NO PERMIT NUMBERAPPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Lot No. .?S^
File No. SII1, % .3
V Sanitary No. to go
Do to 196 7
Application is hereby made for a permit to
4 ap story, Type
to be occupied only as J.'�'
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements m p. O
Y
FEE$ - &. 670 Plan Check $
Owner�-
Cont,. r`���.Q/Yf�.
Phone .J . to
Address ///
Address �a.o or & e� fir- .�•`�
State License—)S/:? 7! 61
Approved WILLIAM n. B!TNEVICH
APPLICATION FOR ELECTRICAL PERMIT
����1//
Date JJ1L�Je_ 196
A3r40
FEE$ —2.3.40
s
Contr. ��ti+/s-/-�gyy
Address 9zU /t1' y
Phone e?3G ' 7%
State License
G✓' AQ. /
Approved
APPLICATION FOR PLUMBING
& GAS PERMIT
Date 196 D
GAS FEE $
PLUMBING FEE 3y,
,///
Contr. /// �q. /-.9.
,/$ �-y2 G
Address ��.3i` i(Llri-N _ 7
/��//Y/7
Phone .2Yd ' -a 3;2,,33
r//.
State License
Approved WILLiAm U. LIz1VGV1C1{
APP ICAC TION FOR APPLIANCE PERMIT
Date 196 '�_� FEE$ r,'�• �S
Contr. W Address ` ��• �1 '
Phone State License' ige/�Ld
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION 7- BUIL BUILDING
of -tor
UNDERFLOOR
- t6 9 Inspector
FRAME �
�Dat�e�� Q Ins ec
ATH PLASTER II
ate I s tier
FINAL
_II /-7DFF{i Insoector
Data L Inspector
PLUMBING & GAS
SYSTEM
SIZE
11WWATER TERIAL
V`r'"- lam— SERVICE
SIZE
SWITCHES
UNDERGROUND
UND NO
�_ iRaJ�
l 64
Inspector
`�--'1
PARTIAL ROUGH —
BLOWER FURNACES
RECEPTACLES
Dote
trn
ROUGH WIRING
at
Inspector
ROUGH COMPLET
FIXTURES
Date
s torSTORM
FINISH WIRING �
Da
MAIN DRAIN _ — J"
MISC
'
Inspector
H.P. CHARGE
or
CEO
WATER SYSTEM FEE
FIXTURES
-
GAS PIPING � (�
FLOOR FURNACE
Inspector
PERMIT FEE
GAS PIPING FEE
Motors
Ire
Inspector
Date-
TOTAL FEES
PERMIT FEE
FINAL l7
Data L Inspector
PLUMBING & GAS
SYSTEM
SIZE
11WWATER TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
REGISTERS
PARTIAL ROUGH —
BLOWER FURNACES
Dote
trn
MAIN DRAIN FEE
ROUGH COMPLET
MISC
Date
s torSTORM
DRAIN FEE
MAIN DRAIN _ — J"
MISC
'
te
4�
or
CEO
WATER SYSTEM FEE
PERMIT FEE
-
GAS PIPING � (�
FLOOR FURNACE
Date
or
GAS PIPING FEE
FINAL
Date-
Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
MISC
Vote Inspector
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
TOTA FEE -
Dote Inspector
j.
ROUTE SLIP
File No..$;',4 la7-7
D.
Location
d I,
• j _ c t
Notes
Approved
Date Inspector
. v .
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
. . ................... 19.!.>..�..... Building Permit No..)...�.._�.✓
n
�A t iI
The BuildingLocated at ............
..
Ownedby ........................................................................t..t.�.�.........,3.�}---...........
C/
Has Been A tleleredt) For Use As: .............
.................................. . .......................... t, ..; .....I..........................
lt�
Co
............................................... :........................
BUILDING INSPECTOR
102 12/66-1M
Owner or Tenant ......
At........... ......
No. of Wires ......... Z ......... Size of
�Size of Switch,(00,A-7
Motor Load ......................... Voltage ................................ Phase ......... ............ .... . ..,
Heating Load ........................ K. W: ............................... Voltage .................. -- ........ .
Light...... New Reconnect......._._...
. .. . . ..
No. of Meters ............. I
Heat
No. of Add. Mete .................
Meters............
ree Wi ...... Move Service............
Power ............ ... se_.... ....... Move Me r....
......... ........ ..... ..
ELECTRICAL INSPECT
OFFICE COPY
�as 31��4 ELECTRIC
SERVICE
NOTICE
BUILDING
INSPECTOR'S
OFFICE
CITY
OF CUPERTINO
To
...... ..... .. .
1969
You are hereby :IAhae t conxec-t)electrical
service for .
Owner or Tenant ......
At........... ......
No. of Wires ......... Z ......... Size of
�Size of Switch,(00,A-7
Motor Load ......................... Voltage ................................ Phase ......... ............ .... . ..,
Heating Load ........................ K. W: ............................... Voltage .................. -- ........ .
Light...... New Reconnect......._._...
. .. . . ..
No. of Meters ............. I
Heat
No. of Add. Mete .................
Meters............
ree Wi ...... Move Service............
Power ............ ... se_.... ....... Move Me r....
......... ........ ..... ..
ELECTRICAL INSPECT
GAS SERVICE NOTICE OFFICT:•
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINg/
........... - ........ ......
0
�v
You are hereby authorized to connect the GAS service for
Owner or Tenant A:':�A' .. ....... ......
At.... ..... .. - . .
141?,�63 . . .... New - , — Service . . . . ............. .
No. of Meters ... Reconnect ...... —1 .......... ... - ...
Move Service - ........
No. of Add, Meters .............. Mode Meter .......... ......
0 -Wo'
'
. . —
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection
D Plumbing Final
Owner or Tenant .... tC
At
Tract ............ /s
Date Connected ............
Date Final --------------------
111 1266-1M
Bldg. Dept.
Office Copy
Sanitary Permit No. ........
Plumbing Permit No.
Lot No. ---'Sr
PLUMBING INSPECTOR