FILE 51167.2No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Fila No. 5L I67• OC
Sanitary No. SK37
Data(9J{96
Application is hereby made for a permit to
�^ f a s
to be occupied only as e� r�
FEES
Owner
C ontr.
phone
in accordance with
F,skiimated Value of Improvements
No.
story, Type k/ ..L.. T
,t Plan, Plans and Specification filed herewith„
s 34 t) o 0
Plan Check E
Address
Address n2a 9,
State License /-/ / 7f�
Approved
APPLICATION FOR ELECTRICAL PERMIT
p�/ d'o�
Data r%0 1966,, Ir FEES C:)-tO
Cantr. ht /�',-,'{-'�/ Address
Phone / '3'C' ^ S' State License
i
Approved WILLIAM D RFNFVIr"
APPLICATION FOR PLUMBING & GAS PERMIT / SO
Date V 196 u GAS FEE E
PLUMBING FEE R
�?
Contr. -4%/L'�//O -^ LJ �Address
I
Phone P / •%tyt—52r� State License /
WILLIAM D. 6ENEVICH
Approved
APPLI!CATION FOR APPLIANCE PERMIT�'3' �
Date �L 196 FEES J �
Contr. Address%
Phone
�—O �� State License 1.1
Approved WILLIAM r) ra trwtetrrera
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
�t
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Fila No. 5L I67• OC
Sanitary No. SK37
Data(9J{96
Application is hereby made for a permit to
�^ f a s
to be occupied only as e� r�
FEES
Owner
C ontr.
phone
in accordance with
F,skiimated Value of Improvements
No.
story, Type k/ ..L.. T
,t Plan, Plans and Specification filed herewith„
s 34 t) o 0
Plan Check E
Address
Address n2a 9,
State License /-/ / 7f�
Approved
APPLICATION FOR ELECTRICAL PERMIT
p�/ d'o�
Data r%0 1966,, Ir FEES C:)-tO
Cantr. ht /�',-,'{-'�/ Address
Phone / '3'C' ^ S' State License
i
Approved WILLIAM D RFNFVIr"
APPLICATION FOR PLUMBING & GAS PERMIT / SO
Date V 196 u GAS FEE E
PLUMBING FEE R
�?
Contr. -4%/L'�//O -^ LJ �Address
I
Phone P / •%tyt—52r� State License /
WILLIAM D. 6ENEVICH
Approved
APPLI!CATION FOR APPLIANCE PERMIT�'3' �
Date �L 196 FEES J �
Contr. Address%
Phone
�—O �� State License 1.1
Approved WILLIAM r) ra trwtetrrera
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
SERVICE
°2� ^� BUILDING
.OUTLETS.
FOUNDATION
actor
D to 6 d
— a
/O—.I1oteIn
i0
In for
UNDERFLOOR
,y •�a
FIXTURES
spector
Q I
O �Dp.eLnspector
FRAME dd
5ctor
i/G
kins
PERMIT FEE
D
1
c or
SAT &PLASTER 0 L -d
FIXTURES
y• •
Draf „!Q'
AA uu
I e
FINAL
Date
Motors
Date
Ins oe ctor
ELECTRICAL
GAS PIPING FEE
UNDERGROUND
SERVICE
SIZ
I
.OUTLETS.
UNITS
actor
SWITCHES
/O—.I1oteIn
i0
RECEPTACLES
,y •�a
FIXTURES
spector
FINISH WIRING
H.P. CHARGE
5ctor
i/G
kins
PERMIT FEE
D
1
c or
TOTAL FEES
FIXTURES
y• •
UNDERGROUND
SERVICE
SIZ
I
'
UNITS
actor
ROUGH WIRING
/O—.I1oteIn
i0
FIXTURE FEE
,y •�a
BLOWER FURNACES
spector
FINISH WIRING
ate /
ROUGH COMPLET 6 ^oZ/-Y
5ctor
i/G
kins
SUSPENDED UNIT
D
1
c or
pector
FIXTURES
y• •
GAS RANGE
Inspector
Date
Motors
GAS DRYER
2^
GAS PIPING `999q,�.
,
GAS PIPING FEE
•ate,•
FINAL �-/t�'bd'e
Inspector
FINAL
TOT FEE
Date
Inspector
PERMIT FEE
Date
MISC
Inspector
PLUMBING & GAS
rMAIN DRAIN SIZE MATERIAL
I STORM DRAIN SIZE MATERIAL
[r ,, 9-/ 7 -0
fj �
WATER SYSTEM
SIZE
FEE
TERIAL
UNITS
TOTAL FIXTURES.
CIRCULATING HEATERS
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH 3
BLOWER FURNACES
MAIN DRAIN FEE
ate /
ROUGH COMPLET 6 ^oZ/-Y
5ctor
i/G
SUSPENDED UNIT
Do�,
c or
STORM DRAIN FEE
MAIN DRAIN D"
GAS RANGE
9�
for
WATER SYSTEM FEE
GAS DRYER
2^
GAS PIPING `999q,�.
,
GAS PIPING FEE
FINAL �-/t�'bd'e
n or
TOT FEE
Date
Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
MISC
Vote 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
TOT FEE
INSPECTED/ 'to
V Date
Inspector
File No.,-') /!6 7 L—
Date
Location oC(QS b ) ,v—
Subject
Notes L�k�ilRti u,>�!iz
Approved/�!' (,S
Date In p�LA�
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... ................ 191-f- Building Permit No.4T?....6 ... 7.-z
Ile Building Located at ----- .......... Y .......... -- rd .....................
. . .........
. . ..................
..... C�,: ..................... .
Owned by ------- d . .................................. 7 .............
(Completed)
ForUse As: ..... * ........ ------ I . ........................................ .... .... .....
Has Been I (Altered)
... ............. z ..........................
............. .................... ............................ ............ z
. ..................................................................
BUILDING INSPECTOR
102 12/664M
GAS SERVICE NOTICE ol:rl(:!:
C0111,
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO 196P
You are hereby authorized to connect the GAS service for
Owner or Tenant ...!4G.
At?/_9s.-............. ...........
New Service
No. of Meters Reconnect ....... ..........
Move Service .... ... .....
No. of Add. Meters .............. Move Meter ........ - ......
PLUMBING INSPECTOR
Oifice Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. ---------
El-*�Plumbing Final Plumbing Permit No. 2 -1 -14 -17 ----
Lot No. -1---17 ....................
Owner or Tenant ------------- ------ -------------- --- ------ -------
At --
---------------------------- ---------
Tract............ .. . .. .... ... .......... ..................................................................................
%Date Connected ----------------------- --- -------------------------------------- -------------
41-
Date Final --------------- --- - ------ ;- —.1Zr --------- ---------- ------------- ------- ----
19
----------- . .. ..... -------- -------------
"PLUMBING INSPECTOR
I11 7/63 -IM
CITY OF CUPERTINO OFFICE COPY
ELECTRIC SERVICE NOTICE
I .... � ...... 19 !�
You are hereby ayth4riae5F@-ft. electrical service for
Owner or Tenant .......
A, ...... ................ ............. ....... ... ...
No. of Wires Si of'Wires . .. t
... - I p6t-=.
MotorLoad ............... .......... Voltage ... - ....... .......... ...... Phase ........ ..........
Heating Load ........................ K. W . .................................. Voltage ......
Ligt
No. of Meters....h Ser%icc.---- Rutonnec, ..............
......... � Heat220... w1in ... mo', Se",i,c.........
No. of Add. Meters............
Power ............... ph Meter........
ELECTR!CAL INSPECTOR — I