NO PERMIT NUMBER (2)Lot No. 7X
No. Street
APPLICATION FOR BUILDING PERMIT 1 tG
CITY OF CUPERTINO Q
File No.
Sanitary No. 5�
Da to � 196 It
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance fth plot Plan, Plans and Specification filed herewith,
Estimated Valae of Improvements $ 31.0did •@
FEES 9?S-
Phone 34M — a 0' * 6
I
Plan Check $$
Address &!'
Address
State License arm z sib
Approved WILLIAM D. CENCVICH
APPLICATION FOR ELECTRICAL PERMIT
Date 196� FEES
Contr, Address
Phone -0'740 State License WOO gg
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $ 3� /
fin/ I 0` - PLUMBING FEE $ �•(�- , /
Contr. L/��/ O�""'t Address
Phone a}G,S "oi3. _ State License�..0 S._,Z,9
WILLIAM D. BENEVICH
Approved
, / APP CAS TION FOR APPLIANCE PERMIT
Date 196 a-7— FEE$
Contr. �C�%�^-'-Q..-P Address �� il"-'��e..�ti� W."✓ �% I/
Phone / (" y Z 2--3 State License
WILLIAM D. BENEVICH
Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS�
b
FOUNDATION — 6-6
BUILDING
Date p) UNDERFLOOR � e "� D Insp
FRAME
° 6 Ins e
Date Inspector
LATH & PLASTER
FINAL // u
Date Ins Dector
,OUTLETS
SWITCHES
RECEPTACLES
FIXTURES
H.P. CHARGE
PERMIT FEE
TOTAL FEES
ELECTRICAL
SERVICE
SIZE
UNDERGROUND
I nspector
ROUGH WIRING
7 I lO
pector
'v�-
FINISH WIRING
� L'� ' V
Inspector
FIXTURES
D a
J
Inspector
Date
Motors
Inspector
FINAL ti Date
Date
Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
I MATERIAL
STORM DRAIN
SIZE
j
MATERIAL
WATER SYSTEM
SIZE
ATERIAL
TOTAL FIXTURES
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH
MAIN DRAIN FEE
at
ROUGH COMPLET C
r
STORM DRAIN FEE
MAIN DRAIN �'
s or
Date
�I or
WATER SYSTEM FEE
GAS PIPING D-9-G
/Ine ec)tor
GAS PIPING FEE
/Date
FINAL — ,
Date
Inspa ctor
PERMIT FEE
MISC"
Date
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
GAS DRYER
PERMIT FEE
FLOORFURNACE
TOTAL FEE
INSPECTED
NO. ��STREET LOT NO. -
? 0 APP ICe4TlC P ELECTRICAL PERMIT
ro S r
0 U i % IT OF. CUPERTINO
w J
= pp
�G Date I .2 Permit No.
01
a m Application is 1 ereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
�. wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
00
5 m City of Cupertino, and all other laws applicable thereto.
o Use of Premises --
�0
G
3 a Owner Address
—z
w w By _ Address
0 h CO ACTOR, AGENT D. B NEVICH
a o Approved WILL M —.
—U Phone: /�Gj-�7y� ELEC CAL INSPECTM
State License: = 2
NEW RPL FEES
U
Size Service Conduit ------- o.----------- Number of Outlets ..... �.�........ ..
Size Service Wires......... / ._.....Number' of Switches-,45----- ..._.._:------._---------------
Size Service Switch ....... J.�fq .... Number of Receptacles34----------------------- _----------
Size Sub Feed Conduit_................Number of
Size Sub Feed Wires ...Ranges ................ KW .............. I ------- —I ---------- I ...........
.
Number of Circuits -------- 9........ Oven .............. KW ......................- --------...............
Number of Meters....... I ----------------Signs.......... Transformers..----- ---------- ------------------------
Misc----------y�-----...._...----------I ...Dryers ---..._....�..---------.---*----- --------------
Motors........ -------- HP.Q..-jg...-- Phase ................... Permit Fee 00
Motors.--------------- HP .................... Phase.....--------------
Motors ------------------- HP ------------------ Phase --------------- .... H P Charge ---------------- I..... ---------
TOTAL FEES &sue
RECORD OF INSPECTION APPROVALS
Rough Wiring ................ ---------------------------- Fixtures ......----_----... -----------------...-----
DATE INSPECTOR DATE INSPECTOR
DATE
Finish Wiring................I...---.....INSPECTOR .------.....
Motors ..........
DAT-ATE E-------�-....--
IN9P[CTOR
Final..........................
...
OAT[ INSPECTOR
%H 10140 I Mello Plade LOT NO. 74
NO. STREET
3= Plan 226.1�APPL'I IQNpF�OR BUILDING PERMIT
a C` x o j IT_Yi 0 � GUPERTINO S—
W j / II II E Sanitary No. 7
W 4 Date Ju e� 24 19681961L$- Permit No. ' 11 74F, i
r O
W Applicationvs hereby maadg6c�r.�prernmit to construct
i In a two 01 i story, Type UU 5' P=� 7�� Building
to be occupied only as a single family residence in accordance with
0 o plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee —�-
3 Estimated Value of Improvements, $ 3 2, 000 . Fee 95.50
i 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
o Cupertino will be complied with,
3,BuilQer/
_N OM GA BUILDERS INC. Address P 0 Box 1135,Los ,at
/PreS-Address Same
a V Phone 356-2146 WILLIAM L: D. 5VrVT�.ifi
Approved
�, State License 2 2 2 3 2 6 BUILDING INSPECTOR /
x
10140IMello Place. MOT
n.�P
§'�
f P LICATICNI FOI g PLUMBING PERMIT
1 Y 6h CUPGRTINO
IJUL Q 19��
1
• Sanitary No.
