51046 19 9foo I �� Il�1Lt1e�CJ Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
` � File No.
5 1 orale
Do to FF,6 91, 1961 n
Application is hereby made for a permit to
it., a 2- story, Typlsb
to be occupied only as
�
_
h Lb All
in accordance with Plot Plan, Plans and Specification f(led,herewith„
Ofj
Estimated Value of Improvements $ dool
FEES Q Cd
Plan Check b
�c anti In Ili+ iz ^ 58h
Owner Ip Y� Address�tt�ttl@- - l'N•1p�'t yn9 &
C ontr. Address 15taS La Tp'mn .3at 1'Yli��Oaf
Phone tAa 2.1"1-Ab State License '0= I^7
ApprovedW 11 M D. BENEVICH
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i I
I
APPLICATION FOR ELECTRICAL PERMIT
Date Uh-AP U -d- 196 71 FEES 1 P-
C T_ 1
Cant,. IS op.* �I E �
C' lf_ Address DE.II eli l�f- _
Phone State License
Approved LVWLLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr, Address
Phone State License
i Appro3ed,
Applicants agree not to violate any of the
Workman's Compensation Laws of the _
State of California
r
RECORD OF INSPECTION APPROVALS
I ,
Wlkl
3 IO 7I ICAT`re��1 IAL _G ^� C.
PAD FI AL,
FOUNDATION
UNDERFLOOR
I
FRAME
LATH & PLASTER _
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
3 � 1
FI?NA
t
PLUMBING, GAS & APPLIANCE
DATE. INSPECTOR 'MISC.
BACK FLOW REQ.
I
SANITARY NO.
UNDERGROUND ROUGH
i
PARTIAL ROUGH
ROUGH COMPLETE F
i
MAIN DRAIN
FINAL PLBG.
I
FINAL GAS
FINAL APPLIANCE
i
i
DATE INSPECTOR MISC.
MISC
MISC
MISC
/99 o o/-/,/e
No. Street Lot No.
CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
FEB 2 G 1971 CITY OF CUPERTINO
Dat g a2,/J G,,,, , 19rl Permit No. 'r-/ O
o Fee$
�+ Application is hereby made to the City of Cupertino for a permit to install electrical wiring
and/or fixtures as listed on the reverse side hereof, and agrees to install said wiring and/or
w o fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino,and
°, all other laws applicable thereto.
A � A.4 L c�
« Use of Premises A P I /- 1 Y e 1 J c�tvl
A -T-
0
Owner U.JrO G C Address
c = p/
p °o By 5 LJ Y C.. L ZC tY I G Address // e
B Contractor,Agent
m vApproved
4 E Phone
-3 -79 - 6 S Electrical Inspector
0
~1V State License ��`� 7 0 S
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/99Go �t�v�-advo� 1^37
No. 9 Street Lot No.
APPLICATION FOR BUILDING PERMIT
CITY OFcur:;;iMo City of Cupertino _
Sanitary No.
•� Date 196_ t/O
i Permit No. V
Application re*A24elfor a permit to /�►/t/_r�,yL e-
-0
W L
3 „ a--�p--t- QrY,Type t_jns...>.r�� wilding
W to be occupied only as _ Jf 99Z! 6*21Z ray~-) in accordance with
w O
o °= Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
T
9� Estimated Value of Improvements,$ ��Dd � Fee$ ...�
60 It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> 3 all other laws applicable to the construction, location, and use of buildings within the City of
c = Cupertino will be complied with.
Owner / ` ���� '
Address oAiFc? OriitT-
m
o Phone A
PProvet
State License r 2 C7 � 6 "7 I B nspec or
FIXTURES
NUMBER
MAIN DRAIN
UNITS
FEES
UNITS
FEES
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
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
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Si ze
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
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
Total Fee
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l 17 �6D if I d7Z jZ- �/oap T LOT
NO. STREET
AP_PLhCA ON FOR
ITI'. 01'
i
PLUMBING PERMIT
CUPERTINO
Sanitary No
Date 0 V z� �196 Permit No
Fee $
Appi;ca7arl is^h reby�irladI1 lrgt elCjty of Cupertino for a permit to install plumbing
pipes and7r fixtures h§ted ,,-k e'rev@rse 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 /G��%% Ge'/%l ry j Address / g l GO,' 0'6,111 '4VW S:
By RA NL. 1APEress
CONTRACTOR,S� NT` v
Phone SANTA CLARA, 9505�
PHONE 241-3370
State License. Approved"�`'
PLUMBING INSPECTOR '00,