51001.2/®i I Lot No. /
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO M
.. F i Is 'No.
Date 196 //Oyf'I'1
Sanitary No. LC24r� BA
_ � ��
Application is hereby made for a permit to
a story, Type--r Wit
to be occupied only as,
in accordance with lelPlan, Plans
and Specification filed herewith,
Estimated Value of Improvements3. $ ,/� 0 1* Q +
FEE$ 0 At40 Plan Check $no y
Ower
Address &
Q - a
�r
i—
Contr. Address
Phone __ _Lez .]Po' if./ State License
Approved WILLIAM D. BE-NEVICH
-APPLICATION FOR ELECTRICAL PERMIT
Date _// / .2 ", FEES
Contr.- // 196 G Address
Phone State License
Approved WILLIAM D. BC14E:VICH
APPLICATION FOR PLUMBING & GAS PERMIT
Date �d y 196 GAS FEE $
PLUMBING FEE $
Contr. __� Address '%fly 45�b-c�
r
Phone - a - �"-7 State License a 3 ec a 1—
Approved WILLIAM D. BIENEVICH
APPLICATION FOR APPLIANCE-PERMIT -2
Dara /d o2./�,- 196 / rY F//EE$
:ontr.
Phone - t ���..L.G O .S^! State License It,,, Ja;-0P`
Approved WILLIAM D. ECNEVICH
4pplicants agree not to violate any of the
Vorkman's Compensation Laws of the
itdte'of California ..
RECORD OF INSPECTION 'APPROVALS
FOUNDATION
_6 it BUILDING
PEI—
� ry Inspect
UNDERFLOOR J
nspect
FRAME I
ae
DIns ect
LATH PLASTER --
Date Ins pe c or
FINAL
e
ELECTRICAL
,OUTLETS SERVICE IT
SWITCHES . UNDERGROUND
I Date? �� n�_Ins pector
RECEPTACLES ROUGH WIRING �"'�
r.—yt� Inspector
FIXTURES FINISH WIRING "'(
Dofv Inspector'
H.P. CHAR GE FIXTURES "F �V
Date Inspector
PERMIT FEE Motors 'LL �
Dote Inspector
TOTAL FEES FINAL
Dote Inspector _
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE I— ATERIAL
TOTAL FIXTURES UNDERGROUND ry
FIXTURE FEE PARTIAL ROUGH — 0
Date pecto
MAIN DRAIN FEE ROUGH COMPLETE L2-1q41
D t or
STORM DRAIN FEE MAIN DRAIN -
' to or
WATER SYSTEM FEE GAS PIPING flMod
J /v ' p *SQ!�
or
GAS PIPING FEE FINAL b ter°
Date Inspector
PERMIT FEE MISC
Date" Inspector
TOTAL FEE MISC
Dote Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS' FEE
CIRCULATING HEATERS REGISTERS
F"-
F /04- r9 4
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE / TOTAL FEE
INSPECTED —v #
- Do to Ins pecfor
CITY. OF CUPERTINO
10300 Torre Ave. , ,
CIORRE-CTION, NOTICE
--------------------- --------------------
I ------------
.. - DeparlmWit
Job Located �t 1� ,l /Q536 Frnorgi�t ..
N,
/.-.:,5?.eAP.- j.sO uAs 110- IXos -=-------------------
-
( .. .... u
.. Co1GlL �c AIL .. .
".Gu _- - ��.,1N-L�11t3H.��'_:-KQSE. --•- - :,
:1Nzhu: GeS � F�"tiN>���
C�J
---
. ,
---
--.
.. .. .. -.
.... ........ ------ -.. ....
-------------'--' .................- ...--- ----
You,are,hereby notified that no.'more.work shall be
'done until the above violations are corrected. When
corrections hav,e,Been made call the inspeci6n, I`
252.4505 Date,
City Telephone+` F Inspector =
OFFICE COPY vY
ELECTRIC SERVICE NOTICE
'c ti BUILDING INSPECTOR'S OFFICF,
CITY Oh CUPERTINO
i T
You are hereby a ori d to connect electrical s is for
i
Owner or Tenant ........ ' - .A„ ; ' k.�.L.� ._......................
....-
At ......�..��7..a .j.� a.....�y�::co.R �(... ° _........_..,._............
No. of Wires .....,3 .. Size of Wires ..:- -...:' ... Size of Switch .-.t4DO A-
Motor Load ......................... Voltage ............. .................. Phase ... .........................
Heating Load ......... . . K. W. .._........... ...
/_..._...._.... Voltage............._............-.....
' lower
h[....._� . I10...._�eNew Service........1./Keconnect.....No. of Meters..... et................. 220....._.../Three Wire...... Move Service.......No.of Add. Meters........ ............... ree Ph se.............. Move Meter..............
ELECTRICAL INSPECTOR
Bldg. Dept.
wr Office Copy
BUILDING INSPECTOR'S OFFICE
CITY Or CUPERTWO
Sewer Connection Sanitary Permit No. ..........
Plumbing Final Plumbing. Permit No.5--JPP1,Z.
SArK ri-ow DOW Lot No. ......-..../..................
Owner or Tenant ..........&LAI.A.D.E.Al ...... ..................................................
At ..............1.05.3.6.::---F. .- ........V-4-M-P.................................
Tract ------OAX--------K</V-0-4--------- .....................................................................
DateConnected ......................................................... 19.. -- ..
DateFinal ........ ........................................................... 19...........-
PLUMBING INSPECTOR
111 12/66-1M
i Lor /
GAS SERVICE NOTICE COPY'
BUILDING INSPECTOR'S OFFICE
I
CITY OF CUPERTINO
I i � 69
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .........!. ..L .✓ ..O.Fr.7✓......_D!i�✓.._..._......_.._
............................
6 .. . 6 ooT c [ two .............
At .. .. 1... . .5.3............ .. .. ..._.Nl..... ......_. . .. ... ... . __.. ._ .... ..._.
INew Service ..... -
No. of Meters Reconnect ..............._.............
More Service .........
No. of Add. Meters .............. Move Meter ......................._.
PLUMBING INSPECTOR
i
)k�/Oc3gLOT NO.
NO. STREET
w APPLICFF��
g� D PERMIT
r ° TYOFCl��j€Wr o �CT b I��� ittare No. S�/6 t�Orr
a
500' A, A
W a Date 196— ermit No.
= o !�1,T / [ (�'I l
W F Application is hereby rIM Ir aQ rmil.tbt
oa
Z o a_� story,Type �� l Building
a W
to be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan d here h. P1 Ck Fee _ `t 7•h
to
"; Estimated Value of Improvements,$ ." �W Fee$ oed'8•
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the constructn, location, and use of buildings within the City of
2 o Cupertino I be cot ipliewith.
3
_ m Owner
i Address
W Z
W W ByAIdres
¢ a
<0 PhoneZ'f/ + Approv d
1, State License ,9 /��� ILDING INSPECTOR
r TG �