FILE 51167 Lot No. 7
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. & 57
Sanitary
p r
Date ��196 �—
ppli ccatio�n'is hereby made for a permit to
o �-r story, a
to be occupied only as
in accordarig with Plot Plan, PlansInd Specification filed he ith,
Estimated Value of Improvements s '3 DCd A�
FEES -9j o�
Plan Check $
Owner ✓ Address d"JP r'AdI2L- �C
Contr. Address
Phone - &W 7 State License
Approved WILLIAM D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Date V—/ ' 196 FEE$
Contr. Address -'t— y
Phone 73 G State License /a Z 4—
Approved
Approved WILLIAM D. BFNFNIRH
APPLICATION FOR PLUMBING &GAS PERMIT
Date Z L 196 GAS FEE $
PLUMBING FEE $
Contr. �/f"�"�-"� �1 Address ��,3� ✓
Phone 'S J-3 L.3 State License i�GS
Approved WILLIAM D. EIENEVICH
APPLICATION FOR APPLIANCE PERMIT
Date d/Y� 196 ;7 FEES
Contr. F�iL-eYt �-e7- O•�-r--e Address /-jC
Phone S 7 kd'y 3 1G State License /�`/� L u Z
Approved
Applicants agree not to violate any of the.
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS-
FOUNDATION — <Z —tf BUILDING
Inspect
UNDERFLOOR 5LP
te
FRAME
/d D�e nagec r
Date s a�
LATH 8 PLASTER p—[-a'
Dat Ins pe at r
FINAL. y
Dare --p—k p Insoactor
ELECTRICAL
,OUTLETS _
SWITCHES UNDERGROUND
Q 9gte Inspector
RECEPTACLES ROUGH WIRING i
gat Inspector
FIXTURES FINISH WIRING
D eInspector
H.P. CHARGE FIXTURES
L--Date Inspector
PERMIT FEE Motors
y to /( Inspa ctor
TOTAL FEES FINAL 10
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES . UNDERGROUND p
FIXTURE FEE PARTIAL ROUGH 8'3)-[7 Pie
Date
MAIN DRAIN FEE ROUGH COMPLET
`Data or
STORM DRAIN FEE MAIN DRAIN/0 CAM
�Date
Ty ' Wp..t.r
WATER SYSTEM FEE GASP HG
GAS PIPING FEE FINALDate
PERMIT FEE MISC '
ate Inspector
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 ,
l
GAS DRYER I PERMIT FEE
FLOOR FURNACE - FEE
INSPECTED
Dote R Inspector
CERTIFICATE--. OF.. COMPLETION
BUILDING -INSPECTOR'S OFFICE'
// CITY OF CUPERTINO
6
/
Date ..... Z`:....... ................ 19-6Z ,.. Building.Permit N$119_7.1
The I' mms L' at ....1lt .......�.......7.... .......
Owned by - . .n .. ...... ..... : ..:
Has Been (Completed) For Use As: ........
..............................._.....................----:.........._....-------.............................................................
........................................................'---.....................................................................................
..... ................... ...
v :'D ........................
' � � •' BUILDING ;INSPECTOR'
102 12/66-1M ` �'•� ,
Bldg. Dept.,
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO rr pp
❑ Sewer Connection Sanitary. Permit No. .w1.��///.....-.....
[Plumbing Final Plumbing Permit No. . �l(ar.rf....
I�
AL's . .....
......... Lot No. ..,f�.................
Owner or Tenant .....
At ... ..................................
Tract .......... .U.. ...... :............-...........................---....
DateConnected .........................../nv..`.-Z7.............................................. 19
DateFinal ...........................- n..�.".. ----------------- ............................... 19�j'..
.............. ....... ............
-
LUMB G INSPECTOR
111 12/66-1M
.;
OFFICE COPY -
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
I CITY OP• CUPERTINO p/
.................._--- :.7.:.-. 1�....._...... 196..7.
To /
You are hereby a th n ed,; connec ectrical service.for '
Owner or Tenant ........ .. .. .. .'
At . .......4..�:.�... ( .. ........
1, No. of Wires ...:. ........... Size of Wires . .:•Y..'. Size of Switch (.004':
.Motor Load .......................... Voltage .............._............._. Phase ......._._..................._.
I . . Heating Load ....:.........:..:...... K. W. .................................. Voltage ....... ............
! .�
at ......... 211 ..-.��New Service_...r—ktecannect.....:...........:
No. of Meters......... ......... .
20....... ree re_...
No:tof Add. Meters............
Power............... hree h m.. ......... Move Meter........._
•P."c"CAL•INSPRC R ,
GAS SERVICE NOTICE OFFICEcony
BUILDING INSPECTOR'S OFFICE
1/l CITY OF CUPERTINO
..................................
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ... u.. .. .. .... ..�
.....................................................:...
At ..11l../'.
New Service Lam................
No. of Meters .../..........:.. Reconnect _...........................
Move Service ............. .......
No. of Add. Meters .... MoveMeter .................'.......
........... ................................................
PLUMBING INSPECTOR
ROUTE SLIP
File No. 5716
Date Out -z
Date In J 1-2X-6 7
Location l l lg1 c:W ldj "e k
Subject. l it�4 (7w�R
Notes
Approved-.2_,r_6 7
Date Inspector
LOT NO.
NO. STREET
W APPL`ICAT�O FOR BUILDING PERMIT
a AGI �JOF CUPERTINO
x0
s < � /AU- 67 Sanitary No.
U
W „ Date 196 Permit No. 7
, O
A li tion is hergh ma4ffor a permit to
° < �1 �1� t yll� LKI !n ,
i m a ) story,Type r Building
< w
r to be occupied only as ��/ds.� „Lf9lurLcr .r.�.�,r//YCi! in accordance with
a
0 o Plans, Specifications and Plot-Plan led herewith. Pl Ck Pee
"; Estimated Value of Improvements,$ _ DDD..ey Fee$
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J , all other laws applicable to the construction, location, and use of buildings within the City of
0 Cupertino will be unplied with.
3 m Owner � G�'itf(ro Address 1
W
W n By Address
<'� Phone_ [ /-�/�D APProveWILLIAM D. BENEVICH
State License �4 /�>l Bm1.DING INSPECTOR