NO PERMIT NUMBER CP �iyO / ,ua s
t
La, Na. /
No. St'ev r
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File NO. -7//67yawl
Q� Sanitary No. SON&-
Date494,96(L-�
v Application is hereby made for a permit to T
a story, Type
to be occupied only as So
in accordance with plot Plan, plans and Specification filed herewith.
Estimated Value of Improvements $ �Q X 40,06FEES 3-5- Plan Check $
10 'Al
42 A
Ow r!er Address
Contr. CL4Address La
Phone57 7 State License
Approved
il•-
APPLICATION FOR ELECTRICAL PERMIT
Date 196` FEE$
Contr. Address
Phone 7 J 1` L/ State License
WILLIAM D. EIENEVICH
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote/,a•Z 196 � GAS FEE $
2 V// PLUMBING FEE $$
Contr ��n/ �.^ Address ��Y a��- nq'
Phone
(�Cy-�-� State License 101,s��
Approved —.�
WILLI. iyi u. Uc Ntvlcrl
APPL ATION FOR APPLIANCE PERMIT
Date Z 196 FEES
Contr. /Y��' Address
Phone ��' 0g `3� State License L`p2 �^Z
WILLI 'M D. oL' •�t�-T—
Approved
Applicants agree not to violate tiny of the
IVorkraan's Compensation Laws of the
State of California
f
RECORD OF INSPECTION APPROVALS
FOUNDATION ^- 0 BUILDING
D e actor
UNDERFLOOR — _
O _ fe` p Ins act
FRAME O O
A,!-
Ins petro
LAT. PLASTER d2_6
/ z. Dry -6. Ins pac r
FINAL
Date Ins oector
ELECTRICAL
,OUTLETS SERVICE SIZ
SWITCHES UNDERGROUND
D a Inspector.
RECEPTACLES ROUGHWIRING d_
FIXTURES FINISH WIRING opK/,� Inspector
f y _DetInspector "
H.P. CHARGE FIXTURES 1
data— Inspector
PERMIT FEE Motors
i
Do Inspector
TOTAL FEES FINAL 1/ 'l
Date Inspactor
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND Z
FIXTURE FEE PARTIAL ROUGH
Dote I or
MAIN DRAIN FEE ROUGH COMPLETE —.
Dote ry "� '�'litor
STORM DRAIN FEE MAIN DRAIN —
Dole c or
WATER SYSTEM FEE GAS PIPING ,
Date or
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Dote- Inspector
TOTAL FEE � MISC
Data 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 —��
"Data Inspactor """
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... ..................... 196f... Building Permit
The Building Located at ...�......?---tv.4.... /-- A-N,
. ......... .... ...... . ............................
......
................
.........�/................. ........... ... .1
Owned by ....... ...................
Has Beet) (Completed) For Use As: .................................... ....... ---------------- -- - ----------
(.Akemd�- ...( Uj /-,
.........................................................S. . ->.............. ............................. ...............
.................................................................................................................................................
------------- .......................................................................e!p....................... -----------------------
........................................................................
BUILDING INSPECTOR
102 12/66-IM
CITY OF CUPERTINO OFFICE COPY
1 ELECTRIC SERVICE NOTICE
_........... ..v... f............... 14
You are hereby atoeed•to'eonn electrical service for
Owner or Tenant ..............._..... .:..... .._....... .............
At ._. ..1.. ..........'..-.. .. .................... .. .. ........_.....__........................_n.......
77 Size of Switch 1.-.r-)z:i -
No. of Wires ....A�.............. Siz Tres ......
MotorLoad .......................... Voltage .........._.................... Phase .._............... ..............
Heating Load ........................ K. W. ....................... ._...... Voltage ....._....I..................
..
Light...../- 110........... New Service_/. Kemunect.................
No. of Meters.......`.........
Heat................. ??0...... .... . rev it .... _.... ?love Ser,¢c............
No. of Add. Meters............
.Power............... ce a ... ..... \face Meter,...... I' ..
ELECTRICAL 1N9'GCTOR
GAS SERVICE NOTICE OHIC1
7
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO/,
...... 196.4?
You are hereby authorized to connect the GAS service for
Owner or Tenant ....... . ...........
At . ................
New 44914P�14� . .Service .r/......_...........
No. of Meters .._1............ Reconnect .....-........ ..............
Move Service ......... ...........—
No. of Add. Meters .............. Move Meter .........
PLUMBING INSPECTOR
b1d.4. Dept
Ofi;CQ Copy
BUILDING INSPECTOR'S OFFICE
Cin' OF CUPERTINO
II
F1 Sewer Connection Sanitary Permit No. .............
Plumbing Final Plumbing Permit Nof�-1147 A......
Lot No.
.... ---------------
Owner or Tenant
e-—-----------------------------------
--------------------
---------------------------------
At . .....Z�
Tract .... . . . ..........................................
9-1 - ---------------------------------- 19AV..
Date Connected ..............................--- ----------------
P.. .... ....................
Date Final ----------------------------- ............. .................. 19
-------- ------------
-
------
PLUMBING INSPECTOR
111 7/63-1M
ROUTE SLIP
File No . S (�
Date
Location � 7s'-2
Subject
Notes
Approved
Date ris e for
LOT N0.
NO. STf EET
W APPLICATION FOR BUILDING PERMIT /
T Q
r O CITY OF CUPERTINO S��/
Q W V.�
0 , Sanitary No.
a
W u Uatr r ' 196 Permit No. SI�6 7• oZ
0yy �! PJ2�
oto—
UI �t1'pp kation is hereb'yma eol a permit
<m a /JUJ 2 aor�Type _.E Building
W Ipe,occupied only as �• F in accordance with
0 0 PIanYSpe'4ifica�o�sr d•P o[•Plan filed herewith. Pl Ck Fee p
> y u1 �liJi3 Fee$ o�sd
Estimated Value of Improvements, $_�
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
J O Cupertino will be complied with. DITZ.CRANE
; a
_ W Owner Address
W W By L7/L!��/L� Address
Qa
i o Phone : ' ;q Approved
State License z- /7 ING INSPECTOR