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NO PERMIT NUMBER (2)SCSI' �.�...�✓ Cc,..,�., : ,. - Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Dote 196 j( Application is hereby made for a permit to to be occupied only as FEES Owner Contr. in Estimated Value of Improvements 4S• s� File No.-'S✓" Sanitary No. a story. Type s r S Plan, Plans and Specification filed herewith, s u2i. DOO *3 Plan Check $ R Address Address Phone t34r4 — C;-, iL L State License 02 a 1 J.eL( Approved WI66!A,ge 9 •+v�rt>•vrru APPLICATION FOR ELECTRICAL PERMIT 20.4 Date 19'6 FEE$ nn ee c n_ _—& -I yk t Contr.9J[JC C�4!X0j I� �%� Addresj •� "`. •N Phone n J �y® i V State License Approved WILLIAM D. BENEVICH �j APPLICATION FOR PLUMBING & GAS PERMIT �/) Date _f �( _- 196 GAS FEE E ,• s PLUMBING AE $ L Conte Address I gfn4il Phone State License , Approved WILLIAM D. BENEVICH APP ATION FOR APPLIANCE PERMIT 1 Date 196 FEES s—•�� C ress Ito 41 Phone r State License Approved ewer v sn,AA i+. 1ENEVI24 Applicants agree not to violate any of the. Workman's Compensation Laws of the State of California ' RECORD OF INSPECTION APPROVALS' �- 7/L Q . '_gUILDING y f FOUNDATION DATE INS TOR UNDERFLOOR r.Z DATE INSP R FRAME DATE INSPECTOR LATH & PLASTER INS E TOR T�`E FINAL `DA 6 r" U DATE INSPECTOR ELECT, UNDERI ROUGH FINISH FIXTUR MOTOR! FINAL ELECTRICAL SERVICE DATE INSPECTOR ,ROUND DA TIE [U I�O�l INSPECTOR WIRING / ATF. ( INSPECTOR WIRING " DATE INSPECTOR ES l O l DASE INSPECTOR T E`! INSPECTOR DATE f INSPECTOR PLUMBING & GAS UND PAR ROU MAIN GAS FINA MISC MISC ERGROUND GH T IAL ROUGH YY 9PECTOR _ D Tpj SPECTOR COMPLETE OfI TE / NSPECTOR DRAIN D /ATE /i IN 9PECTOR PIPING 0 ATE INSPECTOR L < DATE INSPECTOR " DATE INSPECTOR INSPECTED MISC MISC G MISC •�� DATE DATE APPLIANCE r INSPECTOR �* ,INS ECTOR INSPECTOR Size Service Conduit..' :.:.. ...........Number of Outlets....../h.�..:..... .......... .......... .......... .... Size Service Wires.........��.......Number of Switches...cx�L..................:...._ l.l'.7 " Size Service Switch .... )..00P..... Number of Receptacles7..................................... Size Sub Feed Conduit..................Number of Fixtures ........ 17 ... ..........3-0 5 SizeSub Feed Wires...................Ranges................ KW .............. .......... .......... .............. Number of Circuits................ Oven .............. KW....... ............. ......... .............. Number of Meters ......... ............ Signs.......... Transformers.: ...... .......... .......... �. e o . .......-. Misc.................-..._ .Dryers.......... .....................................---.... ... ' .°...1! ....... . Motors............_... HP.......L%......i Phase ................... Permit Fee $A00 Motors.................... HP.................... Motors .................... HP .................... Phase.................... Phase .................... H P Charge ................ .... a-y TOTAL PEES 2,d• 'F-J RECORD OF INSPECTION APPROVALS RoughWiring ................ ............................ Fixtures --......--....................................... OAT[ INSPECTOR DATE INSPECTOR FinishWiring ................ ........................ Motors ------------- ........... I............................ DATE INSPECTOR DATE INSPECTOR Final....................... DAATTE 1.......................... xnmr0R PPL XTa CI i'DF C . I 1 1 1968 Date (/1+^'Y'�/ {4 , 11962 1.1g�` 14 ,� 1A _ r `1.111 sI41 Applicatson is ereby ade to the City of wiring and/or fixtures as listed on the reve wiring and/or fixtures in accordan City of Cupertino, and.all other Use of Premises cc with the provisions of laws applicable thereto. r 12 ELECTRICAL PERMIT UPERTINO Permit No. Fee $ 9-d, Cupertino for a permit to install electrical rse side hereof, and agrees to install said the Electrical Code of the By .1.. Address 0 �� ON i... State License:—�'/I�-- I? k�/ 199.45 I Price Avenue �QU"r a Q ' NO. STREE�'�j ' LOT NO. $ 2 s p ATP 41G%1'rIOPA10rclu BUILDING PERMIT P. Q ° Plan 29 C( OFPERTINO o < ?JUL 2b8 Sanitary No. S7S 5U iu, DateJune 24 1CC968TT Permit No, 3—// / o Application'is Frereby madN(or�aLpe�rrhit tol construct a <N a one story, Type 5—I—J Building W ulbeoccupiedonlyas a single family residence in accordance with 00 Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee —0— Estimated Value of Improvements, S 28,000 Fee S 85.50 iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and * Z all other laws applicable to the construction, location, and use of buildings within the City of J 0 Cu er ino w II be complied with. 3NBu er%OwnOME B DERS I C. AddressP•O.Box 1135,LosGatos a a res .Address Same Phone 356-21 6 ApprovedWILLIAM D. BENEVICF➢ State License 222326 BUILDING INSPECTOR � � x N Q 19945I Price Avenue LOT NO. 82 NO. STR API' j'A PL(CATiQ,N (FOPLUMBING PERMIT 