NO PERMIT NUMBERNo.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 196 f
to be occupied only as
is hereby made for a permit to
in accordance
`Estimated Value of Improvements
FEE$n�a �/ sa — - I
Ower /&i �/
a
Y�'
&50 Lot No..
File No. rI/4,72,
Sanitary No.
story, Type e Z .7
Plan, Plans and Specification filed herewith,
$024 Dos do's
Plan Check $
Address .2.x r-
Contr._ Address ® _
phone ���!���� State License
0
Approved
-APPLICATION FOR ELECTRICAL PERMIT
"f/
�
FEE$ 3 )' J `
Date - 196
_2
/L�
/
Contr. �t/4--1+ /
Address�'2�
Phone r� 3'� - s uJ/
State License Z GL -2-
'
Approved Wit I IAM n FiEN GVICH'
APPLICATION FORPLUMBING
& GAS PERMIT
DateT� 196 D
GAS FEE b
PLUMBING FEE $ r3 SZ
��y')
4z,'__-1
f/
Contr..
Address
Phone �` '+� S —..2 3 -.J.
State License 7/ 6,C 7,9
Approved WILLIAM D. EIENEVICH
c, APP 'ICAI, TION FOR
APPLIANCE PERMIT
Dote 196 d
FEES
2ZL41
Contr.
Address
Phone 37 Cl `/ J >
State License
i.
Approved WILLIAM D.
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION. APPROVALS rkew.G
FOUNDATION
BUILDING I
UNDERFLOOR
FRAME
LATH & PLASTER ( p (3
FINAL
Date
ELECTRICAL
Ins oector
late,,
SERVICE
,OUTLETS
MATERIAL
SWITCHES
to
RECEPTACLES
FIXTURE FEE
FIXTURES
at¢
H.P. CHARGE
- L99
PERMIT FEE
Lfl
TOTAL FEES
COMBUSTION VENT
ELECTRICAL
Ins oector
late,,
SERVICE
UNDERGROUND
MATERIAL
TOTAL FIXTURES.
to
ROUGH WIRING -11
FIXTURE FEE
MATERIAL
at¢
FINISH WIRING —±:_
- L99
r
MAIN DRAIN FEE
FIXTURE
Date
Motors
Data
FINAL I -`-'I -(1c
Date
PLUMBING & GAS
Inspector
r�r '
Inspector
ti -
Inspector
Inspector'
Inspector
Inspector
MAIN DRAIN
SIZE
MATERIAL
MATERIAL
TOTAL FIXTURES.
STORM DRAIN
SIZE
FIXTURE FEE
MATERIAL
REGISTERS
WATER SYSTEM
I SIZE
MATERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES.
UNDERGROUND
CIRCULATING HEATERS
FIXTURE FEE
PARTIAL ROUGH C- -
REGISTERS
Date/
r
MAIN DRAIN FEE
OMPLETE ,/-D
ROUGH COMPLETE/,/-
COMBUSTION VENT
STORM DRAIN FEE
Dt
MAIN DRAIN
or -
WATER SYSTEM FEE
¢J
GAS PIPING �e � - 7
or
GAS PIPING FEE
Date
FINAL /-1/0 -
for
Date
Inspector
PERMIT FEE
MISC
GAS DRYER °
" Date
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. N
FLOOR'.FURNACE
TOTAL FEE'
INSPECTED
'- Data Inspector
/ ///, � , 4 -J, � " ///o -, 0- 3
- - Bld�. Dept
BUILDING INSPECTOR'S OFFICE
CIT1• OF CUPERTWO
❑ Sewer Connection Sanitary Permit No. ....-.�2..Z
D��P"lumbing Final Plumbing Permit No..w��..��l.e%.r�,......
Lot No..... .C�.¢Z..--------------
Owner or Tenant .........^ y%.. I % -�
nt ...c��/ 9�./";_ ' ..rte -- ..--------------- .........................
Tract .'-�
DateConnected ------------------------ ------------------------------------------------------------ 19./..47....-
Date Final_.-....-------.._...---4.//t>/-'------------------- ........................... .-------------- 1X�!/......
PLUMBING INSPECTOR
III 7/63-IM
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date -------- ........................ Building Permit No.
The Building Located at
Owned by .........
--------------- ---
Has Been -------------------------------------
or Use As - ----- ...........................
"-,C(Wltered)
. ...............................
% -1 .......................
.............................. �- .... .... .........
......................... ........................................
........ .. W -A ----- --------------------- ------
,;ii� BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
You are hereby authorized to connect the GAS service for
At....... ................ ..
New Service
No. of MetersReconnect ........ .................
Move Service ......... ... ...
No. of Add. Meters ............. Move Meter .... —
P 6 BING INSPECTOR
O E COPY
ELECTRIC SERVICE NOTICE
(oL BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
_............. ... ........ �...�_. ................... 1969 -
To
You are hereby au�iz-k- conn 4t electrical service for
Owner or Tenant ... . ... . 7- ........ ....
may\ ...
No. of Wires .. ":............. Size of�Wi es ... �....... ze of Switch �.U....
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W.............../.................... Voltage ................................
Light.._!.. 110.../ New Service. .............. Kec000ect..................
No. of Meters...... I............
Heat ................
No. of Add. Meter!
220...... �G'T .........W.ire..Move Service
:.'.M.�.�.�..�.\..
Power ............... ... Move Meter.:............
.
... ............:...........
� LJ
ELECTRICAL INSPECTOR
�Gti� Oa LOT NO.
NO. - !/3/
W FOR BUILDING PERMIT
r ® p]IpY OF CUPERTINO
0< ,SEP 5 1968 Sanitary
SU
w Uate'• D- 19611 Permit No. Sal 7 -2
o10
Ci T Ayphofc on pie a permit to 'Ow��
S T
i a a 2 story, Type Building
to be occupied only as S in accordance with
20 Plans, Specifications and Plot-Plan filed herewith. PI CILFee p
Estimated Value of Improvements, $ a FI 0! Fee $ c `S `tea
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 0 Cupertino will be complied with. DIRANE
3P
Owner Address TLC
E LA CRU/ BLVO,
W
n By //'' Address PANTA CIAR4 epIIc eeeee
O Phone OdV Wit-LIAM D. BENEVICH
6
_ 0 p Approved
State License BUILDING INSPECTOR