51167.1a -/G7 k
Street
Lot No. 7
(//a i- cJ
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. 4�/1 G
Date L 196
Application is hereby made for a permit to
a Qz_sto Type V 1 L
to he occupied only as ' _
to actor ore with Plot plan, P ns and Specification filenfrrZith.
y Estimated Volue'of Improvements
FEES
Owner 4.7
Con,
s rood °O
Plan Check $ t.
Address 62-2LO& e`t 61.s - -,p .
Address
Phone C PS� ///O State License /4 91
_ Approved WILLIAM D. BENEVICK
SYS/7 �6r
APPLICATION FOR ELECTRICAL PERMIT
Date � 196 7 FEEf 2--
C
ontr. Address wU
Phone State License - VL 2.
Approved WILLIAM D. BENEVICH
•PPLICATION FOR PLUMBING &GAS PERMIT
u
Doto � ZL 196 ? GAS FEE E / �—
PLUMBING FEE S
Contr. Qz-�
Phone a '7 -s' -aa a" 3
Address /..Z 3 // 2Z 1 .
State License l�VS 1'
WILLIAM D. BENEVICH
Approved
8 y APPLICATION FOR APPLIANCE PERMIT
Data Q_ 1.96 x-77 FEES
Comr, Address 13J
Phone 3 %—' %r '� State License 2-'/ V L
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State. of California
Dote Inspector
I
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE ,MATERIAL
0*/ - 0'rAr.4-4.k #-f
04-**qvJ0L
WATER SYSTEM
SIZ TERIAL
RECORD OF
INSPECTION APPROVAL`S "''
OUTLETS
/- -7 BUILDING
FOUNDATION
SWITCHES
REGISTERS _
UNDERFLOOR
MAIN DRAIN FEE
Dale- 7 Inspec
FRAME
S
H.P. CHARGE
'ATH O Ua�^�7 - Inspector
PLASTER
iD
e 't"
`�" `
FINAL
PIPING FEE
I,
Date Ins Doctor
Dote Inspector
I
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE ,MATERIAL
0*/ - 0'rAr.4-4.k #-f
04-**qvJ0L
WATER SYSTEM
SIZ TERIAL
FEE
ICA
SERVICE SIZ
WGR''
ROUGH WIRING �� Inspector
ate
FINISH WIRING Inspector _� � — ��
Inspector
FIXTURES l
�Dete�— Inspector
Motors
Date Inspector
FINAL '
OUTLETS
JA
FIXTURE FEE
SWITCHES
REGISTERS _
RECEPTACLES
MAIN DRAIN FEE
FIXTURES
STORM DRAIN FEE
H.P. CHARGE
WATER SYSTEM FEE
PERMIT FEE
MISC -
TOTAL FEES
PIPING FEE
Dote Inspector
I
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE ,MATERIAL
0*/ - 0'rAr.4-4.k #-f
04-**qvJ0L
WATER SYSTEM
SIZ TERIAL
FEE
TOTAL FIXTURES
'UNDERGROUND
JA
FIXTURE FEE
PARTIAL ROUGH
REGISTERS _
Date"7p..
MAIN DRAIN FEE
ROUGH COMPLET
STORM DRAIN FEE
ate
MAIN DRAIN "3
WATER SYSTEM FEE
';GAS PI ING 'ol -G to
MISC -
Date,GAS
PIPING FEE
- FINAL — — G 7''Date
MISC
,PERMIT FEE
tMISC
PERMIT FEE
Date
Inspector
' TOTAL FEE
jMISC
TOTAL F
Date Inspector
APPLIANCE
!TYPE OF APPLIANCE
'UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
.'CIRCULATING HEATERS
REGISTERS _
BLOWER FURNACES
COMBUSTION VENT
i
SUSPENDED UNIT
MISC -
1 '
!GAS RANGE
MISC
,GAS DRYER
PERMIT FEE
FLOOR FURNACE
TOTAL F
'INSPECTED /� ?/ —6�
Date Inspector
CERTIFICATE OF. COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY Of C,UPERTINO
f .19.6...7 J/
Date .....11.'..it �.................... . . T. ...... Building Petmit, No.J�...�.(.6. x.
