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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