51187Z-6 o I 0-4� CuA.�..� Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO e
File No.�11a 7
Sanitary No:
Date 196
Application is hereby made for a permit to
a �Z� story. Type �r 1
to be occupied only as
in accordaWwith plot plan, plans and Specification filed herewitk
d d d=
Estimated Value ozr,
f Improvements f , d
i FEES �%PC Plan Check f
Owner • Address , �' Q 1 _ x-
Contr.
Phone ,f.o J a 0(
0
�D
Address
State License
Approved WILLIAM D. MENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Date y� 196 / FEES 2 c.2 . e S
Contr. ��"-+ Address
Phone' X736 .r'4't j'i State License a-%
Approved _.___._.... _. —_ .—.....t
APPLICATION FOR PLUMBING & GAS PERMIT
Dote � � � 1_ 196 � GAS FEE f `
PLUMBING FEE S��U .2 d
Contr. �'� ✓ ✓" �s Address
Phone ^2 50f 1.3 State License
Approved WILLIAM D. BENEVICH
APP ICATION FOR APPLIANCE PERMIT
Date ,�Zy 196 FEE$ �`��j'6 Q
Contr. �""' %/ Address
Phone .�7 �_ d i �% State License �� G CO
WILLIAM D..6EiVSVIC
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California i!
ELECTRICAL
Ins
Ins oector
SERVICE SI
UNDERGROUND
UNITS
RECORD OF INSPECTION
APPROVALS
ter
BUIL
FOUNDATION
(lY
UNDERGROUND
Date
UNDERFLOOR
I
FRAME
Date
LATH PLASTER
Inspector
PERMIT FEE
Da2'ro 9
FINAL
(
D�
Data
ELECTRICAL
Ins
Ins oector
SERVICE SI
UNDERGROUND
UNITS
FEE
,OUTLETS
ter
Inspector
611
SWITCHES
(lY
UNDERGROUND
RECEPTACLES
Date
[ Inspector
!N`
FIXTURES
H.P. CHARGE
ate
Inspector
PERMIT FEE
ROUGH COMPLET
TOTAL FEES
D�
Inspector
ELECTRICAL
Ins
Ins oector
SERVICE SI
UNDERGROUND
UNITS
FEE
WATER SYSTEM SIZE
ter
Inspector
611
ROUGH WIRING
(lY
UNDERGROUND
REGISTERS
Date
[ Inspector
!N`
FINISH WIRING
COMBUSTION VENT
ate
Inspector
FIXTURES
ROUGH COMPLET
MISC
D�
Inspector
Motors
I or
STORM DRAIN FEE
MISC
MAIN DRAIN
Inspector
FINAL
Vj �O
to
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
11, h. 1. , '- r, -P '/
iP-wl1 �- c- • -
UNITS
FEE
WATER SYSTEM SIZE
TERIAL
FEE
TOTAL FIXTURES
UNDERGROUND
REGISTERS
FIXTURE FEE
PARTIAL ROUGH
COMBUSTION VENT
Date
-e
p r
MAIN DRAIN FEE
ROUGH COMPLET
MISC
Da a
I or
STORM DRAIN FEE
MISC
MAIN DRAIN
GAS DRYER
to
r
WATER SYSTEM FEE
FLOOR FURNACE
GAS PI EING - -
TOTAL FEE
ate
r
GAS PIPING FEE
FINAL - -
Onto
Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
MISC
vote Inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
SUSPENDED UNIT
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR FURNACE
TOTAL FEE
INSPECTED% / /-
Date Inspector
ROUTE SLIP
File No. S/ (? %
Date /— 22,— d
Location 0 L o 0 aL,-
- 1
Sub j e c t f�!,,-.e. za,
Notes
Approved -2 1 4f
-- - nn4-a _. Tn c a'nr
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO 7
Date ....I.................... �:............... 19.41.. Buildin& Permit No. �� . /....
t /
The Building Located at .... �G . .Q U..........1.....................Q.
....!.`...—................
Ownedby ...... j ..................................... -- _.. . rf ......
Has Been` (A4tor*d-)' For Use As:..........
.,5 r ............................................................
...................................
...............
BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE oiriu.
