NO PERMIT NUMBER (2)Lot No. ,3
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date APR 7 — 199669
Application is hereby made for a permit to
V�Ni. X�y a
to be occupied only as
41391
i2,e�.G.P: No3
Sanitary No. 63 70
File No.
story, Type
in accordance with plot Plan, Plans and Specification filed herewith,
QO
Estimated Value of Improvements $
FEES -
Owner Q
Cont,. j
Phone 6s—
Plan Check $
Address y
Address
State License e2sss A.ZS
WILLIAM D. BENEVICH
Approved
/APPLICATION FOR ELECTRICAL PERMIT
Dote 3'�" 196 Z FEES
Canty, _ 1X/L-�'k Address .Z�1%%
Phone - ri-- / rY'a 7 C—V State License —/ y us- 9//
Approved 2i.t�-�-s-+
APPLICATION FOR PLUMBING & GAS PERMIT
Dote lj '.% 196 7 GAS FEE $
PLUMBING FEE $ (Q /!
Contr. Address / ) 1. 5 0 p ,pG( 1. ,
Phone 9 a _ �i' State License
Approved IV,FY.
AP P ICATION FOR APPLIANCE PERMIT
Date196 �- /J FEES
Contr,`f/2n((/./�j%AY�l1nngQF/Poy / �./.y Address
Phone �L 9� '.�C�O�eS� State License
Approved
Applicants agree not to violate any of the J
Worlemanrs Compensation Laws of the t/
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION_
UNDERFLOOR
FRAME
ATH PPLASTER
GRADING FINAL_
FINAL BLDG._
UNDEF
ROUGI
FINISF
FIXTU
MOT OI
FINAL
BUILDING
MISC.
ELECTRICAL
n ATP INSPECTOR MISC.
{%ii/
i b0/ •
1.
_I
,i /y
m J- 6 -3 -q --L
BACK FLOW REQ.
SANITARY NO. _
UNDERGROUND ROU
PARTIAL ROUGH
ROUGH COMPLETE,
MAIN DRAIN
FINAL PLBG. _
FINAL GAS
FINAL APPLIANCE,
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
z9 -4I 69
INSP
r7
c C-ERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
Q y� CITY OF CUPERTINO
Date ..... .: .'..a....!..r.......... 19.-`-rf .. Building Permit No.r........
..._ ...
' The Building Located at. .:..... !..hc,,............ -:.....
:.. / Y
Owned by ................. 1;; ,4.......1_'.........._'
. .7"A...,.H_
Has Been (Completed) For Use As:..--....":'': c
0
BUILDING INSPECTOR
Lb r GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
1; .6.q....................... 196......
To
You are hereby/ .....................
authorized to connect the GAS
service for.
Owner or Tenant ... Km �L'' GD
...............................................................................
At .._....i s_7_ 3..... c. 64.0 .... PG ACE
..........................................v......................
1 New Service .,^ .................
No. of Meters ...................... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. 'h. JMove �..........
. ...... .........................................
PLUMBING INSPECTOR
� 'Z Sewer Connection
x Plumbing Final
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Sanitary Permit No.0
7 * --- - ------ Plumbing Permit No.
..................
Lot xT- 211
_-K&I ..... 7%naG, - --------------------------------
Owner or Tenant
At -----
a.A:(.0 ----------------------------------------------------------- -
Tract ......
DateConnected ........�.-- — --- Z_a .... ................................................ 19 ------------
Date Final ............ 1.1 --- - ---- ?,_!� -- - ---- 65 --------
............
PLUMBING INSPECTOR
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
5 t
You are hereby authorized to connee9l electrical service Pr
Owner or Tenant ......vl
C
i
No. of Wires ... ...3... .._....... Size of Wires ........0,,,,,,_... Size of S,(wi�tch�t....._......._...
Motor Load .............. —......... Voltage ...... ...._.................. Phase T",�J`'�
Heating Load ........................
K. W.
........ ..._.......... ....... .... Voltage .... .......... .— ..... —....
v
/
No. of Meters
Light—... V...
