NO PERMIT NUMBER/ OtX I QO.(JslNC� Lot No. 3eS
No. Street - Oaf * Z/a3
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No.
Date -196f
Application is hereby made for a permit to
to be'occopied only as
in accordance
story, Type sue• c+
Plot Plan, Plans and
Estimated Value of Improvements $ .3 & GOD• 0-
sv
filed herewith.
FEE$ / 'w Plan Check $
n Ower r- l W • Address
Contr. tl Address
Phone -6 9A State License
... Approved &,I• --
J
APPLICATION FOR ELECTRICAL PERMIT
gT
Date (9 - tot_ 196 '�I FEES ''au
Contr. �a�e ��ra-t�y.l (�fh/�Tr Address C S 1V �Q(]
Phone aclx-) State License
r�.
ApprovedWMA." D. IIENE:VI"
APPLICATION FOR PLUMBING & GAS PERMIT
Date Y'Z.D 196 7 GASFEE $ (/' V)
PLUMBING FEE $
Contr. StM �Ia,0AL, (l �`� (`-�YI C— Address
Phone,. rC/(� _3/r�3 State License
Approved �''�'• r.o-',vi'-"" `c�/�
APPLICATION FOR APPLIANCE PERMIT r
Date ,(3 1. n996 ��I 0(�l ,��FEE$
Conte-4Ja,7, /,(. 4& ,4fipC1� )l,2,la/ Address /�� ���it' r.�ll /tom•
Phone J 91- 22 'State License
' Approved _��• '�• IJ�rn-LC�/l
Applicants agree not to bloLatc any of the
Workman's Compensation Laws of the
State, of California
RECORD OF INSPECTION APPROVALS
DATE
BUILDING
INSPECTOR
PAD FINAL
FOUNDATION
Zd
6
trq
_
FRAME
Z
LATH PLASTER
GRADING FINAL
FINAL BLDG.-
/
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
.n'. 11V11 n.W.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH_
ROUGH COMPLETE
MAIN DRAIN fC
FINAL PLSG. °GG�
FINAL GAS ��O?
FINAL APPLIANCE /S
.5& Y-a-9 DATE INS
ROUTE SLIP
File No.,
Date
Locatic:n �2.6
Subject Al ��✓`u,�o
i
Notes
Approved_ %
Date Inspector
CITY OF CUPERTINO
10300 Torre Ave.
CORRk,CTION NOTICE
Depa�rtment
Job Loca ed at ..L74 � L-.-- -�
f
-----------
--:��---- ...... -
------- u �; -Gc / ----- ----- ---
vl rTG(rt �%J ----------------
j.ta-°----------
�= ----------------------
�,... -------`------1"ou `` `------------
----- `= (��=
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: .�i.(('
City Telephone Inspecto= -------------
CITY OF CUPERTINO
10300 Torre Ave. '
CORRECTION. NOTICE,
-- --------
Department
Job Located at 47q= 3�S -----
--------------------------- P ce --- RL. e ----- -- -- ----- - -- ------------ -
-?6xlv� a .... . -----------------------
-------------------------- -- -- ---------------------- -- -------- ---------------
Z� ... Tfi-P - --- i P4?V�fy/ ------------
------------ . - Q. 11 -+/. V at ---------------------- I -- ---- ---- I ----- I . - .
---------------------------------- 1 -------------- ---------------------- -- -------------
You are hereby notified that no more work shallbe
done until the above violations are corrected. When
corrections have been made call the inspector.
252 . 4505 Date:
City Telephone Inspector: --r0....----
CERTIFICATE OF COMPLETION
BUILDING MpEcroxs OFFICE
CITY OF CUPERTINO
Date .............................. 1194 C 7
.. ......... Building Permit No.
The Building Located at . ..... (p ------ ................................
Ownedby c. .............................. ........................................................
Has Been For Use As:
(Altered) if,�( . .... . gl,'JL
............ ;;-i . ...... .................. .........................
. ... ........................
BUILDING INSPECTOR
102 12/66-IM
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary; Permit No.!.. ...........
1
'�. Plumbing Final Plumbing Permit No. _..?. .]J?---------.
Lot No.....
Qc f Owner or Tenant --------------------------
o.<R .4nioc�U.. Tract ..........--------------------------i....---_........ :---------------------------- :-------------
Date Connected ...::. .- a2.....c�..;...:SJ:1'....................................................... 19............
Date Final ......... C
......y ....:.:..L.__....... O, 19
.
PLUMBING INSPECTOR
111 12/66-1M -
GAS SERVICE NOTICE OFFICE
COPY
LPT-
BUILDING INSPECTOR'S OFFICE
I
CITY OF CUPERTINO
g. ....................... 0-1 . ..... .............. 196-....
.
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ... ......... R- C
....-..... 0 ....1 .................................................
At ... /.P70Z ....... FIF13 1� z,.e ..... Te— �q c .....................................................
.......... . ............ C .....
New Service ...... ?( ...............
No. of Meters .................Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter .......... *,** ......
.. ... .. .. ... ... . .... .. ..
PLUMBING INSPECTOR
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
19,
You are hereby authorized to connect electrical b-
ee rvice for
Owner or Tenant
............. . .. ...............
v
At .....
................ .......
No. of Wires ....... -------- Size of Wires ......... Size of S t h
Motor Load ......... V'
oltage ................... ... Phase ....
