51037 1 '' c. 6-r ifs)
awl JPatc z2
No. Street 3
`APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO .
Sanitary No. G 471:1
.� File No.� / c .�,7
Date 196.
Application is hereby made for a permit to
a / f4.---"s tory, Type f 11/47
to be occupied only as
in accor ancith Plot Plan, Plan's and Specification filed herewith.
Estimated Value of Improvements E 1 ann
7
FEES /v Q S -- //fJ- / /Plan Check $
Owner ALLA /JG wyn /delmli dress /C f� i sc -
Contr. (� Address -
Phone a,r3 — G F d a State License 43-4 O 9
J . 7 3 X- 'f3- la Approved i
•
APPLICATION FOR ELECTRICAL PERMIT
/G Z� to
Date 7 196 FEES
Contr. C/--e.�i/ Lei--e�e.L.z,f� Address
7
Phone �'/ Y s� 6. State License 2 '4/ 1
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date - 196 GAS FEE E I •S
Cn• per,, \\F� irNi PLUMBING FEE $ Q3•JlJ
Contr. ` )\,(L. ('� Addres nAl.X `/ `�•
Phone ale) ``lState License
Approved yy������WIILLL�LIIAM D. BENEVICf�
APPLICATION FOR APPLIVNCL'PENM19' W /
Date /7//3 — 196 7 FEES Z
co.. 4-+ Address -77 // (P-el �'� ? / -g
Phone � / / -0)- S
't..? State.L icense — � D �vZ�
' l Approved
Applicants agree not to violate any of the ' ' v /�
Workman's Compensation Laws of the
State of California . -
0
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL �- �j y�
FOUNDATION fl '.� �. v %/9
ly
UNDERFLOOR in. Plant vYCt6FRAME /11• a - 1
LATH & PLASTER
GRADING FINAL
FINAL BLDG. Jr �(- zo /%6 •
ELECTRICAL .
DATE INSit.CIA_ � ��.,L
UNDERGROUND ROUGHliaORN ylbr eAe.0 Cenaw' 448..,2"
ROUGH WIRING
FINISHED WIRING � 13 e61._
FIXTURES I' IX• 7o Si"
MOTORS
FINAL • Si1 o
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARYt10
V.•GTN *Nitta ew G RACE) 8- 27-0
UNDERGROUND ROUGH �+ (�
PARTIAL ROUGH M/And S a "- Pon s, /p-z.2' 67 ea.9a
ROUGH COMPLETE /D_ 6 6/;, p[/,"j
MAIN DRAIN Z d- G•�I2. eyl��E_TBST oN /®-/y•69A.l
FINAL PLBG. /- 4 - 5.4e. �Q
FINAL GAS Mir. 0/C '� �1- 7° 9• e
FINAL APPLIANCE 14 - 70 �e✓�
DATE INSPECTOR MISC.
MISC
MISC •
•MISC •
II
6jCERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
ryCITY OF CUPERTINO• S
Date yb / , 19 Building Building Permit No.
�.�c/.U��
The /ding Located' at . '..Z.. ...UTO 7 t**t - ' -' k
Owned by 1/(/ /M/li p 1° /95-,,J.71,----,14-----7:C.
(Completed)
Has Been ( or Us s:AL
4.4_4 et.A.:7
_ •
P.
�4i �r�
DING INSPECTOR
OFFICE COPY
O _ iCITY OF CUPERTINO
I ��w�� ELECTRIC SERVICE NOTICE 'j
You are hereby t o'zed to zne electrical service for
Owner or Tenant - •
At l Qu a C ..a _e e . , * 9
No. of Wires Size of Wires /42- vSize of Switch` 0o1
Motor Load Voltage Phase
Heating Load K. W. Voltage
1 {Power
Light "" 1I0 /New Service -- l<emnnen
No. of Meters Heat 220 ... "hut ire._..... Move Service
No. of Add. Meters
ree Ah se ... .... Move Meter.......
I�
E LECTR!CAL INSPECTOR
Lor- I ;Y GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
J /1 — 76 , IV
To
You are hereby authorized to connect the GAS service for
j Owner or Tenant Wnio C RU.114 ? 0674
At ea It 0 -TERRfi C C Ptenir
New Service
No. of Meters 1 Reconnect
Move Service
No. of Add. Meters ,
Move M r.
PLUMBING INSPECTOR
1-4.7.rr 1>8
Bldg. Dept.
• Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
Sewer Connection Sanitary Permit No. 6.5.5. 3
Plumbing Final Plumbing Permit No.5../E:1327
Lot No
Owner or Tenant (torift) C Pt Y14
At -al ',.?1.0 6-re.,e c"-- DR 1.1.67
Tract I
Date Connected / 0 — 6 7 19
Date Final // "— 0 — -' 19
ttrr(fde:\
ki PLUMBING INSPECTOR
ROUTE SLIP
File No.
Date i- Z,- w
Location_z
act
Subject , y ‘i-u.,-/p
Notes ,C ,— /e 6r
Approved /-2.i-/0 -
Date
Inspector
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
Department
Job Located at Z f 91 a fl)( A CC
1. ics-id- C pro-- acs--
I Or /o-' -roe eoM l -fax
•
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: 1 E / - 70
City Telephone Inspector: -,. a
CITY OF CUPERTINO.
10300 Torre Ave.
CORRgCTION NOTICE
Department ��Q
Job Located at . 6 ��b-eye `""`
caac,
2, o'1Qa, litrerL- -� -
3 f 1't-e1 x - .1 -
S �^_(��Lam/
freg- ea 1 0.4-tiC
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: ...
