51046 10668 I MAPLEWOOD RD'. Lot No.
No. Street #14
APPLICATIOWFOR BUILDING PERMIT
CITY OF CUPERTINO
51046
/ ^ / ✓✓✓ File No.
Sanitary No. 4825
Date Sent . 15 196 6
Application is hereby made for a permit to
Construct a 2 story, Type 5-H
to be occupied only as 4. Unit Apt .
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Volae of Improvements $ 40,000"oo
FEES 1 1 5 E5n Plan Check $
Dwr,or Bernard M. . Wolfe Address San Mateo
Contr. W; 1 l i am White . In('. . Address X65 La Prenda . Millbrae
Phone '142.w81 State LicenseB-1202267
Approved W.D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
Date --,( 196 _ FEES
Contr. 9
G �' —�=—�J Address tO �6 /-7�'
Phone
OZ-/s�—.3 're State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date_ 196 GAS FEE $
/ PLUMBING FEE $
Contr, w a- Address Ice -7
Phone 3 76, /`S — State License C 2/0o25Z5—
Approved
APPLICATION FOR APPLIANCE PE MIT
FEES
Date 196
Contr. V Address t, 3 U
Phone 37 LY1" State License � fO�d 9
ApprovedQ" j�
Applicants agree not to violate any of the v
Work-man's Compensation Laws of the''p,.
State of California ' "`4
RECORD OF INS C A R/ S "
FOUNDATION (e BUILDIN
rpote Inspector
UNDERFLOOR _
' ote s actor
FRAME
Date Inspector
LATH & PLASTER
FINAL Ins pastor
tda - S-6
s
ELECTRIC,[y(
,OUTLETS' '7�o nfb
E slzSWITCHES. (00 (o vbUNDE/L d ie spector
RECEPTACLES ROUGns actor
FIXTURES FINISH pInspector
H•P. HARGE 0-p FIXTU �
Date Inspector'
PERMIT FEE � Motors
to Inspector
TOTAL FEES FINAL 12- - 1�-
Date Inspector
PLUMBING IL GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE 11TERIAL
TOTAL FIXTURES 3�0 �� UNDERGROUND - n�
FIXTURE FEE PARTIAL ROUGH
Data
MAIN DRAIN FEE . �� 02 ROUGH COMPLET 0-„T
Y. Dar for
STORM DRAIN FEE MAIN DRAIN /v?j -( C.
9 jr
WATER SYSTEM FEE �� GAS PIPING (.Le
D
GAS PIPING FEE FINAL nspettor
r
PERMIT FEE �'� C3'`�-, MISC Vote Inspec
w Data Inspector
TOTAL FEE G j MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS
FEE
CIRCULATING HEATERS REGISTERS 2- 6"
BLOWER FURNACES Tom' COMBUSTION VENT i
SUSPENDED UNIT MISC 412— - 2, 7-
GAS
GAS RANGE MISC
GAS DRYER - PERM FEE �
FLOOR FURNACE TOT L E deZ�
INSPECTED
Date Inspector
ROUTE SLIP
File No . S% OSGG r
Date Out /tz '�Y/C
Date In — Y
Subjeot
Notes
i
Approved ( 3 7
to Insp,, o^
TT�TEE-ypAAv_RG-RARY ELECTRICAL- SERVICE
TE: /`2��S3i G r......
Fee: 1�.. S-b' . ..........
'
�� fDEC 13 .1S66�// �J � r{ � '
OWNER: .....................................".....................---------:----.7-cc.,,r--........_.
LOT: ...... ...................... . . .... ---------...--------------------------------------
REASON; ......................................... ... . .. .
--------REASON: .................................................._ ....................._.._..................:
The.undersigned agrees to be responsible for the electrical service at the above locat1011p.-,L
unci a building,is ready for occupancy, and is released by the Building Department :,
p
a 'Cit f rt' o. - Phoee - -.Q.........
--- - -- --- - ----
INSPE O l� '1'I:p]ANT OR OW R�
116 1/613-500 �N,GC//
nKg ,
T E:M,P 0 RARY 'GAS SERVICE
- sz
'DATE c ---- ----------- -----
---- Fee: ..3.......—............
CITY -- I %Ii1v ......
.... -.-- ----------
../.j- co..Ck__; (.....................
... .... .... ...... ...
........ .....
LOT: .........................................................._..................--
REASON:
............. --------REASON: ------------------------------------------- ----- ........... .. .. . .. ...................
The undersigned agrees to be responsible for the gas service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino.
Phone 31--a.-�of.- ..................
I . . ...................
I�NP 5OR TIANT OR Or 6
117 1/63-500
GAS SERVICE NOTICE
COPY
BUILDING INSPtCTOR'S OFFICE
CITY OF CUPERTINO
194)
To
You are hereby a orized to nec the &S se ice for
I ,
Owneror Tenant .. .................. - ............ ... ..... . .. .......................
At ........ .... ... . /.......-....
New Service
No. of Meters ..... . -....... Reconnect ......
Move &crvice ......
No. of Add. Meters ............. Move Meter
............... ... .......
PLUMBIN IN ECT
• • OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
TO
You are hereb thorized to n ect ical s ice Xnrh
•. Owner or Tenant ... . .
