereby made for a permit to Construct 1 5_J a story, Type to be occupied only as C;arnnrt in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ 6, 000 • 00 FEE$ 21.00 Plan Check $ o.,,.., Bernard Wolfe Address San Mateo Contr. William White, Inc Address 365 La Prenda, Millbraf Phone 342-go8i State License B-1202267 Approved _ W.D. Benevich/h APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Contr. Address PhoneState License Approved APPLICATION FOR PLUMBING & GAS PERMIT Data 196 GAS FEE E PLUMBING FEE $ _ Cont,. _ Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 1% FEE$ Contr. Address Phone State License Approved E7 t 10930 0I1y6w od Dr - NO. STP' CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. FILE NO. DATE NnvB A 79—z$_ Application is hereby made for a permit to nnnc+ril^t a_ to be occupied only as narRnr+ NO. in accordance with plot plan, plans and specification filed herewith. BUILDING INSPECTION RECORD DATE I INSPECTOR I I DATE INSPECTOR FOUNDATION PRE-GUNITE FRAME BOND BEAMS LATH WALLBOARDS - INT. B EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION UNDER -FLOOR TIEDOWNS i MISC- MOORE BU SINESS ESTIMATED VALUE OF IMPROVEMENTS $ 7,000 FEE $ 40.00 PLAN CHECKS 20.00 OWNER Roht. Wilford ADDRESS PHONE CONTR., Pranschke Const. ADDRESS 876 The AT m da S. T, PHONE 287-6700 STATE LICENSE APPROVED BUILDING INSPECTION RECORD DATE I INSPECTOR I I DATE INSPECTOR FOUNDATION PRE-GUNITE FRAME BOND BEAMS LATH WALLBOARDS - INT. B EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION UNDER -FLOOR TIEDOWNS i MISC- MOORE BU SINESS r. 1990 OLIVEWOOD ST. No. Street APPLICATION FOR BUILDING PERMIT �C //j)YC�TWOUPERTINO Lot No. Model B File No. �i1046 Sanitary No. 4823 Dote .S CIDt:. 15 1966_ Application is hereby made for a permit to Construct 2 a to be occupied only as h TT -S + 11,x.;,.,1 - story, Type 5-H in accordance with Plot Plan, plans and Specification filed herewith, Estimated Value of Improvements FEES_ 138.00 owner .Bernard Wolfe Contr. William White, Inc. Phone 342-9081 s -49,000.00 Plan Check § 69 • 00 Address Sari Mateo r Address X65 La Prenda , Millbrae State License B-1202267 Approved W.D._Benevich/h APPLICATION FOR ELECTRICAL PERMIT Dote 196 FEES A� Contr. �en �-G-P i Address C//Jn 9 ^�- f Y Phone_ o29S .� � J' 6, % `/l7j 2'- $tote License r Approved AP�PLICATION FOR PLUMBING & GAS PERMIT Date 196 6/ GAS FEE $ .. PLUMBING FEE $ ���p`-/� '/ Conrr. �`��+ �"�"' Address _ /a 17 Phone7?-76 State License C 2C'o�S�s�. Approved APPLICATION FOR /� z AP APPLIANCE PE IT Zd� 2- Data ��/ 196 FEE§ 'Y Contr. _!K -r - 61 / Address Phone S 7j;�' 3 se's V, State License 6��9�� Applicants agree not to violate any of the Workman's Compensation Laws of the State of California Approved 12hlEe,i-c� 1 RECORD OF INSPECTION. APPROVALS BUILDING FOUNDATION Date Inspector UNDERFLOOR fe al ns paetor FRAME a f s pa ctor eAT &PLASTER -7 DdleV / /1 _ Insoector MAIN DRAIN SIZE SIZE MATERIAL lei STORM DRAIN SIZE MATERIAL ELECTRI9 L UNDERGROUND ,OUTLETS. � FIXTURE FEE 1",—$Il�6 GAS RANGE PARTIAL ROUGH - GAS DRYER 1 SERVICE SIZE FLOOR FURNAC SWITCHES- 60 G Ob UNDERC&OUND ROUGH COMPLET G STORM DRAIN FEE 1 ,,,,,,///��� _/ l0 MAIN DRAIN --f— RECEPTACLES or ROUGH WIRING atiD � � u Date Inspector FIXTURES. FINISH WIRING .7,.12"!l nspector GAS PIPING FEE Date Inspector H. CHARGE dU FIXTURES a e ns specter PERMIT FEE �� Date Inspector PERMIT FEE - Motors Dote Inspector 80 