NO PERMIT NUMBER I
zOlee. a I ' t ifs s Lot NoOeo je
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO p
File No. 4s-"` j
w Sanitary No. res?
Dote 196
/ plication is hereby made for a permit to �}
a story, Type i
to he occupied only as
in accordatlwith Plot Plan, plans and Specification filed herewith..
Estimated Value of Improvements S
0 I
to
r
FEES /��;146ww4__ -- Plan Check $
Owner A-M(A�rLs,s [! / Address Mills,Z 1 _09f& ^s► e
Contr. Address
Phone, �� State License �JJ\\s
Approved s Aam ll d�
APPLICATION FOR ELECTRICAL PERMIT
Date2 196 r�' FEES 1) � ' 5
Contr. �K./ � .J Address 22
Phone 7 's - `S �e State License L L.
WILLIAM D. EIENEVICH
Approved
ryAPPLICATION FOR PLUMBING & GAS PERMIT
Dot. -- 2d 196 '� GAS FEE $
/
^ PLUMBING FEE $ J
Contr: Address 1-2 J K !L /6-�
Phone 02 �f ,l1- 132.3 State License
Approved WILLIANI D. CCPIZ-VICF1
APPALJ.0 TION FOR APPLIANCE PERMIT > �
Date / 196 a FEES
Contr. / Address
Phone �y 7 J 9 3 State License 44.2- G V ,
Approved WILLIADA D. 6ENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws ofthe
State of California 1
• � • Jia �. .
RECORD OF INSPECTION`` APPROVALS
FOUNDATION ^OBUILDING
3 / Ins c
UNDERFLOOR � N
Date y Inspector
FRAME
Date Ins pec
ATH & PLASTER �tl—h �b
FINAL — ` ctor
Data Ina De c ter
ELECTRICAL
OUTLETS SERVICE SIZ
SWITCHES UNDERGROUND
Dota npc Inspector
RECEPTACLES ROUGH WIRING
I ate' / Inspector
FIXTURES FINISH WIRING �O
to Inspector
N.P. CHARGE FI%TURES
Date Inspector•
PERMIT FEE Motors
ate Inspector
TOTAL FEES FINAL
Data Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
-T-23-6f
WATER SYSTEM SIZE ITE'RIAL
TOTAL FIXTURES UNDERGROUND p
FIXTURE FEE PARTIAL ROUGH J
Data/ or
MAIN DRAIN FEE ROUGH COMPLET – 'G
to tar
STORM DRAIN FEE MAIN DRAIN v�
DID r
WATER SYSTEM FEE GAS PIPING
Date or
GAS PIPING FEE - FINAL .�
Date Inspector
PERMIT FEE MISC
Date ns peat.,
TOTAL FEE � MISC
Date Ins pe c tar
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 FEE1
INSPECTED
Date Inspector
1LVV 11i 'JL11
File No.
Date / — ,77
Location / U / 10 y(o ( erwcM
Subject o
NotesO,*
Approved 7-d�;If
Date Ins or
CERTIFICATE .""OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OttF��yyCUPERTINO QQ-9
Date .../.........1.3..............._.. 19..66 Building Permit No.S11�.4.7)..
Located
The Buildint.'' ....-.. .�! -!.:t)_
�_ : ....:...........
Owned by .... 4 ^�.. .'............ - .... �......'..- -
Building
(Completed) $ i\
Has Bean (-Altecad) For Use As: ...... LJ �'"'....----_.............................----
-'...............................................................................—.....................:......................................
..................'-.---........-'------..............................---.........................................................................
1
'--............................
BUILDING INSPECTOR
102 12/66-1M
Bldg. Dopt
Viiice Ccl:y
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .... 1...........
r
__ /
/Plumbing Final 'Plumbing Permit No. w'S IL:... ... ......
�..✓ ... Lot No. ..AV.................
Owneror Tenant ....;,..___.L.._iJ.........:..... .......................................................
�x r
At ��. _�� ..... ,...:..�_ ........eft f ('.<- ...
Tract ...............%?,.✓1� ';.. .r6.1�?- ...............................................
i
� Date Connected .......................... ��?n"....................................................... 19�..._.-
DateFinal J'................................................................ 19.
............. `, .....................
PLUMBING INSPECTOR
It t 7/63-1M
GAS SERVICE NOTICE 01-TICS
BUILDING INSPECTOR'S OFFICE COPY
/o / CITY OF CUPERTINO
. ..... ......-..... ...... 19
...... ......... 69
0
You are hereby authorized to connect the GAS service for
Owner or Tenant ......A ............... ...................—
At
New Service ... ..............
No. of Meters '-/... Reconnect ........—..............
Move Service ........................
No. of Add, Meters ...... ....... Move Meter .....................
PLUMBING INSPECTOR
,�.
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.. �.., ..
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.. _ . I
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ELECTRIC SERVICE NOTICE
ON j 01 BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.. . ........ 19
......................................
TO
You are hereby t r to co nec, electrical service for
Owner or Tenant .......ZW;0—t . ........ ...
....... .... ).......... ............
At ...................1...04-..6a.�................... ................... .
No. of Wires ......;Z........... Size of Wires size 0
I.... .V. . switcim.d..:
MotorLoad .......................... Voltage ................................ Phase ...............................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters....... /New Reconnect.............
Lig 220... Thm /"i j......... Move Service............
No.of Add. (Heat
............... T hue
e
......... ...
OLE CAL INS
i. ,.. 3u 27 4
1pi
0 re Lot No.
�Off ryp� i
A ETpICATION FOR BUILDING PERMITCe4-,-
A U U 1[� 96 r City of Cupertino
Sanitary No.
^F Date , 196 Peit No. //f 7
d y�� ,,p�j��tp�/� �f?
0 0 �RY
'c�' (�'TI'iUUpermit to7-r.�,t.T-rY
3 a iC1 -v story,Type Building
m r
w
o to be occupied only as _ r. p < in accordance with
o °' Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
T
Estimated Value of Improvements,S 6,2.� /10 Fee$
c 0 It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
F A Cupertino will be complied with.
c � r
3 ° 0wnerN(,j,rJ_ q,.r�� Address
d a
By_ /��.r-lo.��� Address .�T�,<-/�•s' �,��.1.✓t..,
E Phone �_S J - `Jl Approved WILLIAM D. -:NE
.�L State License Building Inspector