238620633 lCherql Drive _ LOT No._S
a NO,,.:. +Ks�:,-ITREEt -
W z G -►i kAG,AT1 FOR BUILDING PERMIT V
Y o OF CUPERTINO11,
3�
JUN 111963 Sanitary No.
= LL Date June 7 196-1 Permit No.
T o , (�� (�lpf;T
LL F p�l atiUf is hbt& Ae for a permit to erect
a
z N a One story, Type Frame Building
a
W to be occupied only as Single family residence
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith.
-, N D CJ
F 3 60O
Estimated Value of Improvements, $ Fee $ 60.00
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
j o Cupertino will be complied with.
3 m Ownerinl nd Empire )?eve love rsAddre0 Camden Ave.Campbell
W of
a By Addres % amden Ave .
a o Phon 379-2280Y"
—U App
ro
State License 184784 ve _
BUILDING INSPECTOR
R (k PECTION APPROVALS
4FUN ATI �' ��
DATE INSPECTOR
UNDERFLOOR
DAINSPECTOR
FRAME , T -,z-
DATE % INSPECTOR
LATH and PLASTER � I I ;
INSPECTOR
DATE
q -`�' &
4�-
FINAL BLDG.
1
DAT.
G _
INSPECTOR
FINAL ELEC.
�DAT�
` a
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
G /L2�m--
FINAL GAS
`oCl�-
-
DATE
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ---- - •----- 19.------..... Building Permit No- ............... ......
TheBuilding Located at ......................................... :............................ ................................
Ownedby .......................................... .......................................... :.........................................
Has Been (Completed) For Use As: ..................... f
(Altered) :.....:,r .._ .....................................
.................................................. •----.................
BUILDING INSPECTOR
102 1/63-500
NO. .STREET LOT NO.
APPLICATION FOR ELECTRICAL PERMIT
�.i JUL 15 CITY OF CUPERTINO �2- /
Date r`!�' 1�191�3 Permit No.
- Fee S 'jk�ww
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 laws applicable thereto.
Use of Premi
Owner's r? ^^�ci. E" -UVZAddress C
By c Address S v.
CONTRACTOR, AGENT
Approved
Phone: I \ t�- 'U— C %TO ELECTRICAL INSPECTOR
NEW RPL FEES
Size Service Conduit-------------- Number of Outlets_ --------------- -- J -- ---------- -
AD
Size Service Wires -------------------------- Number of Switches.......--........ Z� . .......
Size Service Switch ------------------------ Number of Receptacles ............ .. 2-6? .......... -.2...-----.
C�' O
Size Sub Feed Conduit ------------------Number of Fixtures-..._..-------.--- - ............ ...
Size Sub Feed Wires -------------_----- Ranges .... / ....... KW -------------- -------/ .......... ........
Number of Circuits-----...__.. _--- Oven ./ ---------- KW-------------- ------ / - ---------- --------- 7
Number of Meters ........................Signs---.------ Transformers........ ...
.....---.__.--
Mise-----...- -------- :::: ----------------------- DryersJ -----------------
Motors ...... .... HP -------------------- Phase -------------------- Permit Fee $1.00
Motors.................... HP -----------_------ Phase ------------- ...... ;75'
Motors.................... HP ---------_-------- Phase ---------- -------- H P Charge ---------------- ----------
A
I U I A
FEES
Rough Wiring.
T
Finish Wiring . .-
DA
0*
. .
OF INSPECTION ARM
Fixtures
Q rso
INSPECT
INSPECTOR tFinal ----------
� -
Sr?
RATI
-----
Do
!ATK
- --- -------
111-Tlll
t -PV, -.CT
-- -----------------------
T..
INSPECT..
•
INSPECTOR
V (':S 3 I cz,',z f L7x -LOT NO. - A-V
Q STRR T
® PLICATION FOR GAS PERMIT
W i CITY OF CUPERTINO
�
,lUN 2 0 1963
O �r
0 J 3 n
° a Date 196 __;� Permit No.
PITY OF CUPER+ Fee$
° Application is hereby made to the City of Cupertino for a permit to install gas pipes
U. o a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
i N and/or appliances in accordance with the provisions of the Plumbing Code of the City
a W of Cupertino, and all other laws applicable thereto.