L��S-ac ara Inspector TOTAL FEES — FINAL Data Inspector PLUMBING & GAS MAIN DRAIN SIZE SIZE MATERIAL TERIAL STORM DRAIN SIZE MATERIAL COMBUSTION VENT I e WATER SYSTEM FEE TYPE OF APPLIANCE SIZE FEE TERIAL REGISTERS TOTAL FIXTURESAd COMBUSTION VENT °� UNDERGROUND SUSPENDED UNIT MISC FIXTURE FEE GAS RANGE PARTIAL ROUGH - GAS DRYER `PE IT FEE ar+ FLOOR FURNAC Date, or MAIN DRAIN FEE ROUGH COMPLET G STORM DRAIN FEE :�` MAIN DRAIN --f— D t or atiD to ' or WATER SYSTEM FEE _ GAS PIPING — .7,.12"!l nspector GAS PIPING FEE FINAL a e ns specter PERMIT FEE �� 2-- MISC - Dote Inspector TOTAL FEE L��S-ac 'MISC 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 `PE IT FEE FLOOR FURNAC TO A FEE VV %F 1 INSPECTED —" Date Inspector 1 No. OLIVEWOOD ST. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Carport Lot No. File No. 51046 Sanitary No. Date CPi t _ 15 196 6 Application is hereby made for a permit to Construct a 1 starr, Type e s -J to be occupied nn Ly as Carport in accordance with plot Plan, plans and Specification filed herewith, Estimated Value of Improvements $ 6 n 000 • oo FEE$ 21.00 Plan Check $ owner Bernard Wolfe Address San Mateo Contr. _ Wiliam White, Inc. Address '�65 La Prenda, Millbra( Phone 342-9081 State License B-1202267 Approved W•Df BeneVich/h APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone' State License ' • - Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Do to 1% FEE$ Cont'. Address Phone State License Approved Applicants agree -not to violate any of the-•-� Workman's Compensation Laws of the 1 , State of California r� RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION — ..Date Inspector UNDERFLOOR Date Inspector FRAME Date Inspector LATH& PLASTER ns per FINAL ICAL SERVICE SIZE UNDERGROUND SIZE .OUTLETS FEE SWITCHES. Inspector RECEPTACLES FIXTURES VENT H.P. CHARGE Inspector PERMIT FEE TOTAL FEES' Inspector ICAL SERVICE SIZE UNDERGROUND SIZE TERIAL FEE Date Inspector ROUGH WIRING FIXTURE FEE VENT Date Inspector FINISH WIRING Date Inspector Date _ Inspector FIXTURES GAS DRYEREE Date Inspector Motors MAIN DRAIN Dote Inspector FINAL Inspector WATER SYSTEM FEE Date Inspector PLUMBING & GAS MAIN DRAIN SIZE _ MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE TERIAL FEE TOTAL FIXTURES. UNDERGROUND FIXTURE FEE VENT PARTIAL ROUGH SUSPENDED UNIT Date Inspector MAIN DRAIN FEE ROUGH COMPLETE GAS DRYEREE Dots Inspector STORM DRAIN FEE MAIN DRAIN Date Inspector WATER SYSTEM FEE GAS PIPING Date- Inspector GAS PIPING FEE FINAL ' Date ,Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC APPLIANCE TYPE OF APPLIANCEam PPLIANCE UNITS FEE CIRCULATING HEATER BLOWER FURNACESON VENT SUSPENDED UNIT GAS RANGE GAS DRYEREE FLOOR FURNACEE ' INSPECTED L , Aa �b ` Date Inspector /� 7 j I ::> •' —__ _ Lot No. No. Street . APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO • File No. /�,, f/�/ �p Sanitary No. Do to / 196 r' 4%jd.Lcation is here ade for gpermit to a story, ,Type to'Be'accupied only as . in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Va lee of Improvements $ FEES �j/� Plan Check $. Ow r.er ddress C ontr. _ Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Contr: Address Phone Stare License '- Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 196 GAS FEE'S PLUMBING FEE $ - '— Contr.- Phone' ontraPhone' State License 19 w S Approved APPLICATION FOR APPLIANC ERMIT ' Date 1% FEES Contr. Address _ Phone State License Approved Applicants agree not to violate any of the i.