NO PERMIT NUMBER (2)/0/ go
No. Street
Lot No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Dote 196 r
Application is hereby made for a permit to
� T
a story, Type r Zy
to he occupied only as
in accordanct4ith plot Plan, Plans and Specification filed herewith.
Estimated Valve of Improvements
FEE$
Conte.
s.2t? OD 6 r+
Plan Check $ R
Address � ��.3 S C<
Address
Phone .3'" 02 0, i State License &A ZA
Approved )A96A4 ,T
APPLICATION FOR ELECTRICAL PERMIT
Dote 0n19649 FEES
Contr.?& 00 i Y w Z— Add,es-\\VA()uAaftj
Phone 0_ O • L4 a State License QL 01 o O "�"�
Approved WILLIAM D. DENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Date %1-Z 196 n GAS FEE $ J�
PLUMBING FEE E
Contr. +' 1 a-L�
Phohe .2, y-j - 1 _3 2-3 —
Address / 2-3 �"h' 9
State License / a `6 S 7 9
WILLIAM D. br- I —
Approved
7 APP ICATION FOR APPLIANCE PERMIT / d S—'
Date �� 196 /�� y � FEES �_ I
Contr. •� q """^-'-Address �^""�"� ��
State License
Applicants agree not to violate any of the
Workrnanrs Compensation Laws of the
State; of California
R
Approved WILLIAM D. BENEVICH
a
RECPRQ OF INSPECTJON PP OVALS
cc�� 7_ rJ-6d ' D�• ,
FOUNDATION %mot o�in,fBUILING
Date Inc or
UNDERFLOOR -7 "� % sp1
D t� Inspe
FRAME 6
Date Inspector
LATH 8 PLASTER G '—
FINAL
o-git=6 I -et
Dote Ins Dector
.OUTLETS
SWITCHES
RECEPTACLES
FIXTURES
H.P. CHARGE
PERMIT FEE IT
TOTAL FEES
ELECTRICAL
UNDERGROUND
ROUGH WIRING,
FINISH WIRING_
FIXTURES
Motors
FINAL
SERVICE SIZE
i
'Dyte,r ge.
V / —%
Date `
O I
o D�ter
Date
PLUMBING & GAS
Inspector
Inspector
Inspector
Inspector
L
MAIN DRAIN
SIZE
MATERIAL
STORM DRAIN
SIZE
MATERIAL
/-66 � 1
WATER SYSTEM
SIZE
TERIAL
TOTAL FIXTURES
UNDERGROUND
FIXTURE FEE
PARTIAL ROlUGH -
ot
or
MAIN DRAIN.FEE
ROUGH COMPLETE �0
STORM DRAIN FEE
MAIN DRAIN — Ae;V
s or
WATER SYSTEM FEE
D to
GAS PIPING /40' S
a actor
GAS PIPING FEE
Date
FINAL D ' -�.i
YI— a for
\_.��-
Dote
Inspector
PERMIT FEE
MISC
Date
Ins pactor
TOTAL FEE -
MISC
Vote 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
I
I
PERMIT FEE
FLOOR FURNACE
iI
I
TOTAL FEE
INSPECTED i —
Da to
Inspector
/6/2 0 i Z22
NO. 5'CREET -�lt ��,, LOT NO. �T_
AP CAA IT ONE O�ELECTRICAL PERMIT
t�'Y OF;CUPERTINO
�JUL 11 1Vb8 ;V
1
Date 14 L Permit No.
t ui tQE 'TINO I-L' �, �
Application is 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
City of Cupertino, and all other laws applicable thereto.
Use of Premises
By H,ru.v
CONTRACTOR,
AGENT
Phone:
State Licenser--
Address�il..SG1411—�L/ ��
Address
Approved WILLI M D. GENEVICH
ELECTRICAL INSPEC M
0112
"L FEES
Size Service Conduit..... a.-// -------- Number of butiets-../-7 ... -- ----- j ...........