1 CITYJOL8, �PERTINO I �J �968 Sanitary No. G Date a 196Permit No % IR,n� Pee $ c2 S�, o-o Application is hereby made to the C �tity�'dF Cupertino for a permit to install plumbing pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices I nd/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 Dwelling Owner Omega Builders By Palm Plumbing Company CONTRACTOR, AGENT 245-2323 State License 186579 Address P. 0. Box 1135 — L. G. Address 1234 N. Hwy 9 — Syale Approved WILLIAM D. BENEEV.IICHH PLUMBING INSPECTOR J f� FIXTURES NUMBER MAIN DRAIN UNITS FEES uNrrs FEE: Water Heater Size Water Closet �- Material Bath`Tub To Curb Shower To Prop. Line ✓ Lavatories To Existing 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 _ rinklcr Valve Water Sys. Fee Relief Valve Gas Fee Vac Breaker Skimmer Filter Permit Fee ..1 Total zf Total Fee �jj/jd I of »d J J_ 0 3P a WZ W W W W °ao UYU . / ^' NO. STREET LOT NO. ra 7` APPLICATION FOR APPLIANCE PERMIT CITY OF CUPERTINO Date 1R99Al Permit No. jUL 11 �B ,, Pee $ //''-z Application is hereby made to the City of Cupertino for a permit .to in�`as appliajnlcv�a�sr]ilste dii on the reverse side hereof, and agrees to installl s iid�appliairce's ink. ccord"ance with the provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. Use of Premises ! �-�-� �i�•+-�� Owner Addresses 81Pionerer Way By 14fMCNRY SHEET METAL' & HEATING, INC. Address Mountain View California 94n4n CONTRACTOR,AGENr Phone23.9— State License 3� Approved 'WIL-LIAM D- E'F-NE1115Hi PLUMBING INSPECTOR _Type of Appliance I Units Fees II fRemarlrs (Check J; New I Replace I Relocate Gas Ranges I I II I I Wall Heater I I II I I Gas Plates Circulating Heater I I I I Blower Furnaces I I?.adll I I Gas Fired Boilers Warming (hens I I II I I Percolators I I I I _Griddles I I II I Steam Tables I ( II I I Gravity Furnaces I I II I I Suspended Unit I I l I _ Floor Furnace I II I Miscellaneous I I ri NAME TYPE) 13 13. I I I II I I I n I Appliance Fees Inspected and Approved ----------- - 'DATE INSPECTOR ROUTE SLIP File No.s//7%/ Date Location t7 � d .l Subject �. . Notes Approved 713 �, Date _ Inspector -ROUTE SLIP File No. Date lo-/N-64 Location�g�r g�. Subject Notes Approved /0 -lq',c S - ' - Date p ctor ..— CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Building Permit No..�.v.Z.F,.J Date..... . . ......... ............. . The Building Located at ........... Owned by (Completed) HasBeen For- Use As: ................................................................ ........... ------- ....................................................................... ... : ............................... ....... .. .. ...................... ..................................................................................... :* -- ------ ................................................ BUILDING INSPECTOR ibi' 12/66-1M ELECTRIC •SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICF, -- CITY OF CUPI?RTINO / To You are hereby uthorjzefl to connect elect A, sgrd e for i Owner or Tenant .. ........... ji 4r Ct ...(. ..... ..lJlt-.-2,9...................' .......... No. of Wires ...... 7...... :...:. Size of Wires ...7... Size of Switch .S. V.O.tA:.-. Motor Load .......................... Voltage ... .......... .... _..... .... . Phase ................................ . Heating Load ........................ K. W..................... ...._..... _-Voltage ........... •' I Light... ........... IIU_'' New Servicr.e .. rieeonnrct.:._............: No. of Meters........:.1......... Heat ................. 220.......,.1' 'thee Wire............. Move Service.......... Power...:.......:...re pff se.)_. ....._ Aiove Meter........:..... No, o Add. Meters.......... ....................................................... ............... - P.1ec" AL INSPECT GAS 'SERVICE NOTICE ,. OFFICE DUILDING INSPECTOR'S OFFICE COPY CITY OF CUPERTI - /a.../_ ........:.............. ...... ... 19611 To You are hereby. authorized to conned the GAS service' for ,. �� . Owneror [.-c............._... ...................'.i...:.._........._..: ill 3 — ...............................:....... �1,/!�,._...,L'<�!i`_ �7�'/ _�,�. .. .....:...'._.........., .... New Service ...�'.:.....: ' No:. of Meters ..... /..:......:.. .. Reconnect .........1...... ...:........ Move Service ':.................... .. No, of Add. Meters .............. Move Meter !..............:........ L4.'.:........:: ............ ... PLUMBING INSPECTOR , Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY Of CUPERTINO Sewer Connection Sanitary Permit No. �745-'R -------- �Plumbing Final Plumbing Permit No. Lot No.—O ... ...... ---------- Owner or Tenant --- 9 - At ..../� �- - -- ------- Tract ............... Date Connected ................................ Q. Date Final ................................ le6� INSPECTOR 111 12/66-1M