2349ttlll�9/
NO. STREET LOT NO.
W Z IA N FOR BUILDING PERMIT
Y ° D TY OF CUPERTINO
LL (.1 (.Ir
3 a ��Qt t, Sanitary No.
U M Q
i o Date 1'96 Permit No. �� 7
LL C1T)oiffn i Vekfev a permit to
a
z U) a story, Tye Building
a W �/f
F- � to be occupied only as
a
0 o in accordance with Plans, Specificatio s and Plot -Plan filed herewith.
��yy uP
F 3 Estimated Value of Improvements, $ !0, Q(20 Fee $ S2t7J
zJ 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
O Cupertino will be complied with.
— N O ner � Address
w z
°
a By Address
a one
Approved WILLIAM I RFnl�yt�►u
State BUILDING INSPECTOR
RECORD OF INSPECTION- APPROVALS
FOUNDATION
UNDERFLOOR
60 FRAME
1
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATEINSPECTOR
l -6,
DATE INSPECTOR
DATE
INSPECTOR
_DATE_ �
INSPECTOR
DATE
INSPECTOR
DATE :�, I ��
q --?,l /
INSPECTOR
DA �
I
IN
DATE
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY CFCDPEBTIND
. ..... . . Z .... 4Bui,.Iding Permit
Has Been(,_,.,��r Use As: .................... ...... ----------
'.� '
------'----------'--'--
_—'--_—''--'---'------..—_' ' .
'....—'-''.TV ~ ----'----'-''..
10365 Fardllone Dr. 81
NO. STREET LOT NO.
Plan 141
t
DR ELECTRICAL PERMIT
�� JUN 2 1 196f'IF CUPERTINO
No.
JUN 1.8 1963 Permit o
Date .195— N ?
CITY
Y Fee 1- O
Application is hereby made to the City of Cupertino for a permit to install electrical
N wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
N wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
Owner By
Di tz—Crane Address San Jose
1'z a • Addr
o Approved
SUNNYVALE, CALIFORNIA
Phone: PL10I1E 1 ELECTRICAL INSPECTOR
Use Premises residence
v
of
N
C
y
v
v19
Ln
Owner By
Di tz—Crane Address San Jose
1'z a • Addr
o Approved
SUNNYVALE, CALIFORNIA
Phone: PL10I1E 1 ELECTRICAL INSPECTOR
NEW RPL
FEES
Size Service Conduit_--_ l --_--_-_-Number of Outlets.. ----------------
v;2,v---
---------
Size Service Wires.._......_Number
of Switches________________
__________
__________
- �Z Jb
Size Service Switch ----- -1 P:!?q..._.Number
of Receptacles____________
��
__________
__________
__---- ,
Size Sub Feed Conduit ------------------
Number of Fixtures ------------------
.2D---
_-_-_-__-_.�t_-
Size Sub Feed Wires ... _--------------Ranges
....... ------- KW --------------
-... ---
--------.-
--- --�S
---------
Number of Circuits .................
Oven KW.
----- ---
-•--------
• %S-
------------•-
Number of Meters ........................
Signs .......... Transformers---.----
+----.___--
--_-_•-_--
--------__-•--
Misc-----------------•-----------------------Dryers-----.----------------------------------I
--
Motors HP -----------
Phase
--------
----------
•------ ------
------- ------- -_.
Motors ------------•------- HP ------------•-------
•-------------------
Phase --------------------
Permit Fee $1.00
Motors .................... HP --------------------
Phase .. ---------------- H P Charge ----------------
TOTAL
RECORD OF INSPECTION AP ALS
Rough Wiring ----- •--------�_-•----------------------- Fixtures �
--------- ----------
ATE NSPECTOR T NSPECTOR
Finish Wiring . ?..lir. �...... __ ... Motors q.71
�. _
.•••••-
DAT INSPECTOR T MTOR
Final - ------I-.
DATE INSPECTOR
n Q
ZZ
W �
O
Y LL
O J
a
WLL
= O
LL W
o�
a
zN
a W
W=
�f
a
J LL
00
> ui
�3
oa
ZJ
J Z
J O
3�
a
—N
W Z
W W
it a
ao
—U
-- d�
zD3L5 Lor NO. If"ll
?!�JUN
Q TRL4, FOR PLUMBING PERMIT
�iOFCUPERTINO 11 1963 Sanitary No.___
Date 196 Permit No. O, 3
CITY OF CUPERT'In. Fee $ 7
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 laws applicable thereto.
Use of Premises
Owner 2 Address
By Z c Address
CONTRACTOR, AGENT
Phone zL
State
Approved WILLIAM D. LL NEVICH
PLUMBING INSPECTOR
Waste Dis
.Vater Softeners
UNITS
I FEES
UNITS FEES
Water Heater
/ c—C
Size G C
Water Closets
Cental Units
L. c2'
Material ^
Bath Tubs
r -v
To Curb
Showers
(1"Z'
To Prop. Line
Lavatories
Restaurant Sinks
G -C
To Existing
Kitchen Sinks
TOTAL FEES
Urinals
Not Conn.
