51187/Q I t%R.� C(M.(,� Lot No.
No. Street '
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO b
File No. %S7110 11
'5
Sanitary No. ls9 T
Date � � 196
to be occupied only as
is hereby made for a permit to
a - / story, Type S- Z ✓-
in accordance, rf&h Plot Plan, Plans and Specification -filed herewith.
Estimated Value of Improvements
FEE$ 7� G
Owner
f� 6t5i6
Plan Check f ^
Address -w2 �"! J—pa, sem.-, L^=
Contr. ��1 ♦♦ Address
Phone O?SC)- State License /%C-/ 7!4g,
Approved WILLIAM D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Dote 196
Contr. �J.✓
Phone 7.2,G a/
FEE$ ate- lrsl
Address 9e2 Sl
Stole License �'1' ��- Z.
WILLIAM D. EIENEVICH
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date L- 196 GA4 FEE f ��
PLUMBING FEE $5'2 -41J
Contr. "`� Addresf - f >7 tl ""� s
Phone c,) S Z3 -; State Licensaha J a1 --
�L.LIAM D. NEVICH
Approved
APPLICATION FOR APPLIANCE PERMIT
Dote �( /Z 1% /' FEE$ ��`p�' p
Contr, r�/`^�- '/ Address
Phone _- X76 ` a % '� / State License
WILLIAM D. BENEVICH
" Approved
Applicants agree not to violate any of the,
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
UNITS
11WTERIAL
BUILDING
WATER SYSTEM
FOUNDATION
SWITCHES
Inspector
ROUGH WIRING
O Da `6 c,/
C
Ina pecto
UNDERFLOOR
FIXTURES
1 _ �t9
ss77
PARTIAL ROUGH D -
Or
L
ns P.ct
FRAME
PERMIT FEE
Inspector
FIXTURES
Date
�-- L�
--f!ns pector
r
LAT PLASTER
STORM DRAIN FEE
MAIN DRAIN —
Oa_ (
e In
FINAL
_ ..LL--t'sv
or
WATER SYSTEM FEE
Dote
Ins oe ctor
ELECTRICAL
SERVICE SIZ
UNDERGROUND
UNITS
11WTERIAL
,OUTLETS
WATER SYSTEM
D
SWITCHES
Inspector
ROUGH WIRING
RECEPTACLES
UNDERGROUND
FIXTURES
1 _ �t9
ss77
PARTIAL ROUGH D -
H.P. CHARGE
"
Da
PERMIT FEE
Inspector
FIXTURES
TOTAL FEES
ROUGH COMPLET -
ELECTRICAL
SERVICE SIZ
UNDERGROUND
UNITS
11WTERIAL
TYPE OF APPLIANCE
WATER SYSTEM
D
CIRCULATING HEATERS
Inspector
ROUGH WIRING
l
UNDERGROUND
FINISH WIRING
1 _ �t9
ss77
PARTIAL ROUGH D -
Impactor
"
Da
t0
Inspector
FIXTURES
-
ROUGH COMPLET -
STORM DRAIN FEE
�
MAIN DRAIN —
Inspector
Motors
plab
or
WATER SYSTEM FEE
PERMIT FEE f
GAS PIPING
Im pe cfor
FINAL
1 r• d �l9
to
e r
Date Inspector
PLUMBING 8 GAS
rMAIN DRAIN SIZE MATERIAL
I STORM DRAIN SIZE MATERIAL
/ (0"r 6
ware �m pecwr
APPLIANCE
TYPE OF APPLIANCE
UNITS
11WTERIAL
TYPE OF APPLIANCE
WATER SYSTEM
SIZE
CIRCULATING HEATERS
TOTAL FIXTURES
REGISTERS
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH D -
COMBUSTION VENT
"
t0
for
MAIN DRAIN FEE
MISC
ROUGH COMPLET -
STORM DRAIN FEE
MAIN DRAIN —
MISC
'
plab
or
WATER SYSTEM FEE
PERMIT FEE f
GAS PIPING
FLOOR FURNACE
to
e r
GAS PIPING FEE
—
� FINAL
Date
nspecter
PERMIT FEE
MISC
ate
Inspector
TOTAL FEE
MISC
ware �m pecwr
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 f
FLOOR FURNACE
TOTAL FEE
INSPECTED / :,/d G
Date
Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... 1_-. ..... 2-E .................../ 19..4..1... Building Permit No. 4I./.97
The Building Located at ... a 0 a+,..... .. ax ......... .............