. . I D b 145
At ..................................................... :.. ............. ............. ............. .... ............. ........
No. of Wires .....�!............ Size o Tres -'�..Z'..... Size of Switch.....�...........
MotorLoad .......................... Voltage ................................ Phase! .........:........................
HeatingLoad ...................... . K. W. ............. ........._.....---. Voltage —.............................
FI¢'- Lrgh1..✓....... 110...�'..... New Service_/.... Ke nnect..................
No. of Meters......[...........
w Heat.... ........ 220... . .... T e................ Move Service............
No.of Add. Meters............-•
111 Power............... T ro e................ Movc Meter..............
.... ........ ................... .............. .. ..... ...
ELECTRICAL INSP OR
'EOUT� SLIP
File No.
Date Out 9,IIS-1;11G
Date In
Location a C 7_2t,, 01
Sub j ec.t.
Notes
m
Approved ' oG'
Date Insp ctor
Lot No.
No. St'advt
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
/Data 196 Sanitary No.
b
� �
Application
is hereby made for a permit to
�7 story, Type
t6 ue occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ �-],.,l� Plan Checkk $
Owr,er / V/&( / Address r'�/"K' �53T
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
r
Data 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING'& GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $ �'UO
Contr. Address
Phone �r� o2 State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Dote 196 FEES
Contr. .1% Address
Phone State License
Approved
Applicants agree not to violate any of the '
Workman's Compensation Laws of the i.
State of California `"
RECORD OF INSPECTION.APPROVALS
'FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Ins pe cto.r
FRAME
Date Inspector
LATH & PLASTER
Date Inspector
FINAL
Date Inspector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Data Inspector
Date Inspector
FIXTURES FINISH WIRING_
H,P. CHARGE FIXTURES ' Date Inspector
Date Inspector
PERMIT FEE Motors
...�A� Data Spector
TOTAL FEES FINAL oa �O
., Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITER.IAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Dote Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE
MAIN DRAIN
Date / Inspect r
WATER SYSTEM FEE GAS PIPING
GAS PIPING FEE FINAL . Data Inspector
Date Inspector
PERMIT FEE i MISC
TOTAL FEE MISC(f.G Date Inspector
� CP '
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 PER
IT FEE
FLOOR FURNACE .T FEE
INSPECTED
Date Inspector
Bldg. Dept
Office Copy
BUILDING -INSPECTOR'S OFFICE
CITY OF CUPERTINO I J
Sewer Connection Sanitary Permit No. ........-0..--7-----e---------
;151,�mbmg Final Plumbing Permit
Lt No. ..... ......................
Owner or Tenant -------- -- ------------ ............. ----- ...... ... ...........
I --------11............. ::_. .. .- ........
At ........... ........ .. .. ... ...... .
Tract ----------------------- ------------- ----- --- ----- ----- ------ -- - --- - --- -- ----------
DateConnected .......................... ................ ...... .. . ...... --- ---------------------
DateFinal .................................4�........ .. .: ..... ... .... . .... .......... .. 1G7-
------------ . .. ...... - .---- --i.........
PLUMBING I PE OR
111 7/63-IM
CERTIFICATE - OF COMPLETION
BUIMING INSPECPOWS OFFICE
CITY OF CUPERTINO
1 /� �I
Date.:.... ..- ::rr ........ ............ Builth Permit o.
Building' .
(,
The Building at;_l..! _(sl.. . . .... .. �5�1!.t ..... ....... ..
Owned by ....:. . f ` !,�'t �.. _ r..�... ►.._._.
:..
[iaa Heen'`r��A } For Uae Aa: .._......1.n.rRe `!
................................_..........................._.............._..._............._........../_V..\...........__._...
a
....
......
............
............_......_......_.._....
..! _....
_........
..........
_.._
_........._....._...........................................:........ .,............. ......_...._..........._...._......
I ................ . ._.......__ ..._...... _
' BUIIDIN m R
102 7/63.700 1-
/O G g I LOT NO,
NO. F.l'
P.LLCA 16N FOR PLUMBING PERMIT
z CI -001- CUPERTINO
a
z i I
w A(N16 1966r pS:mitary Au.
p 1 Date 196 Permit Noa W CIT Ctl ffpT1�f0 Pee $ ��
p Application is hereby ma e o he 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
a w Cupertino, and all other laws applicable thereto.
w x
� r
a Use of Premises
J
0
0 O /�
,�- 3 Owner / d�N� A dress
p a �.✓
p Address
3 r- CONTRACTOR, AGENT
— 0 ��Phone
w z /
< a / S/
a o State License. /�2 r (O Approved
PLUMBING INSPECTOR (/
t
FIXTURES 1 BER MAIN DRAIN
UNITS FEES UNITS FEES
`7Vata Hcatc Size
Water Closets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
UUnits
shers Sewer Boxes
isposals
ays STORM DRAINAGE
Machines Size
Waterfteners Material
To Main Drain
k s TraysTo Curb
nits
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material
San raps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee
Water Leaders Storm Drain Fee r,—
Sprinkler Valves Water Sys. Fee
Permit Fee
TOTAL TOTAL FEE 7, 7,
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
\fain Drain
Final