Dish Washers
Area Drains
Main Drain Fee
Sewer Boxes
Waste Dis
.Vater Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Cental Units
Drinking Fountains
Floor Drains
WATER SYSTEM
Hoppers
Size
Restaurant Sinks
Material
/ . CZ!
San Traps
TOTAL FEES
Urinals
Fixture Fee
o?
Area Drains
Main Drain Fee
p tel/
Water Leaders
Storm Drain Fee
Sprinkler waives
Water Sys. Fee
o d
Permit Fee
ezJ
TOTAL
TOTAL FEE
U -z)
S
Undergf6und Rough...
.Partial Rough..
Rough. Complete_
1'Iain Drain
Final_
el -
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Se Connection
Plumbing Final
Owner or Tenant -__-..---
At - --------- t---�z.%•�'-.--
Tract 4
Date Connected ------------------------------------
Date Final .........................
111 7/63-1M
Bldg. Dept
Office Copy
Sanitary Permit No. .....................
Plumbing Permit No�t_. ` .4......
Lot No.. --......S--? .............
y--------------
-------- a-------------------------------- - ---------------- 13 .........
.....__ (_---------------------------------------........
/ ( LOT NO,
E T
APPLICATION FOR GAS PERMIT
zJUN a % . CITY OF CUPERTINO
W Z 11 �;Q,.>
Y O o� -7
3 U Dat 196 `3 Permit No.
= CITY Of WPM L
w Fee $
0 Application is hereby made to the City of Cupertino for a permit to install gas pipes
LL o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
Z and/or appliances in accordance with the provisions of the Plumbing Code of the City
LO
a w of Cupertino, and all other
s applicable thereto.
Uj M T
,� Use of Premises /
00
>m _ l
3 Owner Ad
z I
Ad
� z PY
Fr
CONTRACTOR,AGENT
— uai Phone.
wz
0State Lice
a Z `%� ApprovedWILL1AM D. BENEVICH
i onse
�
U PLUMBING INSPECTOR
Type of
Gas Rang
Gas Fired Boilers
Warming: Ovens
rioor rurnace
Miscellaneous
NAME TYPE)
HOUSE GAS PIPING
Number of Outlets 42 Size f M
Gas Piping Fees
Tested and Approved . . .. .. . .. ........................
DATE INSPECTOR
u
LOT NO. �+ /
,F Vii: APPLIANCE PERMIT
1 MAY t 196//_ CUPERTINO
Date 196-3 Permit No. �
CITY OF CUPERT'^'"
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 slid
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises
Owner_�l/{�2 _
CONTRACTOR, AGB
Phoney—
Address
Address
Ap rov L
PLUMBING INSPECTOR
Type of Appliance
Units Fees I
Remarks (Check J)
New j Replace I Relocate
Gas Ranges I I II
Wall Heaters I j Ij
Gas Plates
Circulating Heaters I I II
I i
Blower Furnaces
Fired Boilers I I II
_Gas
\(/aiming Ovens I II
Percolators j I
it
Griddles I I
II
Steam Tables I I
II
Gravity Furnaces I I
II
Suspended unit
Floor Furnace
II
I
II
Miscellaneous
NAME TYPE) I
II
ollsoll
II
II
Appliance Fees
I
Inspected and Appcpve Fi'j%'._... _ ...............
DA E INSPECTOR
LOT NO.
TRE T
D I OR PLUMBING PERMIT
a OF CUPERTINO
W
Zz 19
4
I
Y o S 2 63 Sanitary No.
0 U Date 196 Permit No o2 `3
W LL OF CUPER1, Fee
=o
Application is hereby made to the City of Cupertino for a permit to install plumbing
o a 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
a W Cupertino, and all other laws applicable thereto.
W T
<�
W Use of Premises
00 , / nn /`^p
aa Owner Address G�,�12 /40arZ Jeh 14 r1
� z By t Address f L%2 re Y 9
0
3 CO NT$,A� CSR„AGENT
— U Phone 6 dJ�
W
0 State License�(�! Approved �� vc
a0
U
�! PLUMBING INSPECTOR
../
UNITS I FEES
UNITS FEES
Water Heater
Size
Water Closets
Mat•_ra!
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Storm Drain Fee
Wash Trays
STORM DRAINAGE
Washing Machines
Size
j'Water Softeners ,Q-0
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
I To Curb
llnnkmg Fountains
11
Moor Drains
WATER SYSTEM
Hoppers
Size
Restaurant Sinks
Material
Sand Traps
TOTAL FEES
Urinals
Fixture Fee
Area Drains
-Water
Main Drain Fee
Leaders
Storm Drain Fee
Sprinkler Vaives
Water Sys. Fee
RECORD OF INSPECTION
Underground Rough...
.Partial Rough..
Rough Complete..
Main Drain
Final...