51161wl
NO. STREET
�APPPL�MCATION
ffFy
SEP
LOT
FOR PLUMBING PERMIT
OF CUPERTINO
P" _ Permit No.
CITY OF CUPERTINO Fee $ "?e' --
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
Address �'
Address
Approved
PLUMBING INSPECTOR -
IIx URLS
NUMBER
MAIN DRAIN
UNITS I FEES
UNITS FEES
Water Heater
a•oO�I
Size
Water Closets
3 13.0o
II Material 1
Bath Tubs
L I,p,001
To Curb
Showers
1/0-011
To Prop.. Line 1
Lavatories
3 �3.Odl
To Existing
Kitchen Sinks
a, , 001
Not Conn.
Dish Washers
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
�, Q,pll
Size k)0ty
Water Softeners
Material
Bar Sinks
i To Main Drain
Comb. Sink & Traysl
1
_
11 To Curb 1 1
Dental Units I
Drinking Fountains)
1
1
11
11
.Floor Drains 1
11 WATER SYSTEM
Size II
mm/
RECORD OF INSPECTION
/Q j 1' Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
yt
File No. U �y�
Sanitary No. -
Date 196 .
Application is hereby made f m e it to
a T ory, Type
to be occupied on {i
ILtn fir.c4nrdance with Plat Plan, ens and Specification filed herewith„
o (oo0
Estimated Value of Improve monis $ 3 0
FEES - a S Plan Cheek E
Owner Address �r/
Contr.' t z�/�.<.///�`rr�`'b Address C'214^ 2f/�l.s�t.�.s
Phone State License 7Y' — 90S
HaLLIAM D. BENEVICH
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 1% FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Latae of the l 1
State of California - \� '
RECORD OF INSPECTION APPROVALS
FOUNDATION —/L-(, 'pUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH 8 PLASTER
Date Inspector
FINAL
Date Ins De c for
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
INSPECTED
n„t. Ins as c for
%�6a�� lSirtr�d /�l7lQ %" [,oT'NO.
MEET
W APPLICATION FOR BUILDING PERMIT
2W _ TY OF CUPERTINO
oa - Sanitary No.
SU
w o Date 3 1267 Permit No."
o= su, tt�N, r
F A plication is hereby made r permit to �-b/t°c K2
a N a stoyybt7R Building
i
a --1 w li�Jl"C
W = to be occupied only as
0 o in accordance,with Plans, Specificatio d Plot-Pia ed herewith. 00
" Estimated Value of Improvements,'$ Fee$
•,
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
-1 Z all other laws applicable to the construction, locatiop, and use of buildings within the City ofn�
2 o Cupertino will be co plied with, � `` t
3 N Owner Addre s �a / /I/��✓C D GAl F`
rc a BY "n4l �'H�rs Phon o2 ApprovedState LicensBUILDING INSPECTOR
" r
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER I
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE - INSPECTOR
o-z T / I V'��^�K./ LOT N0. /3 tea-)
No. STREET
w , �A'P. LI�'Alip FOR BUILDING PERMIT
s �;.s<..,���"� OF CUPF.RTINO ���
Y G .
or J11
P J IAUG 17 1966 Sanitary N0.
5a
u 196— Permit No.
= 0
Date
W
�pq�lic a permit to
° a CI 1'1 ®r CUPE1{ L
i In a story,Type Z Building
aw
w to be occupied only as In accordance with
a �
0 o Plans, Specifications and Plot-Plan Ad herewith. PI Ck Fee
00
> "; Estimated Vulue of Improvements, $.2.2 do O I� Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within they City of
� 0 Cupertino be com lied with.
_ Ow r CUAddressZ'
e OtJSr O Address
a0 Phone y�K�S 75
_ State
Approve r State LicenseBUILDINGjINSPECTOR 'lt /