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APPLICATION FOR BUILDING PERMIT
OE�CUPERTINO
.?/ Sanitary No.
1
Date 1U 191Permit No.
. � rram
Applicationis hereby made for ermit to
a ,/story Ty e 7 e
to be occupied only as t accordancewith
Plans, Specifications an Plot -Plan filed herewith. q P CII Fee
V
Estimated Value of Improvements, $ Fee $
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all oth laws plicabl to the c st�ruction, location, and use of buildings within the City of
Cuperti I X+ill bet piplk willYk
W
State License GY/S', C/) I BUILDING INSPECTOR
of K✓ O � I /O`er) /`, LOT NO.
NO. STREET
%APPLICATION-,,FOR PLUMBING PERMIT
z d t �'--� hfTY'� OF CUPERTINO
z i
x ° 1 DEC 6 1957 �'' J sanitary No. s`a 7 �
LL _
o a Date �/ 1% Permit No .5 O O �• �-
3u r n`o r•4 V t:� P1 �QrQT�N / Fee $ 34,00
Application d hereby made to the City of Cupertino for a permit to install Plumbing
o r 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
<w Cupertino, and all
w0 xrLL
other laws applicable thereto.
Use of Pr ises �
000
r 3 ,W—n5Z � — A
ddres
z By Address
YG
� CONTAACiOA, AGENT
3
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Phone
w z
f State Licens eZ" �j ApprovedVALL1AM D. BENEVICH
a o
fU PLUMBING INSPECTOR l
`� X
FIXTURES NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater Size
Water Closet Material
Bath Tub / To Curb
Shower l To Prop. Line
Lavatories To Existing
Kitchen ink / Not Conn.
Dish Washer Sewer Box
Waste Disposal
Wash Tra STORM DRAINAGE
Washing Machine / Size
Water Softener Material
Bar Sink 'I'o Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Bfaterial
Sand Trap TOTAL FEES
Urinal Fixture Fee pp
Area Drain Main Drain Fee ,07
Water Leader Storm Drain Fee
Sprinkler Valve Water Sys.Fee
Relief Valve Gas Fee p
Vac Breaker
Skimmer
Filter
Permit Fee , O D
Total 'Coral Fee ,/�
-\ N\
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Lot No.�
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. S�OO�pt
ySanitary No.
Date / 196
Application is hereby made for a permit to
a .St o pe
to be occupied only as
in accn dance with Plot Plan, Plans , rl Specification filed herewith,
Estimated Value o4 Improvements s -s'G 0 O O W
FEE$ Plan Check S
Owner Address ^
Contr. Address
Phone �, 7 7�� State License
Approved ''✓/� / �
APPLICATION FOR ELECTRICAL PERMIT
Com'
DateS�� 196 S' FEE$
Z
Cont,. /`^'s=�/ Address 8 2 -301 Gc/
2aG c P /<u�
Phone 36 5 - 3S LJK State License //—
Approved
7u
APPLICATION FOR PLUMBING 8 GAS PERMIT
Date / 196 jl� GAS FEE $
\�^J PLUMBINGGc FEE
Contr. Address
Phone a7 o-L713 State License�3Lo 2�
Approved
V1 APP CATION FOR APPLIANCE PERMIT,�d=
Dote 196 e ' FEES
Contr. ' , e'er✓ Address
Phone
42 -1 State License
♦ Approved _, 96J —
Applicants agree not to violate any of the q
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
'/BUILDING
FOUNDATION -�5 6 0-
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH & PLASTER
G- �- jJ AAT INSPECT R
FINAL
DATE INSPECTOR '
ELECTRICAL
p
ELECT. SERVICE ..
ATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
DATE INSPECT
FINAL �� �i-6 -
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
DATE INSPECTOR
MAIN DRAIN
-IJ 6 �jTE INS T
GAS PIPING-7 �"
E N CT OR
FINAL ,O'2a-zD TTA
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
TRENCHING PERMIT
SIDEWALK PERMIT
DRIVEWAY APPROACH PERMIT N�� 312
CITY OF CUPERTINO
.Fee $J?J.0 - -- ghL
—'� - -----....._...................... 196B.
---------- Date - o �,
Permission Is Granted
Location .°� a-- 6_....N9.QT✓lynl_�/�.----C� / .gi?CCiS�
Purpose -Sv✓�--!:J/%1.N--- s?.v_L.........--------
.----
..........---
.-------
_.-_.----.... ..............
Contractor -..-.-)OOZs- -
NOTE: All work shall comPl tooaa_lll c[onnditio s conttaiineed/iin- :Ordinance 130.
Issued by .........D....F- ���"'�"""
-...... ........... ...-----... .--- ---............
6EHbBFN6-IAISP 5 GTOIC.
RECORD OF INSPECTION
--------------------- ---_. ...
...............................................
DATE .
TIME INSPECTOR
.................................... -...-............................... .......-----------------------...........
DATE. TIME INSPECTOR
._._...._........................ ......----------------- ............ _
..............'- .....-.-._.-.
DATE TIME INSPECTOR
....................................
.................................... .................................................
DATE TIME INSPECTOR
NOTE: rnspector must be Riven 24 hours notice On each Inspection. 115 9/60-500
A- 3 0 4 1 Lot No. a 2
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO � _
File No. -14061. -2 X
''nn , , ��// Sanitary No.-_e� O Z//
Date .����C�..196
Application is hereby made for a permit to
y /
a �� story, Type
to be occupied only as � 2A� C.O.APA J
i4 accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ �s 60
Q�
FEE$ plan Cheek $
0,voer �Al /L�(tQJ Address
f
Contr. /'/ &11�.C.(.'Q/ Address
Phone State License 3
Approved WILLIAM D. BENEVICIi
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Cont,. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS-- - -
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
q Dgta / ns act r
FINAL o�� J b
Date Insoector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do to Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
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 a
INSPECTED '
Date Inspector 1
' pv , c
22"sz6 I Hartman Drive [.Or NO.23
N NO. STREET _7Q_
W APPLICATION FOR BUILDING PERMIT
Y0 r196—
OP CUPERTINOoaSanitary No.0 ,Jul .-]4, 1967 7 pate i 1, I Permit No.�fi�
io
r
�. Application is hereby made for a permit to Erect
oa � ��
itn all TV n�'stcrYWT PN!&.1.'_: Building
a w
to be occupied only as S, Dwl
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
F Estimated Value of Improvements, $ 30,000 Fee$ 90.50
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
d o Cupertino will be complied with.
3 N n OA I OLL COMPANY Address 23$3 Pruneridge
W w Addres091111
a a
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a U P n – Approv
1 9755 G INSPECTOR
I� State License —
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER J
DATE INSPECTOR
FINAL BLDG. '
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. I
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR