NO PERMIT NUMBER (2)No.
Date
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
APR 7 - 1969
196
Application is hereby made for a permit to
to be occupied only as
Lot No. Y
`7;111'1 " 440/
Sanitary No. 63 7o
File No. J //Iel2
a I story, Type I
in accordance with Plot Plan, Plans and Specification filed herewith..
Estimated Value of Improvements
FEE$ 43 .5
Owner Q
Cont, —LS. ,12. xLZ
Phone tly, 9.1 ' .3
$
Plan Check $
Address DL
Address g
State License
Approved WILI.IAM D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Date Y� 196 / FEES o�S "7 O
Contr. Address
Phone —_�- ti.�— 02-7 O> State License 7
i
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
PE/RM1IT
r/
Date �—.Q 196 �� GAS FEE $ —-e`;-o
PLUMBING FEE $ —9 9-2-0
Contr. Address &Y �•%�O ..0, (2•
P.hone — State License �^3 o7 9 9 //
Approved- /w). 60.
APP CATION FOR APPLIANCE PERMIT
Date n'//J� � o/�196 y�/�((..�� ll/ FEES I�OL9
Contr. 14& a4k �d'202�//iOAw�/ Address ��1(
Phone — J-A6 91- ,96- State License '7llz)z `, i
Approved (siteGwc/
Applicants agree not to violate any of the .
Workman's Compensation Laws ofthe
State of Ca liforn in
},
RECORD OF INSPECTION APPROVALS
1v'� s = 5--9
PAD FINAL,_
FOUNDATION —
UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG.__.
UNDI
ROU
FINE
FIXI
MOT
FINI
BUILDING
E INSPECTOR MISC.
ELECTRICAL
na7p-INSPECT05% MISC.
Lf fi�., 0 PLUMBING, GAS & APPLIANCE
�-6119
1 Q/� `^'^" DATE INSPECTOR
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE <�
MAIN DRAIN
FINAL PLBG.
FINAL GAS le,
FINAL APPLIANCE /I
INSPECTO
a
k
d /397 17l� Ch .
No. I sra FET LOT NO.
®I�T FOR ELECTRICAL PERMIT
TY OF //CUU0PERTINO
JUL69 79't2L Permit No
" RIOhe City of C¢0/ Fees as 70
Cgyic'*is upertino 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 law�pplicable thereto.
Use of
Owner
By _
0 Q
Z Z
W p
Y O
a W
oa
W W
= O
0 W
O�
6
i In
aW
Wx
rr
00
0a
ZJ
J
J O
3�
a
Z
W Z
W W
rc a
< San Jose, Calif. 95112
—0 P lone: Office • 700
v,/ State License 47.3,U
Address
Address
A pprov
ELECTRICAL INSVS
0
ITEM
NEW
RPL
FEES
Number of Outlets
17
J'GO
X o O
Number of Switches
Number of Receptacles
L
Number of Fixtures
l— /0
010 0
Ran= or Ovens K.W.
2,00
Size of Main Service
t O O
Number of Meters
Number of Panels
p
S - Transformers
Dryers
O
Motors:
H.P. Phase
H.P. Phase
Power Poles
Permit Fee
2.00
H.P. Charges
Total Fees
2570
21397 I Meteor Drive LOT NO. 97
No, STREET Model 401
)APPLICATION FOR BUILDING PERMITT•-R� -'1381
-hw OF CUPERTINO
"�� Sanitary No. P6372
R'f SllP.2
Date APY11 Ito T4t+,. 196'9Permit No.
Application is'hereby made for a permitto build
.I, -
a 1
Building
to be occupied only as 1 fdm,. res. in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee 0+7-.-75
95.50
Estimated Value of Improvements, $ 32 r 000 Fee 3-
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to ! construction, location, and use of buildings within the City of
Cupertino will be con plied wt
Owner " DIN Address 88 Hinakle Rd.
Burlingame_
Phone 692-3555 Approve
State Licens-255425 / X nwc wsrenoa
2 /317 `�i(rz A L t.r Le, sot
No. Street �' ' Lot No. , X7
J63 `iA P A FOR PLUMBING PERMIT
qOF CUPERTINO
- a I Q C Q Sanitary No.
JUN
Date
_ G ' , 196-Z Permit No. .5 YS,2
C! Y OF CUPERTINO Fee =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
laws applicable thereto.
Use
By
Phone
State License
Address /
C[.LLuc �-xi_
Address Q
WILLIAM D. BENEVIC
Plumbing Inspector
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
/
SO
Size
Water Closet
vso
Material
Bath Tub
/
/.SO
To Curb
Shower
,SD
To Prop. Line
✓
Lavatories
, p
To Existing
Yitchen Sink.SO
Not Conn
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
,,p
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size /'
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
.SLR
Area Drain
Main Drain Fee
p
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Valve
C2� Fee
so
Vac Breaker
Skimmer
Filter
Pemut Fee
.7- G 0
Total
/ „ f
Total Fee
, SO
71397 Mateor nr
No. Street Lot No. 97
APPLICATION FOR APPLIANCE PERMIT
City of Cupertino
Date April 8 ,1969 Permit No. -'—/J
Fee $ / 7„d-B)
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
Owner Kay Building Co. Address P.O. Box 1506
By San CArl Qe ShPAt MPtAI Address779 Old OnlInty Ra
Contractor, Agent
Phone 91—2605
W►LLIAM D. BENEVICh
State License 110828 Approved
Plumbing Inspector
APPLIANCE
UNITS
FEES
Gas I op
Gas Oven
Wall Furnace
Gravity Fum.
'Forced Air Fum.
