NO PERMIT NUMBER (4)No. $treat 84'03
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Dote �/- 7 196 11
Application is hereby made for a permit to
to be occupied only as
Sanitary No. ln,3ea 3:
..
File No.� 1�
story, Type �1 ✓
in accordance with Plot Plan, Plans and Specification filed herewith,
a
Estimated Value of Improvements $ 310 Cti,00.
ol-
FEE$ 0gq.•�00 Plan Check $ — 76�
Owner . / .., L/ em4mmdAdaress PD. Adp�6s'/
I
Con�0 f
tr•/.� Address t03#"
Phone .26 3 ' State License �'Q Zto O9
i
Approved
APPLICATION FOR ELECTRICAL PERMIT
,Iy
Date L 22 1969 FEE$ W 1
Conir. 2,-sL� Address
�sz
_
Phone b - 'l 0 State License 14 (q L(-Q
WILLIAG9 D. BENEVICH.
Approved
VAPPLICATION FOR PLUMBING & GAS PERMIT
}C
Date / 196 � GAS FEE § rz•3
PLUMBING FE/En�,$ + >'d.• tt%Z
Contr. Address /e/ ^/' P Z '�-c.-�+c�•
61
Phone
State License 23-d '145713 %
Approved/�-
APPLICATION FOR APPLIANCE PERMIT
Date �y�7" �/1 196y [ FEE$ ��•`fy _/�/l —
Contr. ✓?" / 1A �f� ��.6G /a 0 Address 6a /
Phone �_!/-10 D.�J State License
Approved
Applicants agree not to violate any of the .-4,
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
AL1/9
'UNDERFLOOR
%Iq
FRAME
LATH & PLASTER
GRADING FINAL
'
FINAL BLDG. �� Z't
{
• J•
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
O
FIXTURES
MOTORS
/O
FINAL
Mq►N D9010 TO PReP., L1Nt 5. ? Gq
PLUMBING, GAAPPLIANCE
DATE INSPECTOR
BACK FLOW REQ.
SANITARY NO. _
UNDERGROUND ROU
u porlL F&M IL
PARTIAL ROUGH _
ROUGH COMPLETE_
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
IIATF INSPFf Tnp
MISC
MISC
d.�`°"•
MISC
w
CITY OF CUPEARTINO" 30Torre0 ..
Al&ep C,/ZwT-IIV,+C-
CORRECTION NOTICE
---------------------------
Department
Job Located at
- WAC 64 1-
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GP---Wd�&MC-
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-7 -07- -YP - -- ----- ------ - --------------
--- - -- ---- I ----------------
KY
----------- I ---------
- - --- ----- --
us— ---------------------------------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspect r.
252-4505 Date:
-- -------- -----------
City Telephone Inspector: ------------------
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
------------
Department
Job Located at
Vi
-/- ��----------r---7. F�r k�r-
"Rt P4T10-----------------------
0-.- `" r.11-NE...�
:.!i3-PZcE1�� .-
---------------
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------------------------------------------------
----------------
firrZoUED {DNS-OW..JoBS!-7 -
----------------
fi-�'��1-t1uP....6x_- -------------------
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: /.D -1-7-��—.6pQ--------------
City Telephone Inspector: '..sJ.:................ /
1 [
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
Department
Job Located at --- T-e- - i - wA c - 6 -
. ...--------------
Bw...e...... A q - --------- ---------------------
Our r-S
16� ... C0 N�'�f 77)!;
F-0 .... GRACE—. — ---------------------------------------------
--------------------------- --------------
------------------------------------------------ ---------------------------------------
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: /0 — 1-7-� 67
252-4505 -------- j ---------------------
City Telephone Inspector: ft ....................
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
r�-------------
Department
Job Located at .l.an. dA---
c -------------rt
0-rt---'' 1
--.AE(iwCel�:F./l//-------------
_ r -
..---------'- 7
LCtic->Q4'�G��^.nr� ^ep ------------------
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: 4.Q-:--::-:.��C - ....
City Telephone Inspector: !-L;- ------------
0g&CC CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
-------------------
Job Located �jat D�ecp�a�Lr�t!meen-t-� !L�F'/P�"14✓------------------------------ -
,'_l . t.. ---L�I----GLr-ce_l---
.. -Q------------ - :..._.... -
i
cr cc. o
u--r2--v.--------
--'(I-_---\--_--.--------
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.
rqr4
52.4505 Date: /0...../- -----------
City Telephone Inspector: . ;-
CITY OF CUPERTINO
10300 Torre Ave.
CORRE-CTION NOTICE
-------------------------
nt
Job Located at
A0
------------ - -- - - -- --------- ------------
wzu
-- ----------------------------------------
wlze��_x
............
