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NO PERMIT NUMBER (2)21661 I COLUMBUS AVE. Lot No. (� No. Street I APPLICATION FOR BUILDING PERMIT((Plastic Pl )� Q�tL cy i CITY OF CUPERTINO File No. 51167 SY onitar No. 4829 Date All _ 24 196 6 Application is hereby made for a permit to Construct a 2 story, Type 5 I J to he occupied only as Single Family Dwelling in accordance with Plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements $ 31 , 000 • 00 FEE$ 93 • CC Plan Check $ Owner _� t t L AssiaQ Address BOX 509, San Jose I Contr. Address Phone - pw-g,�44 State License 1 mil 7gl 257-1110 ' Approved W. D. Benevich/h APPLICATION FOR ELECTRICAL PERMIT vW / /6 Date 196 FEES Contr. .ffAddress Phone Tay State License Approved v W' APPLICATION FOR PLUMBING & GAS PERMIT Dote 3 / 196 `P GAS FEE $ — va PLUMBING FEE $ Jan Con tr. _ r/"�'e �"�� Address 12- 3 `% �77 Phone 2"3 �" 3 State License \lc�-6 gj �9^ Approved APP CATION FOR q APPLI AN PERMIT r/ aS- Date �//3 FEES o /�I% ?�0 ,7—� � �`�-=�'-'c / ` � t'r Contr. Tr- '`r-�- Address �•+-•.J 0 Phone State License APProved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSP FOUNDATION _l1 UNDERFLOOR FRAME _ - LAT PLASTER/.� FINAL 10"r,11%-1! s Lam/ Date OUTLETS leto SWITCHES 24 RECEPTACLES �V FIXTURES a r H.P. CHARGE / PERMIT FEE J*I TOTAL FEES �^ ELECTRICAL ON Yi:a��• SERVICE SIZE UNDERGROUND Jy �_ ctor ROUGH WIRING - n . ,4¢a / .7 * Inspector . FINISH WIRING Inspector FIXTURES Date Inspector Motors .DQre� Inspector FINAL 1 77 Dote Inspe for PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH --?- 6 MAIN DRAIN FEE a= D t ROUGH COMPLET for STORM DRAIN FEE Dom' MAIN DRAIN - or WATER SYSTEM FEE �� GAS PIPING / , % Par GAS PIPING FEE !/ Data FINAL l e% for PERMIT FEE Date MISC Impactor TOTAL FEE '-- /o - - Date MISC . Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTIONS VENT SUSPENDED UNIT MISC ' GAS RANGE MISC GAS DRYER ;PERMIT FEE r FLOOR FURNACE .,I TOTAL 0�r INSPECTED /�//l'� -� Dote Inspector -lit 6 LOT NO. Q% 1 ` s� FbR BUILDING PER IT z� 0 ° /AUG 24 OF CUPF.RTINO o < �956 Sanitary No. F o Ulf i /(��!!� 196_ Permit n App tcatio9(Me E�or a permit to CL%n1 ST2 «.�Y ° 6 'z m a Z story, Type S / Building to be occupied only as S/iv ' �E 7�c�,.__ /1_7LzE- in accordance with 20 Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee F; Estimated Value of Improvements, $ 3 ii am Fee $ 3, OD iJ 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 0 Cupertino will be complied with. q 3 r`m Owner s — Address -0 S'7 wz a a By .�`�� Address o Z.S%—///D j 40 Phone u Approve State License�� 9 BUILDING INSPECTOR / NO. STREET LOT NO. o , _L�tG'ATION, FOR ELECTRICAL PERMIT o a �WY OF CUPERTINO 5 , �AUG 24 1966 Xo ° CITY p �� I& Permit No. ERPNO Fee j 3 _ a N Application is hereby made to the City of Cupertino for a permit to install electrical w i wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said 0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the 5 N City of Cupertino, and all other laws applicable thereto. y� ,17 Z J �_ Use of Premises J Z 3 a Owner _D/TZ �� F Address — N aBy _ _ Address u E CONTRACTOR, AGENT , _`u° aY2-1111 Approved ' Phony. ELECTRICAL IE State License, NEW RPL FEES Size Service Conduit ---------------------- Number of Outlets..-------------- ---------- ---------- --------- --- Size Service Wires ------ .------------------- Number of Switches ---------------- --- . Size Service Switch ------------------------ Number of Receptacles.---------- ---------- ------- .