NO PERMIT NUMBERRo mc�u �:Qima p, a3
Lot No.
APP SO17 *Amftf'OR' IWRT
APPLICATION FOR BUILDING PERMIT
CITY.OF CUPERTFN�
Sanitary No. u.7 lo'
0
File No.
Date 796 9
Application is hereby made for a permit to
a \ story, Type. S- is 'S
to be occupied only as & `, P1�ih1
in accordance with plot
Estimated Value of Improvements
FEES 16
owner
Contr. ����•y��l•,� ``_I�A'I�3J��J\�
Phone •�a �1 �t ,
f2-I t�64
�rv-
and Specification filed herewith„
Plan Check $
�.y
Address 58 \ PJ �\ �,s�ppTJ�iJ�d�w[
Addresssswm:•1IaNkL
State License ast\A 5 - 8' 1
Approved WILLIAM D. BENCVICH
APPLICATION FOR ELECTRICAL PERMIT
Date —„� 196�
Contr._-
Phone
FEES Is -10
Address CC
State License «U9 O
Approved WA-61AM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Data � " � 0 196
GAS FEE $ �-00
PLUMBING FEE $
ddress WaS Cam' •� �_
Phone — -�q—0�u State License .1 l (J-&l
Approv Vff.WAM D BEN'EViCH
_ APPLICATION FOR APPLIANCE PERMIT Date /7 196 % FEES
Contr.. i L'-�/�i'^-�ddress -77!7
Phone a.9-6 o S�
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
f
State Liconse A4d ap
Approved
i
RECORD OF INSPECTION APPROVALS
E
BUILDING
INSPECTOR
PAD FINAL
FOUNDATION
UNDERFLOOR
D
FRAME
LATH 8 PLASTER O
GRADING FINAL
FI AL BLDG.-
l LECTRICAL' '• S�/�-�n
IGRF(`TnR /�/O/ 4
UNDE
ROUGH
FINISH
FIXTU
MOT 0
FINAL
CAUN rerun RRV•
SANITARY NO.
UNDERGROUND RO
PARTIAL ROUGH_
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
nleovr-TnR MISC.
MISC
M I S C
1 1'
MISC
ROUTE SLIP
File No. ut/, 2/3
Date
Location
Sub j e c
Notes_
Approved, 2:Lo �0 `
Date Inspector
ROUTE SLIP
File No, 4.1 1
Date _5L
Location
Subject
Notes
Approved 15-/f:` �•
I�ate— � 9Yspector
CITY OF-CUPERTINO
- - 10300 Torre Ave.
EITION NOTICE
J --------------------
__, ....... ............ 4
------------------------ t --------- --------- I --------------
------------------------ -----------------------------------------------
---------------------------------------------------------------
You are hereby notified that no more work'shall be
done until the above violations are corrected. When
corre52-4505 ctions have been made call Pe mWector.
e 1�
Date: .............
2
City Telephone Inspector. ... .. w6u: ... .......
till CITY OF CUPERTINO
10300 Torre Ave.
�'COR CTION NOTICE
----------------------------
nt
Job Located at
---------------------------
---------------------------------
---------------- ................. I ---------
C . .----------------
...........
w- ry - -------------- ------------ --
----------------------
4�--,Xt'4 ---- A�-- I
----------------
------------------- ------------------------ -
-------------------------------
il - ----- -------------------------- I-, ------ ---
-----------------------------------------------
...................... ---------- -------------------------------------------
----------------------- --------------------
-------------- -- You are hereby notified that, no more work shall be
done until the above violations are corrected. When
corrections have been made 11 th peclor,
252-4505 a
D te . ... . ns .. . . ..... .... .
City'Teliphone Inspector-
-- ----- ----------------
ioi5�3 I ��y LA,.,F S
COT NO.
NO. STN EF. i'
'W z�P N FOR PLUMBING PERMIT
, Y OP CUPERTINO
r o ® Sanitary No. "
3 U Da �C' 196 Permit No 6 % 2 /,j
LL ° tigt�(`is h�4��� City of Cupertino for a permit to jtall plumbing
Oa pip",/o xtur s ated on the reverse side hereof, and agrees to install said prices
i m and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
Use of Premises �lJ�L6)C r
00
0 3 Owner &' 94 Barr eS c Address S8 % e/ 19747#—')n q✓r
Z J �1 c54..i.A Y✓HL�
o By L FNrP�4SF'e✓. �. ✓Jn.c Address (o.LS CHfi—t.. rr SJ.
a - CONTRACTOR/,AGENT
w i Lone rcw ` v ca State License 7 1 S 3 7 ` Approved \
— U l/ : PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
.Z
3.04
Size
4.,
_ D
Water Closet
4.06
Material
L' . i
Bath Tub
1
o
To Curb
Shower
3. Jo
To Pro . Line
Lavatories
L.06
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Y
3.06
Size
Water Softener
Material
_
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
. Floor Drain
WATER SYSTEM S-0
Hopper
Size
Restaurant Sink
Material
4.✓
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
O
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
. 6n
Relief V.]�P.