---------------------------------------- --
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.
la -Y
252-4505 Date: ....... ee-,� --------
City Telephone Inspector:
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
------------------
Department
Job Located at Zia3D T e�
1 8----------------------------------------------------- -----
------------------------------------------------------ - ---------------------------
�' 44 K------------- N---------------
574-wck ------------------------------- ---------------------------
--------------------------------------------------------------------------------
Tz-sT -,R?-aeg-----------
T D- Fi 44---F°�---- l N s l?--- T ioi✓
... -- ----------- ..-...------------------
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: --- -- c��— �9
City Telephone Inspector: -!. t J e.................
CITY OF CUPERTINO
10300 Torre Ave.
CORREITION, NOTICE
pD-eparlment /��
r
Job Located at 47, ....
----------- I -------- - r1e,11-11,
T-------------- S ----
---------- ----------
-------------------------------------------------
-------------------------------- V . . -- - - -, -, -A ------ ; ----- ------
-------------------------------------------------
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: k72 t-r_,;
City Telephone Inspector: �Z;
Z -- - ----------
_ CERTIFJCXT _.*V C�AWPLETIOJI
INSPEcroal cM
L1 e ! iQ .-_s . MIT-
......... Buih4m .Permit No.
t�
The Beim Locked at.. f:.•�'�a i 1�.'�'i� •-_--- i i
Owned by . , _ ` � = " -- '� : * - - Kes .......... ... ............
Has &m For Vse As, ....... .-------
a-
a+ ...... ....... ........................................
c�
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
&a . ...... .[.j -- ............ 19 K rl
74 Y
You are hereby authorized to connect electrical service for CO.
Owner or Tenant -61
- .................... - . i
At.-,2/,F36..Tw",aj- 4""q
............ ........ ........ - ........ -- ................... -- .............. ......... -
J�
No. of Wires ...._.. ........... Size of Wires .... ..... .......... Size of Switch/m
Motor Load .......................... Voltage ............ ................... Phase
Heating Load ..... -- ........... — K. W . ...... --- ..................... Voltage ......... ....
✓
No. of Meters............ . / Light..... 110 ... New Senice ................ 4 Re,onnect ..... - ....... ...
No. of Add. Meters....Heat ................. ---- 220Three Wire... ..... Mo,c scr,i(c ....
Power ............... Three Phasu ........... Meter__....
.....
ZLECTR!CAL INSPECTOR
Dig. "A"
GAS- SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF *CUPERTINO
....... 4? . . . ............... 196......
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
W......
At ........ P-Jil. 30 ..... 1—Fmcc—
.. ......... — .................. . ... ......... ......
No. of Meters :../ ...............
New Service ...... ..................
Reconnect ... i .........................
Move Service .......................
No. of Add. Meters .............. ove eter .......................
L MXLNi
. . . .... ... PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
CITY'OF CUPERTINO
SEWER -PLUMBING NOTICE
Sewer Connection
Sanitary Permit No.
............
Plumbing Final Plumbing Permit
Lot No.
Owner or Tenant ----- t % IV
.......... I ----- --------------------------
At .......... LZ
----------- ...............................................................................
Tract......... ........ P-.mc - - ---------------------------
DateConnected ....... ----- ---- c., -------------------------------------------------- ----------- 19 ............
Date Final ---------
-- — - ----------- -------------- ------- 11 -------- ------ 4 --------- 19 ------------
. . ..............
PLUMBING INSPECTOR
ROUTE SLIP
Location
Subject
Note
File No.
Date AI
Approved F
Date, Inspector
``_$fit /� /' IOr NO.
NO. ��� e-()-3
APPLICATIONT j0R `BUILDING PERMIT
CITYr10F CUPERTINQ f�
�APR P �� Sanitali�
Date AieeC Z ), 196Cj 7 Permit No. i—i e -1
Application is hereby made for atperTmit-to
.fr �U:3'�G� astory,TYPe S Sj YIAh Building
to be occupied only as S /®y4GF '?5s ,14X A !eln�accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Fstimated Value of Improvements, $3 4 O O o6r! Fee $
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino —ill be_, q lied with. _
"'""` — " Approved XAITI I IAM n 13ENEVICH
State License /5;le 9' / BUILDING wsvRCi OR
0,
AI 8 3 o Te�taRcc'{ �Z K is� Fhad�
NO. SY�' ""9C LOT NO.
AV5 ATIOPI F ELECTRICAL PERMIT
ii�� 10CT - 7 1% v 8 C,UPERTINO
Date 1n 1 Liu L'-@p(G�'9' Permit No. � 1 0�
f1 1 & Fee s- % OQ —
Application is hereby 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 Jawsapplicablethereto.