J LL Use of Premises
00
3 Owr I Qexr Address 6241�_
�G��CfY
� z By Address
° MONTRACTOR, AGE T
3 Q)l
— N Phone'
WW WILLIAM D. BENEVICH
0 �1� State License — �5 I Approved
;�/ PLUMBING INSPECTOR
Type of Appliance
I Units Fees II
Remarks (Check d)
New j Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters I
I�
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables I
��
Gravity Furnaces
',Suspended Unit
II
door Furnace
4 liscellaneous
(NAME TYPE) I
II
-
G�
pp lance Fees
Inspected and Approved - ......••-•.
-.............................
TF INSPECTOR
z� 3'
NO. A'aE LOT NO.- VTOW FOR PLUMBING PERMIT
W Z JUN G Q �963CIT OF CUPF-RTINO
x o Sanitary No.
cr
a Dat $ � %a Permit No / C 2'
W " I C)
=LL `� Fee $—
,
O Application is hereby made to the City of Cupertino for a permit to install plumbing
U. 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.
F?
J LL Use of Premises
O O
> " C� z � ,Cil LCCc ,, i2fc f'
o < Owner ,� it c ! L6- Address_
J z By Address a l,Ld (.
3 CONTRACTOR, AGENT T -T
— N Phone.
�� _ ���,��' WILLIAM D. BENEVICH
a o Q? tate License. Approved
✓ I PLUMBING INSPECTOR
waste Disposals
UNITS
I FEES
UNITS FEES
X/ater Heater
.D O
Size N .Oti
Vater Closets
2
,v 0
Materia' C i.
3ath Tubs
Material
d 0
To Curb
ihowers
/
/, eo
To Prop. Line `
,avatories
2
pp
To Existing
Citchen Sinks
Not Conn.
dish Washers
/ /
, /, 0 U 1
Sewer Boxes
waste Disposals
I
Vash Trays
STORM DRAINAGE
Vashing Machines
d v
Size
Rater Softeners
Material
3ar -Sinks
To Main Drain
-omb. Sink & Trays
To Curb
De al Units
king Fountains
Ir Drains
WATER SYSTEM
uppers
Size
Restaurant Sinks
Material ot:-/0. 1
1/_06
Sand Traps
TOTAL FEES
Urinals
Fixture Fee
q r10
Area .Drains
Main Drain Fee
7.041
Water Leaders
Storm Drain Fere
`prtnkler v:uves
Water Sys. Fee
/,00
Permit Fee
2 .Op
TOTAL
.0
TOTAL FEE r
, Oji
RECORD OF INSPECTION
Underground Rough
Partial Rough_-
- S
Rough Complete..
% 3
Main Drain
Final...
_ .-
, , )I_—
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
�] Sewer Connection
Plumbing Final
Owner or Tenant .........
At---------ip�
Bldg. Dept.
Office Copy
Sanitary Permit No.. --------------------------------
Plumbing Permit No. �.....-�_..----�...
Tract --------•------------- v`...r`''..'X
Date Connected ---- ---- ------------------- -------.. .............................. 19.
DateFinal.....................................................
-............. L -.....k
-------------. 1
PLUMBING INSPE .... 2S
111 7/61-5oo
D 33
LOT NO.
NO. A-),
S E
�Q
TfSEF11
A N FOR PLUMBING PERMIT
Y OF CUPERTINO
W Ox0 19 Sanitary No.
aDate 196 Permit
CITY OF CUPLK i
Fee $ - p
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
LL 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 I
U. Use of Premises
00
3 Owner /l �' Address
ZJ
Z By
O CO OR, AGENT
3� �
— U) Phone 7�1 — 9 `> G o
W Z
ao State License 2� 3 Approved
TPLUMBING INSPECTOR
Water Heater
Water Close
UNITS I FEES 11 1UNITS I FEES
0
0
Dish Washers I 1 II Sewer Boxes I I
Waste Disposals
Jize
Wash Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
Bai Sinks
To Main Drain
Lomb. fink & Trays to hurl)
Dental Units
Drinking Fountains
Hoor Drains WATER SYSTEM
rioppers
Jize
Restaurant Sinks
Material
Sand Traps
TOTAL FEES
Urinals
Fixture Fee
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
Sprinkler V:uves
Water Sys. Fee
Permit Fee
TOTAL
TOTAL FEE a
RECORD OF INSPECTION
Underground Rough ..
.Partial Rough..
Rough Complete..
Main Drain `
Final... Z
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