Qaq Fee
Vac Breaker
.1 fJMES
3
Skimmer
Filter
Pool Sweeper .
Permit Fee
2. t70
Total
/
.%O
Total Fee
3
10243 Randy Lane*
No. Street Lot No. 5
APPt"LICATION FOR APPLIANCE PERMIT
City of Cupertino
,DateV 02'6%69 Ai Permit No. �� 2-1-3Fee$ 2�.50
3'w?v or- ..... -
v Applicatiom is,•hcreby made to the City of Cupertino for a permit to install gas appliances as
$ listed on the reverse stdefiereof, and agrees to install said appliances in accordance with the
`o ,°� provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable
thereto.
ti
Use of Premises Res,
m
o `o
' Owner Utah Homes
o � , Inc Address P OB<>% 140
c —
c° By Son Carlos Shoat MAtp Address 79Q Old Cwnty. RA-
3 Contractor, Agent
•• c
Phone 591--2605
0
U
State License 110628 Approved
umbing Inspector
APPLIANCE
UNITS
FEES
Gas lop
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
c
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
Inde end. Vent System
Com. Indust.. I ns t. K i t.
Hood & Vent System
8 OC
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without Comfbil
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets, No. of Flues
Stacks for Metal Firelaces
Smoke Stacks, Misc. Equip.
Under 15'High
Over IS' Hi2h
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
of 500,000 BTU or less
Comp. over 20 HP & Under 50 HP
& Absorp. units with input
of 500,001 & Under 1,000,000
Permit Fee
Q
Total
Total Fee
20. Q
D
ICAATIFOR ELECTRICAL PERMIT
�• AEG 25 196g CITY OF CUPERTINO
Date c O , 19' Permit No.
ACQKK�� S Ice S
l,catio 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 fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all otl_n�r haws applicable thereto.
Use of Premiges�
syl'-(n 42—IaivlA,� f i e Address 4
® CONTRACTOR, AGENT Approved
Phone: �- �� —7 r
State Licensa T170 / /
ITEM
Number of
Sue of Main Service I� I>s. 1. I
Power Poles
4.LOT NO.-�,OkV`r'ar 71�
NO, STREET .J
N Q
3 AICATION FOR BUILDING PERMIT
0
° ® CITY OF CUPFRTINO `� �L`
LL'
a Sanitary No.
3�
= a 196 Permit No. s l iS
° \)U\\ICJ
o /�I Application is hereby made for a permit to
1N lilTY QF CUPENT����� Building
aw
to be occupied only as M �P\��F in accordance with
o o Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements, $ 000 Fee $ld oF-
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino w'll be mplicd
Address�8`1 with.
3 N Owne 0 �Lr
a a Bys \i Vain C -
°i
`� Phoneig:54�in�
APProve .
l� State License ')-s P,� J S Un.WNG IINNSYFCI'OR /
OFFICE COPY
ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE
�
CITY OF CUPERTINO
�6F.
To
You ari-lideby authorize d to connectry electric Service for
Owner or Tenant ... ........... 0 , ... ....
At ........ ........ ........
................................. 0; 6
No. of Wires ........................ Size of Wires ...................... Size of Switch ......
MotorLoad .......................... Voltage ................................ Phase .......... .................... —
HeatingLoad ........................ K. W . ..................... ........... Voltage ......... : ........... ...... .
Light
I I0 ...... Service...Reconnect......
He, 220............ Ce ire.... Move Service...........
No. of Meters .... 42�
No. of Add. Mete"".............
Power ............... ree se .... Move Meter...
...........
. ... ... . ........ ... ........ ...... ..........
ELECTRICAL INSPECTOR
LoTS
GAS SERVICE NOTICE OFFICE'
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERT//INO /
to......l..a...".69........................ . 196......
To
You are hereby, authorized to conned the GAS service for
Owner or Tenant ... lJt&q...... HppngS...... v.(.,.............................
.................
At....Q..2-.`03.......li.rNt?.y...... Lfi/�1C.......................................�..(................
&P • G 01 % 1 C AM ARDR � Cw le. � New Service .... /.?...............
No. of Meters .... :2............. Reconnect ........................:....
Move Service :......................
No, of Add. Meters ....:......:.: Move M ........................
C�J PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Sewer Connection Sanitary Permit No. ...6 ....... : .............
Plumbing Final Plumbing Permit ......
PAr-V-rzuw OLVISF Lot No ......... 51 ...............
Owner or Tenant ------- U.Tolty� ...... /"..cA ........ ...............................
At....... ........ R11I.Jay-, ..... L-1WE ...............................................
Tract.... ......... M4.pi-0e . .................._................I......................_...
Date Connected .......... ..... =-4� ....... ; ...... ............... ..................... I9...........
DateFinal ............. 1 7. 1. U ...... a ---------- ........... . .............. ...)19 .........
INSPECTOR