NO PERMIT NUMBER a'V V�I • Yom/ �Kh�/ Lot No. / O2
No. Freet
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO 7�
File No.
Sanitary No. 58'�
Date'A"",96 "'�
V C4
Application is hereby made for a permit to _ r
a story, Type .i S
to be occupied only as St F/ _
in accordance with Plot Plan, Plans
and Specification filed herewith„
Estimated Value of Itmprovements
Q - 40
FEE$ �+ 6 /� _ �e ' , Plan Check $
Owersn
Address
Cont,. Address
Phone State License J,49-1 7L/ J
Approved
d
0/
APPLICATION FOR ELECTRICAL PERMIT
Date" ,� 196 FEE$ t-C tT s'V )
Contr: /t/`� Address �a-SJ /`-�-�'-"�v�Cn p
�' --
PhonerZ State License Z 5!� L -,L—
WILLIAM D. BENEVICH
Approved
,APPLICATION FOR PLUMBING & GAS PERMIT
Dat 196 (7/
GAS FEEE l /
VQ PLUMBING FEE $
Contr.-�� -c/✓+''t-// "�"���o� 0 Addressrr
Phone a �7 State License
WILLIAM D. FCNEVICI.1
Approved
yi APPLI ATION FOR APPLIANCE PERMIT 7 _
Do to 196 FEES
Con, �✓" a' Address A4e -
Phone d;2 State License -1--Z a I
Approved WILLIAM D. EIFNEVICH
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION AP/PRyM�
OVALS ?V
FOUNDATION — b p BUILDING
POata r p Ins pec y,
UNDERFLOOR 9 0
Data Ins pec
FRAME " r' 6
OD=ta�6� 6 p' Insp or
LAT 8 PLASTER 0
FINAL 1,2,
to _ Ins pastor
Date Ins Dector
ELECTRICAL
,OUTLETS
SWITCHES UNDERGROUND SERVICE SIll
Lo D t Ins poctor
RECEPTACLES ROUGH WIRING
' Inspector
FIXTURES FINISH WIRING , (tA
H.P. CHARGE FIXTURES— t y lol� ` (og
Inspector
PERMIT FEE Motors I Inspector'
Data �( Inspector
TOTAL FEES FINAL � II��C�O
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN SIZE I MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date / or
MAIN DRAIN FEE ROUGH COMPLETE b., -`
Date /I'r�s peetor
STORM DRAIN FEE MAIN DRAIN
Dgta c r
WATER SYSTEM FEE GAS PIPING �7 6J
ate I s
GAS PIPING FEE FINAL off ' 7—d
Date ns pastor
PERMIT FEE MISC
Date 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 p TOTAL FEE
INSPECTED
Data Inspector
File Nn .SI 16 7 Z
Date—/' 2- /8 6P _
Location
--7,Z) —
Subject
Notes t�
Approve
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
/ 7 CITY OF CUPERTINO
Date ....1.rr� — 1��-------. -_ 19-A-L Building,Permit No.J ..... 7 �Z
6 - �+
The Building Located at .... / T;� <
-
Owned by ................... . _ -
....... ............. ....---------- ----`------ ..
--... .----
,r
Has Been
(Completed
ForUse As: ---------------------..-----------------..._................................
............................................... .F.1�.. .... :..... ..........
.. ... .... ........... .......................... .... ...... ............ .. ...... ... ......
.......................
BUILDING INSPECTOR
102 12/66-1M
•
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
............
,You are herebly, aut ri Conne e e trical service or
Owneror Tenant . . ....... .... .... .......... .......:....... .. ... --.. —........ ..........
qc �o V . . ......................... ....... .. ......
At ......i�QA...(1ho............... ............ .. I
No. of Wires .............. Size o W, es .... ..... ......... ize of Switch [co
Motor Load ........... . ...........fvoltage ..... .... ... . .. Phase
Heating Load ........................ K. W. —........ .... ..... VOttlge
"�, '11-< 6.- S ......
(Light................ lll:�� �r,lcc-
No. of Meters........1..-......-- ir ......
Heat................. 220W"(,
No. of Add. Meters............
........ Power............... Ph' .—....... . w.v Meter.....
... .................. ..........
ELECTR-CAL IN
i I ECT
GAS SERVICE NOTICE OFFIC:
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.......... .............. ......... iq6?--
fo
You are hereby authorized to connect the GAS service for
Owner or Tenant
At col .............
Service
No. of Meters ... Reconnect ...................... .......
Move Service ........
No. of Add. Meters .... ..... Move Meter ............-.........—
....... . .. ........... .................
PLUMBING INSPECTOR
• Bldg. Dept
Offkc Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No.—317f�12,
.....................
R-11plurn In Final Plumbing Permit No. .......
Lot No. —7-2.....---.........
---
Owner or Tenant ----- ......1!!:-�
-- --------- .. .... --------------- ------------- ----- --------------
I
At ......— ......
— ----- - ---- ------- .. .... ---------------------------------
Tract ............. ... . .... ---------------------------------------------------------------------------------
DateConnected --------------------------za//----------------- ......................................
Date Final ......................... ... ....................................
---- -----------
----------------------------------
PLUMBING INSPECTOR
111 7/63-IM
/UOIOI � �oZ l9Yd
NO. STI , LOT NO.
ET
W aAPPLICATION FOR BUILDING PERMIT
sa
C _
Y LLo CITY OF CUPERTINO
soyao anitary Na.
S a
U
W Uate• 196_ Permit No.
o am
`o a � pplication her y ma e'i!ap7ermit to
iln aSto�ype '� •—y-p ��� Building
r I to be��c�up'ed,on�y ar F I` in accordance with
0 o Plalns,uSpecifications�a"nd'Plot-Plan filed herewith. P1 Ck Fee
F3 Estimated Value of Improvements, $ -Z Ft n Fee$
°z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* g all other laws applicable to the construction, location, and use of buildings within the City of
3 o Cupertino will be complied with. RITZ-CRANp
aOwner Address
0 � L
W
a BY s
F s-9
<� PhoneApproved
State License /s �� y� Irvc wsvecroa , l
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