51187 (2) a 4411 1 oeolio� Lot No.,*e- /
No. Street /6 Y
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. Qpp
Sanitary No. Sr1 O/
Do is 196
Application is hereby made for a permit to T
a story, Type = V
to be occupied only a.s
in accordance th Plot Plan, Plans and Specification filed herewilk
cEstimated Value of Improvements $ s2,;, 6-d-6 O G
t0 7 4.i
FEES Plan Check $
r
Owner �. Address a3p' / j ✓X-(/M /,V_
Contr. Address Q
Phone sS^� y` S State License /r/ 7
Approved WILLIAM D. BEKFn%(IGFI,
APPLICATION FOR ELECTRICAL PERMIT
Date � 196 FEES o21
Contr. —J/t-� Address 9'7-
c.
Phone State License /Z'—'-L'2 -
WILLIAM D. 13ENEVIC14
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Date / 196 GAS FEE $ rls� )
PLUMBING FEE $ � / 3
Contr. _ IPTG s—� Address "1 3 y
Phone nZ ('4r _ e2 3 1 State License /J' G S 7
Approved WILLIAM D. BENEVIC14
APPVCATION FOR APPLIANCE PERMIT
Date /t Co 196 FEES
C ontr. ao� Address I ld
Phone .3 7 State License �'�° X-
WILLIAM D. BENEVICH
Approved
Applicants agree not to violate any of the
IVorkman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION
D-.3 _ BUILDING
'
Dat S� y Ins eat
UNDERFLOOR O
FRAME
1 Datq�6 p Ins e t
11
Date q
LATH PLASTER /
FINAL _ s
Date Insoector
ELECTRICAL
,OUTLETS
SERVICE SIZ
SWITCHES UNDERGROUND
I Dqt(i3 Inspector
RECEPTACLES ROUGH WIRING
Ra ., I &'n.Pector
spector
FIXTURES FINISH WIRING �O
H.P. CHARGE FIXTURES • ��
Date Inspector
PERMIT FEE Motors
D e
TOTAL FEES FINAL Inspector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
Jp—
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES UNDERGROUND p�
FIXTURE FEE PARTIAL ROUGHA6
to <f or
MAIN DRAIN FEE ROUGH COMPLET —
D tor
STORM
STORM DRAIN FEE MAIN ORA IWb
ate I or
WATER SYSTEM FEE GASP NG
Date I r
GAS PIPING FEE FINAL
Date 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 PERMIT FEE
FLOOR FURNACE TOTA FEE
INSPECTED
Iffn.,r. Insoector
iuu i��l
File NO.5� -�
Datej
Location
57
Subject
Notes
Apprcved Da�[�
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
� Date ... .. ..... ................ 19-41 Ve
BuPerlm'�it No�.1..1..J...a..
The Building Located at ....f..j.z.. ._ ....... t .Y 1..!�.....��.........:..............
ff / of
Owned by .. (�.. ... t i- a n \ h,!1d....7
Has Been (O piFor Use As: ................ -
''`f`ato l-
..................................................................................................................................................
............`--� ...........................:.................
:
BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE COPY ,,
tour
.. BUILDING INSPECTOR'S ,OFFICE
CITY OF CUPERTIN/�....._.................., lyG/...
/lo -You are herebya�nzedto connect the GAS service for
u
Owner or Tenant .. . '. �' .R— ..... .... ... ...
At1 /....
I /
New Service !................ ...'....
......
Na of Meters ............._....... Reconnect .......:......... -
I
Move Service ......... ..............
No.-of Add. Meters ....,........ Move Meter ,..........'
PLUMBING INSPECTOR,
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. -------
Er"Flumbing Final Plumbing Permit No. z�-Ile7......
Lot No. ........z, -Il
............
Owner or Tenant .......A"��
. ......... y(.............. ..................................................
At ..........................................................
Tract ......—A�.::/;� .................................................
... ..
Date Connected ........................ ......
./ .. .. ...................................................
Date Final .................................
.......................................................
....... ......... ...................—.....................
PLUMBING INSPECTOR
111 12/66-1M
OFFICE COPY .
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
You are hereby authpti ed to nned electrical service for
Owner or TMant ,..(........r.......... ...._:..... ... ........ .. ...... . ... ........................................
...
�...,`�`Z..�.:................ ... .. .......... .......c........................ .....
_....
At ................
No. of Wires ..... ........... Size of Wires ... ....Y. Size of Switch �.��.�-
Motor Load ....................... Voltage ................................ Phase .................:.......
..........
HeatingLoad ........................ K. W. :............................. Volta ......:........................
1 Lih .... 710..... New Semi e..._.. ...... 1<erunnecL............_—
No. of Meters....................
B
Hear-............... 220........ .. rev ire.:............ >foce Sen•irc............
No.of Add.Meters............
.......... rev P se-..... . ..... \fuer h[r(rr.._....
.Power..... ........... ......................... .
' ELECTRICAL INSPECTOR -
LOT
N NO.
z APPL CATION��Qr!A9 ILg1 PERMIT
r ° CI + Ooh CF.R°7 fN5
o /OST 9 ��ppS"i t,I No.
_ Unte 19( 19`Pfrmi,No.'
`o a Application is he eby ma cf6r-tri e f�tto� �� v
z a a.�story,Type s — RTI�1n Building
ata
to be occupied only I in accordance with
ii o Plans, Specifications and Plot-PI filed herewit t. PI Ck Fee
> 0 OL /nT�
i ; Estimated Value of Improvements, $ d� Fee$
2 J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J = all other laws applicable to the construction, location, and use of buildings within the City of
o om Cupertino be lic with,
P P
Addressu
M u By 2� �' Address
U Phone�� —��j�3 A roved WILLIAM D. BENEVICH
f- T p�
.Stat[ License �I -2 App
BUILDING INSPECTOR
LOT NO.
NO. STKIiEl'
61
APPLICATION FOR PLUMBING PERMIT
" < CITY OF CUPERTINO
z i ���
W
p Jo`tom i rRiNo
.
0 ' OCtiobeT Ph
q,Date "2 196" en
(OCT 5 1965Fee $
To
� Application is hereby made to the City of Cupertino for a permit to install plumbing
o pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> and/or fixtures in accordance(A'i"th��th�`pFovirisF�t1�IPlurabing Code of the City of
a Cupertino, and all other laws a �licable' the W'.' t t t
w
P PI
wx
0
Dwelling
Use of Premises
00
3 Owner Ditz Crane Compar�y 2A9� De La Cruz Boulevard
ess-
o <
Jl
Palm Plumb Co ��1', ale-Saratoga Ro
o ad
z By mPat►3' , '
�Yddtts g
O
� CONTRACTOR, AGENT
3
- < Phone 245-2323
w z
° o State License 186579 Approved
—u
PLUMBING INSPECTOR
FIXTURES I NUMBER MAIN DRAIN
UNITS FEES UNITS FFF,S
Water heater Size
Water Closet ,2 Material 1
Bath Tub To Curb
Shower To Prop. Line v
Lavatories —2- To Existing
Kitchen Sink Not Conn.
Dish Washer Sewer Box
Waste Disposal
Wash Tray STORM DRAINAGE
Washin Machine / Size
Water Softener Material
Bar Sink To Main Drain
Comb.SinkBTray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee �9
Water Leader Storm Thain Fee
Sprinkler Valve t<'ater Sys.Fec /
Relief Valve Ges Fee
Vac Breaker
Skimmer
Filter
Permit FeeTotal !U0 c 571 Total Fee ��f