51187LOT NO.
No. s /"G
W�gLCAL!Ell
IV FOR BUILDING PERMIT
o Y OF CUPERTINOs�o 6° a�Av �[� 19�j$ `I 5anitart No.
= o Date S % 196 Permit o. $//�
o a C1,T 1icDFon I � RT#10 a permit to
zz In a story, Type , Building
aW
a~ to be occupied only as L-V in accordance with
0 o plans, Specifications and Plot -Plan filed herewith. I Ck Fee F 3 Estimated Value of Improvements, $ 4 D Fee $ 2f�� , 00
z J 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 in the City of
J O Cupertino be omplied with.
3a —
N
Owner Address
W Z
a By Address
a 0 Phone ';2ij � — S� Approved . n r��'n► /1CW
�S/ % 22 PP 3�4� UILDIN
State License BUILDING INSPECTOR /
/e 3'f
LOT
NO. STREP.I' /.
APPLICATIQ1 0 MBING PERMIT
? .J JfIT OC—UPE[NO
Y 0i,T ? 7 1968 Sanitary Nu.
0 LL October 16 1' 968 � �%i It 17
° a Date t i 19 Permit No.
3 35
1 " PITV' 0C nt I '_' T1�: Pee $
°
Application is hereby!made to the City 0f_Pupettma for a permit to install plumbing
o a 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
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Cupertino, and all other laws applicable thereto.
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2
� r
Use of Premises
00
�
3 Owner Roy Bei
0a
ZJ
J Z By Rayne Wi ter Conditioning
° CONTRACTOR, AGENT
Phone 967-4545
a o State LicenseC36-165269165269 •
10347 Anson Ave
Address 243—B Moffett Blvd. IT
—00, PLUMBING INSPECTOR
UNITS
n5
Boxes
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain
Final...
& 3 7 I / -Az LOT NO. �f
No. �= STRP.P.I'
IN LI , TIONNFOR PLUMBING PERMIT
+w
CITtVi'OP CUPERTINO
'
(MAY 31 AyB l'.� B Sanitary No.
Date y 3 196— Permit No 3
pr O. R (�� Pee 5 026. SZ1
AppliThon ts•her&l ,made to the- dy 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 Premises
Dwelling
Owner Ditz Crane Address2295 De La Cruz Blvd,
By Palm Plumbing Company Al3,&Sunnyvale–Saratoga Rd,
CONTRACTOR, AGENT
Phone 245-2323
State License 186579
4 -
WILLIAM D. BENEVICH
X PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
UNI'T'S FEES
UNITS FEES
Water Ileater
/
Size
Water Closet
3
Material /
Bath 'rub
/
To Curb
Shower
/
To Prop. Line ✓
Lavatories
Main Drain Fee
To Existing
Kitchen Sink
Sprinkler Valve
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Comb.Sink R Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
F ixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Svs. Fee I/.Y71
Permit Fee
Total Fee