-.----..----- Size Sub Feed Conduit ----------------- .Number of Fixtures-.------.----- ---------- ---------- --.--..--.-.-- Size Sub Feed Wires --- ---------------- Ranges ---------------- KW------------ ---------- --. .............. Numberof Circuits.----------------- Oven ------------ KW----------- --------- -------- ---..------ Number of Meters ------------------------ Signs ---------- Transformers---..... --------- ---------- -------------- Misc------------------------------------------------ Dryers ---------------------------------------- -------- --------- ------------- Motors ------------------ HP --------------- ---- Phase ------------------ Permit Fee $1.00 Motors-------------------- HP ------------------- Phase ---------------- Motors ....................HP ------------------- Phase -------- ---- ---- H P Charge ---------------- TOTAL FEES RECORD OF INSPECTION APPROVALS RoughWiring ---------------I--------------------------. Fixtures ---------------------- I- ----- ---------- -..._---- DATE INSPECTOR DATE IRRRECTOR FinishWiring ---- -----------I---------------------- Motors ------------- ...-------- 1---------------------------- DATE INSPECTOR DATE INSPECTOR Final------------------------I------------------------- DATE INSPECTOR LOT NO. Iv O. EF.T � + N zle 710 Oil PLUMBING PERMIT .W i /AlIG l Z F CUPERTINO Y¢ _r) x o �' �966 - - Sanitary No. I 3 U Date- �� - /� j' I f,� Permit No w i ti�Pr�pIFJC Fee $ �% 6.—`. xLL ° Application is hereb}' ma h ity of Cupertino for a permit to install plumbing - `o w pipes and/or fixtures listed on thereverseside hereof, and agrees to install said prices 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 Premises00 3 Owne&A�- - - Address�.�..9 S- J Y-`-Address-- 3 r CONTRACTOR AGENT + 3x. aw Phonr �¢ c 4 t is3 �' %' 'j� T3 .: iR b €E�1?• �.N' Yp' �}+ a"o, _State License l���T��_ _ Approveds-- T -:U PLUMBING INSPECTOR h. 9 HXTURES NUN BER MAIN DRAIN UNITS FEES UNITS FEES Water Fleate :. Size Water ,Closets `q Material Bath Tubs. To Cl Showers - To Prop. Line ✓ Lavatories To Existing Kitchen Sinks. Not Conn. Dish Washers It Sewer Boxes Waste Dislwsals Wash T� rays STORM DRAINAGE Was int—g Machines —Softeners Size Water Material Bar Sinks To Main Drain Com . Sink m rays To Curb Dental Units Molting Fountains Ploor Drains WATER SYSTEM Hoppers Size Restaurant SiMD ks Material TOTAL FEES Fixture Fee Main Drain Fee Storm DrainFee s Water Sys. Fee 1�Permit FeeTOTAL FEE RECORD OF INSPECTION Underground Rough Partial Rough Rough; Complete :loam Dram Final . 21661 rolumbus Ave. 18 NO. STREET LOT NO._ ?tPL APPLICWTION FOR APPLIANCE PERMIT z _CI Y OF CUPERTINO 0 DSfPjg9W63�// r- 7 0 a196_ Permit No. 3 LL Fee $ 2� 0 CITY ORpp2a1JV% cTgj k'@y made to the City of Cupertino for a permit to o < install gas appliances as listed on the reverse side hereof, and agrees to `N install said appliances in accordance with the provisions of the Plumbing i Code of the City of Cupertino, and all other laws applicable thereto. J LL Use of Premises Residence 00 _ w Ownertz-Crane Address P •0 • Box 509 S.J. O< FLOG r aCO. J Z By 120 C LLN�Ti1Ry,—� {{��rt%� ••.� ��yy''�� 34ddress 3 < (.