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51179.1Street Lot No. e�978 APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. %r"79/ Sanitary No.S Date 196 w Application is hereby made for a permit to • a story. Type S 1 to be occupied only as in accordance&th Plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements FEE$ _ dPd•• x-0 Ow ne r Contr. $ _AA D O a 0.1 Plan Check $ _ ,,/ Address � �/-19- e( b Address Phone JS(A — Aa Y` State License e•;. -3 'uc Approved WILLIAM D: BENEVICH APPLICATION FOR ELECTRICAL PERMIT Date " 196J_ FEES � Contr. ffi��Xr� O 1�Ow�� i /- Addresd` su "• p Phone —_1�.7 Ln .� n Ai a State License �a Od 4% Approved WILLIAM D. BENEVICH APPLICATION FOR PLUMBING & GAS PERMIT Date �Ta 196 GAS FEE S PLUMBING F E E O 4 Contr. • Address ` Phone State License Approved —_WILLIAM D. BENEVICH APPI&ATION FOR APPLIANCE PERMIT Daee 1 196 Coli FEE$ M QQ e p res01 Phone ..i� State License Approved WILLIAM D. BENEVICH Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS" BUILDING 7 FOUNDATION Z�� o c7 DATE INSP OR UNDERFLOOR 8 - ?-_ Q DATE TOR FRAME / DATE INSPECTOR LATH & PLASTER CTOR FINAL 6 DATE - INSPECTOR ELECTRICAL ELECT UNDERI ROUGH FINISH FIXTUR MOTOR: FINAL SERVICE DATE _ INSPECTOR 'ROUND DATE INSPECTOR WIRING DA E INSPECTOR WIRING b I DA E ES d C)AINSPECTOR DATE � INSPECTOR DA EE INSPECTOR O DATE INSPECTOR LUMBING & GAS :RGROUND T PECTOR FIAL ROUGH 99 CAT INSPECTOR iH COMPLETE - 0 T I PECTOR DRAIN • E INSPECTOR PIPING _ `5 •��, - /D TE INSPECTOR L ^` DATE INSPECTOR DATE INSPECTOR INSPECTED DATE INSPECTOR ' APPLIANCE ATE INSPECTOR DATE MISC DATE MISC� "-� - - J �4� DATE INSPECTOR l INSPECTOR APP- 30 NEW RPL A, Size Service Conduit ........ Z ............. Number of . .....................................*...... Outlets ......................... 1� of Switched...-....- Size Service Wires ......... ;;�� .......Number 7 .............. Size Service Switch ...... ..��4umber of Receptacles3 .. Size Sub Feed Conduit ..................Number of Fixtures.......[._................. ........................ ................... Size sub Feed Wires ....................Ranges..-...---------- Ranges................ KW .............. .......... .......... .............. Number of Circuits ....... 9 ........ Oven-------------- KW .............. ....... .. .......... .............. Number Of Meters ........................Signs.......... Transformers ........ ..... .... .......... ............. ............... Dryers ----------- Misc ---- ..... --- Phase ----- s Y HP V:�: Motor .... / ---- ------ ----- -- - --- /.............. Permit Fee $X.00 ------ . Motors ........ HP ---- .......... ----- Phase .................... Phase H P Charge................ . Motors .................... HP .... .......... .... .................... TOTAL FEES—�------�— RECORD OF INSPECTION APPROVALS Rough Wiring ........ ....... ............................ Fixtures ...... - DA . T -C ......... ........ - N ........5 P 0 . 0 ------- Kc T DATE INSPECTOR Motors ............. ......... ............................ Finish Wiring ................ ................. .All . INSPECT DATE INSPECTOR Final ...................................................... DATE INSPECTOR I J 9 NO. ^� STREET STRRCT LOT NO. �AP I RAZ DN. rFOR ELECTRICAL PERMIT ClCrrv�oP CUPERTINO Date 19�Z Permit No. VF P.'UPERTI'I0 Fee Application is here 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 fixtures in accordanfe with the provisions of the Electrical Code of the City of Cupertino, and) all other flaws applicable thereto. Use of Premises_ {//�),2Z2,1,� i W7L/I� iv State License:�2 Address Address_�7j Approved _:d?: E3PdsVICK ecernuul. INSPECMI oC� 9NO, Price. Av nue IOTNO. Rl NO. S11TREE � W p IAPAIA-'ArT110P,16 PUILDING PERMIT ° Plan 2978 / CL��jj' OF rCUPF.RTINO o a JUL ! 1�b8P(" Sanitary No. s� 5 Su _ ll:ue June 24 1968 Permit No. ,r7// Me o Application is h'ereBy made F�r�a�permit to — Application construct a <N a one story, Type 5—I—J Building w r� to be occupied only as a single family residence in accordance with ii o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee —0— "; Estimated Value of Improvements, S 28 s 000 Fee $ 8 5. 