NO PERMIT NUMBERNo. Street'
APPLICATION FOR.BUI
CITY
•
Date / 196
Application is here made for ermit to
a�
V� a
to he occupied only as
in accordance with
Estimated Value of Improvements
FEES �03 09
Owner �w.a•1/s•-/--��r �'1�-ei
A
C ontr.
7eacT=
Lot No.��
G 69Q
PERMIT
Sanitary No. /'�SIC"
File No. �f 4G 99
story, Type' S j
Plan, Plans and Specification filed herewith.
S
Plan Check $
Address Z �re O'er
Address
Phone /� 7a State License r�•+ �� r� 0 9,' 7
Approved WILLIAM D. RFNinng-14
APPLICATION FOR ELECTRICAL PERMIT
Date/-2196
FEES
�,/
Contr. daj& _xd;f'/1.[C) LO•
Address
Phoney b��"�
State License -
M��y��Gy
Approved �G0.—/1
APPLICATION FOR PLUMBING & GAS PERMIT
p
Date .3 _f / 196 9
GAS FEE S
PLUMBING FEE $
Contr. /n%. d. _a�.
Address
73fn
Phone -T43 J
State License
Approved a`w`r—"•"' /
APP ICAI TION FOR APPLIANCE PERMIT"
Data S_' %� 196 y
FEES
pp
Contr. 41' ,6l2. 4(1)1 0l p . /�A.
'Address c,-1?9
Phone < 3 C/ - /7 �1 //n
State License 3 Zf0.3
/n�
Approved
Applicants agree not to violate any of the
Workrnan's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
PAD FINAL_
FOUNDATION
UNDERFLOOR _
FRAME
LAT PLASTER
GRADING FINAL_
FINAL BLDG.—
BUILDING
INSPECTOR
' I ELECTRICAL
Alf /O QK5RECTOR MISC.
UNDE ROUND ROUGH
ROUGH WIRING
r
FINISHED WIRING
FIXTURES
'�
L%
1
MOTORS
FINAL
L
6I� __�Q PLUMBING, GAS T APPLIANCE
�eaW —' bAQTE INSP CTOR MISC.
ACK FLOW REQ. O
SANITARY NO.
GAS you
UNDERGROUND
PARTIAL ROUGH_
ROUGH COMPLETE
MAIN DRAIN
9
,
'
7'
ARAG !
_- �J -l�9
p
•J.
•.7�Jn.
/�q
6 1 J
FINAL PLBG.
f
FINAL GAS
y
FINAL APPLIANCE
DATE INSPECTOR M
ROUTE SLIP
File No.
Date L`
Location g �/�T
Subject
Notes
Approved -—Gsri i —4
Date Spector
nvul � al,.;r
File No.
Date 3—/0 — 6�
Location _r�Z
Subject__
Notes
Approved 3—/0_ 6 ''
Datte-�- Ir1 e for
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
l..L.-SUM 6LN-Ct'------------------ --
Department
Job Located at--Z-07--./--
�
�
------------- --- ----------------------------------
�
-- d
his-- --- - -
_77-Ii-, 4AN--lef H�t
s� u-- (� J 1-� GUL_' - -
5 ...c �. :, ��/i►--p. lP�
- --------
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the msp� tor.
252-4505 Date: ��. ..... y
City Telephone Inspector: .r. —---------------
GAS SERVICE NOTICE OFFICE'
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPER�TIINO / �j
q.. �.. �...f i..-...17...1........................ 196......
To
You are hereby authorized to connect the QG7AS service for
Owner or Tenant ----. � .R o�T.. ......... ��ONS.._'............ ........ ._... ._... .......
At ...... 2.2.7..0...... .l445PINA... .... AN :...............
New Service ..X.................
No. of Meters ..... Z.........
Reconnect .............................
Move Service .......................
No. of Add. Meters .............. v'eAmett .........
Wal
PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE'
BUILDING INSPECTOR'S OFFICE
CITY OF CUPFRTINO
T o
You a hereby au ed to connect - eoctrjal service , for'0
Owner or Tenant..
At.......... . . ...... . .....................
No. of Wires ........... Size of Wires .... *..7Y. Size of Switch
Motor Load .......................... Voltage ............. . .. ........ ... Phase ........... .
Heating Load .... ............. K. \X/ . ...... ....... Voltage
Light........! I
ight .. ... it) ... v< New Service.... Kecolllle,[.
No. of Meters ...... Service..........
No. of Add. Meters Heat220 .... ..... Move
W Me
PowerPh pe.s Move Meter .......... ..
ELECTRICAL INSPECTOR
Bldg. Dept.
'Office Copy
T- BUILDING INSPECTOR'S OFFICE
CITY OF
CUPERTINO
Sewer Connection
Sanitary Permit No . ....
6./-�50 ...........
Plumbing Final
Plumbing Permit No.
.1>1.09-74 .....
13Ar-r-FLow Dcvl3c
Lot No . ........
N .................
Owner Tenant P'Limpar-C
cpp-17M
or ......... -------
------------------------------------------------
At ..... 2,21--6J ....... M.F--DJ.]V.A ........
