NO PERMIT NUMBER (2)/O/ % O I � Lot No. 71
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. ��� •�
Sanitary No.
Do to 196 -�
Application is hereby made for a permit to
u story, Type
s- Z T
to he occupied only ns
in accords with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements
FEE$ z�•� 0
Owr.ar
Corrtr.
s A.4 '0
Plan Check
Q$
Address •%//'s r., �,
Address
Phone .2.I ie4& State License, A 410 3
` Approved LA)�ylow
—
APPLICAATION FOR ELECTRICAL PERMIT
Date 196 n FEE$ I� —
gal
nn O l
Contr. `1�Y x �YO��J4•l.^/ Address llkk N I � O
State License Qai) n to •+ Q•
WILLIAM D. BENEVICH
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date � 196 // GAS FEE $
PLUMBING FEE $ 0z z d a
Contr. Address ..)3
Phone State License /S' GS
Approved WILLIAM D. 13ENEVId:14
APPLI ATION FOR APPLIANCE PERMIT
Date / 196 FEES � 1U—
Contr. /' Address -P1 Q^'-' t-°�•Y�—
Phone ,7d I - -Xt 4`3 State License
Approved WILLIAM D Rr;y4.,i_3i
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
R 0 D OFINSPEC ION PP VALBUILDINGS'
—
7-ro b
FOUNDATION
— te'
<
D( —Gr
��in�p
UNDERFLOOR
_ff v^aoj
nspe o
FRAME
--��ate,
LATH73)PLASTER
_D. z�3--�
Inspector
/0 l
_ Date
Ins
FINAL
Date
InSCectar
,OUTLETS
SWITCHES
RECEPTACLES
FIXTURES
H.P. CHARGE
PERMIT FEE
TOTAL FEES
ELECTRICAL
SERVICE SI
UNDERGROUND
Date
/
Inspector
ROUGH WIRING
_�(�
a
ota
�U —�
Inspector
FINISH WIRING
O DCte
Inspector
FIXTURES
Date
Inspector
Motors
Rates — S
Inspector
FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
MATERIAL
STORM DRAIN
SIZE
MATERIAL
—
WATER SYSTEM
SIZE
ATERIAL
TOTAL FIXTURES
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH —
at
o
MAIN DRAIN FEE
ROUGH COMPLETE
STORM DRAIN FEE
ate
MAIN DRAIN 6—
r
' - Dpta
Ins or
WATER SYSTEM FEE
GAS PIPING
emote
4
Spector
GAS PIPING FEE
FINAL "" —
Date
Inspector
PERMIT FEE
MISC
Dote
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 `Y%��
Date IInspector
LOT NO.
XPPLICATIAN FOR ELECTRICAL PERMIT
u l
C I JUL 1.1, 1968CITkpF CUPERTINO
Date I V . r QTf��c Permit No.
• • Fee $
Application i ereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the 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, and all other laws applicable thereto_
i F Y%m
ELEMICAL INSPECMI
Siate License:
NEW EEL
Size Service Conduit ----- dqq....-.......Number of Outlets .._..L.1�------
Size Service Wires ..-------?-A .......... Number of Switches..... 0----
Size Service Switch .... )ON -------Number of Receptades�q//9....
Size Sub Feed Conduit ------------------ Number of Fixtures....... ��P.....
Size Sub Feed Wires.
KW
Number of Circuits-----------/�.--.. Ovcn .............. KW --------------
Number of Meters. .....................Signs.......... Transformers -------- ---------- ------------------------
Misc------------- -''/{ - ----..._- -Dryers_-----.1..................._----- ----- --
Motors ........7......-- HP ....�-.12..... Phase .-/----.-.------ Permit Fee $�.00
Motors----------------- HP ...............---- Phase ..... ....._..._---
Motors --------.._-------- HP .................... Phase .. H P Charge.............._ -.......
TOTAL FEES �' �J
RECORD OF INSPECTION APPROVALS
Rough Wiring ---------------- I ---------------------------- Fixtures .............
DAT[ INSPECTOR
DATE INSPECTOR
Finish Wiring --------- *...... �------------------------ Motors .............
..-----...I-
DATE INSPECTOR DATE INSPECTOR----
Final----------------------�-
DATE INSPECTOR
/y `/
101 FO Mello Place or No. 71
No. �si'aeeT�
z < @jGAF LP IC1ApYT1FOR BUILDING PERMIT
° Planl 269y, p �96a CITY Or CUPERTINO
o a JUL ! - Sanitary No. S�
SV
W Date June 24 196$ Permit No. , Aei� �
f'lIPFRT{hl(1 construct
o Application is hereby made for a permit to
a
cN a one story, Type S—I—J Building
to be occupied only as single family residence in accordance with
2 o plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee —0—
Estimated Value of Improvements, $ 23 000 Fee $ 7 2.00
oa
z 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, location, and use of buildings within the City of
d *UCI o w'11 be complied with.
a�� EGA BUILDERS, INC. AddressP. 0. Box 1135, Los
— a os
W /Pres.Address Same
Iron 356-2146 WILLIAM D. pENEVIC
_ � Approved
1' State License 22232 6 BUILDING INSPECTOR ✓
`� X
_10170 M4110 Place LOT NO. 71
NO. s"FEl
,��7�y, AFPLICATION�.FOR PLUMBING PERMIT
!"d�tael �OP CUPERTINO
wW
P Sanitary No.