City Telephone Inspector: ��
CITY OF CUPERTINO.
10300 Torre Ave.
CORRECTION NOTICE
Depart etzil Arrr
Job Located at r
- ) 44-2,-e
6 -ed( nie---nErn Ott.ceAl
-77Avut
q Alta--""Asti
YOU are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made callS the inspector.
Date:
252-4505
City Telephone Inspector:
CITY OF CUPERTINO
10300 Torre Ave.
CORRE TION NOTICE
epa rtment
Jots Lo ated atL •¢�
)19-6,ektuiem-i War-A'
111;1-
gik cite. _QA
z , �/ -/de ,Ze/cz,K
3• ) ,, u ya,„A ° `4-f
.f'
0,„0 w kwi
ti
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
Date: 1— 2-1. —70
252-4505 /��
City Telephone Inspector: ,/;f!
I .
ROUTE SLIP
File No, .5? O37
Date Cr-
Location 'err-
_
P
' � sot
Subject
Notes
Approved
Date ector
o 441
Cl a0 C`Fe -ri - /� I.OT NO% C C
O, STREET
W ON FOR BUILDING PERMIT
I ° ® f� ��7 ft
! OP CUPERTINO ,Q S�-
o a Sanitary No.
3 3Y 3
w a Oaf . JUL 19�9� V,' 19649Permit No. �C7 c .3
wo
Io
o w C���lir�r pipit/rip( permit to eiiee_G�-�-
a //NN'��'FF T
In a T s ory, ype 2 "3- C l y R'Ar.t') Building
w
to be occupied only as s,-4-5-6 e- F�>iCyi atAj - in accordance with
4
o o' Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, $ 3 erre Fee$ ltd Ste,
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
a all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be compli d with.
3 <
_ m Owne , ui/� t. - 01240/079nddress 'fir /7- 63
w z
� a By ,..0 „,--.00 , '/ 63
a u Phone /a 53 —ereac A : ��
- �/ �9��. PProv44_0_22.e.„,,,
Al State License C :DING INSPECTOR
aIS4V I• retrtms DR OARLk!By
I 0 Q NO. STREET LOT NO. 1.0
i Z
a
0APPLICATION FOR ELECTRICAL PERMIT
° J
s CITY OF CUPERTINO
• ° /O// / O2
a r Date 19' 67 Permit No. +
o a Fee Z lo`'o
I-
a in Application , h eb'� e f Cupertino for a permit to install e�ctrical
W i wiring g and/ p fixtures as listed everse
side hereof, and agrees to install said
0o wiring and/ r If `u _in7ac& nrerthe provisions of the Electrical Code of the
City of Cupertino, and all other laplicable thereto.
o a /1�{T p
J L Use of paJfiiim (j' C it 111Vd2�S
vI 1 + vI
3 N Owner Address i
— By a x' lit rG Address .i
Q O �/�a.
CONTRACTOR, AGENT
�U Ph ,no: -l` • )07L Approve _.�1 �� , .�
11 Q ELECTRICAL INSPECTOR
V‘.-
State License. 2 41 / 14 G 4 I
�•� [TEM - - t��`NEW.gPiLy FEES
' Number-of Outlets 13 '
Number of Switches
,.: Number of Receptacles "Kk . .„ -/-4.44--
_
v- Number of'Fiztures
Y Z
��aRanKes or Oven's IC W. - � - - .00
° Size of Main Service r St £ - lean '
Nuinber of Meters y -
Number'of Panels',- - - - .t 'i` /.
Sighs`-Transformers - -. - -
Dryers' _ ,1. :,
TY4 H P phase
H.P:Phase'. ,-
: ARP.Phase.- _ -
PowerPoles
Misr •'
Permit Fee'
Totalfees-, .q` *O+
�u� .___ - -. Y, . �w4.I w r t.C•rz.se . :.:a'ta'iJ
21210 I 1 E/e_ACE DR. LOT NO. PiNF SI—
NO. STREF..T
PITION FOR PLUMBING PERMIT
® Y OF CUPERTINO
lz
o Sanitary i1 o.
3UK 4s7 69' 51037
Dai (All: g, 196 Permit No �1
� 4 Pee $ 23.150
LL w 1 . tjP�['is �St#gb►� tm�le City of Cupertino for a permit to install plumbing
o pi h. I d/ fixt li reverse side hereof, and agrees to install said prices
i and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other aws applicable thereto.
0 o Use of Premises —1/tet
1- 3 Owner ." / Address 2 a y� /;4..41 r9Lt 4.
oa �//^��,,
▪ o f3yl/C '�+�( �� Address /lal
3 7CONTRACTOR, AGF T
3 Phone ( re F� /
w z `�J
ao �3DL/D7 /
a o State License Approved t/
00..
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees _ Units Fees
Water HeaterSize 9 it
Water Closet 43 Material CL _
Bath Tub / To Curb V _
Shower / To Prop. Line
Lavatories q To Existing if
Kitchen Sink / Not Conn. ,
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine / Size
Water Softener Material _ _
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Uriit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size y/[r/
Restaurant Sink Material /-1/
Sand Trap TOTAL FEES qa C
Urinal Fixture Fee /3.50
Area Drain Main Drain Fee 5 00
Water Leader Storm Drain Fee
Sprinkler System Water Sys.Fee 41.
Relief Valve Gas Fee i 0
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 2 .00
Total 050 Total Fee 2.-t 5 0