NO PERMIT NUMBER (2)213A 71 29V� 1W" Lot No. /03
No. Street 1 �2 ./ -�f38/
APPLICATION FOR BUILDING PERMIT %7 (�Q; *111,3
CITY OF CUPERTINO
Dare APR 7 — 196996
Application is hereby made for a permit to
to be occupied only as
Sanitary No. ea' 3 7r/
File No.
a I story, Type
in accordance with Plot plan, Plans and Specification filed hcrewith,
Estimated Value of Improvements
FEES (I�' 1 /d
K
Owner (L♦ G.GtX0G.G0O0. e(�.
Contr. '4?AL-
Phone 6 9 .2 - 13
i
Plan Check $
Address ug0t%�'ru/-
Address
State License ..2-ri 7 J
Approved D. BENEVECH
APPLICATION FOR ELECTRICAL PERMIT
Date 71 �`f 196'—_ FEES a'`' % O
r /fJ-
Contr. tom"' Address 9 3—
Phone g2—:2 if-'r2. 7 &-'D State License i7c j4F�2
Approved ( ��—
APPLICATION FOR PLUMBING & GAS PERMIT
Date 6 -02 196 i
Phone3
APPL ATION FOR
Date ���%/ n 196
L/fIQ,/
Contr. '&2' .
Phone J-//(A1 A,�B4) / ' -26 r%-D�
Applicants agree not to violate tiny of the
Workman's Compensation Louis of the
State of California
GAS FEE $ _L S O2 77��
PLUMBING FEE $ 7•^S f%�
Address .D
State License
Approved / , 40/ v
APPLIANCE PERMIT %�S�
FEES �/r� /�J K�/�(/�/
Address / / `�'Wv�'^"'r / 'v '
State License 99
Approved 4.rJ,
v
RECORD OF INSPECTION APPROVALS
_ BUILDING
- 5 -13-6? DATE INSPECTOR MISC.
PAD FINAL FOUNDATION
UNDERFLOOR 'ID'6 La
FRAME Cl 4 n �p 6
LATH & PLASTER
GRADING FINAL
FINAL BLDG. 1,56
/
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
ct
FIXTURES
29
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
BACK FLOW RED._
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
...,FINAL APPLIANCE
DATE INSPECTOR MISC
MISC ;k
MISC
MISC
f
a
17
ERTIFICATE OF COMPLETION
r , BUIIDING IIISPBCMWS OFFICE
COPY OF CUPMTM
Dee..1 e.I................_.......... I9_ Awwing Peamid Na . 't
The Dwiding. Imted at .. 74 y:i
orb,...: - `-
lw Been ( SP
Use As-
.
OFFICE COPY
C8
ELECTRIC
SERVICE NOTICE
BUILDING
INSPECTOR'S OFFICE
CITY
OF CUPERTINO 11 G
196
To
�
1
You are hereby
tho ;fed to con
- e t ,
1 servi or
Owneror Tenan... ..... ....:......
Zt3Z1.....
.... ......_......_._.................
No. of Wires ._.......
.. _... ........ ............ ..... _�.
:.. �... Size of Wires __...��L,._v Size of Switch ....UOI'"1'
Motor Load
. Voltage
...._...._.......... _...... . Phase ........... .'.
Heating Load
......... K. W.....
_........_.. ..._.... Voltage .... ... ..................._..
No. of Meters...................)
Heat ................
-
220.....1,' r e Wire.. .. .... .
ove Service..........
No. of Add. Meters ... .........
Power ...............
T Phas ........... Move htetec.............
„�✓,,
ELECTRICAL INSPECTOR
�I
Lod ID3 GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are hereby authorized to conned the GAS service for
Owner or Tenant ....../..`.A.y......... L�fi........CO..t....................................................
At......2.1..�a.2.Z......... n 1.....OjL.......nR...........................................................
New Service :>< ...................
No. of Meters .....I ...............
Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move >feter ........................
PLUMBING INSPECTOR
Lc>-r 103
BUILDING INSPECTOR'S OFFICE
CITY Or CUPERTINO
Bldg. Dept.
Office Copy
Sewer Connection
Sanitary Permit No.
.1...3-74?
....................
F51' Plumbing Final
?
Plumbing Permit No . .....b".......................
....................
Lot No.
Owner or Tenant ------ 4'Vl1 ..........
------ ......................................................
At---- 2- /- -3. —9 -7 ------- ......
9& ...........................................................
. . . .....
Tract ........ :?&—ri -Z...
........................................................................................
DateConnected ......... — ----
.7..
................................................
19 ------------
DateFinal -----------
.....................
nf� � ---------J- -- ----------
n ------ 19 ............
_
e
-6vtJ
..............................
.t
p ....................
PLUMBING INSPECTOR
'111 12/66-1M
ROUTE SLIP
File No. %,,- -,)-
Da t e /o- i";Z_.
Location ,-Z'-
Subject --
Notes
i Approved/d -% G9 —
Date. Ins or
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
----------
Department
'21 - -0e Job Located at ro�77,1!� --- a
,��
---- -- - ------- -------- --- -6-- ------------------
OT . .....
----- CAVO
_j?
�-CIV-L-q ---- -------------------------------------
---------------------------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the insi)ector.
0
Date: / -----------, --- T-9 ------
252-4505 ----z,- .6
City Telephone Inspector: -------------------------
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
.&. M"rtnnw
Job Located atZL3. J�-[
------------%t,.............
r.�ue:Ma.....................................
