NO PERMIT NUMBER Lot No. /!
No. Street
APPLICATION FOR BUILDI)GIT
CITY OF CUPERTI // G
itary No.- (0 3File No.Date 196
Application is hereby made for a r t y, Type
to be occupied only as
in accordance witht pl , Plans and Specification filed herewith.
Estimated Value of Improvements f 3 3 BOO.
FEE$ Td• � Plan Check $
Owr,er Address ? p�' �LdiGAt.6'/�f/ LI/b�'tG•
Conir• Address
f� 7t
Phone �.30 " �� 1(g State License
Approved VVMDA V1 D. EENENITC0
APPLICATION FOR ELECTRICAL PERMIT
Date 196 `7�7FEES
Contr. zl-)7.3/.66-A DJJn Address 5PP22
Phone — (D State License � ,
Approved sY!'""Oa-,
61
APPLICATION FOR PLUMBING & GAS PERMIT/
Date 196 GAS FEE $ . ( f• 5 0) _
PLUMBING FEE $ C2 • D
Contr. —L(!l�u////uuj / 69, Address (ad�— `-/r�/"'�"" '^"�
Phone O1 YO '�Jr ,�J�(O State License 77 �(^///��,t``3 7 �
Approved Gt/• & (XlI�'t—ro`(ifs l
APPLI ATION FOR APPLIANCE PERMIT ����
121
Date _ y_ 8' 196 (�� / (� ./.-�J FEES A
Contr. A �61�t-2LY �{fpiLa./ Address
Phone 4� - ,,26 0.6State License
Approved t/� �• Gf
Applicants agree not to violate any of the J /
Workman's Compensation Laws.of,the Cl
State of California .;
RECORD OF INSPECTION APPROVALS .
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME � •2e —`�"�
LATH & PLASTER 6
20
GRADING FINAL
FINAL BLDG. ,
• ELECTRICAL
DATE INSPECTOR MI
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL—
C-^
INALC -^ PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. S '6
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. L
FINAL GAS—12-41 40Q
FINAL APPLIANCE �'"•
DATE INSPECTOR MISC.
MISC
MISC
1
MISC
, 1 ,
ROUTE SLIP
File NOSE 12.
Date
Location yB � R
c
,Z/
Subject �t�
Notes
Approved
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPHGTOws OFFICE
CITY OF CUPERTINO
Date::......9.. ............................. 19-0f Building Permit N6%47/9.(41
" The Building Located at .. tel.. ...... ... .. ......oe ............
Ownedby':� a.:\/.*.-.. ".. .._.. ..:...::..................................................
`^•:...d;Ias Been (Complete s:
1 ..
For Use A : . ............-------------
Bred) ,`��.q '
(�
........................ -..............................::..:.................................. ..................................................
... ..............:...... ...................................... .............. ..... ....... ......
...............................
.d •. �. � as-r.:•�
BUILDING INSPECTOR
102 12166-IM _ �'"
-, Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
�'. Sewer Connection Sanitary. Permit No. ..�.+.: ...�._.1.;.........
G]
i i 1tc�Plumbing Final Plumbing Permit No.r-<< r-
hj1yCIGFLuw GE WS'E77''' Lot No. ....117.................
Owner or Tenant ........: .'.....1.:.......
c-. `.{. _ .r. ........Jlv�.::............. - ............
1 ,fes �✓ �, h
At �. :.l. U l.�.Ll.V�}
Tract ..............1...['t.t .......111.:-r'. ..�. .......:
_ U
Date Connected ...._�...:... 1.................b
...(........................................................ 19-...........
Date Final C"'. •�
.......... ...4-.............�.... -- ............. t . 19
PLUMBING INSPECTOR
111 1266-1M
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
vr.
.. .��- . .... .,... . . „Gy
You.are hereby authorized to connect electrical service for
Owner or Tenant ...:... ............... .............
At. ,Q.IL. .....L�.. .......... . . ........... ._...... ........ ......_...........:...............................
No. of Wires ..... ... Size of Wires .... ...Q.......... Size of Swwitchf..`...