�It3�QD�tI, Offfornio — m Phone ww STATE CONTRACTOR'S WILLIAM D. BENEVICH 01 State Licens Approved - / —o /% t Jt b PLUMBING INSPECTOR ✓/ Type of Appliance Units Fees II Remarks (Chuck ✓, New Replace I Relocate Gas Ranges Wall Heaters Gas Plates I II I I Circulating Heaters Blower Furnaces Gas Fired Boilers I I II Warming twens I I �I I I Percolators Griddles II Steam Tables Gravity Furnaces Suspended Unit I_. Floor Furnace Miscellaneous I V I (NAME. TYPE) - II I I pp Iance ees 5 / Inspected and Approved................................................................. DATE INSPECTOR 1110:1Jept Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPBRTINO Sewer Connection Sanitary Permit No. .7 ..�.....'1............... CTO�plumbing Final Plumbing Permit No. ..-I— %l is Lot No... V.0.................... Owner or Tenant ............. .............. t/.%q At .../GG/... - ...� ..Tract .................. Date Connected ...... -- .. ........ /...-.... PLUMBING INSPECTOR 19fa.Sw..._ 194;61.0.... 011) CERTIFICATE- OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date .... . Z_: 19 ............ Building Permit No. ................. The Building Located at .... ..................... Ownedby ....... .... .. ............................... .................................. Has Been r —eFor Use As: ........... ...................................... (Al"t—efil ......................................................................... ................................................................... ............... 102 1/63.500 BUILDING INSPECTOR GAS SERVICE NOTICE orrtCE BUILDING INSPECTOR'S OFFICE COPY CITY OF CUPERc'T�I/NOy/ To You are hereby authorized to connect the GAS service for Owner or� Tenant . C E.. ._..-. ��.._..................._...................._... At ...! .1../n.rp .�_ / .GC ........ uf.:L^._._......._............................. // New Service ...... No. of Meters .._(................ Reconnect .............................. Move Service ........................ No, of Add. Meters .............. Move Meter ....._.................. PLUMBING INSPECTOR ELECTRIC SERVICE NOTICE iiILDING INSPECTOR'S OFFICE CI CUPERTINO / �`/. ou are hereby aut, ri o nnect electrical service for Owner or Tenant .......... Zt Iffico I. No, of Wires ....... Motor Load ................ tng Load .............. 5E No. of Add. Meters............ OFFICE COPY 196.'7 . t- Size of Wires ... Size of Switch��1Q.. �..... Voltage... ..................... .......... Phase .................................. K. W.... ..... ........... .rVoltag/....e................................ ....... ew Service... F'...... Reconnect .................. ............ Move Service............ eLeanuceL ROUTE SLIP File No. j Date Out_/ ^> Date In LocationC�7 Subjeot Notes Approved 1- to - V1 F-- Date Ins °cto^ :r i e i OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTIN / ..._......... ....-.�-.... ? .... 196 (/(!. To You are hereby a t or' d to nett electrical service for Owner or Tenant ......... At......1..%.iv.l........................ ...:.. ............._.... No. of Wires ..... ............ Size of Wires ..... .y.. Size of Switch �.0�.�'.... Motor Load .......................... Voltage ................................ Phase ............ ......... ........._. HeatingLoad ........................ K.W.................... ........... .... Voltage .............................. . No. of Meters.........(Light................ 110............ New Service..... ... ........ Reconnect .............. ....... ...1 n /I <Il Heat. ................0......../`[\'IP'hhree tP/yh/fire..... Move Service ...... No. of Add. Meters............ Power... _....... ree d!l... � ....,. Move Meter ............. ELECTRICAL Location Sutjdot Notes Y� ' tiOUTE FLIP File No. Date Out Date In Z� / d' Approved — Date Inspector