NO PERMIT NUMBER Lot No.41M
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.sIIOOA .L
Sanitary No. r3�7-�
Dara � �O 796
A plication is hereby made for a permit to . T
a - / story, Type = y
to be occupied anly as
in accordance wit plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements $
3Z fiDo d o
Q Q
FEEE — 14 Q Plan Check E
Owner Address 3363
Conte. Address
Phone aT�`O� State License �9 7-17-1—'F"
Approved /
APPLICATION FOR ELECTRICAL PERMIT
Date � 196 FEES J'57
Conte. r/ Address
Phone __ r/. d 1:2/ 0(� StateLicense � ' •3�
Approved WILLIAM D. RFNL-yir--H
APPLICATION FOR PLUMBING & GAS PERMIT
6a�
Data w 196 GAS FEE $
// � 'PLUMBING FEE $ 8
Conte. k--R�-1 .4 .._,.C76 Address
Phone 'f1 3 F p 7 7 State License
Approved WILLIAM 0. BENEVICH
Dote r� 19�6PP LJ�nAeTIOTN FO R SFE�Ey IANCE PERMIITTj1p�/J�
Conte. /_^_ `-'a-'�-C+-'a./f�. -! i a^-'�Qd'drass ? 7 rj `Tim "fjs'+..'-"e..s„ l�I
Phone Com!�� '�'�' o $� State License ��d ZZ 0
WILLIAM D. BENEVICH
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of Califomia
RECORD OF INSPECTION APPROVALS
/y 'BUILDING -
FOUNDATION 0- — 6 d
d DATE INSP CTOR
UNDERFLOOR 6 ' /0 `L Y
DATE SPECTOR
FRAME Z � _ �
DATE NSPW TOR
LATH PLASTER l Z-((��6 -
ry DATE � INS py TOR
FINAL o --_-
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
1 j� bNON2NS ROUGH WIRING �
Y- INSPECTOR '
FINISH WIRING lG�
DATE INSPECTOR
FIXTURES ,
DATE INSPECTOR
MOTORS --�
�DA TE INSPECTOR
FINAL lal
DATE INSPECTOR
PLUMBING & GAS
It
UNDERGROUND
DATE SPEBTOR
PARTIAL ROUGH
D TE INS ECTOR
ROUGH COMPLETE
DA ,RECTOR
MAIN DRAIN 0 �b�
DATE SPECTOR
GAS PIPING '?`
DATE RECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
✓c lana fuer 3-19
DATE f Ij INSPECTOR
MISC
DATE ��� INSPECTOR
MISC
"' - ' DATE j INSPECTOR ,
ROUTE SLIP
File No .S 7
Date
Location Sd
Subject—_ 4�
Notes
Approved
Date 01Kspector
CERTIFICATE OF' COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY. OF CUPERTINO
Date r....... .... 19 / yBuildin�g/PJermit
' The Building Located at'joy1.
8Q .rar'er^ s� l---------------
Owned
...... ...
Owned by _, .G_
..
.............
HasBeen (.GDmd) For Use As: ._.. �.-:..:.
........----'..-.. ....... ...........:. ... ... ...............
7 .. .. ,
k
. ..............................................................._...... ................. .. .......__..... -
......
102 1/63-500 BUILDING INSPECTOR
ii
(�F..FICE COPY -
ELECTRIC SERVICE NOTICE
1 � BUILDING INSPECTOR'S OFFICE
�- .
CITY OF CUPERTINO
.............r.7C lf� ..._........... 196 ,.
To
You are hereby aut oriiz^ee.`i� tt/oI' connect glictrical seivviii�cp�1�.Y,_r
I Owner or Tenant ..........:'-..r.-.i- �- .......I.
jAt 7...,.;:..r:...... ...... )"1.`.':1rSrc..,Y�..�.X.S::J:.�(C.tia{. _.t.;.._..._..•.�...__...
No. of Wires ......:-.4.......... Size of Wires ...'':$:... Size of Switch
Motor Load ........................ Voltage ................... .._........ Phase ........ .........
HeatingLoad ........................ K. W. ................... ......_...... Voltage .....
•� Light._.... nLL'.,�/... New Service.. -. unnecL....:....._..:..
No. of Meters.................... +f +( _�
No. of Add. Meters...•....... at::._ .' ��,,....... vice.........._
Heat..............._ 2_0........ Three Wire.. ;_ Move Serter..............
Power...........:.. 'T ree Ph e...._t- Move Me f
:
`
P.4ECTAlCdI INSPECTORS
GAS SERVICE NOTICE
� BUILDING INSPECTOR'S OFFICE COP),
CITY OP CUPERTI�
......... .... 'j
6......
To
You are hereby authorized to connect the GAS ,service for
Owner or Tenant .. ..... .........� ..p. ........... ....
At . D. Q.-.. .......... ..rr� ....�......_ ......._:....... ........_....... -...
New Service
No. of Meters . ................ Reconnect .......:......................
Move Service ...... ..............
I No. of Add. Meters .... Mode Meter ,.........................
• PLUMBING INSPECTOR
Bldg. Dept.
.Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer ConnectionSanitary Permit No. ..r..'.r9.7 .......
Q,,IPlumbing Final Plumbing Permit
- Lot No. _.r.. .................
Owner or Tenant .��� -: ✓.�.��f:� . y
..............---......
Tract ....................................................................!/��-------...................
DateConnected .....:..................� / ........................................................
j
Date Final ............................ :.:''--- .................................. 19_lc .
- -7�
- —7
G PLUMBING INSPECTOR
111 12/66-1M