The Building Located at :.:?5:..7......�A'��!.. .i...........................
Ownedby ----.:...�aM' ..........................................................:.._ .
Has Been (omal l For Use As: ..,_. .s ...
C ) "
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINg/
....................... 196.7
To
You are hereby Zaucnhno 'zed to connect the GAS service for
Owner or Tenant
. ................
At
................. ............... .................
New Service ... ( ... . ...............
No. of Meters ................ Reconnect ..............................
No. of Add. Meters .............
Move Service .......................
Move Meter ........................
>*PLUBING INSPECTOR ...............
BUILDING INSPECTOR'S OFFICE.
CITY Or CUPERTINO
F-1 Sewer Connection
,dumbing Final'
Owner or Tenant ._...y
FTI
Bldg. Dept.
Office Copy
Sanitary Permit No. --s-f.011.6 ..........
Plumbing Permit No. 6.1.1 4X
Lot No.. -
on. - A 7 ---------- -----
g7
Tract ....... . ......
---- ...................................................... ...............
Date Connected ...................':......./Q..:: .........
Date Final ..............................
................ .......................
... . .........
INSPECTOR
Z�P�LU �B&G�INS�E�
III 12166 -IM
OR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............... .......................... Y.!Q ........... 196
TO
'You are hereby iiut edit nne electrical service for
Owri:ro�Tenar
Tenant
At�...................... 7 ..............
..
No. of Wires .....
....... ........... Size of Wires ...... .............. Size of Switch ...
...........
Motor Load .......................... Voltage ................................ Phase ..................................
HeitingLoad .............. ........ K. W . ........ : .......................... Voltage .........................
II : .1 -00"'. . " . I � 9
No. of Meters ...... Lighit� 110 ............ Nrvice!�� Reconnect ..................
Hftt__ ree Service............
220.......:.... rVe, W
No. of Add. Meter
m mm:v�: M
Power.............. e C r ............
L
. ..................... ........ ....... . . ....... .
ELECTRICAL INSPECrOR
ROUTE SLIP
File No. .>—/IC 7 -
Date Out j3j3—�7
Date In /1—r3 -6
I.
Location
Sub j eot�� C -
Notes
i
Approved /(—f3-6
Date Insp:ctov
ICE COPY. i
ELECTRIC SERVICE NOTICE
I
BUILDING INSPECTOR'S OFFICE,
........
.....
I OF CUP.R1'INO
2L
............1%_-.Y�L................ Ivc,7..
You are hereby a t ize to con ect electrical service for
Owner or Tenant ...... . .. ..... ... ...
.......................................................
At...vim/.1..(�',.�.... ......_.I ............_..._..................:...^....
No. of Wires ...,Z ............... Size of Wiresf r...�/......... Size of Switch J..C).O.14—
Motor Load .......................... Voltage ..............� .... Phase
_............ .......
HeatingLoad ........................ K. W................................... . Voltage ..... ............. .........
....
LtghG....A, . I10...�/. __. New Service..*.�I:
No. of Meters..................
'Heat................. 220........ ThreeWire. . .. .Move Service:...... ..
No. of Add. Meters ..... ......
'
l Power... ... ........ ThreeMeter..............
RLECTRICAL INSP TOR
LOT NO.
No. STREET //3/-C.
09 'A.I�A'TION FOR BUILDING PERMIT
L4yOF CUPERTINOAUG 1 19E Sanitary No.
)ate 1967Z Permit No. .-4'—Il & -7 L—
/+Apl3 kation Is h2ieby made for) permit to ,PfF,N
ti+iI ! VI LIM-IAI►1Ul1-
story, Type %P2C-1 Building
o be occupied only as o !/XJ i>/ l //_f/ /.G in accordance with
Plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee
.stimated Value of Improvements, $'.fDDD DD Fee
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and. -
dl other laws applicable to the construction, location, and use of buildings within the City of
:upertinu will be Implied with. )caner i% fes/1P. Address
3y Address A;4
A o Phone
-U /
State License INIZZI
ApprovedWILI rely C --HE ieK
BUILDING INSPECTOR