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
/N
... .. ... .. .. ... >1
You are hereby authorized to connect the GAS service for
Owner or Tenant .. .... .......... ......... .........
At
New Service .411--� ..............
No. of Meters .... / ............. Reconnect ..............................
Move Service ............. — ........
No. of Add. Meters .............. Move Meter ................ - ........
-"er . . ..
PLUMBING INSPECTOR
Bldg. `Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO '//
F1 Sewer Connection Sanitary Permit No.T//�pp..........
]/Plumbing Final Plumbing Permit No. ,111 7......
{ Lot No........ P,
Owner or Tenant ...X� ..
At
Tract
DateConnected.......................//......................................................
DateFinal ............................... /�(.............................................................
.................
PLUMBING INSPECTOR
111 12/66 -IM
OFFICE COPY '
f� ELECTRIC SERVICE NOTICE
t� BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............ ..:1..-..:v'_�....._.......... 190. .
To � '
You are hereby autt� zed t IXn electrical service for
Owner or Tenant ................� �....';�............- .......... - ..........
�. �:.OU.......r.'.l %tip, Q...(.
No. of Wires ...1Z ............... Size of Wires .. .....V...... Size of Switct ........
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W . .................................. Voltage ................................
No. of Meters ....................
Light ............... 110......... NeMicae. ...... Reconnect..................
No. of Add.Heat................. 220......... Th...... Move Service............
Power ............... Th..... Move ter..............
�-
ELECTRICAL INa7 O3a
_ a
TRIC ! SERVICE ' v � NOTICE � OFFICE COPY
C
�%` •-%�� ILDING INSPECTOR'S OFFICE.
CITY OF CUPERTINO
To
You are hereby authRSE colpe trical service for
Owner or Tenant .........At ..........�._CV-s>o._....................... .........._..............
No. of Wires ........................ Size of Wires ...................... Size of Switch ...................
Motor Load .......................... Voltage ............................._. Phase ......................... ...
HeatingLoad ........................ K.W...... .... ........................ Voltage ..............................
1
No. of Meters..........LightL ............... IIU_
.......... New Service............... Reconnect...............
.........
Heat...............
No. of Add. Meter............ .. ........... ree Wire...... ..... Move Service..........
Power..... ...... P se .............. Move Meter..............
................... ... ..... . . .... ...
RLECTRICAL INSPECTO
faIP
Lo[ No.
aL IS
SEA 12 1966 PLIC
ATION FOR BUILDING PERMIT
City of Cupertino d-9 K6 ', n
Sanitary No. "Y—
D��a//te �DD T1�9�6_�(� Permit No. .S-'// 97
f;j-kYpli on PltidlA 4Qtla permit to
3 = a A�-c-V story, Type Building
u 4d
w
oto be occupied only as in accordance with
Plans, Specifications and Plot -Plan filed -herewith • PI Ck Fee
ti ' - d
m Estimated Value of Improvements, S �S i .UlD l7 _ Fee $ I A)_
-6 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
'S all other laws applicable to the construction, location, and use of buildings within the City of
c mCupertino ill be complied with.
c
3 .2Owner x.67 Addres
_
W By G Addres
fol c Phone Approved WILLIAM D. 13F—KF�VIG�
U / Building Inspector
1r State License �,.$—� 7 9/ ng P ✓
LOT NO.
NO,
® A N FOR PLUMBING PERMIT
d TY OF CUPERTINO
z' SEP 12 1968 S:mitary No.
MLL September 8
O a Date 196— Permit No
U
o
CITY OF CUPERTIN Pee S
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
> 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
a
Dwelling
Use of Premises
J LL
,0 2295 De La Crus Boulevard
3 Owner DitZ Crane Co. Address
Ja Palm Plumbing Company 121Ada11 Suru�rvale-Saratoga Rd
J ess
O y CONTRACTOR,AGENT
3 245-2323
— m Phone
w z
s State License 786579 Approved'
a o
—U
�C PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Size
UNITS FEES
UNITS FEES
Water Beater
TOTAL FEES
Size
Water Closet
y
Material
_Bath Tub
/
To Curb
Shower
/
To Prop. Line 4/
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
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
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 Svs. Fee I /C-.
Relief Valve
Vac Breaker
Total