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51187/0 Y/ 0 No. Street J APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. p' Sanitary No. Dote 196 A lication is hereby made for a permit to a 0 to be occupied only as story, Type S I; - in accordanjVwith Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ a9 Doo d - FEES aonnn - Ower C� Plan Check $ Address 1' L I7 J—j&' Contr. Address Phone co?-A'�6- State License �1 % 9 i WILLIAPA D, 13ENEVICH APPLICATION FOR ELECTRICAL PERMIT Dote / 196 Y FEES Contr. _—GL/ l^-'^-��-'�-=�� Address �a-`5 Phone s7,5 L State License WILLIAM D. Llc.iUcVIC" Approved �p /APPLICATION FOR PLUMBING & GAS PERMIT Date / 196 R GAS FEE $ / PLUMBING FEE $ "Z 6- A Contr. 'r'�—� Address/ -2 2 �e Phone C" '/-�J-- 2— State License %G`S c Approved WILLIAM QWILLIAM D. EIEN�t�� g / APPLICATION FOR APPLIANCE PERMIT Date 1% Ir FEES Contr. / Address Phone State License �Z -C' Applicants agree not to violate any of the Workman's Compensation Laws of the State of California ApprovedWILLIAP�D.��jFvt�� t RECORD OF INSPECTION APPROVALS FOUNDATION — BUILDING tt�a Ins pe t r UNDERFLOOR 0 -oS-6 Y D a 6 p FRAME J ` i„ !m p Ins ecf LATH PLASTER LBL I Dat Ins pec i FINAL Date Insoector ELECTRICAL SERVICE UNDERGROUND SIZE ,OUTLETS TYPE OF APPLIANCE SWITCHES Inspector RECEPTACLES FIXTURES REGISTERS H.P. CHARGE I specter PERMIT FEE - TOTAL FEES or SERVICE UNDERGROUND SIZE TERIAL TYPE OF APPLIANCE I Doe t Inspector ROUGH WIRING FIXTURE FEE REGISTERS Dyt I specter FINISH WIRING - le I 'li/ or e Inspector FIXTURES � MISC ' e— Inspector Motor MAIN DRAINO- - MISC o t e-� Inspector FINAL or WATER SYSTEM FEE PERMITFEE Date Inspector PLUMBING 8 GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL f AL WATER SYSTEM SIZE TERIAL TYPE OF APPLIANCE TOTAL FIXTURES FEE UNDERGROUND FIXTURE FEE REGISTERS PARTIAL ROUGH 6' ' o BLOWER FURNACES le I 'li/ or MAIN DRAIN FEE ROUGH COMPLET MISC ' 16 for STORM DRAIN FEE MAIN DRAINO- - MISC to or WATER SYSTEM FEE PERMITFEE GAS PI IN - FLOOR FURNACE Datefor GAS PIPING FEE FINAL Date Inspector PERMIT FEE MISC Date napector TOTAL FEE MISC Dote 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 PERMITFEE FLOOR FURNACE TOT FE 00, INSPECTED Date Ins pe ctor ROUTE SLIP Fila No,5--/l87 Date l— zz-6Q Location /0` to Cep,-&�-ze !1MQ Subject Notes 19M Approved I -2aa -_ na+-o Tn� - CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date .... I.... ......;?At ............... 1911... Building Permit No. -V117.. The Buildit Owned by HasBeen (filtered) --, �(.'.......................................................'T........................... ......................................_.................. r T.......�..................................................... BUILDING INSPECTOR 102 12/66-1M GAS SERVICE NOTICE 0HICE COPY' BUILDING INSPECTOR'S OFFICE CITY OFCUPERTlyb .... .... ...... - ... 196 ..9 To You ", hereby au)pjrized to connect the GAS service for Owner or Tenant ... 04-41'� . .... 4�� ............ - ................. P4-1 At... . .. 6W�&. .............. .. ...... New Service _.<...._........ No. of Meters Z ............. Reconnect .............................. Move Service ........................ No, of Add. Meters .............. Move Meter .................. PLUMBING INSPECTOR Bldg. Dept. Office Copy, BUILDING_ INSPECTOR'S -OFFICE, CITY OF, CUPERTINO . iSnnection Sanitary PermitNo. I I - - ........ ........ .......... j 7 E?'Plumbing nalPlumbing Permit ......... jo_ ItL ....... ... ............... J. _O- wner or, enan , ...... .... A................ -;i�, ;iract ................... .................... D at Connected e, C6 5ted ........:...... Date Final ..................... Z ................ ........... . ......................... M ................ ..................... ...... . . .. PLUMPING INSPECTOR 111 12/66-1M O ICE COPY 0 ELECTRIC SERVICE NOTICE 7 BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO , ....... To You Owner or Te antbY autbtiz r oJmnn. 1e` At ......... Lc)....:...11c ......... No. of Wires .......�........... Size of Wires Motor Load .......................... Voltage ........... Heating Load ........................ K. W . ............. No. of Meters ...... .......�......1(H cr....... 220..../ No. of Add. Meter............) % service for Y...'........ Size of Switch LMA .............. Phase .............................. ............... Voltage ................................ New Se i C......... . . 1teCOMKt.................. Three 'A.. Move Service............ Thref%PPtuel,4.4 . Move Meter at.arnuCAL ttassa No. ® �L AON FOR BUILDING PERMIT Lot No. / / 16'y / SLirl City of Cupertino 6 Sanitary No. Dat S , 196 Permit No. SWS/91 v v Appllication' hen;ry`Im'aadeFffoor Qvyr it to 3° w_°. a CI �+t§4o1y!O J Building h to be occupied only as in accordance with 0 Plans, Specifications and Plot -Plan file eer��ewith. I Ck Fee p �7 Estimated Value of Improvements, $,:27 a De , , Fee $ CJ ( 00 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 mCupertino wI be complied with. G c .3 ° Owner —12 Address u u By Addres E Phone :_1 __ 7 ' 6 3 Approved WILLIA[/{ D. ❑Z[ [=VICFI .. State License /,�7l'j / Building Inspector ,+ w z G NO. rsEP Date_ LOT ON FOR PLUMBING PERMIT CITY OF CUPERTINO Sanitary No 1968 Permit A CIT gV qqp R��N� Pee $ yz ph ion y adc o 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 of Premises Dwelling Dita Crane Co. ;WsSe La Craa Boulevard By Palm Plumbing Co. �j�s�Sunnyvale-Saratoga Rd. CONTRACTOR, AGENT Phone 245-23,23 State License -186579 APLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN UNITS FEES UNIT FEES Water Heater Size Water Closet .J Materiel Beth Tub To Curb Shower To Prop. Line /,' Lavatories 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 Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TO'T'AL FEES Urinal Fixture Fee Area Drain Main Drain Fee Water Leader Storm Drain Fee Sprinkler Valve Water Sys. Fee Relief Valve Gas Fee Vac Breaker Skimmer Filter Permit Fee Total Total Fee