NO PERMIT NUMBER (2)�l»s ♦\ ] Q.. Lot No.
N)*b216 �tthil4' A�ef.UE
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. rA��
S
((�������� ((�� File No.
Data 196.�—
Application is hereby made for a permit fto
a • story,
to be occupied only as (`Q 0 s L10 % \f
Type 5 — H — S
in accordance with Plot plan, plans and Specification filed herewith.
Estimated Value of Improvements
t
FEES l'D^f to (�� Plan Check$
n
Ower L C�ilfm�A� ' Y Address 5� l �i • 11LA�1A�
Contr. µ %%LN% .Ai % Address QtX�cC p.
Phone - ��� ' LLO �I� State License
Approved WILLIAM D. BENEVICH
J APPLICATION FOR ELECTRICAL PERMIT
Date /y��J �-196 FEES
Contr. //""u^-�-'�-mac✓ `�/ Address
Phone __ d�o� - / 3 7 d State License /-2/�s�Q��{O,
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 2-1 S 196 GAS FEE .$
PLUMBING FEE $ -�'Z,�e•��
Contr. bA 1.11t_� \�\% Q NjJ U�Address�'.� O- az
Phone Q �1 0 �� State License
Approved LL Pi4NEVI .F#.
APPLICATION FOR APPLIANCE PERMIT ob s a
Date FEES --Y�
%Cant, e Address
Phone"—�� y State License/-��;Z
•Approved _ �C��.i�.�%-L..tir_,..-�c-/v%
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
PAD FINAL
FOUNDATION_
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG.—
BUILDING
DATE INSPECTOR MISC.
ELECTRICAL
DATE INSPEC,30TR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
g-)
FIXTURES
6i
MOTORS
FINAL.
a
r O
1
SANITARY NO.
UNDERGROUND ROU
PARTIAL ROUGH_
ROUGH,COMPLETE
MAIN DRAIN
FINAL PLBG. _
FINAL GAS
FINAL APPLIANCE
PLUMBING, GAS & APPLIANCE
MISC.
nnrr'iNSPFC'TnR MISC.
MISC
MISC
MISC'
CITY OF CUPERTINO
10300 Torre Ave.
'CORRE, TION NOTICE
-- ---- / - -- -(-- -- -sz.
DepaAmept n'
Job Locited at - �.�i:„4 +.h•
- - -------- ------- .- ---------------------------- ---- --
You are hereby notified that no more work shall be
done until the above violations are cor+cted. When
corrections have been made cajj;.4he in pector.
252.4505 Date: A.......U..1.._..I-
City Telephone Inspector
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
Te-UP- r R /�-c-
--------- ------------------------ - - -------
Department
Job Located at P.T:..-/!�l-------- _---- ----------------
C-A-/1' to AJ 2 -- - -- ------- -
Urf
Ve ......
F-P N----1P.R-rF-------
,.--.570kt'1-W-----
0iEi --- )6 I ----------
-----'FL.(J6� ----
J-Z'1 J-7 -- -------------- ----------- --
-------------------------------
------------- - -- ----------------------
� Q � '-----
---✓15— M---- Pf- -------------- -------
N-`7.l
SECD---('--(----0--Ituct
& --- fi-1 7.6, p-------- -
//guc_ 50
3. Sv rr,atiT-
---C ..LLN�
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.
��— IO
252.4505
Date:
Inspector: C
City Telephone
-..�'....._-.....-.
CITY. OF CUPERTINO
10300 Torre Ave.
C-ORRECTION NOTICE
------------- ---- -
Department
Job .Located at La �---_ J
-----TZZ,c.--.l�----------------------j----------- -Y--------------
�--------------
N-D5 al ------- ------- ----------------
---- -- --------- dv
G°G?-w--------------- -- ---- -
Iti ?t --------------
--------------------
--------------------b-- - ---------------------------------------------------
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: = lV
City Telephone Inspector:__...----.
A#CITY OF'CUPERTINO
10300 Torre Ave.
C RECTION NOTICE
�Depa rf me
Job ocated at ��
----------- -----------------------------------------------
--- -- --- ---- --- -- ---- --------`� n�
----- -- -- - -----C---
.( - a-� - --
--- - ----- ----
----------
------------------- -
............. ---'^.`
�.� ---- -- --- -------------------------
�0 7
-------------------------------------------------------------------------------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call t e i pector.
252.4505 Date: -- —
City Telephone Inspector: ...fie-=
ROUTE .SIDIP.
File No. f 3
Date_/�T'— 1,e
Location aiy7. f
Subject
Notes
Approved_/-8'—%y �a
Date Ins r
ROUTE SLIP
File No..Ir/;7/3
�/ Date $�
Location�/� /�-%�
Subject_'
01,
Notes
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... ........ 19.2K- Building Permit
1 .................
The Building Located at ......