I1(1.... _..._. New Seroice•.... ��.... heeonnect._........... ..
....................
Heat... .............
//
220(L...... Three Wire._. Mott Ser,%,.—.....
No. of Add. Meters ............
..
. Power ...............
'Chrcre Phase ....... _�rr.......
rp/
`/ i"E*CTR!CAL INSPLCTOR
ROUTE SLIP
File No.-35 8 2
Date�O— O—
Location
Sub ject—lzz-av�--
Notes
Approved
Date Inspector
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
Department
Job Located at
---------------------
---------------- ---- 11 ------------------ ----------------------------- -------
------ --------
---------- -------------- ----------------------------------
----------
--------------------- * ------------ --- ----- * --------- * ,
- ------------
041? ......
...........
You are hereby notified that no more work shall b - e
- ----------- * -------- ------------ ---
--------------------------------------- * -------
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: --- 0-- 69
City Telephone Inspector::-
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
-----------------
Department
Job Located at ° 7J-----�>- I----------------------------
..-`P�? 106ZL-UJ o.P-----------------PtRg-l.t---?L.---
------------------------------------ -
I-- ----- 1Qb M A N----1B6?TK..--L ,EM.K3 --------------------------
.ref----- 0.Q------ n-.x....------�-..2---6.7.----
---------------------------------------------------------------------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call inspector.
252-4505 Date: ..- .- j�--.j----------
City Telephone Inspector: �'----.!.!!
CORR
CITY OF CUPERTINO
10300 Torre Ave.
TION NOTICE
------------
.- ------ ---- --
&-V-
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the ns ector.
252.4505 Date: .�.�..�� -, . . .. --
City Telephone Inspector:
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
Deepartment p
Job Located atpI d �...... ferwitm dam- --
��R/ V--------
✓ r
!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.
Date: � v
252-4505 -�-----/Y� aT :. -------- ----
City Telephone Inspector
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
-------------------
Department
Job Located at-/.�.70.- ---P --/....
----------------------------------------------------------- ---------------------
/...- 41 g---------------
6 � J ---- 7FYT---------------------------------
-------------------
St..-------CL(19rL/tk-/---F N....
Ii-iC ov4�---- cof c.Qxv� Ap- UI74. ...
G/.------------------------------------------------------------------
---------------------- --------------------------------------------
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: ../Z� ---9
City Telephone Inspector: .................
�p�\ 10703 I Pebble Place LOT NO. 31
No. STREET Model: 403
w i APPLICATION FOR BUILDING PERMIT �;.�F y3Fl/
F a
r o CITY OF CUPERTINO
3 a Sanitary No. P6370
April 1 s//Q�
i o U;nr P r 196 9 Permit No.
o Application is hereby made for a permit to build
a
a N a 1 story, Type . V Building
,W. to be occupied only as 1 fam. res. . in accordance with
a
0 o Plans, Specifications and Plot -Plan filed herewith.. PI Ck Fee
Estimated Value of Improvements, $ 38 r 000 Fez $ 110.50
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable—h the cumitruction, location, and use of buildings within the City of
d 0 Cupertino will��plicd ith.
3<
- 0 Owner _ - - Address
W z -r—
a By w Burlinqame
a 0 Phone 9'2-35' 5
Approve
State License 255425 � BUILDING INSPECTOR
1 x
u u
E
0
.. U
10703 Pebble Place
No. Street Lot No. 31
APPLICA'rION FOR APPLIANCE PERMIT
City of Cupertino
Date April 8 , 1963-- Permit No.
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 Cupertino, and all other laws applicable
thereto.
Usc of Premises Res.
Owner Kaar Rniiraing Cn�
By Jail UrlOP She,81 pgAtA1
Contractor, Agent
Address p P RtoX 15-06
Phone ri 1 _PA 5
U. ...
State License Approved
Plumbing Inspector
APPLIANCE
UNITS
FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
Indc end. Vent System
Com. Indust., Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without Comfort Cool-)
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets, No. of Flues
S [
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 15' High
Over 15' High
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
of 500,000 BTU or less
Comp. over 20 HP & Under 50111?