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252.4505 Date- ..,1j�.'. ?......
City Telephone Inspector:.......................
:._...........
,76ork��
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE.
Department
Job Located at -_..-'DR---------
1-0-3 .....
- ---------- -------------------------
---- �qop
.............. ------------------------------------------------------------------
--------
---------------------------------------------------------
-------------------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
Date: ...........
252-4505
City Telephone Inspector: ----
a13..'� 7 1 "Yi2cnh, �h • �Q3
NO. s"rN CET LOT No.
N
�l N FOR ELECTRICAL PERMIT
Y OF CUPERTINO
D t® 19' Permit No. 2--
-::s r--L< < yo
Application is tillbo U'�e City of Cupertino for a permit to install electrical
wifT�}rYnd '��fi, i t n the reverse side hereof, and agrees to install said
wing and/or, fixtures in -accordance with the provisions of the Electrical Code of the
City of Cupertino, and It other I;nv rpplicable thereto.
f,. ' /7 _
Use of Premises
Owner
By _
Address
CO. Address
San AW Calif. 95112 Approvec
Phone:
ice - QO
State License 7 3 C%
ITEM
RPL
FEES
Number of Outlets
A�NEW
ao 0
Number of Switches
Number of Receptacles
3
Number of Fixtures
—/D
Zoo
Ranges or Ovens K.W.
;Z O O
Size of Main Service
` 6 0
Number of Meters
Number of Panels
ZOO
Signs - Transformers
Dryers
O O
Motors:
H.P. Phase
H.P. Phase
Power Poles
Permit Fee
2.00
H.P. Charges
'
Total Fees
6 .�a
J1/3.27 121 PAZ- CLc.�c c (/!('2fc,� f�ys
No. Street ' " �'Lot No. %Q li'-
o —
a �i�+ �P LIGATION FOR PLUMBING PERMIT
E � CITY OF CUPERTINO
0 v
N Sanitary No. 6 3
e I Permit No..i
�F. Dat�J.C' .L6�969� 196�
0 C/�,TlY rr r1I [p p�(� Fee $�g,�o
" Applica it is`HbtoDb7 idaaT lMhe City of Cupertino for a permit to install plumbing pipes
and/or fixtures listed on the reverse side hereof, and agrees to install said prices and/or fixtures
0 in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other
� 'P laws applicable thereto.
0
I Use of Premises��
0 o Owner �o_ Address/ -�j baeQe
m f i
By �/ s Z `� L� Address _ �57
3. Contractor, Agent
0 0 Phone
a��s�299 WILLIAM D. BENEVICI
State License Approved
XPlumbing Inspector
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
/
Size
Water Closet
3
V.0
I Material
�O
Bath Tub
3.OD
To Curb
Shower
f,SD
To Pro .Line
✓
Lavatories
6,0e
To Existin
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
,SD
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Ho22er
Size
Restaurant Sink
Material
Sand Trap _
TOTAL FEES'
Urinal
Fixture Fee
. SO
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
O
Vac Breaker
Skimmer
Filter
Permit Fee
,c^p
Total
/3
Total Fee
0
21327 Meteor Dr.
No. Street Lot No. 10'i
APPLICATION FOR APPLIANCE: PERMIT
City of Cupertino
Date April 8 , 196 �, Permit No.
Fee$ 7,2 j
Application is hereby made to the City of Cupertino for a permit to install gas appliances as
listed on the reverse side hereof, and agrees to install said appliances in accordance with the
provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable
thereto.
Use of Premises R
OwnerKaV Building Co. Address P C aB
By .S An Car J O9 ahep t Me±-P I
Contractor, Agent
Phone 50' �26f15_.—
State License 1'10828
Address 779 Old Cn t- RA
WILLIAM D. BENEVICR
Plumbing Inspector
APPLIANCE
UNITS
FEES
as op
Gas Oven
Nall Furnace
Gravity Furn.
Forced Air Furn.
1
2. 0
Gas Fired Boilers
Warming Ovens
Susp Units
Dwelling Kit./Bath
8.o
Independ Vent System
ust. Inst.Kit.
ent System
ir Under 4000 CFM
ir Over 4000 CFM
wGravitySystem*
tilation System
C f C
ir. Mech. each Power
stem
No. of Air Outlets, No. of Flues 1 j QU t 2
' &V
,2
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 15' lli h
Over ' High
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
50 HP
AComp.over
g&,Under
00
Permit Fee
2.0
Total
Total Fee
17
21327—Ma4-anr ni1VE LOT NO. 103
N NO, STREET Model 403
zz
APPLICATION FOR BUILDING PERMIT �rA•4f 08_1
x ° 21T _ I CITY OF CLIYERTINO
O Sanitary No. P6378
3<
i I� 1fC April 1 r 196 9 Permit No.
o
Oa
Application is Hereby made fora permit to build
i n a 1 story, Type V Building
<w 1 fam. res.
to be occupied only as in accordance with
0 o plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, $ 38,000 tee $ 110.50
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws app teals[- o the construction, location, and use of buildings within the City of
2 O Cupertino will bmd with.
3 Owner KAY�BUILD C Address
WW A Burlingame
a By
<0 phon 692=3555 Approved
State License 255425 J INc INSPECTOR