FILE 51167.1 Lot No. II91f
No. Street .3I"4%)
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
y a�
Date a U 196
A lien tion is hereby made for a permit to
a CIL story, Ty `r
to be occupied only as
in accordanc4Vzoith Plot Plan, Plans a Specification filed herew'
Estimated Value of Improvements
FEES —4P& /1 Plan Check $ '•}�q po
Ow rmr Address o2�9.s��c JC
Contr. Address
Phone o2-r-7 — //_/ State License
Approved WILLIAM D. EIENEVICti
APPLICATION FOR ELECTRICAL'PERMIT
Date � � 196 7FEES 'd`
7�
Contr. �L/q v+'- ^}�� Address
Phone -- 7.j6 —,S Sz State License La ' f-Z 2-.
Approved WILLIAM D. 130:i(EVICH
APPLICATION FOR-PLUMBING & GAS PERMIT
ti
Data P' '"1 Z- 196 —7 GAS FEE $ S
JL^/ PLUMBING FEE $ i w
Contr,•�/r'—��--� C� Addres's
47
Phone 2 State License
f
Approved WILLIAM D. SENE:VICH
'
APP ICAL� TION FOR APPLIANCE PERMIT
Date /1996' / y FEES Q' fD�f
Contr. � K�rl-�� /mss P�� Address /9-O .O /e'•�-i C—
Phone x G_ 9 3 State License SLG —2—
/ � 1
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
t
r -y*AAZr -6 7 �...:Q
RECORD OF INSPECTION APPROVALS p
FOUNDATION
-2'? -/ BUILDING
S�^Jo �ws��fv
o}e ,
P Ins e f r
UNDERFLOOR O 66 Cr
Da i Ins
FRAME 0-
PLASTER �/ 6'6
Q . ,Gal Ins paetor
ATH
_DWa Ins ec
FINAL �1G
Date Insoactor
-ECTRIC
,OUTLETS
I
SWITCHES UNDERGR O '
� � nspec tar
RECEPTACLES ROUGH WIRING �1
Do Inspector
FIXTURES FINISH WIRING I1 -
ro Inapactar
H,P, CHARGE FIXTURES 1 P ,`
ate-- Inspector
PERMIT FEE Motors i
t I ,_Duce-� Inspector
TOTAL FEES FINAL YD
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES UNDERGROUND OO'�
FIXTURE FEE - PARTIAL ROUGH p '3 t'67 s
Date 1
MAIN DRAIN FEE ROUGH COMPLET
Doth Jln
pectorSTORM DRAIN FEE MAIN DRAINDale rWATER SYSTEM FEE GASP GDataorGAS PIPING FEE FINAL 11-2Dare ector
PERMIT FEE MISC
Dots nspec for
TOTAL FEE MISC
Date 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 PERMIT FEE
FLOOR FURNACE / TOTAL FE
INSPECTED �G
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO ,
Date .../ T=. $. .�. ....., 19............ 1 uil/ding Permit No `YI.1...�..
The Building Located at ....../11.6.)..............1::. ''...........�%
Owned h ? :-... Ye. ................... . .............................
. ....
Y --- )............................................ .
Has Been (Completed) For Use As: "S.-
......
.......................... .............................................._......---.--`.--............................---..........._........
i
_',:;BUILDING INSPECPOR
102 12/66-IM
Q
GAS SERVICE NOTICE OFFICE
\ � BUILDING INSPECTOR'S OFFICE COPY
' CITY OF CUPERTINO
T ................f -�n�7..............................., 196,e7.
o
You are hereby authorized to conned ,the GAS service for
Owner or Tenant .....
. .. ............:..................................
At .,/_//_0/.. . .. .. ................. ... .....GGY............_..................................
New Service ...............
No. of Meters ............ Reconnect
Move Service ..........
No. of Add. Meters .............. Move Meter .._............_......
.......�. .. .. ..........
PLUMBING INSPECTOR
• _Bldg. Dept,
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ........
0?"Plumbin Fi a�l Plumbing Permit No. //t/:, i.�..
Lot No. �f -.. ---
Owneror Tenant .... .... ......... . .................:................ .....................
... . . ......Ll!. ... ..:......................................
Tract .............. . . . . . . (0].. p� ........................................../.......-
DateConnected ....................... ......Lr....7.Y..'..................:..-----...................... 19.1/? .-...
Date Final --.......................... /.7.4�......................... ........................ 19fO---
.......................
LUMB G INSPECTOR
j 111 12/66-1M j,
OI
110E COPY ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
1:1-- -yk:
.....................----------L . ........................ 196../
TO
You are hereby tho t to nect electrical service for
I rical
Owner or Tenant .. ... .........11. .............. ...... ................. ..............................
At ....... ........ . ...... ............ ... ..............
........................... z--................f.........
Wires ...... size of Switchi.................
No. of Wires .......... ..... Size of W ..... 6o
M,otor Load .......................... Voltage •................................ Phase ...............1..................
HeatingLoad ........................ K. W. .................................. Voltage ................................
1 ew,Servic ........ .... Reconnect..................
No. of Meters........ Lig
Heat2'200.,... ..... hree ire...... . ....
No.of Add. Move Service............
Power.............. hree e.. . ..... Move Met r.:............
•
...... ..... ................. . ..... ...*..... ... ............
RLHC7iUC L 1 3P1 0
ROUTE SLIP
File No. S/ 6 7 f
Date. Out 11-2
Date ,In
Location
Subject. Fv^
Notes
Approved'''
4 Date Inspector