51234 20140 I Rodrigues Ave . Lot No. 9
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 2334
File No. 51234
Dore 5/_7/71 196
Application is hereby made for a permit to
Construct a 1 & 2 story, yType 5 N Hr.
to be occupied only as 12 Units
in accordance with plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ 1-i9 .84g. 6o
FEES Plan Check E
owner Jerome White Address 801 N. La Brea , L.A .
Contr. Address
Phone (213) 933-7411 State License 123574
255-3780 Approved W. D. Benevich/h
rr APPLICATION FOR ELECTRICAL PETIT �Q
Data �O� FEES ( 3
Contr. VAR Address ze
�jp
Phone _ CM �07 In State Lica e
Approved
APPLICATION FOR PLUMBING & GAS PE
Date / 196 -71 GAS FEE $ s` I
PLUMBING FEE E
Contr. ���ti--�� Address � G 1� a'`-'�-
Phone - of 7U " 90 se 5l State License .2. S^
Approved
/L APPLICATION FOR APPLIANCE PERMIT `
Date 196 -7/ FEE$q j �`;-
-
Contr. _-zc Address o�.i� 6-1--:1
Phone r7S S-S�.t�S� State License
Apprd++rrved
Applicants agree not to violate any of the
Workman's Compensation Latus of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL`
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING—
FINISHED
IRING FINISHED WIRING
FIXTURES
MOTORS—
FINAL
OTORS FINAL Y
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE71
MAIN DRAIN--
FINAL
RAIN_FINAL PLBG, — A �72;- %
FINAL GAS �� —� .o�•Mti
FINAL APPLIANCE
( r
DATE (INSPECTOR MISC.
MISC
MISC l
MISC p
9
ROUTE SLIP
File No .
Date 5
Locatio
d .
Subject G
Notes
Approved-5
at" Insp ctor.
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
b- '9
You a c here auth i ed to coon ct a tical rvice for
Owner or T a ...... . - .... . .... .. . ..... . .-
.......... ......... .................
At .. ............. ... ..... ......... ..... ...... ............. ..........
No. of Wires .... ...... .......... Size of Wir ..... ............... Size of Sint C W. .
Motor Load .......................... Voltage .................. ............. Phase ..................................
Heating Load ........................ K. W. ............................. Voltage
New Ser%icc�'. ...... I(econnect.......
No. of Meters..... ......� Light........9-1.1 �11 0...
No. of Add. Meters............ Heat-.............. ... I ree i Mo,c r .........
Power............... Thr , ag I c.... . Move et .. ....
Q 1 .....
.............................. .............—
17LECTRICAL INSPECTOR
i
�7 OFFICE COPY
y1 CITY OF CUPERTINO
SERVICE NOTICE
You are hereby or iized to connect etc rical er cc or
Owner or Tenant ..... ....... ... .. ......... .. ..... .. . .................................
At ...... Q.Q.Q.. .... .. SRo:._.
No. of Wires ................... Size of Wires ......... ... ...... Size of Switch(.Poo�..
Motor Load .......................... Voltage .......................... Phase .............................._..
Heating Load ........................ K. W. .................. Voltage ............... ..............
Light...........jh
Senicr... ./�-Ite onnect.............. ..
No. of Me[ers.........�.........
Heat................. ?'_0... c ire. yocc $t•rri<'c....._.._.
� No. of Add. Meters............
.Power............... has .............. \fuer bfrtrr... ._.
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CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
[J +
I ' Date . 19.:.: :.1+. Building Permit No. . 1--Z:-Tj
i .
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The Building Located at .... ......_230"1 A 4jr.s— ............
.
( g ;.......... ...
f Owned by
........
...«... ` ..:..
Com l e
Has Been (Altered) For Use As: .......L'..........................
........................................................................................:.........................................................
...............................
.... ....................
r:
U DING INSPECTOR
ROUTE SLIP
File No .,5 /1.3
7ZgZ 7 �
Date
Location
Subject �--�--e�C �►'�� --
Notes
Ao_ or oved
Da e I s c
CITY OF,CUPERTINO CollY�. '
K�� l COPY
- � GAS SERVICE NOTICE
s -
............ ... a . . . . t,7 _..
You are hereby authorized to c6nnnect9 the A�S` service for
Owner orTenant
At ..::...(/✓"."'^.`"". _ ...... ............
......._._..
' New Service ._........ _........
No.,of Meters ........ Reconnect
�btoee Service _a..._.-
No. of Add. Meters ... - Move ,Meter .....
PLUMBING INSPECTOR
I n n
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ....7 3� .j.......
.......... .
Plumbing 'Final Plumbing Permit No. _Irl F�. ;l.
ILot No. ._..........9�............
Owner or Tenant ........y <cnr.! c�C.._..�? /l _a(f<:.................................................
At ..........
.....3_�.( .........................................:!:::.5-r....r c" ....: ..
... .......................
I `
Tract ...............................`.`... --...............................................--.........................-.-.--..---...
G
DateConnected ./...........�t..... !......................_.... .--............-----..................... 19............
Date Final 7tt
--------G.._r��' _. ............................... 19............
PLUMBING INSPECTOR
P01 o0 Rodrigues LOT No. 9
No. STREET I_ S S_D
CITY OF CUPERTINO
< an OF cu EmVPPLICATION FOR PLUMBING PERMIT
wZ
s xSanitar No.o JUN 8 1971 Y
R
0 - Uatc May 211 , 19 11 Permit No
a
w 0 P A I D Pee $
x LL
0 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
> I 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.
wx
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LL Use of Premises Apartments
00
3 Owner Jerome White Address 10159 So_ Blaney
o <
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py. San Jose Mechanical, Inc, Address 1665 Rogers Ave. S.J,
o CONTRACTOR, AGENT
3 �
— 0Phone 275-90U
�
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a a
26)12855 6
0 s State License Appro" d�
< 0
— U
PLUMBING INSPECTOR
FIXTURES INUMBER 1 MAIN DRAIN
Units Fees 1 Units Fees
Water Heater / I.S411 Size xz
Water Closet ;0 13o.0,211 Material Ci
Bath Tub /1 /P.e To Curb
Shower f lj.00 I To Proo. Line
Lavatories 10 90.0 To Existin
Kitchen Sink /.). /900I Not C nn:
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size D '
Restaurant Sink Material do,✓
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee J.0
Water Leader Storm Drain Fee
Sprinkler System Water Sys. FeeRelief Valve 11 Cas Fee
/.
Vac Breaker
Skimmer
Filter
Pool Sweeper
' Permit Fee ?.Ob
Total Total Fee s