NO PERMIT NUMBER .a 1 3 S �a.` , Lot No. T/
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. �r.ludl
Date 196 j
L
?} Sanitary No. 1 �
� V —L—
Application is hereby made for a permit to T
G.. a story, Type s I v
to be occupied only as
in accordan uith Plot Plan, Plans and Specification filed herewith„
9 Estimated Value of Improvements §
3u v0d °=
FEES / 0 S`a, . ' ' - Plan Check E
Ow r.er �a_h_ � Address "",/
Contr. / Address
Phone or/ (C State License
�
Approved LC/i�/e •� W
D/,/(, APPLICATION FOR ELECTRICAL PERMIT
Date 7 6 7 FEES
Contr, hfd'ass
Phone +. 9 -�� Sl State License z —
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Date. 196 7 GAS FEE $ �s _
PLUMBING FEE $
Contr. Address 42
l
Phone -a 93—&-V 7 7 State License 42- 3 JC- 3-r—
Approved WILLIAM D. BENL'Vtreaa
DaP. ` 1APPLICATION FOR APPLIANCE PERMIT
ta7S-
-
Cantr. &Zeo, YM )4 / / � / /p l�"a !�tE CSU /V le/
Phone . '-4271-'2 6 OS_ State License - 116
Approved
Applicants agree not to violate any of the '
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS Q/f
FOUNDATION 7'.2y-9 BUILDING
UNDERFLOOR
oat 6 . . Inspec
FRAME
Date Inspector
LATH & PLASTER
Safe nspect
FINAL 1D
Date Insoectar
ELECTRICAL
,OUTLETS
SERVICE SIZ
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING -/ o-OTI
/ O.OTI-(67 I Spector
Dgte - Inspector
FIXTURES �FINISH WIRING Y )PA
D to -� Ins
H.P. CpectorHARGE FIXTURES � 7 '��
Dat^ Inspector
PERMIT FEE Motors
1 D�tg ^r
TOTAL FEES FINAL l �O Inspector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND �//
FIXTURE FEE PARTIAL ROUGH �7/-
Date r
MAIN DRAIN FEE ROUGH COMPLETE,/5 30
DD to for
STORM DRAIN FEE MAIN DRAIN / `7�
WATER SYSTEM FEE GAS PIPING - .S V for
PIPING/,'
Date or
GAS PIPING FEE FINAL ems^
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE WISC
Date Inspector
LI
TYPE F APP IANCE 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 1,2-
Data Inspector
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CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO ++
Date ...Zx......90.-. .'.��.'.., 19............ Building Permit No.1 0,vt2
Thy Ly
e Building Located at �4. .......:(..LN`A........ ....... ..............[../......
Ownedby ................................................_...��._ ....... ...........................
Has Been (Completed) or Use As: ..... .—..^T-0 k..
-- .. ...... .........................._.. .........._ ........... ............. .. ..._.............................._..
...............................................................................................................................................
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BUILDING INSPECTOR
102 12/66-1M . ..
OFFICE COPY
n ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY Oh CUPERTINO
.::r..z c...7!..) ......_ ...... 196 .
To
You are here rize n'ct electrical servic for
Owner or Tenant ...... ,. :.. ....C...- �-r ..............._.
.Z..3...1...�....... ....... c2 1�..�. ..'c ..-.:....__......_...
No. of Wires _..Z.............. Size.of WiresQ7*---771.1..... Size of Switch 1.Dv.( ....
Motor Load .......................... Voltage —.........................---- Phase _................... ........ ...
HeatingLoad ........... .......... K. W. ...............................--- Voltage ................................
No. of Meters....... LighL...... IIU_.!0 . New Service._Reconnect...........__...
.............
"eat. 220.../� W .._. .. .._ Move Service......_..
No. o Add. Meters............
Power............... ase........ .... Move Meter..............
