2387r
20643 _ r Drivel LOT rro.(Iv, o BJ
W Z APPLICATION FOR BUILDING PERMIT
°l JUN 111963
CITY OF CUPERTINO
Y 11
(r
°a Sanitary No.
�0 June 7 3�17
_ ,L Uat 196 3 Permit No.
r +i 1 r ,
o
F Application is hereby made for a permit to carr-r•f
a
a U) a 7Q story, Type Frame Building
a to be occupied only as Single family residence
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith.
> a d0
�_ 3 Estimated Value of Improvements, $ Q900 Fee $ 63.00
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.
3 N In Inl nd Empi ev .o erg rens 960 Camden Ave. Campbe
WZ 9 0 Camden Ave.Campbel
Bye: 0, L L� E'- Address
a 0 Phone379-2280
f� Q ApproveWB
State Licens 1847`, INSPECTOR
R &ORD ECTION .APPR,OVALS
FOU AT N
.,D_ATrE INSPECTOR
UNDERFLOOR V7 ` DA
DA E INSPECTOR
FRAME
LATH and PLAS
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ------------ ------------- ................... 19-1 ....... r building Permit No. ......................
The Building Located at ..........
............... . ...................................... . .............. ..................
Owned by ................ ......
_.....--•.................:.:`......
....................... ..................
(Completed)
HasBeen (Altered) For Use As: ....... ..... ............ . ....... t ... . ......................................
......................................... ............... -- ................................................................................
............................................................................... .......... ....................... ...........................
............. ................................................................. .................. * --------------------- I .......
.........................................................
BUILDING INSPECTOR
102 1/63-500
O (./ Ldi�QN1L LL` ! ilcll( LOT NO. J J
VNO � STREt1'- .
ICATION FOR GAS PERMIT
Y) Z Z11 CUPERTINO
Y o ,JUN 2 0 1963
LL°
i y
¢ Uate�(� 19,6; Permit No.
°1uPITY OF CUPERTINIn Fee•$
= LL
~ ° 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
i and/or appliances in accordance with the provisions of the Plumbing Code of the City
aW of Cupertino, and all other laws applicable thereto.
J LL Use of Premises �&i;/,U�
00 n
� 3 Owner r/JY1EYi'�/11 h/ri'1 %�!/� 0, Address �Ci�� r►2�
z _j<
Z By Address (�(s/rn /VJUX
° ONTRACrAR, A NT
3~
— N Phone /
Z BENBVICH
02 8"5 Approved V[L�,IAM
WW
rc a
n � State License Cs6
JTZ PLUMBING INSPECTOR
of
Gas P
Gas Fired
Warming
Gravity Furnaces
Suspended Unit
Floor Furnace
.1
C�
Miscellaneous
NAME TYPE)
HOUSE GAS PIPING
Number of Outlets Z Sile of n I (t
Gas Piping Fees / ->
Tested and Approved ..... ........k,..... ... (l.L t,....::�....................
DA E INSPECTOR
M
LOT
STREET
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Dote '1 196.,E' Permit No.
fu —SI—e
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 rode of the City
of Cupertino, and all other laws applicable thereto.
Use of P
A
9
Type of Appliance Units Fees II
Remarks (Check J)
New Replace Relocate
Gas Ranges ( ��
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
.Suspended Unit
Floor Furnace
NAME TYP
Inspected and Approved.....1. .W..-'..J�`'c�`.-
ATE 1 INSPECTOR
2aV/1V3I a., t�L-)"
NO. ,&-TEXET LOT NO. �
APPLICATION FOR ELECTRICAL PERMIT
� U � 5 196PTY OF CUPERTINO
/'P
Date jO ' %ro T , 194�3 • Permit No.
4K I Fee �S
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
0 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, and all other laws applicable thereto.
v Use of Premises 2-S rV a,, c—C
N
C
' i Owner 17)1' )Sc�k �. .�r���12Addressy ( b (,a ,.....A. — C
i By Adre
CONTRACTOR, AGENT
A:;
Q�Phone: E —(D ELECTRICAL INSPECT
Size Service Conduit --- _------------------
Number of Outlets ........ ..........
