51175 I�
104
10:6, 61 I V/ V Lot No.-/
No. Street /� b
APPLICATION FOR BUILDING PERMIT �e(
CITY OF CUPERTINO
File No.
Sanitary No.
Date 196
flpplication is hereby made for a permit to
7J a story, Type 27 L7-
to
to be occupied only as
in accordance Vith plot plan, Plans and Specification filed herewith,
Estimated Valae of Improvements" $
3/. 000 °
FEE$ 93U U
Plan n03L,�Checkb/�,., �
Ow
er Address /"/ 11/3//-
Cont, Address //
Phone .?53 -080y State License /FA le 0 q
Approved VIIILLIAM 0. BENEVICH
/ APPLICATION FOR ELECTRICAL PERMIT
Do to
l d 12,16196 7 FEE$ 3j,
n
Contr. //'n 1,11��.l_.<_�i - Address 21"?
Phone 029 6 — 4-0 -7 6 State License •� / /�/
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 9// S' 196 7;2 GAS FEE $ J
n / —
PLUMBING
FEF�EE� $ Szi
Contr. Address r: Z "v
Phone State License !a � �1Q 7 /
Approved
APPLICATION FOR APPLIANCE PERMIT SZ
Date //. 196 7 FEE$ 7
Cont,, /"."-ti --Q+'e�.ce,�-'�(/ ddfs�s 7 7 9 [SC'CcQ `s`n`�•���y �e� 'fP
r r
Phone S State License
/rf
Approved --
Applicants agree not to violate any of the lrr`
Workman's Compensation Laws of the r
f
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION
g7 BUILDING
�ote_�-ry Ins ect
UNDERFLOOR L�
FRAME Q _ Inspe /
Date Inspector
PLASTER
FINAL t1,
Date Insoe.t.r
CAL
,OUTLETS ' l b,
6401.
SWITCHES UNDERGROUND
_.Dao, G Inspector
RECEPTACLES ROUGH WIRING O G.
2 I t i n pector
FIXTURES FINISH WIRING
v t_r '
H.P. CHARGE FIXTURES l� P- I Spector
Inspector
PERMIT FEE Motors
1 ...v i Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE IATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
a e for
MAIN DRAIN FEE ROUGH COMPLET o? G'J
9>O to or .
STORM DRAIN FEE MAIN DRAIN
(; Dat Inz pector
WATER SYSTEM FEE GAS PIPING It �' r�C�
t Inspector
GAS PIPING FEE FINAL Z '�
Dat Inspector
PERMIT FEE MISC
Dote Inspector
TOTAL FEE MISC
Date 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 TOTAL.FEE
INSPECTED t
Dote - Inspector
GAS SERVICE NOTICE
OPY
BUILDING INSPECTOR'S OFFICE C
CITY OF CUPERTINO
. ..... . .......... ....................... 19
o
T67
YOU are hereb authorized to onne the GAS service for
Owner or Teri,...
.......... .........
At ...... ......
New Service ...
No. of Meters .... Reconnect ... -.......--.......-
Move Service ........................
No. of Add. Meters .............. ve Meter .......... .-.........
..........
PLUMBING INS IiC OR
FICE COPY
1 ELECTRIC SERVICE NOTICE
�- BUILDING INSPECTOR'S OFFICE
A CITY 01' CUP17RTINO �j
2 t.z'.'.D ._ . 19G ./..
To /
You are herebyorized to ct electrical service for
..
Owner or Tenant ..... _ ... ........... ....
At
No. of Wires ....... ......... Size.of Wires -------- ------ Size of Switch Z- 1.0-..04,
Volta ......._..... Phase ....- _..... _.
Motor Load .................. -... g' _......----............
Heating Load K. W. ........._...._..-...... ....... Voltage .........
Light....../r�... IIU.... New Strvicr../�.- Keconnec......
No. of Meters......... ....
Heat................. 220.... ree ....... .. Move Service...........
No.of Add. Meters............ �,,,.Move Meter. :...'.......
Power............... hree ase.... .
ELECTRICAL INSPECTOR ,
ROUTE SLIP
File No:
Date Out
Date In
Location �% � l/
Subject
Notes
Approved
Date Inspector
HIdg. Dept
Oiil,:e Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
ewer Connection Sanitary Permit No. . `` �:. .�!-'
❑ Plumbing Final Plumbing Permit No. .!�-.�-.r-.�- -..
LotNo. . . ------ ................
Q
Owner or Tenant ....-._. '.. .. ...... . ...... - '- --............. .
At . . ..9.wS, �--.S2la(fll--------�.. ..
Tract - --- - ........... ................................. .
Date Connected
--..-..--"..................' .--...-.-.--. ...--_..-..------------------..-.-------------. I
Date Final --�..�.-.-.4- -...--` -----..).. ... .........._...---. 19.. :
PLUMBING 1NSP CT R
jl t l 7/63-IM
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date :._f. ............'. .................., 19- .. Building Permit No. J�..•......7...--
The Building Located at .J.D..�!-tS:/... C. .,°' ....... ":?..'..........!'. ..................
tJ � •
Owned by .....tNeG4.r ......... .... - "- .... ........- ..........
Has Been (omP ) For Use As: ...._.. rs.�r.te.�
..-Q. ...... '
.------...-----.....------ ------..................................---------.. .. ................. .._. .. ............ .....
...................... .. .............................................- - ..........
.................................... --:-- -----------------
.
. ' .�u�a
'BUILDING INSPECTOR
102 12/66-1M ,-�
�CL1�/cK�y IG� IOT NO.
NO. STREET
w z32-APP ; CA •I� FOR BUILDING PERMI
CC P �1
r LL CI OF CUPERTINO
W a II Sanitary No. S/2�
AUG l 7
_ Date 196,2 Permit No.
� o �
�.
ClI�P
A lira ion i he made fora permit to
r r✓l! ` EZTIfVf'
i N a story,Type 'S r S Building
w ; t,i be occupied only as�CC/&fix in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
°o
F ; Estimated Value of Improvements,$.T�DOCJ Fee$9?
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J [ all other laws applicable to the construction, location, and use of buildings within the City of
j O Cupertino will be complied wi h.
j N Owne �" . 'l 7f C Address - d
W a By Addres- �Q
a0 Phone 3-DP�IJU APprov�
State Licensa,�9� 0� UILDING INSPECTOR /
� v
ROUTE 'SLIP
File No . 5/17J
Date Out
Date In 2 —!P 6
Location 1,4L '��L
suvjdct
Notes
Approved
Date Inspector