NO PERMIT NUMBER r
Lot No.�t��o
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. y// ��•/
Sanitary No.,Sla3
Dote, 196
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance with plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements s t;�(:;. (-oo O
FEES —!-f-(, Plan Check
$
Owner n �` � Address —,.29,s— 96
Contr. Address C
Phone a� � State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date I/ 196 7 FEE$ 23
Contr.
/� , r /
Contr. Address 9a� U Y
Phone 7.3 State License 7 Zy'Z Z
Approved WILLIAM
APPLICATION FOR PLUMBING & GAS PERMIT
Date / 196 , GAS FEE $
PLUMBING FEE $
Cont,. Address
Phone — '? �S �' .3 02 3 State License
WILLIAM D. BENEV16H
Approved
APP) ICATION FOR APPLIANCE PERMIT
Date Y Z �1% , FEES
4'^0
Contr. 1-C- Address c�
Phone State License'
Approved
Applicants agree not to violate any of the �� K
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION I17
DATE rp INSPECT
UNDERFLOOR- 3 _
DATE &",,I�N,SPpE�jTOR
FRAME - 0ZX .67
o DATE INS EC R
LPLASTER /' 16
AT
D T NSPEC
FINAL 3 _�
DATE INSPECTOR
ELECT RICAL
ELECT. SERVICE
. QA E B INSPECTOR
UNDERGROUND I
ATE INSPECTOR
ROUGH WIRING
TE INSPECTOR
FINISH WIRING 0
` D T INSPECTOR
FIXTURES 1
OAT INSPECTOR
MOTORS
1D E INSPECTOR
FINAL
DATEI INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH � 3
' E PECTOR
ROUGH COMPLETE a
ry /DATE PECTOR
MAIN DRAIN - O10
' �J /DATE PECTOR
GAS PIPING
DATE ` SPECTOR
FINAL �I �,
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
/&WLIANCE
INSPECTE
ATE NSPECTOR
M C
DATE INSPECTOR
MIS
DATE _.�. , INSPECTOR
MISC
DATE INSPECTOR
ROUTE SLIP
File No. S/ l6 2-
Date
Date Out
Date In
Location 6 r
Sub i ec.t. 7::
R
Notes
Approved
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... . . 19..�... Building Permit No.
Y-..0-.... . .... ., 5 6.. ...f
The Building Located at ...... ft 1/s
Owned by ....... .. . q . . ..............................:..1.... )�. •
.._::. ..
Has Been (Completl5 For Use As:
I' (AlteredS�-DWL..--,..... - ...............................
-'.:......................................................................................... '
EB
... ..................... .
BUBU LPEC R
X102 7/63-300 - -
ROUTE SLIP
File No.�Jlb 7
Date Out- is
i
Location - -
toG
Sub,jeot
Notes
Approved Ij J
Date Inspsctor
ICE COPY '
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
..........., 19 .
TO
You are hereby a o iz on electrical service for
Owner or Tenant ................. . .. .. ... . .. .......
No. of Wires �................. Size of ... . ,�.. ... ..��.Q'.1.............
Z11 � ....
Wires.....: ... .:..... Size of Switcht.0.0.A-..
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ..............`... K. W. .................................. Voltage ................................
I
Lih , ervice..
.'. Reconnect..................
No. of Meten.................... ga .......... it .. ........ Move Service............
No.of Add. MiterHe . .............. 220ee
Power............... - ........_ Move Meter..............eierra
OFFIC
GAS SERVICE' NOTICE COPY,
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
AV...... ....... 196,7,
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ..........................................................
At ......... ......
. 7
New Service .......
No. of Meters ... ............ Reconnect ................ .........
Move Service .....................
No. of Add. Meters Move Meter ........ ......
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ....4/—Pj.........
ET"Plumbing Final Plumbing Permit No.
Ut No. .P......-...--------
Owner or Tenant ----
04-a.... .... ------..... .................... .............................
At 0;?
..... .. .. ....... ......–,Nor........... ..............................
.... ............... .....
Tract ..............
,'Date Connected .................................................................................... ......... 19../........
Date Final ...........................
......................................................I......
.............
PLUMBING INSPECTOR
ill 12/66-IM
LOT NO.
II NO. STREET
W Z PLIC 1 FOR BUILDING PERMIT
E �
f o C OF CUPERTINO
2LL j Sanitary No. 5-/o
W, Date -� / r " " 67 _ 1:06 Permit No._S/16 7 I
Oo ��flT
O ;
; ati h de fora ermit to
a m a story, yp •Z � Building
ato be occupied only as S - F• !�• in accordance with
0 o plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
> 0
Estimated Value of Improvements, $ Fee$
i J 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 rhe ity of
o Cupertino will be compli fl with, 5�r
mOwner Din- Address /
a a By - !�-� nr F3-L! lJ
a U Phonr r� Appro
rl State License_.�/l /�� BITLWNG INSPECTOR