NO PERMIT NUMBER kyr .I ,�`s/J (�
.?I p D4 I #IUW A V IN,92 l/L � &2& UCJ Lot No.35r
No. Wfileet
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO J
File No. -��/��•�
Sanitary No.
(( s�•�"6
Date 196
Application is hereby made for a permit to
&ex C,-& w
a y�A story, Type "" v
to be occupied only as S r F k.
in accordance with Plot plan, Plans and Specification filed herewith,
}� �
Estimated Value of Improvements '$� ,�•. 440 D
FEE$ BPS S D Plan Check $
rN Owner � S•
Address�2�J
Contr. �/<n PA,4e e Address r
Phone State License /"' /7�z
Approved WILLIAM D. BEINEVICFJ
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEES r%
Contr. ryQ Address &+ "/�
Phone / ✓ State License /�T
WILLIAM D. BENEVIC14
Approved
APPLICATION FOR PLUMBING & GAS PERMIT l � ,
Date 196 1L GAS FEE $
PLUMBING FEE ' /x ,
� � '
Contr. ^�J!"`� �^n"'"�,^^ "; Address C5!' n•' ` Q�
Phone / 7 � State License /YI,5
Approved WILLIAM n. 1)5NRVIc-Ej
APP CA4t TION FOR APPLIANCE PERMIT.:
Data 196 G FEE$
I Qu
Cont'. ��`-"'tet' Address /3
Phone `� 7 tF " % i u State License a S d d✓,--5
Approved WILLIAM D. EENEVICH
Applicants agree not to violate any of the'
Workman's Compensation Laws of the
State of California ,
REC D OF ItePEZ Tlgt�_APPROVALS
FOUNDATION 5 — 20 "r,6�B'UILDING
UNDERFLOOR
FRAME
LATH & PLASTER
FINAL
o
O
Dare Insoector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
a`/ Inspector
RECEPTACLES ROUGH WIRING '� b
_ Inspector
FIXTURES FINISH WIRING
^�
H.P. CHARGE FIXTURES Inspector
Data Inspector
PERMIT FEE Motors
e Inspector
TOTAL FEES FINAL
Dare Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
MAIN DRAIN FEE ROUGH COMPLET _ tn or
D o
STORM DRAIN FEE MAIN DRAIN —S- 71 r
Pedtor
WATER SYSTEM FEE GAS PIPING — Z//—r
Date ( c or
GAS PIPING FEE FINAL 7 — — 4;'y
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE � M_ ISC
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
p 9
INSPECTED__ —�!
Date ✓ Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OPPICE
CITY OF CUPERTINO
r {
Date ....-1 v--- .....�:...................... 19-�`..�d... Building Permit No. II6 7Z
The Building Located at .. .L l - - - -
.......... .. ( / l
Owned by „" •r.Al i � -..t.6' `�. ,A_Y
---..-- ._...�...... .......... .:.. ............................
Has Been (Completed) For Use As: ............
(AlteEed3---
....... .... ... ..... ...... .. .............����w.�.. - .. . .... ...... - ....
----------------------------------- ......... ........ ....................
...............
BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE O' t'"
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CU.. ... O/� )(
�•ro
You are hereby au oorized to connect the GAS service for
Owner or Tenant ._... .. r.L...... .�.._.. /�.!�'"' ...... .. ..............__......._.........
At <� �/.�K.�!....� . .. �r.'i('?�'i(•.a' (..l.C:./....... �...�.............._......_......._...
f.I
New Service _........_..............
No. of Meters ./............. Reconnect ... ..........................
Move Service ._...:..... ..''..._..
No. of Add. Meters ._.........., Move Meter .... ...... ..............
PLU 461NG INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No. ....-
..... ...........
&40'Plumbing Final Plumbing Permit No. .. --?,.
Lot No. ---- .............
Owner or Tenant
---------------------------------------------------------
At 4,?/dv, Z�.2
_e---------------------------------------------
-- - -------
----------- -
---- ---------------- - ---------------------------
Tract ---------- ............................ ------
Date Connected ................................4013--
------------ --------------------------------- ----------------------
Date Final .................................
.................................................................
............. ......................
,::rP LUMBING INSPECTOR
111 12/66-1M
1 OFFICE COPY
3 ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICF,
CITY OF CUPERTINO
..._............_....�..U_�... ./.._`.... ....., 196.s
To
You are hereby ho ize to cot ecteelecctrical service for
Owner or Tenant ...... J ..... / '.''`�.-........__....... .. ...._...... . ..
At .........a..L.�..ot.',.......�..._ .......... .. .. . .
........ Size of/' �.... Imo.
No. of Wires ......�: Wfr ..... of Switch '—
Motor Load .......................... Voltage ........ ............ ........_. Phase ......
HeatingLoad ..._.... .............. K. W. ....................... .._. .... Voltage ............ ................. .
1 Light......... IU...../ew Service..... Reconnect._.._......_...
No. of Meters......_...1....... �.
HeaL................ 220......../1'hr Wire ...... .... . ove Service..........
No.of Add. Meters............
Power............... Thr has love Meter......._.._.
....................._.........................._... ... . ^.\.
ELECTRICAL INSPECTOR
ROUTE SLIP
File No .
Date Jp
Location
Subject---/-,,...V ,4
Notes ✓
Approved
Date ' Ins e for