Use of Premises I FAvN P,e
Owner W • l?UW P
By ZtrE .IrLCC
CONIMACTOE, AGENT
Ph....: aq a - TaI c
4—State License, 241 M 6
-TT
EM JNERPU FEES
Number, of OutletsNumtierrof SwitchesF Ntfmber of Receptacles
v
tr---Number of Fixtures r R-
'Ran ¢e's or Ovens KW
- -4 of Main Service �- - - - -
_
,ber.oCMeters -
Sberbf;Panels 4, i,
s.-'Transformers
P. Phase - -
�P`Phase - -
'er Poles - -
.N 6 NO, STREET LOT NO.
AT ELECTRICAL PERMIT
CI P ERTINO
Date 1 r Permit No.
(67
a �Fee,3
ApplicatioGlT1 �ma,G upereinofgra permit to installelectrical
wiring and/or fixtures as listed tir 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 Taws applicable thereto.
Use of, Premises / Z
Owner - R /IQ!//AL_Address
By 00 Address
$ - CONTRACTOR, AGENT
[ I',nc: �X�6 SAX } Aj pro/vl
State Licensee 9�6 ii
�Illlll�irl"' �Y`�� `•4�.R` ': „;�.iF' 'Y n.'::i_sR^'m'.'Yty+L�YN�'
i ''�.
ITEM' -- - -
.ANEW
..
",T.FEES*"�+y
FEES 4
V
Numliei of Outlets
Nu'iiitie'roESwi[ckes _
f • Number of Receptacles - - -
,� z
-
- " - ""•"'
�i
8 Number of Fixtuies --
'
Ran es or -Ovens
+
- Size of Mam Service
5
6
'tcr-Numlier.of Meters"
�'..: Numbu of Panels':
Si Transfdrmeis
F-"....Dryers
Motors
H.P-. Phase `'
-
- -
_ .
s.:- H:P.,Phase -
PowerFoles
„
xr._ Permit Fee ` - "
2.0- - -
HiPrCha 'es
x' Total -Fees
z I T SO I TewAce DQ toM
LOT NO.-
N FOR PLUMBING PERMIT
ITt' OF CUPGRTINO 63
kL2
r o q 96 Sanitary
LL 2_6 y No.
3 a Dare 196_ Permit No 5�03
U
w ° CIS QF CUPERTINO Pee $ '3.50
= O
4 m p�lic. ion is hereby made to the City of Cupertino for a Permit to install Plumbing
0 1- Pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
'z and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
w x
00 Use of Premises1e�1/��i �i p
`o a O=2�
i•a AddressZJyONTRAC R, AGENT Address
3<
— m Phone
a o Mate License , i !% Gr/J Approved.
—U
PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existin
Kitchen
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM D
INA—
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink &Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
MateWSys.Fee
Sand TrapS
Urinal
Fixtu
Area Drain
Main
Water Leader
Stor
Sprinkler System
Wate
- Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
, O
Total
Total Fee
LOT NO.
NO. .-STREET
1 A
-APPLICATION FOR PLUMBING PERMIT
z z ` CITY OF CUPGRTINO
r o t Sanitary No
04 Date 196_ Permit No
i a Fce $
o 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
i and/or fixtures in accordance with the provisions of .the Plumbing Code of the City of
a W Cupertino, and all other laws applicable thereto.
w x
�. Use of Premises
o_o
> N
o a Owner Address
ZJ
L
By CONTR CTOR, A N Address
3Q 3�r�-�� / s' fT — m Phone
WZ
arc a f O d WILLIAM c
o�}-State License Approved
- U C PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
junits
Fees
Water Heater
Size
;
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
_ Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
e�J
Area Drain
Main Drain Fee
-3 • w
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. FeeRelief
Valve
Cas Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
OF,
Total
/
a
Total Fee
3 O
d-
21630 Terrace Dr.
No. Street Lot No.Parcel A
APPLICATION FOR APPLIANCE PERMIT
City of Cupertino
DateAnri l 29 , 1969 Permit No. 5— 0 3 7
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.
Use of Premises
Owner Ward Crump Dev. , Tnr
By Spin CnrloS Shaat Matal
Contractor, Agent
Phone SQ I —2hOK
State License 110828
Address P.O. Rox O it
Address 779 Old Cnnnty RA_
WILLIAM D. EEN;EVICH
Plumbing Inspector
APPLIANCE
UNITS
FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
1
2.00
Gas Fired Boilers
Warming Ovens
Sus . 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 S stem
without ComfoEI Coo
Forced Air. Mech. each Power
Gravity System
No. of Air Outlets, No. of Flues 114 011t,p
,
'
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 15' High
v
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
& Absor . units with input
of 500,001 & Under 1,000,000
Permit Fee
2
Total
Total Fee Ill
0