Owned by - - -�.......
Has Been Fot Use As: ........ ...
Si4...................... ../l
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
ci
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUBERTIN
.........._..........Y.....YZ�............. 196..
To
You are hereby t ori d conn elAlcal service
for
S.Owner or Tenant ......`...........
......... .... • ..............I�; _e .?-.........................................
� v r
At................... �... .� ......................�n.......
No. of WirlesC,... Size of ires ....�...... Size of Switch
MotorLoad .......................... Voltage ................................ Phase ..................................
Heating Load ........................ K.
{ W.................................. Voltage ................................
Ligh110.1/ew Service.. Reconnect..................
No. of Meters......
No, of Add. Meter............
Heat ................ 220............ Three W' .... Move Service............
Power ............... T hie.e..�..,...... Move Meter..............
aL I
�L INIPECTO( C�
GAS. SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF C TIN._....... .. .. .. ....................
ro
OFFICE
COPY
196?..
You are hereby authorized to connect the GAS service for
Owner or Tenan; ... lzl,-...
........ .
...... .................
At gz�
. . ...........................................................
New Service ... ............
No. of Meters ...... Reconnect ................ - .......
Move Service ... .....................
No. of Add. Meters .............. Move Meter . ........
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit
Plumbing Final Plumbing Permit No. ///�4..1...........
nLot No....... = ....................
Owner or Tenant ---K " �
1.T8WAC*0W-4r/A=
Tract ...Ly,cir�........ ..........,
_.... - /y
Date Connected ..........................
DateFinal .................................. ! ..... a..............................._.......................... 19.
PLUMBING INSPECTOR
111 12/66-1M
ROUTE SLIP
File No. J--114-7
Date
Location /U
Subject
Notes
Approved /-99-69 �✓�s
1
No. V —et
O® at
TION FOR BUILDING PERMIT
Lot No. �6
/G/T
1a' Ff Y
City of Cupertino7?
/ S � 68 Sanitary No.
e , 196_ (� , Permit No. T
Plans, specifications and Plot -Plan file(Ltierewith • SPI Ck Fee
Estimated Value of Improvements, $C,5, (JC)d. Oo Fee $7A .
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino wA be complie with.
Owner Addres ` •
By Address
Phone ,SS% Approved WILLIAM D. ELNZVICH
State License G;/ '7 ,1E/ Building Inspector
X
LOT NO.�
NO. STREET
,S�LIzrl FOR PLUMBING PERMIT
® (�"t��C� I�( OP CUPF:RTINO
S O [�jl Sanitary No.
Date' 9V 8 Permit No
Fee S���S�
A�t J' pp�� TI
IT�io�Whe RJL�tL [A City of Cupertino fora 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
Dwelling
Ditz Crane Co.
7id9§esDe La Cruz Boulevard
Palm Plumbing Co. 12,Vi Sunnyvale -Saratoga Rd.
By CONTRACTOR, AGENT
Phone 245-2323 _
State License 186579 Approved
7
`.� PLUMBING INSPECTOR V
FIXTURES NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water IIrate, Size
Water Closet 12, Material C�
Bath Tub / To Curb
Shower / To Proo. Line ✓
Kitchen Sink/
Not Conn.
Dish Washer Sewer Box
STORM DRA
Comb.Sink&Tray I 1 11 To Curb
Drinking Fountain
Floor Drain
WA'T'ER SYS'T'EM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Thain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer `
Filter
Permit Fee
Total
Total Fee $