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NO PERMIT NUMBER (2)Lot No ZRI Date Street /G2cI i� 113kl APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO APR 7 - 1969 196 Application is hereby made for a permit to to be occupied only as Sanitary No. G30 File No. SII k.1 a I story, Type V in accordance with Plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements 9 FEE$ - 6U Owner d4 Contr. Phone Le 9Z - 3ssa' Plan Check $ Address rdo /t a• Address •r / State License �S Approved VWUMM D: HENEVICH APPLICATION FOR ELECTRICAL PERMIT Date 196 7 FEE$ Contr. __S.T'L-ten— Address �� -�_ �✓ ���� �_ Phone t' — o% 7 V el State License %.3--� Cj Approved 1�--`—'� Ja� APPLICATION FOR PLUMBING & GAS PERMIT Date - z 196 % GAS FEE $ _ PLUMBING FEE $ �' 9 -% 9 Contr. fo p/ Address �5 �� 2 C. PhoneLicense Approved !/JJ� IO O.✓ (,/C./ APPL ATION FOR APPLIANCE PERMIT n J Date /y7�-/J 196 yJ-f'//// FEES, r/�/, Contr.,. Ln L%J�t/�CbO s�JLtLiGI //L(iLR4 Address Z Phone 1591State License Approved t"'�• -�>� Applicants agree not to violate any of the 6'orkman's Compensation Laws of the State of Califnrnia• RECORD OF INSPECTION APPROVALS �r y-2.1-69 CA- - , BUILDING n ATF INSPECTOR MISC. 'AD FINAL FOUNDATION UNDERFLOOR FRAME / LATH & PLASTER GRADING FINAL FINAL BLDG. UNDERGROUND ROU ROUGH WIRING_ FINISHED WIRING _ FIXTURES MOTORS FINAL ELECTRICAL DATE INSPECTOR PLUMBING, GAS & APPLIANCE DATE INSPECTOR BACK FLOW REQ. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN �— S ^ o TV - • q l ��• FINAL PLBG. FINAL GAS FINAL APPLIANCE 41,_ DATE INSPECTOR MISC. MISC MISC MISC +0 _—_ CERTIFICAT9 OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ....... .......................... 19 ... The Building Located at .. ...... X Owned by .... . /) . (�.... 1 x . ....6 Has Been Fo— r Use S--, Permit No. .'A' .......................... ............................................. ............ ..................... A ............. : .................. R ............. OFFICE COPY CITY OF CUPERTINO ELECTRIC SERVICE NOTICE You are hereby �authorized to.� nnect electrical secvice for Owner or Tenant ...L`�.G? Y iod 40 ...... ... �.e................... "... .............. I ............ ....... ............... No. of Wires ...... eri........... Size of Wires ...................... Size of Swjtch Motor Load .......................... Voltage ................................ Phase ............... ................ Heating Load ........................ K.W..... .............. .......... ...... Voltage ................... I ....... .... ' No. of Meters........Light......... 110.. v.... New Service......... Reconnect ................. ............ . / Heat ................. 220..(�...... Three Wir..... No, of Add. Meters............ Power ............... Thrcv Pha ....,. \tore Mctrr........ .I.KTRICiAL INSPECTOR Bldg. Dept. Office Copy CITY OF CUPERTINO SEWER -PLUMBING NOTICE Sewer Connection Sanitary Permit No, 63NI1.2 . ............ p Plumbing Final Plumbing Permit No. ............. ! ......... Lot No . .... lz.77 ............... Owner or Tenant ....... K T....... .... LP . . ........................................ .... At........ ................................................ ......... Tract ............ GQ)2A .. .. ..... DateConnected ........ .E ........ r ........... ..... ........................ .................................. 19............ Date Final ...... Z2;! .. . ... ------- ---- 4 .................. 19 ............ ........................... PLUMBING INSPECTOR Lor (07 GAS -SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO OFFICE COPY 196...... To You are hereby, authorized to conned the GAS service for Owner or Tenant ... ............................................. At New Service ..x.................. No. of Meters ..:....I............ Reconnect ............................. Move Service ....................... No. of Add. Meters .............. Move eter ........................ ........................ PLUMBING INSPECTOR CITY OF CUPERTINO 10300 Torre Ave. CORRECTION NOTICE ------------------------------------------------------------ ------------------------------------------------------------------------- ------ You are hereby notified that, no more work shall be done until the above violations are corrected. When corrections have been made 'cc/all the inspector. 