NO PERMIT NUMBER (2)ao►`�ol �1u5.4 JJ7. _ �� Lot No.
No.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No..t�sna
QQ File No.
Date 196 1
Application is hereby made for a permit to
� h k \,0 a 1 story, Type 1A _S
to be occupied only as A � , ^k s -t
in accordance with Plot plan, Plans and Specification filed herewith•
Estimated Value of Improvements $ C l 6(NA 6
FEE$ - /V�
owr•e r`` tt1__QTl__� i�T��_M^9_,_�\�1M '�
Can,r��ly�1(d f.fWl����
Phone — Lap-1r�11p
Plan Check $
Address
Address QILUKN�Is��LZ \t �;
State License
Approved WILLIAM D. EiENEVICFI
APPLICATION FOR ELECTRICAL PERMIT
Dote 196 % FEE$ ��_ap
Contr. C�"� Address - /C/�}
Phone aZ 3 J / `f % �' State License 5,.,2
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date A 196 43 GAS FEE S 0- () ()
\� M��-�, o 1[\����� (y Q,,,, �, PLUMBING FEE $
Contr. (�""�""^t"yy-'�� """"' _\A V/Y�Address - •i�o�� Iy�� '�j - 's \
Phone - State License
App,ov(416LIAM D. BENEVIGH
�i/is APPLICATION FOR APPLIANCE PER
Dare �7 196 P—�F�EE$ , s-1
Contr. -,- �-a--�-c.'V 4 2nJ/ L�Q• l�rzrrc-r-r / y1
Address _--% J
C�
Phone--�`/�—v�� U J State License �8p
Approvedr�^✓�_
Applicants agree not to violate any of the i t '
Workman's Compensation Lotus of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR
'k.�' �.`
UNDERFLOOR
TF (FRAME
F
�=
FINAL:. MI
UNDER
ROUGh
FINISH
FIKTU
MOT Oi
FINAL
ELECTRICAL
MArF INSPECTOR MISC.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. OK
SANITARY NO,
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
6'`
d
MAIN DRAIN
FINAL PLSG.
FINAL GAS
FINAL APPLIANCE
ROUTE SLIP
File No..5I.R)i
Date
Location '
Subject ,,;Vzf-l� -zr'C
Notes
Approved
Date W pector
CIT* OF CUPERTINO*
z 10300 Torre Ave.
COR iCTION NOTICE
--------------------------------
artment
Job Located at ..... e-
-- ---- ............ ....................... ----- -------------------
-- ----- - --------
-- - -------- .... ? .............
----------------------------------------------------------------------- -------------------
----- ----- ------------- ----------------- ------------- --------------- -------
You am h6r6by notified that no more work shall be
done until the above violations are. corrected. When
corrections have been made call the insVector.
252-4505 Date: - ------ -------
City Telephone Inspector: -----
—CITY OF CUPERTINO'
10300 Torre Ave.
CORRECTION NOTICE
J Located
----------
a
------- --------- -
YOU M hereby 6fibd that no more work 'shall be
done until the above violations are corrected. When
corrections have been made call, the insp I or.
252-4505 Date: ---- -----
p
City Telephone Inspector: --- ..............
ROUTE SLIP
File
Date�—
Location 7
Subject
Notes
Approved �G
Date = Inec
j
RTIFICATE OF COMPLETION'
BUILDING INSPECTOR'S OFFICE
CITY, OFF CUPERTINO
Date ..?inggLocatedat
.... �`'. f..., 19.. Building Permit No. .J�---%.-':i-
II The Bui -Z 0/86 .2dI-fjj t-� ......
Ownedby ............G......_..................... :-------------- .-----------------------------
Has Been (Completed)�Foc Use As: ^
BUILDING INSPECTOR.
-A
RTIFICATE OF COMPLETION
�j,N BUILDING INSPECTOR'S OFFICE
UU"" CITY OF CUPERTINO
Date ......... 19.... .Q
The Buildi g Located at ...ov
Owned by
Has Been (Completed) For Use As:
r
Building Permit No.`"�1 I—S` v
..i.
................
........................
BUILDING INSPECTOR
2csT 7 GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPPERTINO
To
You are hereby
((.{.11l.{.
a�utthooriiz�zee/d to conned the GAS service for
Owner *or Tenant ...Q....... &R,6-S..... AN
.............
At 20.1.7o..t..z.o/s6........ �Rt T.....Au ........ .�/
New Service ----- ,li....
No. of Meters ...2............
OFFICE
COPY
196......
Reconnect ....
Move Service
No. of Add. Meters ..... .:....... Move NIcter ........
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
CITY 00 CUPER TINO
SEWER -PLUMBING NOTICE
Sewer Connection Sanitary Permit
Plumbing Final Plumbing Permit No.
Lot No. -----
----------------------
Owner or Tenant ... aty ....... H'o 4 7 ----------------------- .............
At....... ......... ................ ............... .............
Tract ..... LrjI.M.. f4. if�. �219 ...... Mf?jP . ............. ........................................................
Date Connected ------ --........................ 19 ............
----------
Date Final --------- --- ---- ........ ------- ---- ........ n..,.19 ............
PLUMBING INSPECTOR
CITY OF CUPERTINO OFFICE corn
�y •� _ . ELECTRIC SERVICE NOTICE
...............J"..7o
You are hereby auth ri d con ct electr' al�ser�vicepfor
Owner or Tenant ......... ..... .. �"\.�......"'".'..............