- - . - Abrkman's Compensation Laws of the hate of California „ SERVICE SIZE UNDERGROUND SIZE FEE OUTLETS RECORD OF INSPECTION. APPROVALS SWITCHES FOUNDATION BUILDING Date Inspector FIXTURES - jMISC - Date Date- PERMIT FEE ROUGH COMPLETE Inspector. UNDERFLOOR Date Inspector Motors Inspector Date FRAME FINAL' GAS PIPING - - Date Inspector GAS PIPING FEE Date ' Inspector LATH 8 PLASTER Date Inspector PERMIT FEE �-� ' Date . Inspector FINAL inspector " TOTAL FEE o,' Date Ins Dectar ELECTRICAL SERVICE SIZE UNDERGROUND SIZE FEE OUTLETS Date Inspector SWITCHES i UNDERGROUND RECEPTACLES Date Inspector FIXTURES - jMISC H.P. CHARGE . Date Inspector PERMIT FEE ROUGH COMPLETE TOTAL FEES Date Inspector SERVICE SIZE UNDERGROUND SIZE FEE TERIAL Date Inspector ROUGH WIRING i UNDERGROUND FIXTURE FEE Date Inspector FINISH WIRING - jMISC Date Date Inspector FIXTURES ROUGH COMPLETE . Date Inspector Motors r I' " .Date Date Inspector , FINAL' GAS PIPING - - uare mspecror PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE FEE TERIAL .REGISTERS , TOTAL FIXTURES BLOWER FURNACES i UNDERGROUND FIXTURE FEE PARTIAL ROUGH - jMISC Date Inspector MAIN DRAIN FEE �� �- ROUGH COMPLETE STORM DRAIN FEE '2 MAIN DRAIN a (O6 99ML r I' " .Date Inspect r - WATER SYSTEM FEE GAS PIPING Date Inspector GAS PIPING FEE FINAL.. ' Date Inspector PERMIT FEE �-� MISC inspector " TOTAL FEE o,' MISC APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS .REGISTERS , BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT IMISC' GAS RANGE jMISC .GAS DRYER PERMIT, FEE FLOOR FURNACE TOTAL FEE INSPECTED Dote Inspector OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ............................. ..... 196(c; TO You are herebykutri zed to connect 0e eq- i fe i , 4ceAr,l— Owner or enan t Al........... No. of"Wires .... let ........... Size of Wires...'.....//............ Sive of Switch� ................ Motor Load ................. : ........ Voltage ........... ........ . Phase ... ........ Heating Load ....... .... ............ K. W . ..... Volta ........ ................... Voltage ... ........... ............ No. of Meters ..... 110. Reconnect.................. N ItHast 220 '11jh ..... Move Service............ No. of Add. Mete..." Power ................ T P e ............ move7meker ELECTRICAL TjEjK,Ft0RAWY ELECTRICAL SERVICE - -- -- - ---- ---------- Fee G .............................. .......... CITY NM W ------- ------- -- * -- --- - i AT: 0 LOT: REASON: - ...... ............................ The undersigned agrees to be responsible for the electrical service at the above location, tij the building is ready for occupancy, and is released by the Building Department, u' f Cutmo. Ph... . .... --- ---------- ...... .... ........ ...... ........ .... . --ONCE------ 1, ISPF 116 1/63.50,0 �R NS C OR �ANT f ROUTE SLIP File No._j 0 C Date Out -y7 /� �Date In / Location a-0 17 Subjeot Notes Approved MT P, ?Te r DATE9 E C CITY R GAS SERVICE Fee: ........ Wa'f L11 1 11 VV ........................... AT: -------------- -------------- LOT: 0 REASON: .............................. -7— - - - ---------_.........-- The ---------- -- The undersigned agrees to be responsible for the gas service at the above location, until the building is ready for occupancy, and is released by the Building Department, ity of Rertino. Phone -3. -- -- Goo,"" -----iq -------------------------- ...... ........ ..... ......... ........... T,E INSPELORJ N kER 01�W 117 1/63-500 ROUTE SLIP File No. Date Out-Z!2z: Z4 Date In Location /%%3 U Sub j eat Notes SAW .: �/� .. r • LOT NO. . CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT SANITARY NO. '_-'A FILE NO. DATE Nnvs R 19��s - Application is hereby made for a permit to ^^n4t Y•l1Ct a story, type to be occupied only as rare nr+ in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS .$ 7.000 FEE $ 40.00 PLAN CHECKS 20,00 OWNER Robt. Wilford ADDRESS PHONE CONTR. PrEnschke COnst. ADDRESS 876 The Al m d PHONE _287-6700 STATE LICENSE 11-966 APPROVED BUILDING INSPECTION RECORD DATE I INSPECTOR I I DATE I INSPECTOR PRE-GUNITE FRAME , �f BOND BEAMS LATH 117jja '( WALLBOARDS - INT. B EXT. FIREWALLS F.M.O. UNDER -FLOOR , TIEDOWNS i -MISC- DIAPHRAMS MOORE BU SIN ESS PLUMBING INSPECTION RECORD, HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERF OR .M. BACK FLOW INSTALLED D TS 8 SOLATION UNDERGROUND ROUGH U COMB. A PARTIAL ROUGH CONDE NSATk6RAINs ROUGH COMPLETE FINAL AP ANCE ROOF DRAIN 8 LEADERS MAIN DRAIN FINAL GAS FINAL PLUMBING MISCELLANEOUS ELECTRICAL4NSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH jUNDERGROUND,ROUGH. ROUGH WIRING IZOUGH WIRING FINISH WIRING FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL -{--7 OTORS FINAL MISCELLANEOUS INSPECTIONS , PLUMBING INSPECTION RECORD, HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERF OR .M. BACK FLOW INSTALLED D TS 8 SOLATION UNDERGROUND ROUGH U COMB. A PARTIAL ROUGH CONDE NSATk6RAINs ROUGH COMPLETE FINAL AP ANCE ROOF DRAIN 8 LEADERS MAIN DRAIN FINAL GAS FINAL PLUMBING MISCELLANEOUS i W-1 I Bldg. Wpt Office Copy, BUILDING INSPECTOR'S OFFICE .CITY OF. CUPERTINO ❑ Sewer. Connection Sanitary Permit NO. qzr/ .a( - ------- 5e� Plumbing Fina Plumbing Permit No - -------------------------------- latNo ................................. Owner or Tenant p Ci At- --------- ............ Tract ................... Date Connected Date Final ......... 1] 1 7/63 -IM CERTIFICATE OF . COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ----- -------- 1(71!-..L. •i^�-Buihding Permit No.`] t.i.�l(n The Building Located at �, ...:.....�. Owned by � r ....---::-.,.:,,t,..:4'±:-�..t:-Stt:n::c- ----- v�•:..'..... Has Been (Completed)/11 Por Use. As: --=--------------c�r.A'--`---...._-- i BUILDING INSPECTOR :102 7/63-500 I c r -o I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN S \ COMPENSATION LAWS OF THE STATE OF CALIFORNIA. y� V H 09 I AGREE 1 WILL NOT VIOLATE ANY OF THE N'ORnMEN S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. O N C _ _ w T n 9 n 0 � N_ Ear b .e Nw 3 to O 4 o_ v ^ E O O' J. �. J \ nm ro 51 Ta o A c w rt rj N \xo W. _'A w _S 0 � O 2 z� . ZI 9 4 3 0 0<� U E4J o oQ AQ. LOT NO. /9"- NO. 9✓ NO. ET _11$91 CITY OF CUPERTINO;. -• (SAL. 1 APPLICATTTTTTTtON FORSUILD�ppIING PERMIT FEEEEE •�� Date 0 ?e �Q , 191. Building Per. No. Q Sanitary Per. No. Applicc�trosfiss herre�bvID. for a permit to' ) 1 -3 D o L(U e w o og .D�- a � -staq, lype_S�O'RT Structure to be occupied only as in accordance with Plans, Specifications and Plot -Plan filed herewith. Oo Estimated Value of Improvements, $ :?o oo It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all other laws applicable to the construction, location, and use of in— buildings within the City of Cupertino will be compla M!ine,&- /�) /(1roQ' 9 Chep) P- ate .vSCtyke