............................... ---
-------- .... .............................
Owned by --------------- 7-
- - ----------- ......................................
(Completed)
Has Been - For Use As: ......
............. — ............ .................... . ............................... 17 -------------- .........................................
...... ......... . ................................................ .............
................................................................ . . ........................
..............
............. (i ..... .
�AumsvTG 'wspicro—R ---- -------
OFFICE COPY
'Z CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
/ cam,_ -...5�.............. f,�.0
You at�e�. ereby aut or e to conned le trical service for A, *,\
Owner or Tenant .......... ....._._.. ____...__.'1,LG41._..
At ... .A..v.ZZ.'?....-..�. .Z.�.b............
Q......._......_....._............
No. of Wires ........................ Size of Wires ...................... Size of Switch2.'..cJ.o.j�..
Motor Load .......................... Voltage ................................ Ph•sc
Heating Load ....................... K. W. Voltage
�. Light......yC.... I10../ New Service ...... ........ Kemnnect.__......... ...
No. of Meters............
Heat ................. 220.._./hrec Wiah3,
..._... ?Lice Sen•i<c............
No. of Add. Meters............
. Power ....... ....... F er........
L
GL",.,CnL INSPGCT04
L,z> -r 12-
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Bldg. Dept.
Office Copy
Sewer Connection Sanitary Permit No. 65-7-7 -----------
Plumbing Final Plumbing Permit No.
DLVD4:, _�.2,1.3 ----------
LotNo. ---).p — ----------- -- --------
Owner or Tenant ...... O:rA.H
At /..Q.Z.4q..ArJ . _29 ---- j�e..!VE ..........................................
Tract ----- 0A.0-8 0.0 A "n JP
DateConnected .... - ----- v ----- -------------------------------- ------------ 19 ------------
Date Final ............. .... . ..... 70 ......... /.-,,
IV * ------ -- 1*11 .......... ------- 19 ------------
PLUMBING INSPECTOR
Lor 12
GAS -SERVICE NOTICE °oPYE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.... ..2-.... 70
................................. -I96
To
You are hereby ((aut��hooriized to conned the GAS service for
Owner or Tenant......\.J...A..A.i'{............N.qM.E.S.......6J.GI.........................
At /Q?n?Z0....A.N...Q........ VISTA .....b2YE.........................................
//�� New Service .....x..............
No. of Meters ..... 1.........
Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Mete . .......... * .......
oveMete...................
... . . .............................
PLUMBING INSPECTOR
1 02A0 V i A t a T)Z•
No. - Street Lot No. 12
r APPLICATION FOR APPLIANCE PERMIT
City of Cupertino
Date 88 /26./69 , 196 _" Permit No. S �� ��
Fee $
I
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 or the Plumbing Code of the City of Cupertino, and all other laws applicable
thereto.
Use of Premises
Owner Utah Ho
By$an Carlos SheAt Metal
Contractor, Agent
Phone 591-2605
State License 110828
Address P.O. BO.E #11�05
Approved
i
tubing Inspector
APPLIANCE
UNITS
FEES
uas op
Gas Oven
Wall Furnace
Gravity Furn.
Forced Air Furn.
.
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
Inde end. Vent System
Com. Indust. I nst.Kit.
Hood & Vent System
8.0�
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
6• 5c
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 50 HP
& Absor . units with input
of 500,001 &Under 1,000,000
Permit Fee
Total 11
Total Fee
lie U • 5 U
✓i Q NO. S"rRLr.T
Z _
u ¢
LOT NO.
S �� ELECTRICAL PERMIT
' 'IOCT 17.196�IT CUPERTINO
r
Date 'w 19�_L Permit No. �5 1� _
C Y OF CU�q. Fee
Application is hereby ma e o c 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 laws applicable thereto. - r
Use of Premis6
Owner, i Q
By hER-L r c
CONTRACTOR, AGENT
pi,.,.: 2 rl -12 7 t
State License :- iL 0 l T
Addres;6-F S
h� �`- (/i
Address P o i/ d
Approved
WILLIAM D. i= . BNEVICH
_.—
ELECTRICAL INSPECTM %
."9 \V//
ITEM I NEW iRPL I FEES
Number of
Number of Panels
H.P. Phase
NO.
A FOR PLUMBING PERMIT
® I p CUPERTINO
ma
Sanitary N
o.
Date ' Permit No
Pee $ 3 ,Sc
A ppl Orr
Of Cupertino for n permit to install plumbing
pipes an`<i�pr fix s I , t i • rse 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 laws applicable thereto.
Use of
phone --2 V1 — 33 % O
State License,
Address 2212 • Oc :-YL
Approved
PLUMBING INSPECTOR
' FIXTURES
NUMBER
MAIN DRAIN
UNITS
FEES
UNITS
FEESI
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
ToMain 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
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
--
Total
Total Fee
.Se