1
2.0(
Gas Fired Boilers
Warming Ovens
Sus . Units
Dwelling Kit./Bath
O(
Inde end. Vent System
Com. Indust. I nst. K i t.
Hood & Vent System
Forced Air Under 4000 CFM
'Forced Air Over 4000 CFM
Ind. Ventilation System
without Comfort
Forced Air. Mech. each:Power
Gravity System
No. of Air Outlets, No, of Flues12 Out
&V
5.o(
Stacks for Metal Fireplaces
Smoke Stacks, Misc. Equip.
-Under 15' High
Over 15'High
Comfort Cooling -
-Comp. of 20 HP or less
-
-
.& absorp. units with input.
of 5.00 000'BTU or less
Camp. over 20 HP & Under 50 HP
& Absor . units with input
of 500,001 & Under 1,000 000
Permit Fee
2.0(
Total
Total Fee
CERTIFICATE' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......................... Building Permit No. ,5ve7t-
The Building Located al,4-1139.7 ... .....................................
Owned by
Has Been F6r Use As:
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
4.196 .....
........ 1 -.7"44 . ..._ . .... ............... I
To a
You are hereby authorized/to connect the GAS service for -
Owner or . Tenant .......... KAL........... 8L,96-!....C
....... ... .......... ...........
,2
At.........2.1.. .. ......... ................ ......................
New Service ..x .. . .......
No. of Meters ....... ........... Reconnect ......... . ............
Move Service ........... ...........
No. of Add. Meters .............. move Mejgr ................ .....
........... ............................
...... ....
PLUMBING INSPECTOR
9 7
II
ASewer Connection
Plumbing Final
Bldg: Dept.
Office Copy
CITY OF CUPERTI.NO
SEWER -PLUMBING NOTICE
6 7-7 ':>'
Sanitary Permit No . ......... I .... .......
Plumbing Permit No. ..... . ..........
Lot No...'cf ... 7 .................
.0 ........................................ i .................
Owner or Tenant ....... �_4?4 .....
�i At ............►1
�2 .., 3-'--t .7 ......... Nz�.�i ............................................
Tract........ ------- 71-enzwno...........-----.---....---..........- -................................
4; Date Connected ---- ------ ... . ... T.:/___1 .C4
............... ............................................. 19............
Date Final ------------- ! ... D .. 1_..j(_.q._.._.
19............
PLUMBING INSPECTOR
OFFICE COPY
CITY 00 CUPFkTINO
ELECTRIC SERVICE NOTICE
.. ............ - ........ —.., .... �0-- --7 —
You are hereby authori3ed to connge.,t,�electrjcal service for
Owner or Tenant ..... .. ........ ..................... . .... .................... ...............
.............................
At ....... �2
................. r --- .... .....................................................................
---f .......... Size /. m
No. of Wires ......... 3 .......... Size of Wires .... X.? I � of Switch ......
MotorLoad .......................... Voltage ................................ Phase .........
HeatingLoad ........................ K. W . ................. . ......... . .. Voltage ..............................
(Light ............... 110 - New Service ... - Itecusinect .............. ..
No. of Meters .....
Heat ................. 220 ............ Three Wire................?face Service.
No. of Add. Meters............ ......
power ............ Meter........
ELECTRICAL INSPECTOR
Location —
Sub j e c t
Notes
ROUTE SLIP
File No 45�
Date/ems
AN
�. - .- •
97C7T,Y OF CUPERT1170
10300 Torre'Ave.
COR~R /CT10N IN,FOTICE
/ .,Deppaartm;nt/j
Job, Located at G J'(---Z-�---
Y
- ---------
----ca-L---�-.. fie
Volk.- -
a'- : --- :':--
You are hereby notified that no more work sh 11 be
done until the above violations are corrected When
�------------------
e
252.4505 Date: ctoi:
8
corrections have ,been made call the ins
City Telephone Inspector: ..- �rt�------
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION- NOTICE
a nt
Job Located at6et...`?]
------------
.... t ---------------------- ------
----------------------
I-r- ... t
-------------
....... 'r .. 04
. .... 64& ............................... ----------
You are herebyrnotified that no more work shall be
done until the above violations are corrected. When,
corrections have been made cal/ the inspector.
252-4505 Date: V(,430- I --------------------
City Telephone Inspector: ............
r CITY OF CUPERTINO 4,
10300 Torre Ave.
`CORRECTION NOTICE
6�- .
D6ParTmenf
Job Located atGi/ st, .-_��..-7_
p 1
---------
r--------- ... -. �.,......
---------------------------------------------
..........
.....�-- ------ ----- &-----------
----------------- - - -
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: - 1- l i- � r-------------------
City Telephone Inspector: -._ill: --------
CITY OF CUPERTINO
10300 Torre Ave.
CORK4TINONOTICE
.............. .........
Depa. ..
rtment
----------------- ----------- -----------------------------------------------------------
You are hereby notified that no more work shall be
done until the above violations are c rrected. When
corrections have been made cal}r t inspector.
252-4505 Date:°i/�... .
City Telephone Inspector: :... ..�(------------------
CITY OF CUPERTINO
10300 Torre Ave.
F .
CORRECTION N OT I C.[
----------
Department ,
Job Located at.-Zo-r...... .11----_----------------------
�... L Z3 t� .� t�. tZ------- ------
Tom' -- ► °---G --6"fig -----
----- --------------------------------: ----- ----------------------------
�.7 ,_; _..... ---
--------------------------------------------------------------------------------------
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: {6D ." .�.b.J_-1 - ----
Telephone Inspector:-:.. .�._... City Tele VVV