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51181 .ZI 3 HELM i CT Lot No. No. Street APPLICATION FOR BUILDING PERMIT 7 /CITY rOF CUPERTINO ' � ''l Fila No.�/ Q�1/ `r /' Sanitary No. Date / .?9 196 �— FApplication is hereby made for a permit to ,T ^ re c)"- a star Y. Type `' ^r to be occupied only ns S F wj% in accordance with Plot'Plan, Plans and Specification filed herewith. I Estimated Value of Improvements $ oZ2LOC as FEES Plan Check $ nT Ow er _ Ilt+S' CM6% 4L Address ZL9S �•� � `fit— Contr. tp Address Q Phone �`rs7` I,`� O State License'fr/A`'Sy^�4�Ma./�/C4 l Approved w^" ei e 1� APPLICATION FOR ELECTRICAL PERMIT Data 7M/7 196 FEES a '3- Contr. (12A p A_,I Address �� y S >�) rxz Phone Z9 ZD U State License Approved WILLIAM D. BENIEVICH APPLICATION FOR PLUMBING & GAS PERMIT ll Data L 7 196 AP GAS FEE $ -C2 J PLUMBING FEE $ ^2 J'a Contr. 0 Address 1,WO U ' 7 � C Phone ,x.60 State License Approved APPLICATION FOR APPLIANCE PERMIT a Data QQom' 196 FEES /.2. Contr. i(a• Address /3-0 Phone - 3 7 F- O 9`f y State License �ez'1"'tO Kul Approved WILLIAM D. BIENEVICH Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS'" FOUNDATION a2 J-4 O BUILDING Dajq 6 p- Ina pacror UNDERFLOOR ,^ 0 �! b FRAME C est r J AT PLASTER r'z r G napacter S to I FINAL 0 ,6.,'-675 to Ins oa ctor 1_ ELECTRICAL .OUTLETS SERVICE SIZE SWITCHES UNDERGROUND Ins pactor RECEPTACLES ROUGH WIRING to / Einspector Inactor FIXTURES FINISH WIRING �o I�at� H.P. CHARGE FIXTURES n^feactor PERMIT FEE MotorsDote/ a ctor TOTAL FEES FINAL — l� Data Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND / FIXTURE FEE PARTIAL ROU ,—ei MAIN DRAIN FEE ROUGH COMPLET a g r I STORM DRAIN FEE MAIN DRAIN eP.P.—a-7, Cwr WATER SYSTEM FEE GASP G X19GAS PIPING FEE FINAL Data PERMIT FEE MISC ate Inspector TOTAL FEE MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC x GAS DRYER PERMIT' tIT FEE FLOOR FURNACE I TO EE V INSPECTED Data I Inspector CERTIFICATE OF C ,MPLETION BUILDING INSPECTOR'S OFFICE CITY OFpCUPERTINO pp Date .... .... '.. �......................... 19_it" Bu' ding Permit No5�].Qt ff < 3 Z.. (� _. re- The Building Located at ..:. ..L.. .............."."..................... ........................... . Owned b "'� . .... ."'Lat'e �t1 f ................. y ................... ........................................... .............. .................... (Completed) 6V h. Has Bern (Allered3 For Use As: ....... ...............".........................I.......................... ................................................................................................................................................. ................................................................................................................................................. ................................................................................ � " ........... .....-- .................. t .tJl ......................................................................... BUILDING INSPECTOR 102 1/63.300 GAS SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO P .4 .............. .................. 196.?� TO ............. You are hereby authorized to connect the GAS service for Owneror Tenant Q ..... -�- .. - ....................................................... At New Service .................... No. of Meters ........... Reconnect .............................. Move Service ........................ No. of Add. Meters .............. Move Meter ....................... PLUMBING INSPECTOR Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Sewer Connection Sanitary Permit No. ........ dumbing Final Plumbing Permit .......... LotNo. ....?. . .................... Owner or Tenant------- ................................................. AtKle. .............................. ................................ ......................... Tract ............. Date Connected ............................C-, ............................................................... 19.Vj —4r/ Date Final ................................... ............................................................ PLUMBING INSPECTOR 111 12/66-IM OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE i. CITY OF CUPERTINO ........I.... .. ....... I....... .. ..... 1967 To You are hereby aut ri ed tine lectrical service for Owner or Tenant .............. . . ... ...................................... At .... No. of Wires ......Z.............. Size Size of Wires ....... ... Size of Switch Motor Load .........................r,Voltage ........ .. .... ... Phase .—................... ... Heating Load ........................ K. W. .................................. Voltage ............ ................. No. of Meters.................... Lighr-�..... 110......---�New Service....'��kt-onnect.....I....... No. of Add. Meta, Hear.................- 220. Wir ....... .... Move Service.......... Power............... Ph ........ . Move Meter............. F TRICAL INSPEC .LEC 9 TOR ROUTS SLIP File No . ,Date Out Date In , Location `` -/ Subject . . . Notes Approved2r-(q • 6 8 t— Date Inspector r��G '/li '4;t"lz LOT NO. NO. STREET W TION FOR BUILDING PERMIT Y °� ITY OF CUPERTINO o a ?Pf Sanitary No.A1 1962 Permit No. r O `o Application is hereb made for a permit to . 6//e� z U, SIT F C�(� Y'-7pu O a��/ Building < W to be occupied only in accordance with , o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee F ; Estimated Value of Improvements, Fee; 61e�� 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 will be complied with. 3 <Owner �� /J Address��/�.�/!� J C' a aBy�� zwzT Address <U Phone Approved State License BUILDING INSPECTOR a,x� Iems.,� LOTN. Z NO. STREET N aG X AjrA OR PLUMBING PERMIT ZITM- 0' ' CUPERTINO YSanitary Nu. .5 Y-° FEB 27 1968 R4 DatePermit No a T�/ n 3 LL I bd Ili ((�� ❑❑CCppTT��ppI�� Pee S ° Apphcati is rebyl��BrStBt9thlOitr, of Cupertino for a permit to install plumbing `oa 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 a w Cupertino, and all other laws applicable thereto. .. Use of Premises J -� 00 N 3 Owner / T - Kiri zJ z By o CONTRACT09,AGENT 3 a i7 – z Phone j w z Qa State License 3o9S.� ---pav_s- Address /dG o 17 Approved (J PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN Washin Machine UNITS FEES UNITS FEF,S Water heater Su Al Size z^' Water Closet ,} "' Material Bath Tub / /•s _ To Curb Shower �'�`/ To Prop. Line Lavatories 3"" To Existing Kitchen ink - ./'sv Not Conti. Dish Washer — o Sewer Box Waste Disposal —o — Wash Tray STORM DRAINAGE Washin Machine / /.S—� Size Water ft " r Material Bar Sink • To Main Drain Comb.SinkBTray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYS'T'EM Hopper Size Restaurant Sink IMaterial Sand Trap TOTAL FEES Urinal Fixture Fee .S'O Area Drain Main Thain Fee Water Leader Storm Drain Fee Sprinkler Valve Water Sys. Fee / Relief Valve Gas Fee S Vac Breaker Skimmer Filter Permit Fee ^" Total Y 4? 5 a Total Fee U