�1
At........0...'i.v.._....................................._tM2`��-..........:.........'....._:.``......
No, of Wires ......0 ........... Size of Wires _..1.' ..... Size of Switch�.`.l�C:��i-
Motor Load .......................... Voltage .............._................ Phase ................. .............
....
Heating Load ........................ K.W....:.............................. Voltage ................................
Light......._ 1IO..Nrw Srn'icc.... ......... Itrmnnect.............. _.
No. of Meters...... Zi...
Heat_ ............... 220... 7 rre W. e..... � ...... \L"ce Sen•ire............
No. of Add. Meters............ ...y.,,._ . f..e
........._ _ et
....:.. .. . POwer........_.._. � rl'LlCTRSU;LSI FCTt4`�r M`
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE.
...... ----- ----------------
�y-D-epa ment
Job Located atd'�.--7 ---- -------------
h_------------
�, - ----------------------------------------
��`�..... _. ----------- ------
----------------------------------------------------------------------------------------
You are hereby notified that no more. work shall be
done until the above violations are corrected. When
corrections have been made call the inspec
Date: �— — yo
252.4505 ...--.... �j�,
----- -----
City Telephone Inspector: ...... .... I.................
/ / O VLu-=- LOT NO.
NO. STREET 'rR P: f:T
APPLICATION FOR ELECTRICAL PERMIT
fn I - F CUPERTINO
J 5819� `—
Date Permit No. OV n.
0
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring ql fjt��rc4'41s1 �i��lj5a reverse side hereof, and agrees to install said
wiring and/ r fixfures jinn coi3al ice vwith the provisions of the Electrical Code of the
City of Cupertino, and allrother laws applicable thereto. I
Use of
Owner h AddressS
ByAddres.
CONTRACTOR, AfGGENT
Phnnc �J 7 APPt' -
Rv
State License.,
m
ITEM
Number of
Phase
10 y0 I Fo 26Sr /9 r& IOT NO, /
NO. nrr7'
, 6 L( '�'j�`��N FOR PLUMBING PERMIT
z I yl[[TTY OF CUPIiRTINO
zZ _
w0 IYf EYj
0 ° IAU� 18 969 Sanitary iJ u.
LL
U D. - I96 -% Permit No
Fee349
LL w QAWhlicaof is41MAbffT to the City of Cupertino for a permit to install plumbing
0 `a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i in and/or fixtures in accordance with the provisions of the Plumbing Code of the Carty of
¢ w Cupertino, and all other laws applicable thereto.
w I
Use of Premises
00
> 0
3 Owner &r79 J m'6--.7 -T , . Address S4P 7 m12 ,,V' -D 19 1`ve
oa71
z J �3
J o By CE r,F'A�S 4- SEe✓_ ill. T.✓ C . Address � -`449 J. ST -Si
3 CONTRACTOR, AGENT
a Phone 9P-055
aF 'ttte License / Z/ S 3 7 Approved
7�V PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
3 _
Size
'f "
Water Closet
1
—
Material
C. 7
Bath Tub
To Curb
Shower
i
3. —
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
1
3 '—
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM . SZ
Hopper
Size 14"
Restaurant Sink
Material 16,9,
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
1 _ —
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
/ SC
Relief Valve
H Gaq Fee
Vac Brzake.'
1 UNc�
3
Skimmer
Filter
Pool Sweeper
Permit Fee
a —
Total
/
—
Total Fee
3 .. 5t
20190 Forest Ave.
No. Street Lot No. 7
APPLICATION FOR APPLIANCE PERMIT
x City of Cupertino
Date ' 8'I26/696v Permit No. 1Lj
Fee$ t)U.SU
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
provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable
thereto.
Use of Premises
N=614T7:. r : <
By San Carlos Sheet Metal
Contractor, Agent
Phone 591-2605
State License 110828
Address P.O. Box #lL05
Address 779 Old County Rd.
Approved
utrbing Inspector
APPLIANCE
UNITS
FEES
as op
Gas Oven
Wall Furnace
Gravity Fum.
Forced Air Fum.
2
&au�
Gas Fired Boilers
Warmine Ovem
Sus . Units
Dwelling Kit./Bath
lnde Pend. Vent System
Com. Indust., Inst.Kit.
Hood & Vent System
IL
8.00
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets, No. of Flues
I 31t._ 3
6 • Q
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 15'High
Over 15'Hich
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
of 500,000 BTU or less
Com . over 20 HP & Under 50 HP
& Abso . units with in ut
of 500,001 & Under 1,000,000
Permit Fee
Total
Total Fee
2O,5o
LOT NO.
NO. STREET
z i N FOR BUILDING PERMIT
r o ® TY OF CUPERTINO G s-7 22/;
a _
o a Samtarp No.
3u
1961 Permit No. S I tSt
ro
n Application is hereby made for a permit to
oil
i N ,CID E WWT&A - Building
aw
to be occupied only as in accordance with
a
0 0 . Plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee
F"; Estimated Value of Improvements, S Fee $%V
oa
z J 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 Cupertinno I be mplied with.
O/
3 ` Ow AA M Ad fit. dress S l�!)
N
' S H dA�, C \1r; .
Address
`U Phon Approved t
�� State LicensPy�� _ \ irniNn INSPECTOR