4�A"-E ..............................................
Tract----- Satj
--------
.........................................
DateConnected ---------- 7 -------- .......... 6-1 -------------------
----- - ------------------------------
19..........
.... ....
Date Final .................. ----------------
e----,
.. .......... F-N ------------
n .... 19............
PLUMBING INSPECTOR
111 12/66-1M
i
NO. fffR EIiT IOr NO. 14
T OR ELECTRICAL PERMIT
I F/ CUI ERTINO
Date �J z 8 17,1f
969 a �,I)ts+ Permit No, / Q q
Fee 5 3 p 3.f'
! r //��
Appli 7t n is I ereby�ln`� ►phlooity of Cupertino for a permit to install eledrirnl
wiring and/or fix1bres as hste I Ic reverse side hereof, and agrees to install said
wiring, and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cuper�other laws applicable thereto.
Use of Premises _
IF
Owner r
By Htl QIf
CONTRACTOR, �AGENT
PI) .,i,, V 4 fj.CdlS
State License YY(Q�9 6n /
Address —_
Addres-2d'
s
E.LEMICALC—
APpro e --
INSPECrM
ITEM I NEW IRPL WEES
Number
Number of
of
of
Power
d-2 % G l I _/✓_/, add-- nC Cv�iJ./ cor NO. Y"
r+o. YL9_�t5rn arr
PPLI � rN
APPLICATION°FOR PLUMBING PERMIT
L�� , �95Q CITY OF CUPERTINO
11 Sanitary No.
Date 7 196-� Permit No
Fee $ 410, O D
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 Iws applicable thereto.
Use of Premises �� ec, Q
Owner Address o{ aJ ✓`� "
PyW, 1 H(;KLX SOiva Address
CONTRACTOR AGENT
Phone %3.6-,/ -
State License �'��aa
Approved %ern I IAM D. F3ENEVICH
✓ \ PLUMBING INSPECTOR
FIxT RES
NUMBER
UNITS
FEES
UNITS
FEES
Water Heate
1 _2
Size
Vater Clcsets
.�
Material ,/
Bath Tubs
3,
To Curb
Showers
a
3 p-D
To Prop, Line
Lavaturies
, p-D
To Existing
Kitchen Sinks
a
So-G
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
a �,{,
Wash Trays
STORM DRAINAGE
Washing Machines
o2
.!�
_
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
Sinks
Material,¢t/raps
TOTAL F ES
!Restaurant
Fixture Feerains Main Drain Fee
Storm Drain Feer
'ip-0Leaders
Volvcs
Water Sys. Fee
3, p.y
Permit Fee
TOTAL
TOTAL FEE e-0
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough Complete
Wain Drain
Final
9>63-9
LOT NO.
n ?NA
ER APPLIANCE PERMIT
vZ AY OF CUPERTINO
g 2 3 1969
Y LL
o < Date 1 -t r, 196i Permit No.
3 Y OF WPERTINO ree $ 2,9, °°
=LL
o Application is hereby made to the City of Cupertino for a permit to
0 < install gas appliances as listed on the reverse side hereof, and agrees to
i m 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
"" Owner 1/� vte e?�ti t °t L °' Address
J
� Z By rwew,� L;' Address¢
J-O CONTRACTOR,AGENT
Phone
ww WILLIAM D. BENEVICH
aState License Z•� � S'° -1 Approved
0 I/�' / PLUMBING INSPECTOR
Type of Appliance
Units Fees II
Remarks
(Check d;
New
1 Replace I Relocate
Gas Ranges
1
I
11
1
Wall Heaters
1
I
II
I
Gas Plates
I
II
I I
Circulating'Heaters
1
1
I -
I -Blower Furnaces
I yZ
I Y— 11
v
1 I
Gas Fired Boilers
I
1 11
Warming Ovens
I
1 11
1 1
Percolators
1
I I
Griddles
I
I II
Steam Tables
1
I 11
1 1
Gravity Furnaces
1
I 1
Suspended Unit
Floor Furnace
1
1 II
1
I
II
I
Miscellaneous
1 I
u
I
NAME TYPE)
_�Z- •.;I�
Y✓��� I.zI,�
11,
I
—
��—
pp lance Fees
�
�--�—
Inspected and Approved.............................................................
DATF INSPFf R
3'� TRni7 fiE l'S_j(
No. Street Lot No. 4F lye
I DOrmit
PERMIT
City of CuperSanitary No.
Date t�N 2?, 1969 No.
YE — >
.E Application is hereby made for a permit/�[oflar� T
3 a � CstoTyYTyGF l l-R'f' 1 i�i � Building
U„t.Q,�� in accordance with
o [o be occupied only asy
2 Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
T m
sEstimated Value of Improvements, Fee $/ O 3. D u
0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
'> all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with. crl T ���tl
c
Owners ?a / i- rr �,i�S� Address.�J ,{ �� n r
3 ° By Q'_C � .rl� Address 4/I
d c
E Pldene Approved WILL1AM In ctFy v CVlr
_ U t 7 Building Inspector
State License