July 2 8 S/ i 7 9, i
Date j�1796p—/� Permit No
Application is hereby 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 Premises Dwelling
Owner Omega Builder
Palm Plumbing Company
J z By
0 CONTRACTOR, AGENT
3< 245-2323
— w Phone
w z
u F State License, 186579
a O�U
Address P C BoX 1135 — 7•_ G _
,,_--- 1234 N. Iiwy 9 — Svale.
WILLIAM D. DENEVICH
P BING INSPECTOR ✓
FIXTURES
NUMBER
MAIN DRAIN
Water Heater
UNITS
/
FEES
UNI S
Size
FEES
Water Closet
Material
Bath Tub
To Curb
Shower
To Pro . Line
v
Lavatories
j
To Existin
Kitchen Sink
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
/
Size
Water Softener
Material
Bar Sink
To Main 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
p-jf
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
.zcr�j
Total
/�,
Total Fee
dw
/.(//%O I� Q�ii - LOT NO.
NO.
STREET APPLICATION FOR APPLIANCE PERMIT
® CITY OF CUPERTINO
Date L9G— Permit No.
't f JUL I.1 19 -`' Fer$
Application is hereby made to the City of Cupertino for a permit to
inlstall•y�as�aopliafib� �ts`li�te (hn the reverse side hereof, and agrees to.
insfall said applianocs in accordance with the provisions of the Plumbing
Code of the City of Cop erti o, Im(I all other laws applicable thereto.
Use of Premises ,
Owner ,5 ! 2v ewe. °eieG Address —
81 Pioneer ay
B MERCURY SHEET METAL & HEATING, INC. Address Mountain View California 94040
y CONTRACTOR, AGENT
Phone ! -3 y—
State License
WILLIAM D. FSENEVICH
PLUMBING INSPECTOR /
Type of Appliance
Gas Ranges
Wall Heaters
Units Fees
I (
Remarks (Check ✓;
II New I Replace I Relocate
II
Gas Plates
I
I
II
Circulating Heaters
Blower Furnaces
I
I .� 0 II
Gas Fired Boilers
Warining (hens
I II
Percolators
I
I
Griddles
- Steam Tables
I
I II
Gravity Fumaces
I
I
I
Suspended Unit
I
I
I
_ Floor Furnace
I II
I
Miscellaneous �
I
it
I
NAME TYPE I
II
I
I
13w
11 I
I
.2 I-�•v
II I
I
I
II I
pp lance ees
—r --
inspected and Approved ._....... .
.......... - ......
_.- DATE - rvcovrrne
ROUTE SLIP
File No.
Date
Locatiio/n
Sub j e c t z—�
Notes
Approved. —fa —
Date Ins e o
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... 19 ... .e.. Wing Permit No.,E!111! ... ................... ...
The Building Located at Q ...... .. -e ..... .. . . . . . . . ........... ..
.............
Owned by - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . . .
Has Been (Completed) For Use As: .......... 5-Y04
-7-.s .......................................
,�Afterelil—
GAS SERVICE NOTICE
/ BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINOw ..........
'Fu
Outer.
COPY
i
YOU are herebyyaaut prized to connect the GAS
service for
Owner or Tenant ..1.--.S�t. r^.':(iCC/lrY..................... _.......... .....
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
F1 Sewer Connection Sanitary Permit No.
Plumbing Final Plumbing Permit No.,-�.-117z,? ......
In Lot No. ------- --- ----- --
Owner or Tenant
At ..1,9117' --
Tract............. - ------------------------- --------------------- - ---- -----
/ sp�
DateConnected -------------------------------- --- 0-/ ----------------- ----------------- -----------
Date Final --- .................................. --o a ---------------------------------------------------
---- 19-Lk
....................
LUMBING INSPECTOR
111 12/66-1M
OFFICE- COPY
ELECTRIC- SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO
0 L )G.�
.............._ ./...... _. ...`, ... ..._..
To
You are herebrazed to mnnect el tic , e ice for
Owner or Tenant .
At..........�... ..�.. ..C�......11u �J...---52� ......................./........
. No. of Wires ................ Size of Wires .. .. .._ Size of Switch .� POf .
MotorLoad .......................... Voltage ................................ Phase ....... .......... ..... .._......
HeatingLoad ........................ K.W/..... -------- ................... Voltage ......... _._.................
No. of Meters....Light......Ll... IIo.... � New Sewa.:� ic`.�.... Reconnect ...........:......
.... �..........
Heat ................. 220.......
fee v . ....._.. Move Service..........
No. of Add. Meters............
Power ............... haze.. D1ove Meter..............
....................... ............... ....................,...
ececTatcnc tHsre� �
ROUTE SLIP
Fi7.a No. Si/79. i
Date
Location ^ 7 SZ
Subject
Notes
Approved
-• /��i
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
ePartment
Job Located at t-r�l! -- --- ------ -------------
-
- -!'dldPl.�.l-S-�
------------------------------------------------ ---------------
.....------
f/l / -
frf�cr<!-,�-`e�✓.L�.l�'`--------.
._-------------------------------.---------------....._..
.....................................................................................
.................... :................................................... ................
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252.4505 Date: ..../IC7'-q. dip-------.-
City Telephone Inspector:
I