Motor Load ............. ............ Voltage .................:. ............ Phase ..L...... ...... ..._..... -
HeatinLoad .......................'. K. W. .............._..: '.. Voltage
...
Light .....
........
'g ..... ... !l0. ,New Sen�ice...6�..... 9tecunnect.................
No. of Add. Meters...
No. of Meters..........
Heat................. ?'_0.4/..... Three Wire..._L,/: \foce Service—......... .
.........
.Power............... Throe Phase................ Muve Meter.....,.. . .
IiLLCT0.!CAL IN51'E—C�Tt1R� .
t _
GAS SERVICE NOTICE ` OFFICE
COPY
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTIN/O�Q
.....
—.5.... . =A......... ............. ....... 196......
To
You are hereby authorized to conned the GAS service for
c�^T(—, L1 C INS. .......................................
. Owner or Tenant ...............I...............A.Nv........ ........ .. ..,
At ....Z.0.1.1.9..........c uv.;wl.....QP,mt.................................................................
New Service .. (.................
No. of Meters ......I............... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Mettr�r ........................
' 4A��. .......................
PLUMBING INSPECTOR
i'.
.//I` LOT NO. 7 ,
tJ NO. STRP.aa'
APPLICATION FOR PLUMBING PERMIT
� < CITY OF CUPERTINO
_ _
f o sanitary No. 103�z9 Bloc
0 < Date .3 / 196 Permit No. 412U ,J
U
i a Pee $ oZ5,J�
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
o < pipes and/or fixtures listed on the reverse side hereof, and agrees to install said ,rices
i - and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
< w Cupertino, and all other laws applicable thereto.
j LL Use of PremisesE
00 /J .� �
3 Owner(,{ 1,iVDK/4 AddressSg 7 Al r /17,4, 1iG
ZJ
z By <rr/Yi�h�L S€!°!/ Address �.S��Y^ r��. �• �.
0 CONTRACTOR, AGI7NT
3P
— 0 Phone 29 6 -10 ,S ,S-4
/�/S�� WILLIAM D. BENEVIC:H
w
State License ApprO ed
a tJ ' X PLUMBING INSPECTOR
r e4= e \ / E / ® 7 ( / rEfE7t
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EL ` � ( ( e { ° \ � ( ƒ ]
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20119 Chavova Dr. LOT No. 117
NO. STMHET
„ APPLICATION_ • FOR,APPLIANCE PERMIT
CITY OF CIJPERTINO
1O
3 :i Date MArCh 27, 1969 Permit No.
=a Fee.Z,7,
' W Application is hereby rrin-de to the City-of Cupertino for a permit to
O i install gas appliances as listed on the reverse side hereof, and agrees to
<N install said appliances in accordance with the provisions of the Plumbing
„ = Code of the City of Cupertino, and all other laws applicable thereto.
S LL Use of Premises _Rest
o_ O
' " Owner Claude T. Lindsay, InC. Address587 N. Mathilds
O <
J
z� SaO Carlos Sheet Metal
� z By Address 779 Old County Rd.'
=!'0 CONTRACTOR,AGENT
- 0 H Phones 591—
-2605
W
a a WILLWA D. 13ENEVICH
" 011 State License 1108219Ap oved
U PLUMBING INSPECTOR
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.IcArwO� L1 \' ly LOT NO. �
O. r, , STREET
m < /
W 2)S APPLICATION FOR BUILDING PERMIT
°
11 CITY OF CUPF.RTINO
S ` Sanitary No.
_ „ Uatr 196 Permit No.-
0
'o Applica ion is hereby made for a permit to
U) a_{ _story,Type —1 — — Building
to be occupied only as S DW V in accordance with
o o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
" Estimated Value of Improvements, $ 3 3 DO O
0 3 P Fee$ O C�
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be coni d with.
3F ( S
— 0 O 5 Address l�
W 2
<u YPhone i J� — ,���. APProve ••YTi —
State Licens _ \ LDINO INSPECTOR
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