NO PERMIT NUMBER (2)Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Do to 196
Application is hereby made for a permit to
to be accupied only as
a story, Type '- 2 17
in accordance6th Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements
FEES ks •xy
Ow r.e r
Contr.
s_„ 6A6 ••
1,
Plan Cheek"S
Address
Address
Phone jSz —ax.- SC4 State License a.1 13 u
Approved
APPLICATION FOR ELECTRICAL PERMIT,,
Date 196 FEES
Contr. I� L J� ,(,y/ fj Address, /� Don
Phone ✓ i!7 s/ 62 T 0 State License QiD o n
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT /
Date
P
0 196 if
GAS FEE $ `ASS
PLUMBING FEE S'
Contr. / Address �-R 3 T
Phone ,�'><.i '— a`3 cZ j State License
WILLIAt,j D. pENE:VICH
Approved
APP ?CAL TION FOR APPLIANCE PERMIT
Data I% �" FEES n��- 'z 3
Contr. Address P------
Phone 7j `A+`L' L 3 State License
Approved 1fdILLIAAI D.D. BENEVI��
PP
Applicants agree not to violate any of the
tl,
Workman's Compensation Laws of the
State of California
RECORD OF INSPEC ION APPROVALS C
47—to-by-
FOUNOUN BUILDINGDATION a'�
Dat� n
UNDERFLOOR e
FRAME
.DaLLB3tg�� O nspe tor/
Dat� r/ Iris c r
LATH &PLASTER _67
FINAL
Date Insoector
,OUTLETS
SWITCHES
RECEPTACLES
FIXTURES
H.P. CHARGE
PERMIT FEE
TOTAL FEES
ELECTRICAL
SERVICE SIZE
UNDERGROUND
Q Date
Inspector
ROUGH WIRING
4 y
11
1 O. Duj 0,�
Inspector
FINISH WIRING
�"
ODO to
Inspector
FIXTURES
O
Inspector
Motors
_
Date
�i
Inspector
FINAL
O
Date Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
I MATERIAL
STORM DRAIN
SIZE
j
MATERIAL
i ate �➢ — �'
WATER SYSTEM SIZE
TERIAL
TOTAL FIXTURES.
UNDERGROUND
FIXTURE FEE
�/(y
PARTIAL ROUGH '
at ry
for
MAIN DRAIN FEE
ROUGH COMPLETE 3 `/
t
r
STORM DRAIN FEE
MAIN DRAIN —
Da,Jgy
s `e clor
EE WATER SYSTEM F
GAS PIPING 6' —GY
L
Data
( "clor
GAS PIPING FEE
FINAL Q — /iDate
.
Inspector
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
IfORMIT FEE
FLOOR FURNACE
i
TOTAL FEE
INSPECTED2%O—
y Do to
Inspector
/o/ Sn Io PPS O.�p t7
NO. STRE CT � LOT NO. /3
w Z ���
x o APPI IG`l�TTIONFFR, ELECTRICAL
0 u J 1 L 1 19CI Y F LUPERT1No
= 4 oo
° Date 14 L Permit No.
0, CITY PF . UP3 RTINO
PERMIT
Fee ,-d% k6
Application is hereby 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
City of Cupertino, and all other laws applicable thereto.
Use of Premises
Owner 1,7,f"r
CON-MACTOR, AGENT
U Phone:
i
r
State License�4n� 00
Address
Address
Approved—"l^_Q �'~•rs^ vs 'CH
ELECTRICAL INSPECTOR
NEW RPL FEES
Size Service Conduit..._. c9qq_-------- Number of Outlets. ---- )-�7-- ----------- -
Size Service Wires --------- h..._...-Number of Switches..cV-- ------------ -
Size Service Switch._.. P------ Number of Receptacle./........_.._..
Size Sub Feed Conduit Number of
Size Sub Feed Wires .................... Ranges ................ KW --------- --. -----.-
Number of Circuits-...----... Oven -.---------- KW-..---------- ---------
Number of Meters........._.............Signs.......... Transformers....._..........-
Misc._----------��-!r ----------- - .Dryers ._..------ �..-------....--- ---
Motors.........// .-.- HP. .ya ----- Phase
Motors ---------------- HP ---------------.- Phase ------------------
Permit Fee 1�1.00
Motors ------------------- HP- ------------------ Phase --------- ------..... H P Charge ---- ---------- . I ....---------
TOTAL FEES
RECORD OF INSPECTION APPROVALS
Rough Wiring.------------- ---------------------...- Fixtures
GATE INSPECTOR GATE INSPECTOR
Finish Wiring ---------------- ------------------------ Motors
DATE INSPECTOR DATE INSPECTOR
Final ----- - ---------- --- -- �
DATE - INSPECTOR
�vw
10.150 Mello Place ,,°TNO. 73
NO. STREET
s p APPLICATIONIFOR BUILDING PERMIT
Q° Plan 2978 {V �C9ITY� CUPERTINO
o < 1 Sanitary No.��3
su
Uare June 2VJUL `% 196$$ Permit No.
° construct
0 w Application•is h4ceby de For a permit to
° a one IJ! r y yP' C5�n�—,�JtTIIm Building
i iD a stor , T e g
aw
a` to be occupied only as a single family residence in accordance with
00 Plans, Specifications and Plot -Plan filed herewith. Pl CIL Fee —0—
> "; Estimated Value of Improvements, $ 2 8 ; 0 0 0 Fee $ 85 .50
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
d O Cu r 'no wyll be complied with.
