51175/O 7Q I �� Lot No.� b
No. Street /
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. y /�
be to ..1�196
/ Application is hereby made for a permit to !
a I/ story, Typey
to be occupied only as
in accordance with Viol Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ L2 toy. t7 C) tfv
FEES �rC Plan Check
/$
Owner �LL/a.K/C./�.can.v0 / "� Address ✓c/' 6+ j' -'�'+��'
i
Contr. .Address p
Phone OLE 13 0 eQ State License 902. 6 d C
--r
Approved VIfILOAM D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Date D a 196 FEE$
Cont,. `�
�-e� "� — Address r: 7�� �
L �" ,/,p
Phone a � '5-7) -7 6 State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 9 3 196 GAS FEE $
n^ ' J
PLUMBING FFEEE�$ .;-7
Contr. " ""�`'y, Address 2—
Phone
Phone `g ��� z State License �3
!l/n/-
APPLICATION FOR APPLIANC PERMIT 5 a
Date 9 /� 196 7A FEE$
Contr. >• c-a�lJniYd3rass 77 r/ IJ�C�/ Ciw.—L.a.
Phone -9 b� O State License )
Approved jlft, �iie-�
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State, of California
RECORD OF INSPECTION APPROVALS
FOUNDATION
2-,r-97 BUILDING
c,
Dat _ pe t
UNDERFLOOR
Da _ 6 ns petro .
FRAME
LATH & PLASTER
—66 =poor
Da / ns pe cror t�
FINAL _ O
Date Insoect°r
\) EC1T�R�IC�AL _ 1
,OUTLETS V - 4�- -��SEA CCES&j-'L A--
SWITCHES UNDERGROUND
�� • q°9-� Inspector
RECEPTACLES ROUGH WIRING
Date Ins pecfor
FIXTURES FINISH WIRING 1.0 Qlh
Data Inspector
H.P. CHARGE FIXTURES �� �YO 'lo �
Date _ Inspector
PERMIT FEE Motors
Data
TOTAL FEES H] FINAL Inspector
I o� �
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH/O—, —4'
Date n for
MAIN DRAIN FEE ROUGH COMP LET
' atA I r
STORM DRAIN FEE MAIN DRAIN
Dale I or
WATER SYSTEM FEE GAS PIPING _ (moo
GAS PIPING FEE FINAL o7' _ D;te �or
Date ns pecfor
PERMIT FEE MISC
Date Inspector
TOTAL FEE M_ ISC
Dote 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 46 c `., `
Data Inspector
CERTIFICATE OV COMPLETION
BUILDING INSPECT'OR'S OFFICE
y CITY OOF�7CUPERTINO
Date ....�0�- °Z:...................... 19.0.:1.... Buildin Permit Nos-1... .-------....
I0G 9q . .... Jas
The Building Located at .r-Q..�r�.�..:: --- - --
Owned by ..lA,[v4fA,..IAAF..tA2----------.................-----.......
(Completed) For Use As: ---.-- \.... . . " -�.
Has Been 'IG ....
---------------------------------
----------------- _................--....--.....-------------------------------------'---
._....._.....-........
---
.---------
........---------
..........
...... .........................................
'�� BUILDING INSPECTOR
102 12/66-1M -
OFFICI:
GAS SERVICE NOTICE COPY'
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............ ....... 196.7
To
You are hereby authorized to connect the GAS service for
�7
Owner or Tenant ......... ..........-....
. . ..............
At .................
New Service ...ie .....
No. of Meters ... . .. Reconnect ....... .....................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
. ..................................
0�' PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. 7121------
V��Iurnbing Final Plumbing Permit No*.sllw�-----
4.
Lot No- - -- ---..............
aA 414/0"
Owner or.Tenant ----- —---------------------
At
7... ...... 777--- —--------------------------------
...
Tract —......... . .. ..... . . . .. ................ - --------------------------------------------
DateConnected ------------------ ...............------------------ ----------------------
DateFinal -------------------- ........../1.13 -- -----------------------------------------------------I------- 19,0..
- ------------- ......
PLUMBING INSPECTOR
III 12/66-1M
OFFICE COPY I
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO
......_....._.....�:�L ....... ....... 196.7,.
To /
You are herebl a thorize tinect electrical ser I forte.r_
Owner or Tenant ... _�....Q,)'� .._ ... .'...:... ! ?d/J+J....S�S7.._�......._.........
No. of Wires ...Iq2.,............. Size of \\/fres ...Z�.-... Size of Sztc`h l.�.„...
Motor Load .......................... Voltage ......---.................... Phase .__.........:..........
_.. _.
Heating Load ._..................... K. W. .,,-4......._....._.._....... Voltage ..... ..............
._._.... .
Light....... . I IU��.... New Service.... Reconnect...... _.........
No. of Meters.. ..._...
Heat................. 220....,/..'Three Wire... . ......._ Move Service..........
No.of Add. Meters............
Power— ....... 'rhr P se.. ............ Move Meter.............
i
i
'ELECTRICAL INSPECTOR
R*UTE SLIP
File No. 5 //7S�
Date Out
Date In
Location /
Notes
Approved �Z=67 "—
Date Inspector
i
-:ROUTE SLI P
File No
`;.., 'Date Out
Date In
Location
subjeot
Notes .
Approved Inspector
Date