CorL� ` PI Ck Fee $ ��"2��ci , Fee $ C o Total Fee $ OWNERPH NE ADDRESS ?B7'E7o0 ?7C TNc Ac., r-> C oO J R. OR AIEE5 S- VJ A RE5 PHONE /STATE LICENSE ILDING INSPECTOR O L. 1993c) oci ue w oo,6 bR LOTJ$Q. NO. TREET ;,00 CITY OF CUPERTINO " co APPLICATION FOR ELECTRICAL PERMIT /U D ��� Permit No. Date Ce , 19_S— Fee's 7'�- Application is hereby made to the City of Cupertino for a permit to install electrical wiring and/or fixtures as listed onthereverse 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. Use of. Work To Be Premises CARPa K7—' Performed Owner 9031-,e7: 4�Ljf6Fo e Address. By P'5/rti1SC/1,CP isanJS Address Contractor, Agent '� j� Phone `-'� 7-4700 State License 3 / 3 ?6 .6 Approved Electrical Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S COMPENSATION LAWS OF THE STATE OF CALIFORNIA. T) LA N LL ME ILLIs E'I d Mc � = 3w � v y • 0 N K LL Q C_ < d � L t 6 F d d d E E E E �' E E N Z Z Z 2I ZIZI ME ILLIs E'I d Mc FIXTURES M EMAIN DRAINT-. UNITS FEES UNITS FEES Water Heate 117, Size e Water Closets T Material e Bath Tubs =A� To Curb Showers To Prop. Line Lavatories To Existing / Kitchen Sinks X Not Conn. Dish Washers ,� Sewer Boxes Waste Disposals Wash Trays STORM DRAINAGE Washing Machines Size Water Softeners - Material Bar Sinks To Main Drain Comb. Sink & Trays To Curb Dental Units Drinking Fountains ' Floor Drains WATER SYSTEM Hoppers Size Restaurant Sinks Material Sand Traps TOTAL FEE Urinals Fixture Fee Area Drains Main Drain Fee Water Leaders Storm Drain Fee Sprinkler Valves Water Sys. Fee jsa 7 Permit Fee° TOTAL �� TOTAL FEE RECORD OF INSPECTION f' Underground Rough ? Partial Rough Rough. Complete :Main Drain Final 19930 I OliyeWOOd St. LOT NO. NO. STREET ankPI-POICATIO-N FOR PLUMBING PERMIT N 'W Z _ Y OF CUPERTINO r o %SEP 19q Sanitary No. 0 Date 8�316566 U196_ Permit No oCpY fFe A lica�is`l4��the City of Cupertino for Permit to install plumbing i o a pipes and/or fixtures listed on the .reverse side hereof, and agrees to install said prices Z N 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 2 a J I - Use of Premises 4 Plex O O o< OwneWilliam White Inc. Address 365 La Prenda Way Z By Winchester Plumbing CO. Address 1217 Dell Ave. Campbel O CONTRACTOR,AGENT 3� - U) Phone 378-7615 W z C 210245 ! a o State License. Approved Ull PPL BING INSPECTOR ✓ L lY FIX UR ,%I EMAIN D UNITS FEES UNITS FEES Water Heate Size Water Closets Material Rath Tubs To Curb Showers To Prop. Line Lavatories To Existing Kitchen Sinks Not Conn. Dish Washers Sewer Boxes Waste Disposals Wash Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Comb. Sink & Trays To Curb Dental Units Drinking Fountains Floor Drains WATER SYSTEM Hoppers Size Restaurant Sinks Material Sand Traps TOTAL FEES Urinals Fixture Fee Area Drains Main Drain Fee OU Water Leaders Storm Drain Fee � O,- Sprinkler Valves Water Sys. Fee ✓' Permit Fee TOTAL TOTAL FEE , RECORD OF INSPECTION Underground Rough Partial Rough Rough Complete Main Drain Final fn Q Wz f 0 Y O LL oQ �U w LL =o LL w O~ a z N a w F a J LL O O >� oa z .J J z J O 3� a w z w w jr n. 4ta LOT NO. STREET RP;, IC ►Tt rl FOR PLUMBING PERMIT OF CUPERTINO 16 U/Sanitary No. Date S96 CO Permit No. S—/6 1; � _ Ap� ��tt�� y Fee YiXtioUs ATiEpReTU City of Cupertino fora 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 Owner By CbNTRACTOR,AGENT Phone. ZS �— State License I'M- / T-2-( G 4 Address v Address Approved PLUMBING INSPECTOR C/