<Bu01 j1E A BUILDERS, INC. AddressP.0.Box 1135,Los Gatc
asZ
+ tax /Pres. Address Same
iu Phon 356-2146 Approved WILLIAM D. SENEVIC14
State License 2 2 2 3 2 6 BUILDING INSPECTOR
�� _ D<
W Q
1015olMollo Place 73
LOT NO.
NO. �STRRFP.I'�
OPLICATI.ON! FOR PLUMBING PERMIT
q CITY OF CUPERTINO
(JUL 8 1968 &J sanitary No.
Date July 21 , 196 8 Permit No
CITY Or CUPERTINO Fee $ �2 S o d
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.
Dwelling
Use of Premises
Omega Builders
B Palm Plumbing Company
y CONTRACTOR, AGENT
Phone 245-2323
lb6579
State
P. 0. Box 1135 — L. G.
Address 1234 N. Hwy 9 - Syale.
?! �.V ISH
Approved��LLIF.ft7 D. �-�—
PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
UNITS
FEES
UNITS
FEE:
Water Heater
Size
Water Closet
.�
Material
el
Batl: Tub
/
To Curb
Shower
/
To Prop. Line
4—
Lavatories
To Existing
Kitchen ink
/
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
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
/
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
e2yfJ
Total
Total Fee
_2
LOT NO, 713
NO, CBTVT 10,
Prut
ul FOR APPLIANCE PERMIT
j1�cp968CI`OF CUPERTINO
Date JC 9 1968 196_ Permit No.
CITY OF CUPERTINO Fee$
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 Cu �xertino, and all other laws applicable. thereto.
Use of Premises (F-e-, o ar
/ .BS
Owner 62 - ga -;Z - la • Address nw.
8181 PS wa/ y
By MERCURY SHEET METAL & HEATING, INC. Adclmssmountain View California ononn
CONTRACTOR, AGENT
Phone '%f— y-2—*3
State License 16 Le,3..S
40
I
Approved WILLIAM D. DENEVICH
PLUMBING INSPECTOR /
Type of Appliance
Units FeesII
Remarks
(Check ✓,
New
I Replace I Relocate
Gas' Ranges
I
II
I I
Will Heaters
I
II
I
Gas Plates
Circulating Heaters
Blower Furnaces
I -O
Gas Fired Boilers
Warming Ovens
I
I II
I
Percolators
I
I
I
Griddles
I
I II
Steam Tables
Gravity Furnaces
I
I
I I
Suspended Unit
I
Floor Furnace
I
I I
I
Miscellanequs
I
li
I
(NAME TYPE)
I
I�
d II
I
I
I
II
I
/
l 11
I
Appliance Fees
--
Inspected and Approved --- _._............................................
DATE INSPECTOR
File No.
Date/a,./O-6q'
Location 73 —/0/ 6- /7tiCCe
Subject__'S
Notes --
Approved/O-/O-4�-'a
Date Insp c�
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... ....................... 19-1.�1....` Building Permit .. �1._...1
The Building Located at..��%..Ipa........................ / -7 .\
Owned by ..�.6...—�cY�d_............ -1C.� :.C...3...l.......... ..._...
HasBeen (Completed) For Use As: .................................. ........ ..... ..... .... ..............
(z\Itered)-
��...r`D .�.................................
.................... ............... 1.......... .--------......
'✓V_
BUILDING INSPECTOR
102 12/66-1 M
1 OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN0
TO
You are hereby authgrized to connect electriyal service for
Owner or Tenant .T 1,..>.._..-,+±,-o`:..._L..v.`r"s.o!_. .........................._....
No. of Wires .__. -------- - Size of Wires .... ...... -_. Size of Switch I U�..N---
Motor Load Voltage _........... _... ..... ..._.... Phase .... __........... .............
HeatingLoad _...................... K.W...._............ ... ............. Voltage ........... ..----- ---- ........
Light._..._ IIU.._/New Service .......y�Reconnect..................
No. of Meters......... �........
Heat ................. 220..... ./.ree W ._._ ..._.. Move Service..........
No. of Add. Meters............ [[[}}}{{{ejejej
Power- ............ ee t74aze . ...... Move Meter ........... -.
Q1
E ECTM AL INSPEC a
GAS SERVICE NOTICE OFHCC
BUILDING INSPECTOR'S OFFICE
? CITY OF CUPERTINO
You are hereby authorized to connect the GAS service for
Owner or Tenant ...�, //J11e,_..i�......��as�/..................... ._.__...,......._._..........
...............
New Service` ..................
No. of Meters .....r.............. Reconnect ........... ..._...... .......
Move Service .........................
No. of Add. Meters ... ........ .. Move Meter .......... ............ ...
.._.�. cam.....LGr.:......................_..,.....
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ........
E;,,"Plumbing Final Plumbing Permit No. --------
Lot No. ---- �%F ------------------
Owneror Tenant - - --- ------- ---------------------------------------
At .................................................
-------------
Tract---------- -------------------------------------------------
DateConnected ----------------------------- . ............................. . ................ 196 --------
DateFirlal ............... ----------------------- . ....... Y ......... ............. ---------- ------ * ........ 1945;��
PLUMBING INSPECTOR
111 12/66-IM
ROUTE SLIP
Fi].e No. a�ii79,/
Date
rL
Location
Subject PLA
Notes
Approved{_
T