NO PERMIT NUMBER (2)Lot No,
No.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. J //%fZ
Sanitary No. s %
Data 196
Application is hereby made for a permit to
to be occupied only as
in
a ,story, Type .S ? J
Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements ' . s �
,a
FEE$ 72. o �a
Ow r,er
Contr.
Plan Check $ Q,
Address /I—x
Address
Phone - 3 Sd — etL SC& State License A 1 X.3 2.4
Approved WILLIAIN4 D. RFIU is rtru
APPLICATION FOR ELECTRICAL PERMIT
Date � 196 FEE$
Contr. Df � J Address • R 1
Phone ���i���� State License o CA q
Approved
WILLIAM D. 13Z:NEVICH
APPLICATION FOR PLUMBING & GAS PERM(
Date 196 T GAS FEE $
PLUMBING FOE $
O
Contr. • Address
Phone State License
Approved WILLIAM D. BENEVICH
APP (CATION FOR APPLIANCE PERMIT
Dare 196 ^�jF_]EES Q L`J
Co A".
7cdar.. • ^e �u
Phon�— State License
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
i t Approved WILLIAM D. EENL"'NIt^u
t II
RECORD OF INSPECTION APPROVALS
FOUNDATION
DA TpE� IN S P E OR
UNDERFLOOR _ --E 0
- �JA TE SRECTOR
FRAME s(y
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECT
UNDER
ROUGH
FINISH
FIXTUS
MOTOR',
FINAL
ELECTRICAL
SERVICE
DATE
INSPECTOR
;ROUND11
C J 'pATC
INSPECTOR
WIRING
O
AT
INSPECTOR
WIRING
DA E
INSPECTOR
� l
ES
DATE
INSPECTOR
b I,DA E
INSPECTOR
DATE IINSPECTOR
a PMBING & GAS
UND
PAR
ROU
MAIN
GAS
FINA
MISC
MISC
GH
ERGROUND
DATE RECTOR
TIAL ROUGH COMPLETE A _
A OT SPECTOR
DAT RECTOR
DRAIN —
INSPECTOR
D E INSPECTOR
PIPING U- .5 - / -
�'ATE NSPECTOR
L O
DATE INSPECTOR
DATE INSPECTOR
INSPECTED
MISC
MISC
MISC
Vwlt IN. IC C TOR
DATE
DATE
DATE
TDATE
APPLIANCE
I
INSPECTOR
INSPECTOR
INSPECTED
MISC
MISC
MISC
Vwlt IN. IC C TOR
DATE
DATE
DATE
TDATE
APPLIANCE
I
INSPECTOR
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... to---- -----1.4 ...................
19-----
The Buildin
Owned by .
Permit No4w 71-J
Has Been (Completed) For Use As: ...----_.........................._...............
...................... - .........-.� W F............_....
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE.
OFFICE COPY
CITY OI. CUPER11NO
To
You are hereby auconnectto conne/ct elect/Li De vice for
Owner or Tenant ..._..._.4I."�: :>�...E' t!1,..__f'-L-Lir....... .................
c;
,t ._...1..o.f..g..... .....-.. �...C.e,Sz- .._..........._ _..._..
No. of Wires ....Z.............. Size of Wires ..... Size of Svvitch(.C)D.A.-
Motor Load ._........_......_..... Voltage ... ....................... ._... Phase .............. .._... ...
. ....
Heating Load ............... K.W. ....... Voltage
/......_..._.._.......
.......
.......... Light... ..........
IiU....../ew $ervice...l... Krmnnca...._.,
No. of Meters........ /
Heat ................. 220.._/.. ree
No. of Add. MeteWi ..... .. .._.. Move Service..........
rs............
Power ......... ere Ph se.......... .. Move Meter..._.........
F.I.ECTMCAL INSPECT�N \ ��
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO l�:
............................................................
T�
You are hereby authorized to connect the GAS service for
Owner or Tenant . r4 ... S�.:�� r..............__................. .....................
At .. /O/._C� P f�� .:'l...C�iJc! :............................ .............................
New Service . L ...........
No. of Meters ./..........:.. Reconnect .....................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
'................................
PIL�UMBING INSPECTOR
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection
[Plumbing Final
Owner or Tenant ...
At
Bldg. Dept.
Office Copy
Sanitary Permit No. --------
Plumbing Permit No.
P-AO
Lot No...... l.7 ...................
Tract............. -- ----------- ----- ------- --------------------------- --------------
Date Connected ---- ---- - ----- ---------
------------------- -----------------------------------------
fl
Date Final .................................. /!� ---------------- ----- ----- ---- -----------------------
-------------- * --------------
PLUMBING INSPECTOR
111 12/66-1M
ROUTE SLIP
File No.
Date /o-/N-6%
Location 7�
Subject
Notes
Approved. /o-/s`-CS(
T)�I-o rn n n�R' P t'!lr
ROUTE SLIP
File No. S// 7 9,
Date % s%
Location
Subject P (
Notes
Approved 7�3
10.108 Mello Place 79
LOT NO.