Size Service Wires-------- .......Number of Switches.4i ------ --------- ---- ---- --------
Size Service Switch ---- J-021q ----- Number of Receptactes3.7. --- ---------- ---- ---- --- --------
Size Sub Feed Conduit ...... ........... Number of
Size Sub Feed Wires.......
.......... Ranges----------------
KW.------------------ ----------
------ - -,-
Number of Circuits -----------
q ------ Oven ..............
KW------------- ---------- ----------
--------------
Number of Meters ---------
............Signs..........
Transformers -------- ---------- ----------
--------------
Misc............ .....
----- --------
Motors Y
..... 7 .... Dryers...... ------
—
a
j . . ..... ------- ---- -- ------- ----------
--------------
------- - ........... HP
---- --- ------ Phase -----
/ -------------
Motors -------------------- HP
-------------------- Phase ....................
PerEriit Fee
U.00
Motors .................... HP
..... -- ........... Phase ....................
H P Charge-------------.....---.......--
TOTAL --- I
-
.
RECORD OF INSPECTION APPROVALS
RoughWiring ----------------
I ----------- ----------------
Fixtures ---------- ----------- ------------------ ---------
, DATE
Finish Wiring .... * ---------- 11-11
INSPECTOR
---------------------
DATE INSPECTOR
Motors ............ * .. ......
DATE
INSPECTOR
DATE INSPECTOR
Final ----------- . - ......... -------- - . . - - . . ........
0 AT 9 IN 3 P 9 C T 0 R
�,�64 Ig95
3,0160 Mello Place LOT NO. 7.2
NO, STRIjkL.-
W p APM�IqA�TIN' PORt BUILDING PERMIT
0 Plan 29it CITY1'8�'
F. CUPERTINO 7
5�
I fJUL 2 11C Sanitary No. S }� Z
_ Date June 24 196Permit No.
0
o Applicatlion�fs hereby, R!dc f`,p-p"miYO construct
im a one story, Type Building
W. n�beoccupied only as a single family residence in accordance with
20 Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee —�—
Fg Fstimated Value of Improvements, S 28 000 Fee $ 8 5.50
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J iqq all Boether laws applicable to the construction, location, and use of buildings within the City of
1 U1 pQEY's °ill be complied with.
_N p MEG BU LDERSINC. AddressP.O.Box 1135,Los Gatc
B
W Z /Pres. Address Same
i o WILLIAM D. BENEVIC
Phm, 3
_u 56-2146 Approved
State License222326 BUILDING INSPECTOR
w x
ao�U
1016111 Mello Place LOT NO. 72
NO. Sn EEI'
APPL'IC� 'TiION FOR
C11, WF
i J U L 8 1968 ttt{{{{{jjjjjjj''
Date .hY2 ll- 196$
PLUMBING PERMIT
CUPERTINO
Sanitary No.
Permit No -57—
/ / 7 9. /
//�� Pees o2 5 . rTl
Aplilic honyis hXblly!?,.r,T�tteocity 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
Owner Omega Builders
By Palm 'Plumbing Company
CONTRACTOR, AGENT
Phone 2115 233
186579
State Liccns'e;
Dwelling
AddressP• 0. Box 1135 — L. G.
Address1234 N HW 9 — SVAIP
Approved WILLIAM n mr—,r
PLUMBING INSPIOR J.
FIXTURES
NUMBER
MAIN DRAIN
UNITS
FEES
UNI S
FEES
Water Heater
/
Size
Water Closet
Material
G /
Bath Tub
/
To Curb
Shower
/
To Pro . Line
✓
Lavatories
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
.�
Water Leader -
Storm Drain Fee
S rinkler Valve
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
a2 1
Total
SV
Total Fee i17,S�
UIGD I ///J �__ LOT NO
NO. 'STREET 1�76
„ . APPLIS IT,
F K,�, APPLIANCE PERMIT
w Z CITY OF CUPERTINO
s l 9 196;
a < Date I I 196_ Permit No. �f
3 LL Pee $
LLw w1�prlic.Lfn iFCbj-re�XjTi, a1�to the City of Cupertino for a permit to
o `a install gas appliances as listed on the reverse side hereof, and agrees to
z In install said appliances in accordance with the provisions of the Plumbing
v = Code of the City of Cuper ' to, and all other laws applicable thereto.
