NO PERMIT NUMBER 1io LL L194 A V I s-j-AQ"*bR. Lot No.24
No. I Street
L APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO b
File No.S/QS 7
Sanitary No.. 6q_
Do to � ' 196
p lication is hereby made for a permit to
cc RAA-r- ligna s6 'y' T e
YP
to be occupied only as -
in accordance with Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements
FEE$ Plan Check $
Owner Address
Contr. • Address
Phone State Licansa
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date /0 `PZ S 1�96 -72
J - FEE$
Contr. QF -}7"' e /"�'i`.a-iJ Address �k 41 4 G r iii•'-.�
Phone / 7- 77z' State License /� 7 /��
Approved
APPLICATION FOR PLUMBING & GAS PERMIT �v
Date -� 196 GAS FEE $ /
e p ,,_ - _ - PLUMBING FEE E
Contr. �/�r 'z �"'^' 1i° Address
Phone oZ'G�� _ 3S� State License /�S 3 7
Approved WILLIAM D. BENEVICH
_ D-6 APPLICATION FOR APPLIANCE PERMIT -7 7�
Date 196 4=' FEES
Contr. G �- Address �. -T/ � ' "^'�"�-� ��a��+'✓
Phone Q -L) '9 State License
WILLIAM D. BENEVICH
Approved
Applicants agree not to violate any of the '
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION • BUILDING
D t I for
UNDERFLOOR
D to / spector
FRAME
��Pc pector
64V L S ER 3�
FINAL -
pector
_ � O "G�
Date Ins or,ctar
ELECTRICAL
.OUTLETS / . 77-6 SERVICE SIZE
SWITCHES p7-6 >2 cTD UNDERGROUND
or
RECEPTACLii / ROUGH WIRING - -
FIXTURES / 14 C/ FINISH WIRING D e Inspector
2,5 ata Inspector
H.P. CHARGE a FIXTURES
/ 0-0 Date Inspector
PEIT FEE ( Motors
Dot
/ s ctor
TOTAL FEES I,3 / 0 FINAL '�O -C's
. . Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE I L.M.ATERIAL
WATER SYSTEM SIZE 4TERIAL
TOTAL FIXTURES /v 0 av UNDERGROUND /
FIXTURE FEE PARTIAL ROUGH - `S
MAIN DRAIN FEE ✓-� Data r
ROUGH COMPLETE,//-;2 C�
or
STORM
STORM DRAIN FEE MAIN DRAIN S
U a
WATER SYSTEM FEE � GAS PI Dates ns NG - -CS
Date
GAS PIPING FEE �5�-- FINAL X30 -
Date ns pector
PERMIT FEE z MISC
Date Inspector
TOTAL FEE � � � M_ ISC
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 O�
S
FLOOR FURNACE / TOTAL FEE 1 "
INSPECTED -v�d -lS - _�.. 1
Data Inspector }
; i
ROUTE SLIP
File No .'
Date Out
i Date In
Lo-ation
Sub iec.t
Notes
Approved .Z-3u-e, s_ A U.v
Date Inspector
ROUTE SLIP
File No .
Date Out ._
Date In _
Location
Sub, ect (/
Notes
Approved
Date Inspector
CERTIFICATE Or -lWWmr1.xiiwm
BURDING IIVSPWMR'S OFFICE
CITY OF CUPERMNO'. - :.
-D.tt.......&9.-:s4............. S '
..., 9-�.. Budding Pewit
e. t
ne Budding Lo&ied at . �% �1 ti_�f_ . - `_.!`_• .. .
Owned by,........-:....../w2!..... -Gffr1.400—r...... ........................_...
Has Heed��� For Use As: ...: ]],•% ;.. ...........
............................................. ....................._................:....;..................._
.... a.; h . '! .• \ ..............
f'••BUlMM-1NStBCr0R
102.7/63500 . • - -•
Bldg. Dept
Offite Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-I Sewer Connection Sanitary Permit No. ------
2?1`1)1uunbing Final Plumbing Permit N1.1--574�P17.........
------------------
Lot No. .................
-
Owner or Tenant ................1�- ------------- - ------------------ ----------------
-------
-
At .. . .......... . . ...
....Ad� .. ..............
........................... ---- ------------------- .....
Tract ----------- ---- --- ----- ------ --------- -- - ---- ........ -------- --- -- -------------------
IIDate Connected ---------------------- ... ..............-------------------------- ------------- 19A�
DateFinal .................. ............. ....... ------------------------------ 19.9
.......................
UMBING OR
III 7/63-IM
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE crn
PY
CITY OF CUPERTTINO
._._... ..........L. ..—. C?._....................
.......,
To
You are hereby authorized to connect the GAS service for
Owner or Tenant /1s9U.... " ......
New Service _ ...... ........
No. of Meters .... .......... Reconnect ...... ....... ...............
Move Service ........... .......
No. of Add. Meters .............. Move Meter ... ......
PLUMBING INSPECTOR
^
,y ELECTRIC SERVICE NOTICE OFFICE COPY
/ BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
....... ..... ........................... �
To
You are hereby a`uth�y❑zeds to97 elect ' a{ erv' or
Owner or Tenant ............... .�'" U,.
No. of Wires ....9........... Size of Wires ...�............ Size of Switch DSA•
MotorLoad .......................... Voltage ..........................:..... Phase .................-................
HeatingLoad ........................ K. W. ....... .......................... Voltage ...............
No. of Meters......
Ligh
No. of Add. t............... 110.. . New Service.... Reconnect..................
.............�
Heat................. 220............ Three Wire................ Move Service............
Meters............
Power............... Phase..... ......... Move Meter..............
....... .. . .... .......
. -----
- ..
;� aLECTRICAL INSPECTOR"!