FILE 51167.1 e•
Lot No. �I
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO 1,
File No.J-1,1,V,/
' tSanito ry No. ���,�
Date 1196
Application is hereby made for a permit to
to be occupied only as s'�� a story, Type
in accordance with plot plan, plans and Specification filed herewith.
Estimated Value of Improvements s "7CC;CyUU
FEES 'S-d Plan Check sb
Owner /a71 e.1 Addresi•oy cci �r Wo-
Contr.
Contr,� a/rY-/1242:2,41 / Address
Phone 02S State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date f I- 196 7 ) FEES a -7�S� J �Q
Contr. — �iL//G. Address -�..�.'S��y/"`�`� i /` U y
Phone - 7�6 ',$-5��-/ State License 2 �Z 2-
Approved
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Date A/ T
196 z GAS FEE $
•�
_ PLUMBING FEE $
Address aZ 3
Phone 02 11Z s-- 13 i State License le Y-5-2
Approved WILLIAM D. BENMCI4
S'1 APPLICATION FOR APPLIANCE PERMIT v
Date /y1j-I-/ - I% FEES
Contr. ~ftAddress
Phone - `�7 �p 9 j State License// �`f1( Z.
Approved cc ,
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
F' 7 '` 7 BUILDING
FOUNDATION y e7 I �G✓ ^" "_
G DATE NSP R
UNDERFLOOR 0 -2'/
D TE IN 9Pji.CT
FRAME
��DA]'� IN SPECT
(:L:A:f;l PLASTER 6
DATE IN 9PECTOR
FINAL 20 X67
DATE INSPECTOR
ELECTRIC
ELECT. SERVICE 0
CA TIE INSP CTOR
UNDERGROUND
ATE 9PECTOR
ROUGH WIRING
IA= INSPECTOR
FINISH WIRING
1 ` _ TE INSPECTOR
FIXTURES
MOTORS
DF INSPECTOR
FINAL
O E INSPECTOR
DATE INSPECTOR
PLUMBING b GA
UNDERGROUND
DATE PECTOR
PARTIAL ROUGH
D E �P ECTOR
ROUGH COMPLETE5plG
DATE INSPECTOR
MAIN DRAIN 6
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
M C
DATE INSPECTOR
DATE INSPECTOR
Am
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO `
Date ..... ................... 19s4. '. Building Permit 13p. ..•.�1 .?_�
Av
The Building Located at .. .L.a.U..........f ....... ........................
Owned by 11.
... ....... .
Has Been
........................ .............................
(Completeg For Use As. .s-r p W C .-•
(kkewi} ..
----------------------------------------.-----------..--------------------
• ...................--`---..............------------..........:---.....------............................------`-------....................
...................................................:.. .. : ... ....
.... ..... ... ...
BUILDING INSPECTOR
102 12/66-IM
i
ROUTE SLIP
i
File No. ,5
Date Out�L
Date In
Location
Sub,jeat
Notes r
i
Approved/ U4 '7 _ +
Date Inspi—ev
Bldg. Dept. '
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY• OP 'CIMERTINO
❑ Sewer Connection Sanitary Permit No. .... . .
•Plumbing Final Plumbing Permit
Lot No. ...lfd...................
Owner or Tenant .... ! �. 1f!! ...................._-------------------
At �//.. ... ...-
Tract .C� � ��p��.......--.--......... - ........................./........
DateConnected ...................:.. �.........................:..................... - 19.C/. :
DateFinal ....---................ - .:..,..---..................------..........................
ATMBING INSPECTOR
111 12/664M -
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
'To ...................../_l-/_7........................, 196.,;7
.You are hereby. authorized to connect the GAS service for
Owner or Tenant
....................... ............. .........
At
............................................
New Service y...............
No. of Meters ..../............. Reconnect ...............
Move Service :......... ............
No. of Add. Meters%............. Move Meter ........................
PLUMBING INSPECTOR,
qfkICE COPY
ELECTRIC rERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY' OF CUPERTINO
I I ,,, 1 4 6
............................ ............ 19
You are hereby th ri d nnect electrical service for
Owner or Te ant
. .. ...... .....
............ .. .....................I................................
.At . . .......... .... ..... .. ......... ..................... .
a
No. of Wires ........................ Size of Wires ..........7>��--- Size of Switch ...0,........0.... ....
MotorLoad ........................... Voltage .......... ..................... Phase -.....:.............I.............
HeatingLoad ....................... K. W. ............................ ..... Voltage ................................
Light.. ......... New Service.. Reconnect� Move semic'la�r��
No. of Meters....:' , 1. r
220......
Not. .of Add.
Power............
..........
.................. ......
J
ELEch u CAL 1N8PECTCk--,N'
LOT NO.
N/
NO,
��\y �
W Z in •PP.LIGAifI BUILDING PERMIT
r ° CITY CUPERTINO � � �,� //
0 < �, G��967 Sanitary No.�_
s
= , Unm /r��'���V/ //���� 196, Permit No. S�/��•
0 .
AppliYhlidn iaFeb Ditto
N a 2 story,Tyoe - � Building
w
tII be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee �y _
Estimated Value of Improvements, S Z�, Fee$ -cP s -�
i 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 within the City of
2 o •Cupertino 'll be compwith.
3 m Owner Address 2;) 5;7
wZ
W a B
`� Phone J'S ^�7CC� APProv d
State License / B ING INSPECTOR