NO. STREET
W = ,{.�n-APPL CLAIJON `ppOR BUILDING PERMIT
r o Plan. Z6 4� CITY `OIF� �jCUPERTINO
o Y j1�1' r 1968J Sanitary No. S 7
s� q
i Date June 2 196 $ Permit No.
o
r w Appli6ati6fi is h?reby rnadee..tbi�'�eim�to construct
Da Ln.n•:v
iin a One story, Type S-I-J Building
aI to be occupied only asingle family residence in accordance with
00 Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee —0—
Estimated Value of Improvements, S 23 000 Fee $ 72.00
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
J o r w II be complied with,
3 N B �� EOM f1 BUILDERS , INC . AddressP • 0 . Box 113 5 ,LosGato:
w W re s .Address Same
a a
°o Phon 356-21460 Approved WILLIAM D. BENEVICH'
State License 222`)26 BUILDING INSPECTOR
10108IMello Place
LOT
NO. STREET'
LA0A'CIM7F,OR,PLUMBING PERMITTCITY-OF Or
PERTINO
�`YJL R 1968 RSanitary No.
Uate dU,ly 196 3a. Permit No
CT t/ r Pee $ 2 S �+
�; CI- ^ 1r)f -Ty tr
Application is hereby made 4o'the,Ctty,of�upertino fora permit to install plumbing
pipes and/or fixtures fisted 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 Premises
Dwelling
Owner Omega Builders
By Palm Plumbing Cog)=
CONTRACTOR,AGENT
245-2323
State License 186579
Address P. 0. Box 1135 — L. G.
,,,__ _ 1234 N. Iiwy 9 — Svale
Approved
PI.41NG INSPECTOR
FIXTURES4NUMBERMAINMAIN
DRAIN
UNITS
FEES
Water Heater
Water Closetial
�/Bath
TuburbShower
o. Line
'✓Lavatories
istinKitchen
ink
onn.Dish
Washer
Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
/
Size
Water Softener
Material
Bar Sink
To Plain Drain
Comb.Sink & Tray
To Curb
Dental Unit-
Drinkin Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal -
Fixture Fee
/
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
S rinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
/
Vac Breaker
Skimmer
Filter
Permit Fee
Total
Total Fee
/al,4 I o��.- � � LOT NO. '
NO. STREET
APPLICATION FOR APPLIANCE PERMIT
rip
OF CUPERTINO
. 19f �y
Date 196 Permit No.
1 J U L T1 1968 �I� I I Fee $
Application is hereby made to the City of Cupertino for a permit to
instill gasgppliah as listed on the reverse side hereof, and agrees to
install'said applialnce�st�iRaccoidanee with the provisions of the Plumbing
Code of the City of Cupe�4o, and all other laws applicable thereto.
Use of Premises
Owner��. �=���-+� `-"�e= _ Addres�0-%L�Y�
000000 81 None r Way
B MERCURY SHEET METAL' & HEATING. INC. AddresNountain View. California 94f14f1
I CONTRACTOR,AGENT
Phone ! MI F--
State Licensez/ /� 3,5
Approved
WILLIAM D. BENEVICH
PLUMBING INSPECTOR ,`
Type of Appliance
_Gas Ranges
Wall Heaters
I Units Fees
I
(
Remarks (Check 7;
(I
New. Replace I Relocate
I I
II
Gas Plates
I
II
I I
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
I
II
I
Warming Ovens
I
II
Percolators
I
I I
Griddles
I
I
- Steam Tables
I
I
Gravity Furnaces
I I
Suspended Unit
Floor Furnace
II
I
I II
I
Miscellaneous
I
ii
I
NAME TYPE) I
I
II
I
I
I
,od II
I
Appliance Fees
PP
Inspected and Approved ........... _ ..'._.__......................
DATE _ INSPECTOR
NO. STRUT LOT NO.
w 0 APPLICA ON�FO'R�,ELECTRICAL PERMIT
o ` JUL 11 l�oi3' OF. ;,!ELECTRICAL
'sU
'o Date — t,4�._ Permit No.
a < iiseby2de
tsV AV Fee $aN Application to the City of Cupertino for a permit to install electrical
r wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a`o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
5 m City of Cupertino, and all other laws
applicable thereto.
)
Use of Premises p
;z 3 7
3 `a Owner _ Address
w w By _ Address
E <IEVICH
CO$TOR,AGENT Approved Vf-'-,'1 D.Bzd
uPhunce /J/-QZY'ELEMICAL INSPECrM
State License
DEL FEES
Size Service Conduit ----- J4......... .Number of Outlets__,/(o
Size Service Wires -------- V......... Number of Switches---20.....
Size Service Switch ...... )0!2-t4------ Number of Receptacles./......
Size Sub Feed Conduit Number of
Size Sub Feed Wires ...Ranges ................ KW........................
Number of Circuits...----- ----. Oven ------------ KW .............. ....
Number of Meters......../ -------------- Signs .._...... Transformers......_ ......._.
Misc------------- - ---------- _ -----------------Dryers...------/..........-----1—.------I-----...-I----- .--------
Motors......_....... HP�.Y2,------ Phase...--......_....... Perini[ Fee $y.00
Motors -------------------- HP ----------------- Phase ---------- ---....
Motors ------------------ HP ------------------.. Phase -----------— ------ H P Charge_.._...------ -------.....--
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring ................ ------------------------ Fixtures ------- ..-----...----� --------....----....------
DATE INSPECTOR DATE INSPECTOR
Finish Wiring ................ ....-...---- ---------- Motors
DATE INSPECTOR DATE INSPECTOR
Final - '..............�.
GATE INSPECTOR