N
o a Date �JU'" 2 j 1968 196 8 Permit No 7 -9.�
3U
LL (;ITV OF ('41�FR� IPPee $ o?
' 0 Applichficn is hereby nade to Theo1� ty of Cupertino for a permit to install plumbing
o UJ
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
a w Cupertino, and all other laws applicable thereto.
a Use of Premises Dwelling
J LL
00 Omega Builders P. 0. Box 1135 - L. G.
"
r 3 Owner Address
z-1 Palm Plumbing Company, Inc. 1234 N. Hwy 9 — Sv.
J z By Address
— CONTRACTOR,AGENT
— m Phone 245-2323
w Z
a u VvIL_IAAM D. DEN: Vl
a o
State License 186579 Approved
— U f4 K PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
UNITS
FEES
UNITS
FEES
Water Heater
/
Size
Water Closet
-7—
Material
C/
Bath Tub
/
To Curb
Shower
/
To Pro . Line
A/
Lavatories
Z
To Existing
Kitchen Sink
/
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
/
Size
Water Softener
Material
Bar Sink
/
To Main Drain
Comb.Sink & Tray
-
To Curb
Dental Unit
Drinkin Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
/
Area Drain
Main Drain Fee
dQ
Water Leader
Storm Drain Fee
Sprinkler Valve
Water S s. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total
S
Total Fee
S�
Pd
zZ
W
£ O
Y LL
C
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W
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W W
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W Z
00
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NO. STREET
LOT NO. .7/
G 9y
APPLICATION FOR APPLIANCE PERMIT
CITY OF CUPERTINO
Date�_CJL�I-91968I^ `l _ Permit No.
JUL 11 bb �=� Fee $ i o�.l
Application is hereby made to the City of Cupertino for a permit to
in?tall gasfappliIN s'�aglfs!M&n the reverse side hereof, and agrees to
install said•applianees in accordance with the provisions of the Plumbing
Code of the City of Cupertino, and all other laws applicable thereto.
Use of Premises �����
Q
Owner4--,4'�e Address
81 Pioneer Way
B eeenrvlaV CHEEI METAL & HEATING, INC, Address Mountain View California 94n4n
y CONTRACTOR,AGENr
Phone��y
State Licenses /6%�3
WILLIAM D. DENEVICH
Approved
PLUMBING INSPECTOR /
Type of Appliance
Gas Ranges
Units Fees
Remarks
II
(Check ✓;
New,
Replace Relocate
Xyill Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
II
-
Percolators
I
Griddles
Steam Tables
�I
Gravity Furnaces
Suspended Unit
I
I
Floor Furnace
I II
Miscellaneous
II
(NAME TYPE)
pp Dance «s I
I�/.1J
Inspected and Approved ............ ..... .---------- .............._._...........
DATE nawvrrTne
1iVV 1L. �JL1t"�
t
File No.
Date /0
Locaation
Subject �fQ
Notes O
Approved &-/0 -6�
Date InsIffe6tor
ROUTE SLIP
Fi].e No.&-//?9. /
�/ Date 7�/6
Location /-(- 7/
Subject (Q�'P map
Notes
Approved
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ---............. —J-1 ........................ 19.4 Permit ]wilding
..... .....
The Building Located at --- 16.1.7-n ....... )VO ........ 0 ... .. .... ......................... ..........
12%
Owned by -------- U'V'J ....... .
-1. ------- ------ ------ - ----
HasBeen (Completed ) For Use As: ............. . .. ..............................................................
*=Cd.) :5F L)W�— ....... .................
------------- ........................................................... ........................................................................
......................................................................... ......... . .............. ..........................
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY 01• CUPERIINU
................ 196.T
To
You are hereby 'thorized'to connect elects dahsemce tor
/
Owner or Tenant .. ..........
At............. .............. .. ....... ... ....
No. of Wires ..... Size of Wires ............ Size of Switch .....
Motor Load ----- .................... Voltage ................... Phase � ...................
Heating Load ............ -- K. W................................... Voltage ... . ..
No. of Meters............,..... Light......._ t to ....... <. New Semce e"' Reconnect -
Heat ...... ___ ..... 220.........,,5r.e W
No. of Add. Meters............
Power ............... T P ELEC
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.. ... ........ ................
1170
You are hereby authorized to connect the GAS service for
Owner or Tenant ..4.�,Oeo,4 � ev,
At. ........ ........... ........... .........
New Service ..........
OFFICE
COPY
19611�
No of Meters .... /
Reconnect ..... -- .....................
Move Service ... ............... .
No. of Add. Meters .............. \love Meter .... ............... .
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .........
2--l'I'lumbing Final Plumbing Permit No-3/�/....,?,3V ------
LotNo. ----------- ---- ---
Owner or Tenant
At
Tract --------
------------ ----- ------------ ---------------- ----- ----
DateConnected ............................. ------------------------------------------------------
Date Final ---------------------------------
----- ------------------------------------------------
------
.......... ..... ..........................
PLUMBING
.CTOR
111 12/66-1m