51167.2.///✓J LOT NO. 4'/
NO. TMEE.T T—�—
VQT��FOR PLUMBING PERMIT
of CUPGRTINO
SE�968 R Sanitary No.
Date - 196- Permit No :i wL//moi �—
C TY OF, ��� p R Fee $ '2 •3�
Application is her2rby m de'�� 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 DMe114:
OwnerDitz Crane Company eke La Cruz Boulevard
By Palm Plumbing Company ]9,Pjkffiinvale-Saratoga Rd_
CONTRACTOR, AGENT
Phone 245-2323
State License 186579
Approved WILLIAM 0. 133^i'.=VI/C4
PLUMBING INSPECTOR
�_ VVV
FIXTURES
NUMBER
MAIN DRAIN
UNITS FEES
UNITS FEES
Water Heater
/
Size
Water Closet
J'
Material
Bath Tub
To Curb
Shower
/
To Prop. Line ✓
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 R Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
I' 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
LOT NO.
NO, TREET. �I3�
W OR BUILDING PERMIT
a
r ° P I CUPF.RTINO
LL
MOP 5 , a Sanitart• No.
5 U 7
W
Date oZ 1961E Permit No. .5-1//
= o ,�±+ �/ ,�p��g�•j
oa
AtU/f'�ai'On��erLtJrLR 1 mit to
=m a�story,Type S T Building
aW
to be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee p
Estimated Value of Improvements, $ Fee$
iJ 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. QRZ-GRAN
3 m Owner Address
W =
a gy Address SANTA C1 ARA rAl 19 QKn';Q
UK
2 Phon a��—/����� Approved WILLIFh1 U. LCFJ::
State License ��, /,2 �}1LDING INSPECTOR
Lot No. 6
No. treet
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No., I4
Sanitary No. ����
Date 196
Application is hereby made for a permit to T
a ea- story, Type
to he occupied only as
in actor aneith Plot Plan, Plans and Specification filed herewith,
401.
O •
Estimated Value of Improvements $ do 00 Oar
� A
FEES C • A-0 Plan Check $
Ow r.er Address A&9 r
Contr, Address
Phoneme .4'.0,0' A State License -_Zs /
Approved )L ' '•,
APPLICATION FOR ELECTRICAL PERMIT
Date / 1969/ FEE$ -23 q
�� Address 9 ✓ s� / J A
Contr. �—
Phone '� -j 6 ^3 K State License L SCL L
WILLIAM D. DENMVICH
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
p
Dare / / 196 y GAS FEE $
PLUMBING FEE $ C;2-6- JZ
Contr. (2,z� Address /'2 -3 I _
Phone o2 7'�3"-� .3 �-.� State License
Approved WILLIAM D. DENEVICH
APP"LICATION FOR APPLIANCE PERMIT _
Data 196 GFEE$
Contr. Address
Phone "� 2 - J 5K J 'll Seute License 3 2 F Z J
,v Approved W!LLIAM D. =,'771'Cb-1
Applicants agree not to violate any of the '
Workman's Compensation Laws of the
State of California .
RECORD OF INSPECTION APPROVALS'
FOUNDATION ,3 �y BUILDING na4 - 9-1?46r-
UNDERFLOOR
Q
FRAME —D�to—6 .1N Inspec
J
Date Inspector
LCATHjB PLASTER Co —3 o--G
FiNAL / p-
r t .D- e "7-6 O n 1
NA
Date Ins Dector
ELECTRICAL
,OUTLETS
SERVICE SIZ
SWITCHES. UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING C_'-3o'
Datens pactor '
FIXTURES. FINISH WIRING % p2G-6b i
Z , p
H.P. CHARGE FIXTURES— l6 U 9s pec ror
Date Inspector
PERMIT FEE Motors
11-H2„ Z6Da' /y s rot
TOTAL FEES FINAL 'C
Date Inspector
PLUMBING B GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE j MATERIAL
c�-..._-Q
WATER SYSTEM SIZE IATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH .� b
MAIN DRAIN FEE ROUGH COMPLET D'.�'e(p ClrlI'. r
i
Date 1 dp'e2tor
STORM DRAIN FEE MAIN DRAIN
Dot p� / r
WATER SYSTEM FEE GAS PIPING
Date or
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Date 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 �c�'o`a' — [p
or Date - - In3pector
ROUTE SLIP'
Fill No.
p Date/.? - :2 S�
Location / �o
�7
Subject
Notes
Approved/. -;X7-c 8-
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... ................. Building Permit No. %-.................
The Building Located at
Owned by ...... -- ----------------------------------- ------
-- . .......
(Completed)
PorUse As: .......r ........... ................................................
Has Been (Aiterc&)—
..................................................................................................................................................
................................................................................................................................................
.......................................................................� - ------------------- .................................
.......................................................................
BUILDING INSPECTOR
102 12/66-IM
GAS SERVICE NOTICE COTIN":
ohr
BUILDING INSPECTOR'S OFFICE
/t CITY OF CUPERJTINO /
\J` 'P ..._.............../G (�.............................. 196.d
0
You are hereby authorized to connect the GAS service for
Owner or Tenant . . ....-...Ci1' .,�.... ........._....................._.........._.....
At -rlr 4 ... .... ....__. . ..... .....
... .. _......
/ New Service .�...............
No. of Meters ....../............ Reconnect ..............................
Move Service ....................._.
No. of Add. Meters .............. Move Meter ..........................
PLUMBING INSPECTOR
I
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. -------------
2,-'Plumbing Final Plumbing Permit No—a54;z-,-....
Lot No. -----------------
Owner or Tenant .---Y/. .. .... '....1..:...'
............ .. .... ---------------------------------
7. —e��..................--
At . . ..... .........................................................
Tract ---------------- --.............. ..... ---------------------------------------------------------------------------------
------
. .. ... --------- ----------------------
Date Connected ------------------------- -2........ ....... ............
II
Z--�,A ----------------------------------------- 194f---
Date Final ------------------------------
.................................
..... ..... ---------
PLUMBING INSPECTOR
Ill 7/63-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
G�� CITY OF CUPERTINO
�a �6........................... 196......
............
To
You are hereby authorized to coical service for
Owner or Tenant ...... ......`.....
� a
At 1� . .. �✓......................... :....................................
...
.. .
No. of Wires ........................ Size of Wires ...................... Size of Switch ....................
MotorLoad .......................... Voltage ...................... ....... Phase .._.......... ........._..:...
HeatingLoad .................:...... K. W. .................................. Voltage ....................... ........
No. of Meters..... . Light-,
ight............... 110............ New Service................ Reconnect..................
.........
Heat................. 220...:........ Three Wire............... Move Service............
No.of Add. Meters............
Power............... hau Move Meter..............
ELECTRICAL INSPECTOR
OFFICE COPY
ECTRIC -SERVICE NOTICE
UI G INSPECTOR'S OFFICE,
Y OF CUPERTINO
\ T
You are hereby aut ri ed to nnec e ectrical service for
Owner or Teryi t ........... .....-1„lam; =�
............... ......................
...... ... ........
At ......... .............. ........................ � _......:......._.
I
No. of Wires ............. Size of WI . ........... ........-Size of Switch ...... ... .........
Motor Load Voltage ...................._....._... Phase .................. .......... ...
Heating Load ........................ K. W. _._........... .._..._...._.. Voltage ......_.._........_........ .
Light......._....._ I IU._......... ew Se e...... ....... Reconnect....
No. of Meters....................
Heat................. Three it Move Service......:...
No. of Add. Meters............
Power............... Thraz ... ....... Move etec.............
ELECTRICAL INSPEC'1Q