NO PERMIT NUMBER Lot No./ 3
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. r-/JP77�'
Sanitary No.
Date 196
/
Application is
hereby made for a permit to ,
&4 a story, Type S L
to be occupied only as
in accordant th Plot Plan, Plans and Specification filed herewith,
GpEstimated Value of Improvements f �1r� a6G aC
FEE$ 7• 0 n � Plan Check f ^
Ower a .-
k - Address Aa-'qr
- � � 9j:!::e: '
Contr. Address
Phone esl �`T —cm2,f oe 0 State License �� / 7
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date `T -3 196 FEE$
Contr. Address 1702 S-/�-�L�/ •J
Phone 7.3- 6 ,.1/ State License
Approved
i.�
APPLICATION FOR PLUMBING & GAS PERMIT
p 3��
Dote �4/1"' 196 o GAS FEE f '�
PLUMBING FEE $
Cont,, i/ wr�'�/ �✓'�'3' Address
Phone - �� �'-� �i State License
WILLIAM D. BENEVI .F1
Approved
APP ICA TION FOR APPLIANCE PERMIT
Dote V' 196 FEE$ /QJy�S-Z)
Contr. Address '/-q'U .S rt•�-e-�+^t--. Q--
Phone `? 93 State License -�'�6/
Approved WILLIAM D. BENEVICH
Applicants agree not to violate any of the ,
Workman's Compensation Laws of the
State of California
I
RECORD OF INSPECTION
�APPROVALS
}u.wh.. `/•/��6d' G�»�-V BUILDING
FOUNDATION
DATE I ECTOR
UNDERFLOOR
/ DATE INSP C OR
FRAME O " -6
DE
A NSU OR
LAT & PLASTER IO/
t GATE I(1 E OR
FINAL %2f- 6
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
D^T5 (•� INSPECTOR
ROUGH WIRING \/O /�-7Cy1
tDfA INSPECTOR
FINISH WIRING ' Vy
/ 1 (,;fT INSPECTOR
FIXTURESvis
DATE INSPECTOR
MOTORS
1 OA JC: INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
E SPEC TOR
PARTIAL ROUGH
DATEry SPECTOR
ROUGH COMPLETE
D4T
D TE INSPECTOR
MAIN DRAIN
INSPECTOR
GAS PIPING ' b/Oy
- RATE INSPECTOR
FINAL '
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC r
DATE INSPECTOR
MISC
. . �� T
MISC
DATE - INSPECTOR
ROUTE SLP �.
File No. .S // k 7
Date a
Locations 03
Subject
Notes
Approved
Date Ins (, c
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......?—.. ................... 19.1.1. Building Permit No.4W
. UP.
The Building Located at ... ......C4.4�.:'� ......................
Owned by ....... t±.. .....
... ........................................................ .................
..........
Has Been (Completed) For Use As: ...........
................................... ----------------
................................................................. ...............................................................:........
.................................................................................. .................... .....................................
................................... ......................... ........... ............ .................. .................
.............
....................... --------
BUILDING INSPECTOR
102 12/66-1M
I GAS SERVICE NOTICE °OPY`
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIINO
� ......................P ............................., 196.
T
You are hereby authorized to conned the GAS service for
Owner or Tenant ...... .. .. �l$'..}...,.....................................................
At �101`1/3.'.. . . ........... ...........I..........................................
New Service ..........................
�I No. of Meters ....,. ........L. M Move Reconnect
Service ........... ..... .....
I
No, of Add: Meters .............. Move Meter ........................
............... ...... .....
PLUMBING INSPECTOR
Numb"- -..illsvilR
_ -
. --- Smkw - j/
e �eamie ,
-Owmor or Towd
AU
� I
CE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY, Olr CUPERTI�ip )C
To
You are hereby th - to con electrical service for
Owner or Tenant -.. ..... - .:. -. ............_..........................
_...................
No. of Wires .....�.......... Size of; Wires Ak Size of Switch
Motor Load .........................: Voltage ........I...-.................... Phase .........................
IHeating Load ........................ K. W.'...:........:................._.. Voltage ..................-...:.-.......
No. of Meters...........A
1.......)Li hG....... .: ItO...� tyNeervice._..- ..... He connect........-._......
No. of Add. Meters............, 8 •/ 220.... Th a Wir ....... ... .. Move Service............
i (ower.......... T Pha .. Move Meter..:.......,_
ti.
P-LiMICAI. INSPECTOR -
!-