252-4505 Date: -l.- �/ n ems/ - --.-_.----- City Telephone Inspector: .F .4 . .. ................. ROUTE,SLIP File No. -,/fl7 Date Loc.a.tion---- la 7 Subject Notes Approved, O—— O— Date Inspector �NIPME 10641 Castine Ave. No. Street Lot No. l 07 APPLICATION FOR APPLIANCE PERMIT City of Cupertino .�, Date April 8 ,196 9 Penn it No. � 1 ' Fee $ 17 00 0 .0 3 `9 Application is hereby made to the City of Cupertino for a permit to install gas appliances as listed on the reverse side hereof, and agrees to install said appliances in accordance with the 0 d provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. Zo .Sm Use of Premises Res. 0 0 s Owner K Building CO. c �yuiAddress P. Q. Rox 'I KOh e ^ 3 o By San Carlos ShAAt MAtAI Address 779 OlA t^n„n+o na Contractor, Agent v ai Phone 591 _2(,n. lj WILLIAM D. BENEVICH (1 State License 110828 _ Approved l ,/ Plumbing Inspector APPLIANCE UNITS FEES as op Gas Oven Wall Furnace _ Gravitv Fum. Forced Air Furn. Gas Fired Boilers Warming Ovens Sus . Units Dwelling Kit./Bath $ 0 Inde end. Vent Svstem Com., Indust., Inst.Kit. Hood & Vent System Forced Air Under 4000 CFM Forced Air Over 4000 CFM Ind. Ventilation System (without Comfort C Forced Air. Mech. each Power Gravity System No. of Air Outlets, No. of Flues 12 Out 2 &V 5.0� Stacks for Metal Fireplaces Smoke Stacks, Misc. Equip. Under 15' High Over 15'High 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 2.01 Total Total Fee 17 . 0 No. Street Lot No. /D 17 p P C FOR PLUMBING PERMIT 7i 1t OF CUPERTINO ? q �/ _ C 969 I t Sanitary No. �� J 9 Date � /— U� 1196 Y Permit No. &—//V ,^ICY. I CUPERTINO Fee $,29.s o Application is by 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 By Phone A State License Z Z- Address .G2GC-st�Qi�aL Address , Q! -CcZ. �C�R-cam AWd6WAM D. SENEVICH X Plumbing Inspector FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater / „ SO 1 Size 4, Water Closet Material CW r q Bath Tub / ,SD To Curb Shower % .SD To PM . Line Lavatories 0 To Existing Kitchen Sink ASO Not Conn. Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine / /SO Size go Water Softener Material Bar Sink To Main Drain Comb.Sink & Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size / •' Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee / . SD Area Drain Main Drain Fee `moo Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee /. 5—O SO Vac Breaker Skimmer Filter Permit Fee Total IJ .SO Total Fee .Sh NO, s'rRRET WT NO. _! 7 :nj1YN FOR ELECTRICAL PERMIT Y OP CUPERTINO % Q 'E)a 19.v! Permit No, '1'Tj 7/ _ 40 / l'el' 70 !1a,Ic, he City of Cupertino for a permit to install electrical Wi ri g an l x "M'V Ilan the reverse side hereof, and agrees to install said wiring and/or fixtures in accordanr"e with the provisions of the Electrical Code of the City of Cupertino, and all other laws applicable thereto. Use of Premis s 't Owner a O E ECTRIC CO. Y 11 R, A t. San Jose, Calif. 9511- Phnnc: State License ...I 61 , 3 Address Address — A pprov ELEMIr,AL 'N'Pr ITEM 1 NEW RPL FEES Number of Outlets / % 1-10 o2-o O Number of Switches 2 �- Number of Receptacles Number of Fixtures Os_ Ranges or Ovens K.W. ;:i- 0 4 Size of Main Service / 2 1 1 0 0 Number of Meters l Number of Panels O Si - Transformers Dryers too Motors: H.P. Phase H.P. Phase Power Poles Misc Permit Fee 2.00 H.P. Charges Total Fees Q 2 10641 Castine Avenue IOrNO. 107 N No. STREET Model 401 W a APPLICATION FOR BUILDING PERMIT',F4,,F.¢3Ff/ r ° ^ CITY OF CUPFRTINO Ic�Q Sanitary No. P 6382 31969 Date April 1 r Permit No. 0 °o Application is liere6y made fora permit to build a i N a 1 story, Type V Building aW 1 fam. res. ,w. to be occupied only as in accordance with o o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee 5 t- ": Estimated Value of Improvements, $ 32 t 000 Fee S 95. 50 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 building% within the City of d O Cupertino will be cumpli it I. 3Q _ w Owner Address 0 aA Hi n ek 1 Per RA ww B Burlingame W a y .— �f <0 Phone 692-35S5 APp roved I� State License 255425 VBUILDING INSPECTOR k