S` Use of Premises uw
LL
00
5 ; owner a;& - - Addres �—
81 Pioneer Way
z By MERCURY SHEET METAL & HEATING, INC. Address Mnnntain Viamt ralifnrnia onnnn
d o CONTRACTOR,AGENT
3 P73 9-y�,3 < Phone.
o i State License-��C��S� Approved WILLIAM D. BFnt;n,rH
<,O, - PLUMBING INSPECTOR X
Type of Appliance
Units Fees
Remarks (Check ✓,
II New Replace I Relocate
Gas Ranges
I
I
II
I I
Wall Healers
I
I
I
i I
Gas Plates
I
I
I
Circulating Heaters
Blower Furnaces
I
I ,Odll
f
Gas Fired Boilers
I
I II
Warming Ovens
I
I II
Percolators
Griddles
Steam Tables
I
I II
I
Gravity Furnaces
I
I II
I I
Suspended Unit
Floor Furnace
I)
I
I II
I
Miscellaneous
I
NAME TYPE)
I I
I
I
II
I
Appliance Fees
y
�—
Inspected and Approved ............ ..... I ....... .------ .- .... .........................
DATF. INSPECTOR
CERTIFICATE' 00 COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date --/.9 .. ....... 8 ....................... 19.4.9 ... Building Permit No.-S-8.72-1
The Building Located at .........)Kex-& 0
............
Owned by - , d-
-------------- -- .........
At ......... ....... ...
- -------------- ----- 7-o� ......
----41.1jI
Has Been
(Com
pleted)
=.) or Use As: ................. ----- - -- - ------------------- - - ------------- --- -
It
..................................................... .... ....................... ------ .......... ----- - --------------- ---- ----
.................................................................................................................................................
N--- ............... ......
............................. ....... :;:�
BUILDING INSPECTOR
102 12/66-IM
OFFICR COPY
ELECTRIC'SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO 1-6
.......... .. ..... .. .....
To
You are hereby authorized to co,"Ct elect"
rc"
Owner or Tenant ......... Nce—, COIL, I
........ ................
.. .. ............. .....
At ............ 1_��A.LQ) ........
. . ................. -- ---------- .... ........
No. of Wires ..... 3 ..... . .. Size of Wires .....1..Y... ... Size of Switch
Motor Load ........................ . Voltage ... ............... _ Phase ...... ................ .
Heating Load ........ . ..... . K. W . ..... _ - ... Voltage
No. of Meters......Ligh 10 .... _,'-'N�eov Service.;�_
Heat� ... 0
No. of Add. Meters
Power ..........
ELECTRICAL
Reconnect._....._..__..
Move Service..........
Move Meter.,,.._._....
GAS SERVICE NOTICE
COPY
BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINj
You are hereby authorized to connect the GAS service for
Oscrer or Tenant ........ .... .... ..._...._......._-
l'O
��G?..LAt 1/....... .........
.
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
Fj Sewer Connection Sanitary Permit No... S-P7,I . -44—
............ ...........
R-1i,mbing Final Plumbing Permit No.
Lot No..--17Z ....
Owner or Tenant .... 4V-14, --- 40�� -----------------------------
. .......... .
At-- ---- - ------------------------
Tract ....... �
Date Connected
Date Final -------
Ill 12/66-IM
ROUTE SLIP
Filca No.� ii7q, r
Date
� e Q- w
Location 7 :2.
Subject aa�
Notes
Approved 7�� _
File No.
Date &-lo-6 5
Location
Subject��
Notes
Approved/O-/p- 6 OAK ��
Date Ins or