51182 y` /'-
_��� ;>;J;1 Lot No. �I
No. Street f Aii'u /
,L . --# 439-1
APPLICATION FOR BUILDING PERMIT 5M."d"''0 Ufa/
CITY OF CUPERTINO '�
Sanitary No. /01
APR 7 - 1969 File No.
Data 196
Application is hereby made for a permit to
,c9 a story, Type
to be occupied only as I -X2. Dt�
in accordance with plot Plan, Plans and Specification filed herewith.
O
Estimated Value of Improvements j ODO.
FEE$ 9`s,r.50 Q Plan Check $ D 0
Owner jU ( Address k*,g
Contr. 0. Address
Phone 69,9 — 3.13 3" State License 3
Approved WILLIAM D. BENEVICH
APPLICATION FOR ELECTRIC L PERMIT
Date196 Ck FEE$ r ase " to
Contr. Z' 4 ��0 °S.` \"` Address 1 l `S.
Phone :�Q,R' lw State License
Approved 0, BENEVICI'6
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 9 GAS FEE $ �l•SD�
/J Q� PLUMBING FEE $ .194
Cont,. WY/I7.QJi.RX �1.w9 ep'ri.G• Address
Phone '-Q96 `.3910.3 State License �n�7.T�99
Approved A). A�' -
/� APP CATION FOR APPLIANCE PERMIT
�70rJ
Date 1 196 FEE$ �/�/p /"2 � -{
Contr. 22- �nn DAn ,Q((,(' `j�l,(iCnl� Address 'r/ / l,0'�r('/14
Phone 7/ — ���� State License /�U K�o
a 1
Approved W,tY (LJ.r/It7.y��C
Applicants agree not to violate anof the � CJ
Workmen's Compensation Laws of the ''
State of California k
RECORD OF IN5PECTION APPROVALS
n ^Z��9Q BUILDING
DATE INSPECTOR MISC.
PAD FINAL 6r 1
FOUNDATION 9
UNDERFLOOR 6 . ,
FRAME
ATH PLASTER
GRADING FINAL
FINAL BLDG. `t
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL 6
Sia r-6P ^^�
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH Jb
ROUGH COMPLETE
MAIN DRAIN Q
FINAL PLBG. � 6
FINAL GAS /0Z .-41
�•
FINAL APPLIANCE
DATE 'INSPECTOR MISC.
MISC
MISC
MISC
e
CERTIFICATEOF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... -�..-...�k..............._....-, 19-...- Building Permit No.
6 ,inn
The Building Lo ted at }66�. ..:. l�:Y �r�c.:....A ....... ..
Owned by - .....
� I
Has Been ( , �._P1 For Use its: .. ... . . .. .......... ... ........-:.
-
................ ...................................................- .... . ..._......-.:,..............._....-.......-.
------------------------------------------------- --------.:_...._::...:............:. .. .......................
.-... ..
BU ING INSPECTO:-..
r R
!, OFFICE COPY
CITY OF CUPERTINO
V ', ' ELECTRIC SERVICE NOTICE
ql
.. ........................
Ii
You are hereby authorized to connect electrical service for
' ............... ........... .........................
!'� ....
Owner or Tenant .. "�.}- / �)
�U67S..y .. .` � .. ...........................
No. of Wires .....3�. ............... Size of Wires .......fv Size of Switch ....................
Motor Load .......................... Voltage ..............._.... Phase __5!-"' k.._...
Heating Load ......I................. K. W. ........................._....... Voltage . ..........
.:............_....
Light......`�.. 110 �... New Sen ica!:..�........., Reconnect.............. ...
No. of Meters........::'........
<I Heat................. 2?0_� Three Wire...... ?face Scrvt<c............
No-of Add. Meters............
.Power............... Thr Phase... \Urcr Meter........
.............. ...
vL G(,TR!U! INSPFCTOY
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
Sewer Connection Sanitary Permit No. . ............
R Plumbing Final Plumbing Permit No. .S.L
to T- 21
I GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
to -
....... z196......... .. .. ... ..........
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .......S+�.N.......Ber.0.�?.,
At .... ...QCT.?
New Service ...........:.......
No. of Meters ........ ............. Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
PLUMBING INSPECTOR
ROUTE SLIP
File No sem✓—
Date 62
Location
Subject
�.
Notes
I
Approved
Date Inspector