& Absorp. units with input
of 500,001 & Under I.000.000
Permit Fee
2.00
Total
Total Fee
1 .2'
10681 Pebble Place
No. Street Lot No. 30
APPLICATION FOR APPLIANCE PERMIT
City of Cupertino
Date April 8. , 19G9-- Permit No.
Fee S
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 Cupertino, and all other laws applicable
thereto.
Use of Premises
Owner Wny 8iij1ding Cn Address P.O. Box 1506
sySen Carlos Sheet Metal Address 779 Old County Rd.
Contractor, Agent
Phone 591-2605
State License 110828 Approved WIL.UAM w. tis��oil:.i
y Plumbing Inspector
APPLIANCE
UNITS
FEES
as I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
Gas Fired Boilers
Warming Ovens
Su . Units
Dwelling Kit./Bath
Inde end. Vent System
Com. Indust. Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
(without
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets, No. of Flues
Stacks for Metal Fireplaces
Smoke Stacks. Misc. Equip.
Under 15' Hiah
Over 15' Hiah
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
of 500,000 BTU or less
Comp. over 20 HP & Under 50 HP
& Absorp. units with input
of 500,001 & Under 1,000,000
Permit Fee
2 00
Total
Total Fee
17 a 00
/O7D 3�/C<P2c���� sro
a No. Street ems' il�-�� Lot No. �Tl
o -
a ® V i $Ptr1CATION FOR PLUMBING PERMIT
E °' CITY OF CUPERTINO
o
N fJUN - 6 1969 (/Vol . Sanitary No. /e370
Date o , 196L Permit No..i
3 CITY OF CUPERTIfVO Fee$
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
E laws applicable thereto.
0
Use of Premises
p U
.54
wOwner-
-
(�
BY /i�1U (CIS
Q uL� l q. el/c , .
3 .$
Contractor, Agent -
Phone /!n
-
State License
1�
Address 1$51' rl..
Address /
J ApprovML I IAM D BFNEVICH
Plumbing Inspector
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
/
AS-6Size
LY'•
-iz�t"'161st
Water Closet
V.�
o
Bath Tub
.>Z
To Curb
Shower
1
,Sd
To Prop. Line
Lavatories
-
1,.0
To Exisl
Kitchen Sinl
Dish Washer
Not Conn
Waste Dis osal
Wash Tra
STORM DRAINAGE
Washin Machine
.Sb
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size 1"
Restaurant Sink
Material C
Sand Tra
Urinal
TOTAL FEES
Fixture Fee J�
Area Drain
Main Drain Fee
>
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Vac Breaker
Skimmer
Filter
Permit Fee
• J
Total
S
Total Fee
. Sa
16.703 -NW-c P1, 3 /
NO. STREET LOT NO.
AA TION FOR ELECTRICAL PERMIT
OVA Am Y OF CUPERTINO
D ' 19 LY Permit No. �}��/S-^/L _
.i 403 Ice QL6 • / 1r
Application is hereby made to the City, of Cupertino for a permit to install electrical
we�Tyndff fi t 1 ERTMGi 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, an4 all other lawsApplicable thereto.
Use of Premises /WII,ALyd fir- Gl"L`t�
Owner _ J �/1 Address
By O E L TRIC CO. Address
Cep. c n, fir, }__
San Jose, Calif. 95112 Appro —
—Clfl—c—e-298--2700 ELECTRIGLL INSPE
State License I 4
7 3 S- /
ITEM QU 3
NEW
RPL
FEES
Number of Outlets
Number of Switches
Number of Receptacles
mber of Fixtures
NSRangesens K.W."V
JO
Service
0 0
eters
Number of Panels
Signs - Tr;msformers
Dryers
I
Motors:
H P Pha a
H.P. Phase
H.P. Phase
Power Poles
Permit Fee
2.00
H.P. Charges
Total Fees
6,