5 0 i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and * Z all other laws applicable to the construction, location, and use of buildings within the City of o Cu r ino w II be complied with. —NBu er%OMEGA LDERS, "NC. Address P•O.Box 1135,LosGato wz W a ¢ a res-Address Same i u Phone 3 5 6 2 2 Approved WILLIAM In. RFT Entle-y State License 2 2 2 2 3 2 3 2 6 BUILDING, INSPECTOR W< tia Price Avenue _ LOT NO. 81 WING PERMIT 1 r JUL 8 1968 d L'1 Sanitary No. Date July 21 p� 1p96_iCSY Permit No CI l Y od ( jp%I�r1�1Pee $ Z J Application is hereby made to the City of Cupertino for a 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 Dwelling Owner Omega Builders Address P. 0 Box 1135 By Palm Plumbing Company Address 1234 T1 Hwv o 4. io 2COPNj_RACT R,AGENT Phone 2323 186579 WILLIAM 0. BEN�VICH State License, Approved ��-/ PLUMBING INSPECTOR �/ FIXTURES NUMBER MAIN DRAIN UNITS FEES UNITS FEE: 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 l - Size Water Softener Material Bar Sink / To Main Drain Comb.Sink & Tray To Curb Dental Unit - Drinkin Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee / Area Drain Main Drain Fee J--?'f/ Water Leader Storm Drain Fee Sprinkler Valve Water Sys. Fee /SV Relief Valve Gas Fee / Vac Breaker Skimmer Filter Permit Fee Total /Q S� Total Fee -7 • /%./ LOT NO. !l d NO. STREET a y i0 „` APPLICATION FOR APPLIANCE PERMIT z Z A CITY OF CUPERTINO y O 0 Date9 Permit No. 3U ,UL 1.1 1J Pc:..,� Fee11L/ aw Application is hereby^ ade to the City of Cupertino for a permit to o F inst Allsgas alSp'lian'e'�as�lls> �on�the reverse side hereof, and agrees to z a installlsald appliances n accordance with the provisions of the Plumbing W = Code of the City of Cuperti w and all other laws applicable thereto. i� Use of Premises�� - --<�—� 00 3 �%yg ��--�� Address �m owner 81 o a ' ' Pioneer W y z g MERCURY SHEET METAL' & HEATING, INC. Address Mountain Uiaw GBlifnrnia gdfldfl �'O y CONTRACTOR,AGENT 3 < — m Phon z S{ALLIAM D. BENEVICH w a m s State License � Approved 0 PLUMBING INSPECTOR' yll/1177„ i� Type of Appliance ( Units Fees II Remarks (Check ✓; New I Replace I Relocate Gas Ranges I I II I I Wall Heaters I I II I I Gas Plates I II Circulating Heaters Blower Furnaces Gas Fired Boilers Warming (hens Percolators _Griddles I I II I • Steam Tables I I II I I Gravity Furnaces I I I I I Suspended Unit Floor Furnace I I II I I II I Miscellaneous NAME TYPE. I I II I I II I �evll Appliance Fees — Inspected and Approved ............ ... -I•----------- --------------- _-_...._....--- DATE INSPECTOR ROUTE SLIP - File No. Date /o- /H-C, / Location eo.a' Subject�� _ Notes T Approved 5( <' ,�-✓. Date Iris e for q ., ROUTE SLIP File Nos%i79,/ Date 7 2 6 Location Subject Notes Approved �� y UMB I AIN DRAIN UNITS FEES JUNITS1 FEES Water Heate $ize Water Closets Material Bath 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 Com ..Sink s Trays To Curb Dental Units Drinking Fountains WATER.SYSTEM _ Floor Drains I Hoppers / Size Restaurant Sinks aterial San Traps/ TOTAL FEES Urinals Fixture Fee' Q Area Drains Main Drain Fee Vater Leaders Storm Drain Fee Spank r Valves Water Sys. Fee (7 i Permit Fee TOTAL TOTAL FEE 6 F I SPECTION Und gr ough...' / Pa ial he Ro gh Complete.. Mai rain Final... ao 9✓ 51 It i/Le—CA.. CiGC_, LOT NO. STREET ]� APPLICATION iF6R PLUMBING PERMIT ^ CITYj,OP CUPERTINO )Mp Sanitary No. Dare V� 196! Permit No 3—�i _ Eee S -3 Application is hereby made to the City of Cupertino for a 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^pplicable thereto. Use of Premises Owner State M WILLIAM D. SENEVICH PLUMBING INSPECTOR CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO BUILDING INSPECTOR 102 12/66-1M ELECTRIC *SERVICE NOTICE OF . FICE COPY BUILDING INSPECTOR'S OFFICF CITY OF CUPERTINO ....... .. / . C) 1962 .................. I TO You are fi�ereb do rized to connect e t'i�spervice for or Owner or Tenant ..: ......... At............. . ............ ............... .......... ........... No. of Wires ......... ........ �.. Size of Wires ....... * ------ ),-.Size of Switch 'Motor Load ..........................• . Voltage ............ ........ ......... Phase ..... ...... Heating Load ... ....... ........ ..... K. W. ... Voltage ..... .......... h ",-,10- f< New Service..:..../Reconnect No. of Meters... 'ig eat . ......... 22o. %..ree I r e Move Service ........... No, of Add. Met e Power... ........... ce as I.. Meter .............. A P. L B C T M C A L INS GAS SERVICE NOTICE 'OFFICE" COPY BUILDING INSPECTOR'S OFFICE Q I CITY ,OF CUPERT/INO i I To You are hereby authorized to connect the GAS service for At..:............................:.._.•....._................. Owner or Tenant -....'... %fib. !.7Y1 .............:• �,.. - New Service, - . iReconnect No. of Meters .....�........... . Move Service ........1:..:........ . . No. of Add. Meters .............. MovrMeter.........::...,'..:.....:.... . �.PLUMBING INSPECTOR...,........_ , Bldg.i'Dept. - 'Office Copy BUILDING INSPECTOR'S OFFICE CITY .OF CUPERTINO c { ; ❑ Sewer Connection Sanitary ' Permit , No. , �..,.5.-.�..._... [� Plumbing Final Plumbing'Permit .No.'. f, Owner or Tenant .....�.'Id .....-?2 • Lot No .................:'..'...------ At ..;.s..:-:��-.. :....-. _. Tract ....... � V . Date Connected f7 .. . ................. Date Final ... - .....:. .--�G%-�-�:...... ---- ::........ ...... 19 �A ,. ---. -- PLUMBING INSPE ' v�`r�� croR! 111 12/66-1M