ELECTRICAL.1 SPECTOR
GAS SERVICE NOTICE 0frICE,
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are hereby auth lzed� t Connect the GAS service for
Owner or Tena
..........................................
At
New Service .. ............
No. of Meters ... ........... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
.............
PL
;• . - Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit NO. .. QQ' .....
Eq--Plumbi g F' al Plumbing Permit No. . ��Ql,!yS
t
Lot No. ....�/-----------------
Owner or Tenant
....../. ..... . . r ................................................
At 2o
;Tract ................ /..i..1/S�1J... ...... . .../........
Date Connected ...........................
-
19Ca ..
'-----................................... -'-- /
'Date Final ..................... � tl........:.....- ............ ............. 19-f7 .
G�UMa '................
PLUMBING INSPECTOR
111 12/66-1M
NOTICE OFA DDITIONAL CHARGE
Tf &my F� PGRTINO
RUILDING INSPECTOR'S OPPICE
, A G 2 9 1967 �' 7 _ f
Date .......... V.. ............_..._. ........... 19..10.._. Per-mit/Nlo. .._s..,/-QU--.._...---..
To .....
v. ��..qq.�.�,.../Q.S�ir`Li�.... _J......_._. .. .- ------------------------..............-
Address _-----7"../ ....1!Z \.......LP G� ...?`Ti� 1 �........._....
Reason ���-✓..'
................�.�ia. --s.�........C- 4i...�:��...�. ._......
s.. �.4.., . . ... � .
�lc�h. — Q6zP z ...................................
Amount$ --4 .... Signed ...................................
106 3/59-300
I AGREE I WILL NOT VIOLATE ANY OF THE %WORKMEN Q
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.Q_
COMPENSATION
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CITY.-PF CUPERTINO
10300 Torre Ave.
CO RRku ION, NOTICE
DING INSPECTIOPJ
................DEPARTMEN.T..............
.
Department
Job Located at ....(nqz�T'6_00
......................=..,-...
--------------------
. 0 A............................... ---------
........... %�"
... .........
..........I........ ........
.............:................ ....... ........... ........................
------------------I-----------------------------------------------------------------------
--------------------_------- ----- ----- ........... ........ .....................
............................................................-----------------------
---------------=-
.............:..........................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:
City Telephone Inspector. ..................•...
CITY OF CUPERTINO
10300 Torre Ave.'
CORRECTION NOTICE
-...-. DePertmmt
/O,Jy�
Job' Located at . - �0 1? -.- "^"" .
Six
........
�... ..... . ...------ -------...
----------------------------------------- ---
------------------------- :----------------------------..------
..._. . . .
.... 6`6`x----- --------------------------
--
:. . . .......................
.................. . . .................
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made /call the inss ector.
D
252ate:, �... 1 4�. -
.._
City Telephone - Inspector: . . .. .....,..............
TRENCHING PERMIT
SIDEWALK PERMIT
DRIVEWAY APPROACH PERMIT M 324
01 CITY OF CUPERTINO
Fee $.✓.U.------------- r :are ........... . ... ....... .2
...5/........ 1962
-- ---- ----
Permission Is Granted .... ....... . .
. .............. .. .............
-2�---2-JP.,'�.... ..........
Location ----- _;i etii E
--------- --- ------ -- --- ------------------- -- ........
...................
Purpose -------
...................................
...................................
Contractor .......................
.
................
... ...........................................................................................
NOTE: All work shall comply to all conditions c med rdmance 130.
Issuedby --------------- ........................ ....... . ------------- ------ -------
RECORD OF INSPECTION
............................ ......... .................... .........................................
DATE TIME INSPECTOR
.................................... ................................... .... ............................ ... ... ...
DATE TIME INSPECTOR
_........................ ---------- --------------- ......... --------------------------:.............. ....
uArl: TIM i; INSP17CIOR
........... ..................... .. .............. ..................... ...........................................
DATE TIME INSPECTOR
NOTE: Inspector must be given 24 hours notice on each Inspection, 115 9/60-500