Size Service Wires .........................Number
of Switches ----------------
Size Service Switch ........................Number
of Receptacles ............
Size Sub Feed Conduit ------------------Number of Fixtures _--_-.________-_-_
Size Sub Feed Wires ------- ............Ranges--- ......... KW --------------
Number of Circuits------------------- Oven _L-......... KW --------------
NEW RPL FEES
Number of Meters ------------------------ Signs ---------- Transformers .....
___I.._.../_..I...______.I..__.___..
Misc.... --•------------------
Motors"
Dryers---�--------- `
Motors -.--�%__. HP ._ Phase ._....1 ____ -.• Permit Fee $1.00 �
Motors -------------------- HP .....---•-�-•---- Phase -------------------- /410
------•------------- HP -------•------------ Phase -------- -- H P Charge. --------------- --------k
J TOTAL FEES
6
O OF INSPECTION VALS
Rough Wring ... - Fixtures ----------------- ---
ATE INSPECTOR /' ATE ,I----- .;INSP
Finish Wiring -----•---------• .....------•---•---- Motors /f -------
DATE INSPECTOR 4........ E 6
_ (.�+a l.____.. gV,-1,-
Final jj
DAT INSPECTOR
2�G3 - • `
LOT NO.
NO. A
�"e
APPLICATION , 16R PLUMBING PERMIT
z < JUN 2 O 196ITY OP CUPFRTINO
w z
r o Sanitary No.
0 aDate J17�r/yr�� ���,Ef� 196 Permit No � C
U _O U
T LL Fee $
0 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
WCupertino, and all other laws applicable thereto.
W 2 ,
a, LL Use of Premises eS1C'/iC-C
0 0 -�-
a a Owners YI Z2 17d FM nI re be ✓• Address �/
. l /II ahell
zJ
J z By �I Address M a%/ell
O V CONTRACTOR, AGENT -�
3 N Phone
W z
W W
a o i State License G ek ' q -3 5 5
—U
WILLIAM D. SENEVICH
Approved
R
RECORD OF INSPECTION
Underground Rough..
.Partial Rough.. — —3 -4
.Rough Complete.. /
Hain Drain —�27_ :
Final— c «---
UNITS
FEES
UNITS FEES
Water Heater
V U
Size `'
020 C)
Water Closets
b,,d Q
Material (�
Bath Tubs
/,0(
To Curb
Showers
f
1,e O
To Prop. Line
Lavatories
t
O
To Existing
Kitchen Sinks
1
Not Conn.
Dish Washers
J
1,00
Sewer Boxes
Waste Disposals
IJ
Wash Trays
STORM DRAINAGE
Washing Machines
1,06
Size
Nater Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
To Curb
Dental Units
Drinking Fountains
Floor Drains
WATER SYSTEM
H,pppers-
Size "
Restaurant Sinks
Material(z/V
I /
Sand Traps
TOTAL FEES
Urinals '
Fixture Fee
//.
Area Drains
Main Drain Fee
Z�DG
Water Leaders
Storm Drain Fee
Sprinkler vntves
Water Sys. Fee
i.
Permit Fee
, 00
TOTAL
//_nn
TOTAL FEE
/(,,e5l0
RECORD OF INSPECTION
Underground Rough..
.Partial Rough.. — —3 -4
.Rough Complete.. /
Hain Drain —�27_ :
Final— c «---
•
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
3?� I
El Sewer Connection Sanitary Permit No.. ................
-� dumbing Final Plu ing Permit No---------I --------- ...........
Lot Z40 - ------ -- ............
Owner or Tenant ..... -------------- - --- -- ------ --------- ---
At----------- .......
Tract---------------------------------- ......
--------------- -.. ....
-- ------- ----------------------------
Date Connected --------------------------------------1 19-;;
- -------------
DateFinal ----- ---------------------------------------- ----- ------ - -- ---------------- 19
-- ---- ----
------- --- ----- ------- - - ------------
PLUMBING I OR
Ill 7/61-5oo