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51167.216 CJ I V �/1Q /F-1C��_i4 L �. I.OT NO. NO. r�c.STREf 'ems® s0 jfi►PPLL'C�4TIOW`. FOR BUILDING PERMIT x o ` CITY OF CUPERTINO o a ' my 2 7 1968 �-` Sanitary No. S U l �y W LL Date �1' ��_ 1" Permit No. U. ``A'pplicationlis her } ma`de'for-a ermit to 5SP� a a cn a o2 story, Type �O -Z S Building W 0� W to be occupied only as in accordance with W Plans Specifications and Plot -Plan filed herewith. P1 Ck Fee 00 P F3 Estimated Value of Improvements, $ 0C Fee $ Rs z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and * Z all othei laws applicable to the construction, location, and use of buildings within the City of J 0 Cupertino will be complied with. ®ITURAN 3Q _ m Owner Address Awe ,.E LA A.., ..... s , ... a. By - 2 Address SANTA CLARA, CALIF 9 56 a U Phone S % — ���� Approved WILL IA vi 0. i�s�l�ijiWIC ki /% %/ PP State License BUILDING INSPECTOR / �U I PLIG�A I' F 1 PLUMBING PERMIT NAY 3 I�bp 0),S.UPERTINO b� Sanitary No. Date — —'i" Permit No. �//�7 Z� Pee S 026.5%.57` Application is hereby made to the 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 Dwelling Ditz Crane Company By Palm Plumbing Company 245-�Q�JACTOR. AGENT A2d3f ass De La Cruz Boulevard 1234 Sunnyvale -Saratoga Rd. Address State License 186579 Approved WILLIAM D. BENEVICH >` PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water Heater isize Water Closet Material Bath Tub / To Curb Shower / To Pmp. Line Lavatories 3 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 Drinking Fountain Floor Drain WATER SYSTEM Hopper Size I I 1 "Wo ee Water Valve Vac Permit Fee Total �// GCS Total Fee 112 W,�l 1401L.Z� Lot No. 110 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. ry ����jj �� �� ����Sanitary No. Date r " 196 Application is hQereby-mmaad-e for a permit to -T a story, Type ,�Z � — to be occupied only as In accordance with Plot Plan, PlansandSpecification filed herewith. Estimated Value of Improvements $ D 12c� FEESPlan Check $ fi74 g > p - A 6Owr.er / Address Q Zi Contr. ✓ Address L (� /yC—y-��1L1_� Phone State License /-S/ WILLIAM D. r Approved BENEVICH ///��� APPLICATION FOR ELECTRICAL PERMIT Date 196 y— FEES zj 42c Cont,. hG/�� 'L'y Address e Phone 73(a �5We2 State License Approved WILLIAM D. BENEVICH APPLICATION FOR PLUMBING & GAS PERMIT Date lf1n.�,fd31196 e GAS FEE $ --I / // PLUMBING FEE�$ /�, �f •� (� Contr. C�f P-A-1 - •F'i0 11191A, Address ,�� �a �CJ_=I.LIt.11{1 Phone —.� T.S—��.�� State License Approved WILLIAM D. BENEVI .FI APP TION FOR APPLIANCE PERMIT �f Date 196 FEE$ Conor. Q�j l Address p� Phone / e3 S, � 5�!/ State License Approved WILLIAM D. BENEVICH Applicants agree not to violate any of the t Workman's Compensation Laws of the State of California R C RD OF INSPECCTI AP ROVALS - 6 -r-6 Y _P BUILDING F UNDATION ) / UNDERFLOOR Ef / to/ 2 Da ap. Insp c FRAME � Doe Inspect LAT PLASTER Dr _� I s FINAL Data Insoector ELECTRICAL ,OUTLETS SERVICE SIZE SWITCHES UNDERGROUND Date Inspa2 a RECEPTACLES ROUGH WIRING _ "{/7- Z--T!7 Tqf� Q , (� actor FIXTURES FINISH WIRING (� Q jg r Ins e<ror H,P. CHARGE FIXTURES D1p1 b0 D� Inspector PERMIT FEE Motors CA ,Daip Inspector TOTAL FEES FINAL 1 11 Dote Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZEI- TERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH — ate sp or MAIN DRAIN FEE ROUGH COMPLETE .at A or STORM DRAIN FEE MAIN DRAIN WATER SYSTEM FEE GAS PIPING �— Io —DF t I e Date n t r GAS PIPING FEE FINAL _ Date nspector 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 �j TOTAL F INSPECTED G✓ ' Data Inspector a z r o 0 o Tl (D cY s m �. m o m m cr c o r• a � � t � m �,. .. .. y tyJ, 4 � r H m r• H ct 1� o m 0 o � CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ........ ... ..................... ;;4;40W 19-CK-1- Building Permit No. .. ............... The Building Located at ------ '7bl .... ... ..... ... .... .... . ......... Owned by --- ----— 1( a- i- - --- - -------------------------- --------- -----Le �........ ------------ ;p Has Been ------ (Completed)(Altemqt)- For Use As: ...._......---.....--......._ ..................................................... .... ...... .....5-. ------ ............................................... ................ ............................................................................ ................................................... ............ ......... ...... ............................................ ..................... ----------- --- ------------------------ --------------------------------- BUILDING INSPECTOR 102 12166-1M ELECTRIC SERVICE NOTICE OFFICE CQPY BUILDING INSPECTOR'S OFFICE: CITY Oh CUPERTINO To You are hereby auto z con ct electrical service for Owner or Tenant .......... ` At ._.........._t..oC( ('t, -.._..._... . uwk— No. of Wires ........ .... .... Size of Wires ..._v.. Size of Switch Motor Load •Voltage ............................._. Phase ............................ . ... Heating Load ........................ K. W. .,.......................... ..... Voltage/.....�........_....... Light.../ uo....../ $enice.....C......... l(elpnnect........__.._. No. of Meters.................. <ey Heat................. 220...... No. of Add. Meters............ -� Power._........... T Phar _......._._ D4ove Meter.............. F.LECTRIUI INSPECTOR GAS SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE 2 CITY OF CUPERTIN7 ........_...................... 196? To� You are hereby authorized to connect the GAS service for Owner or Tenant ..... .. .....^..... ,.0..1............... _.... At .,� �d..- .. � ............................ New Service .... ............. No. of Meters .. ............. Reconnect ............................. Move Service ....................... No. of Add. Meters .............. Move Meter ........................ ............ ............................ I PLUMBING INSPECTOR Bldg. Dept.- Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Sewer Connection Sanitary Permit No. ---------- 2�' Plumbing Final Plumbing Permit No. �__7----- Lot No. ...42----------------- Owner or Tenant ......_4, . .. At Tract ------------------ Date Connected 9. Date Final .............................. ------------- ---------------- Ill 12166-IM r-PLUM14ING INSPECTOR LOT NO. NO. STREET APPLICATION FOR PLUMBING PERMIT z a CITY O UPERTWO i Y l t- ptlermit 3 U Date- 0 ate UUU"' ,�r6 eo w � T 22 1968ee $ 3 LLw Application is hereby made to the City of Cupertino to install plumbing 0 a pipes and/or fixtures listed" nTkKe r9verse ide hereof, and agrees to install said prices and fixtures in accordance with Ehtpr y pfrt�e"Ptilumbing Code of the City of i w Cupertino, and all other laws applicable theret w x � r Use of Premises 00 o < Owner p(n� Address 10 9 6 0 JBy .` )�`l\ R . 0s \.•.%ddress o I, t� d— ��J",,•�l./1 h OQ 3 0 CONTRACTOR, AGENT — 0 Phonr. �1 w z 0 a WILLIA14. a a State License 'x��� Approved Gid -1)k PLUMBING INSPECTOR R UNITS FEES UNITS FEES 'Water Heate Size Water Closets Material Bath Tubs To Curb Showers To Prop. Line Lavatories To Existing Kitchen Sinks Not Conn. Dish Washers Sewer Boxes Waste Disposals Wash Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Com . Sink s Trays To Curb Dental Units Drinking Fountains Floor Drains WATER.SYSTEM Hoppers Size Restaurant Sinks Material San raps TOTAL FEES Urinals Fixture Fee ,p Area Drains Main Drain Fee Water Leaders Storm Drain Fee 5pnnktar Valves Water Sys. Fee Permit Fee U TOTAL TOTAL FEE RECORD OF INSPECTION Underground Rough... Partial Rough.. Rough. Complete.. :Main Drain Final....