Heating Load ..................... K. W . . ..........
. ......... Voltage .. ... ..................
N f Meters. 10 ....
o. ........ New Semcc ...... Re,.nniact
Heat ................ 220� ....
No. of Add. Meters............ ....... rhme Wn,.._---.— Mo,c ScIvi,,—`- .....
Power ............... Thrti P %1,1e Meter........
ELECTRICAL INSPECTOR
CITY OF CUPER11NO `
10300 Torre Ave.
CORRECTION NOTICE
------- --------- -----------
-------- --- ------------------------- ---- ----- ------
You are herebynotified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
Date:--.—R
252.4505 - ------
City Telephone Inspector: �1�2-------------------- _.--
7'0 ` i %C
No, 1 1)
• - - ------ i. Lot No.
`
IdAR APPLICATION FOR BUILDING PERMIT 403-C IdAR —7 IJb;' L: 'City of Cupertino
a Date 4ZA/ 196 - Sanitary No.
• 'o Application is hereby made for a permit to eAn s �"ii'He
3 a two story, Type 51d Building
��.. to be occupied only as
0 single family dwelling in accordance with
cPlans, Specifications and Plot -Plan filed herewith. PI Ck Fee Paid
Estimated Value of Improvements, $3 P, p n t7 O o Fee $ / / O , ,1-%
o `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
c A Cupertino will be �omp`lied w'�h.
3 Owner Kay din o ParlyAddress 880 Hinckley Road
r
v v By
o Phone Rotier Fish. .P, Approv
U
to State License 2554p5 unglnspector
J
/t% u
10702 Pebble Place
No. Street Lot No. 35
APPLICATION FOR APPLIANCE PERMIT
City of Cupertino
March 12 196 9 Permit No.�/�
Fee$
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
a
By San Carlos ShPPt Metal
Contractor, Agent
Phone 591-2605
Address P. C,, Box i 50(,
State License WILLIAM D. 6ENEVICH
110828 Approved
XPlumbing Inspector
APPLIANCE
UNITS
FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Furn.
_
Forced Air Furn.
1
2.0
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
8.0
Independ. Vent System
Com., Indust., Inst.Kit.
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort C
Forced Air. Mech. each Power
Gravity $ stem
No. of Air Outlets, No. of Fluesl. Out 2
Zue S
5.21
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
Under 15'High
Over
Comfort Cooling
Comp. of 20 HP or less
& absorp. units with input
of 500,000 BTU or less
Comp. over 20 HP & Under 50 HP
& Absor . units with input
of 500,001 & Under 1,000,000
11��
2.0(
Total
� , ��e�
D 70.Z .. "�.ST F IGi i ror No. S CLGCi o�
-NO! 1- .'-: :. Srq EPT� � W'.
n„
N r)APPLICATION - FOR PLUMBING PERMIT
.z i j0 j0 ,CITY OF CUP17RTINO
o pp Sanitary No, 6,2 3/
3 u Date �� ��� 196Y Permit No,
= LL Pee
Application is hereby made to the City of Cupertino for a permit to install plumbing
0 pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
Use of Premises�i Arrr. �i /1i3Oal�Ox �/
0 0
z
,- 3 Owner.zJ�C.t� lucP .eeo Address 1'62 UP '/SoG etXtiLlL2gt[lxti
By- Joe Amaral Plifi t , Inc. Address�tn A&Z X0 ,,QQ,r2�i2, c�2cc
3 F ppCONTRACTOR, AGE[�P
m Phone
w z
WILLIAM D. BENEVICH
a o State License Approved
_U
x. PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
/„Si
Size
Water Closet
3
.So
Material $
Bath Tub
To Curb
Shower
/
•Se
To Pro .-Line
Lavatories
Ace
To Ekistin
Kitchen
/•
No Co n.
Dish Washer
Waste Disposal -
Wash Tray,
STORM DRAINAGE -
Washing Machine
/
.So
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 "
Restaurant Sink
Material QB!/
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
/9sr
Area Drain
Main Drain Fee
• Oo
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
,.SO
So
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
00
Total
13
V57-5ollTotal
Fee
• SO .
J
NO. SrREET LOT NO. 3S-
L I FOR ELECTRICAL PERMIT
nil
TCUPLRTINO
FUN 2, IQ
Date - 19 — Permit No.
403 Tee s a6•rl�%
Applafi��ie 1 b� of Cupertino for a permit to install electrical
wiring and/or fixtures as 1'isr�drik� 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 Cupertino, anq all other lawsA)plicable thereto.
Use of Premis s_ A/,4�N--s'
Owner OYY�,Fir
By ORE LECTRIC CO.
1 r'Nj fthFSt.
ph,,,,,, San Jose, Calif. 95112,
Office- 298�2Z00
Smra i it
Address
Address
Approved WILLIAM D. GENEVICH
ELECn IrAL INSPECTOR
, �J
ITEM &03
NEW
RPL
FEES
Number of Outlets
Number of Switches
-X
Number of Receptacles
3 S
Number of Fixtures
�/U
olcd
Ranges or Ovens K.W.�-
Size of Main Service ,Z
P 0 0
Number of Meters
/
Number of Panels
Signs - Transformers
Dryers
0 0
Motors:
H.P. Phase
H.P. Phase' '
Power Poles
'
Permit Fee
2.00
H.P. Charges
Total Fees -
•