NO PERMIT NUMBER O 1-7 -7 I �, Lot No. W1 S6—
No. Street ,
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. J' '/
Sanitary No. G .L
Dote 196
/ AA plication is hereby made for a permit to `"�
v a a' story, Type z v
to be occupied only as
r
in accordglWe with Plot Plan, Plans and Specification filed herewith.
Estimated Volue of Improvements s of/. 6 0 d d-w
FEES 9:3 uti Plan Check E /J
Owner 49 Address _4eT-2 9 6AL- 14 " f
C'eno,. {! Address S e�
Phone a`f7 /�/V State License
Approved 4)
J
APPLICATION FOR ELECTRICAL R
1 L PE MIT
Date 196- 7 FEESJ�Q
Contr. t Address !&JS (//'�' "`�
nn
Phone /'j(° - ` / State License - / Z �Z Z
Approved WILLIAM D. 13ENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Date -7 y 196 GAS FEE $
PLUMBING FEE $
Contr. � � Address x"23
Phone -.2 22.2- A State License
Approved '
77
APPLICATION FOR APPLIANCE PERM
IT/j a
Date Z 196% s ' FEES QQQ
Contr. Address /'IO � �/
Phone 37 d93 State Licensee
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION I"2 7 BUILDING
UNDERFLOOR 7 'D / '6,7 —P Inztor
/e C I s
FRAME
Date Inspector
LATH & PLASTER
ZDa'a ? 1 s ct
FINAL C
Do to Ins oe ctor
ELECTRICAL
,OUTLETS ' 0 SSE IC SI
SWITCHES UNDERGROUND 11
ata ctor
RECEPTACLES ROUGH WIRING
at nspector
FIXTURES FINISH WIRING �I' �
lnspastor
H.P. CHARGE FIXTURES b _
DateInspector
PERMIT FEE Motors
1 J1010
et
Inspector
TOTAL FEES FINAL �
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH V—C
r
MAIN DRAIN FEE ROUGH COMPLETE�WI,2
to
w
STORM DRAIN FEE MAIN DRAIN 7 C
_ pate or
WATER SYSTEM FEE GAS PIPING — 6
_ ata tor
GAS PIPING FEE � FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Date Inspector
' P6F _
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 FEE
INSPECTED _
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
j/ CITY OF CUPERTINO �! / y
Date ..../.1.......:�........................ 196-7.. / � Building Permit No.5I! (R.1.'!.I
The Building Located at -A;711,7. .......&JI�"J�.Z++�'l.f .......... .
Owned by ......D14!2'.'.......C!'omif.................. ... . .
....................... -----------
Has Been (Completed) For Use As: ... ....... ��"
car ............................................
. . . ... ........................... ................. .................................................................
............................................. ...........................................................................................
.................. ..._..._.............................:......
..... ... ... . ... .......................
BUILDING' INSPECTOR
102 12/66-1114 - � � -.
ROUTE SLIP
i
File No .
Date Out--//-Z--I,?
Date In
Location l/ 7N cam""& ' J
Sub,jeat
Notes
Approved //- L-( �
Date Insp;cto_
Bldg. Dept.
Office Copy
BUILDING - INSPECTOR'S -- OFFICE
CITY OF CUkRTNO_
n Sewer Connection Sanitary Permit No.
.._ .2....
00"Plumbing Final Plumbing Permit No. .%flIV17,
Lot N o. ...1(6.4---------------
Owner or Tenant -
.....................
A 4 t
Tract ..........LC....offt-:2
............
... ........
.................................. .
..... ... ...........
Date Connected .......... .................9-2 , -------- 19.
.............................. ........--------.
Date Final .............................
.................I............. ........................
.........:�
.........
*---PLUMBING INSPECTOR
111 12/66-1M
GAS SERVICE NOTICE OFFICCOPY'E
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...74............. 196
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ....... .... . ..
At .....................................
New Service 4777�................
No. of Meters Reconnect .................... .........
Move Service ...... ..........—
Ih
No. of Add. Meters ............. Move Meter ..........................
PLUMBING INSPECTOR
cm
NOME
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twnnm gap=(= OFF"
CtATO
To
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NO. STREET ' /'�
w AP ON FOR BUILDING PERMIT
T ¢
o CUPERTINO �11
0 ' Sanitary No. SD 6 d
i a
Dat 111213 19fi Permit No.
a Application is hereby made for a permit to
oa
'z N a P.IT st%,Tynp _ �� - —� Building
to be occupied only as -.�fh accordance with
00 Plans, Specifications and Plot-flan filed herewith. P1 ctr Fee
F3 Estimated Value of Improvements,$ 3i daz Fez$ S3 c'D
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be compli with.
_ ,a Owner iTZ Address
w .�� Address � fSol,
w w By
¢ a �
a U Phoney — ApprovedWILLIAM D. BENEVMIJ
f� State Licens BUILDING INSPECTOR