NO PERMIT NUMBER �j t
/0 /4eZ I [/ /1//G. Lot No..
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.�4.SL7
Sanitary Na. T'J Ora
Date -196
lication is hereby made for a permit to T ,
a story,
to be occupied only as
in accord .e with Plot Plan, Plans and Specification filed herewith.
4h�
Estimated Value of Improvements $ =2
040
FEE$ Plan Check
ni
Ower - L-•w`�` Address,";;?,n
Contr, t/ Address
s�''p
Phone e�24z/— ��� State Licens ��✓ vdlq
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dara 1'/`�/ 196 Q J— FEES I"�•
Contr. \+"1Y `-""���u-�� Address
Phone 37 7 _ -7 54,S-T) State License /�(f" v
Approved ` • "'" "` �G�
APPLICATIOWFOR PLUMBING & GAS PERMIT Cb/
Dore X 196 �' GAS FEE $ / 0
/� �--• y�/, /1�
PLUMBING
/ � t<
FEE $
Contr. LQn'v-C/t-RN a+'/Vt/-'iC-P/ `-� Address '/- / ¢- Jt�j✓ �
r`�
Phone 62 J k 6 inm State License -71S-27
p
Approved
WILLIAM D. BENEVICH
J APPLICATION FOR APPLIANCE PERMIT
Date .L--. 196 •S� FEES �/n
Contr., 7�='�n--e Address / 3n N.
Phone / .e �03 $tote License
Approved WILLIAM D. BENEVICH
Applicants agree not to'alolate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INS ECTI T APPROVALS
FOUNDATION " ,lj•r BUILDING '
Daepector
UNDERFLOOR
D ns pector
FRAME — –(�
D4=a✓S s pector
LASTER 3 i
�a f
FINAL ns pe ctor
Date Ins Dec for
ELECTRICAL
,OUTLETS / 1,40
SWITCHES av SERVICE SIZE
2J UNDERGROUND
Da or
RECE PTACL'EN –3- 90 ROUGH WIRING
/ c, ote Inspector
FIXTURES FINISH WIRING
O L LS ata Inspector
H.P. CHARGE 75' FIXTURES
�Z Date p
PERMIT FEE / �� Motors Inspector
70actor
TOTAL FEES -� FINAL (�®
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE TERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES 16 O °i' UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Q� Dote or
MAIN DRAIN FEE ROUGH COMPLETE – –(S
D to or
STORM DRAIN FEE MAIN DRAIN
Date ns
WATER SYSTEM FEE �� GAS PIPING (o,S
/
GAS
.PI PING FEE ( "� � FINAL ate or
PERMIT FEE
0"0 Date 4 Inspector
MISC
Inspector
TOTAL FEE - MISC Date
Data Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS I FEE
CIRCULATING HEATERS REGISTERS r.• O
BLOWER FURNACES 0� COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC �
i
GAS DRYER PERMIT FEE
FLOOR FURNACE TOT FEE ' i 7 S�
R
INSPECTED / 9
Data Inspector •,�.. �
'CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
'CITY OF CUPERTINO
Building Permit NoSIO,f`7
Date----- ...... 19
Build, . ..... ...............
0,0
The Building Located at ....
II
Owned by -----X.;� 7Z, �- �............................
Has Been e.eum—tiliced�--For Use As: .....
..................................................
.................................................................................................................................................
--- ------- -------- -------*..................*----------- -----*................. ..................................
.................................................................................
........................................ ..................
a..... M .......................
i6libING IN,SPECFOR .
.102 7/63-500
OFFICE COPY
4 ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
................../.:-5.............. ......., 19
To, '
k You are hereby auth rized to On o electrica ervi r
Owner or Tenant . y
y � . �-/ } . o................... .............................
At .../D /, -:. r�07Q�f�.—G... .�.�...�........................................................
No. of Wires . ............. Size of Wires .�..`. ......... Size of switch ��A...
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. ......... ................ Voltage ................................
Lht............... 110.✓.
ig .. New Service_./.... Heconnec...........
No. of Meters.............. j
Heat................. 220............ Three Wire................ Move Service............
No.of Add. Meters............
Power............... ase.......... .... Move Meter..............
ELECTRICAL INSPECTOR
t
GAS SERVICE NOTICE orriut
BUILDING INSPECTOR'S OFFICE cot
CITY OF CUPERTIINO�^ �+
.._................z.,77J......._......,.............._.., 19646
To
You are hereby authorized to connect the GAS service for
Owner or Tenant . ... ........ .._ .. _.....� ... _. .. ........... .........._......._...._.......
_...
New Service .......
No. of Meters Reconnect ..............................
Move Service ...........
No. of Add. Meters .............. Move Meter .............._..........
I
j PLUMBING INSPECTOR
BWg. Drpt
OffLe Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. .....
.ff� ?�_Syw..'_......
['Plumbing Final Plumbing Permit No. -L�-G-- ---.-.
Lo No. ..../.
00
Owner or Tenant //���/OL;1-�- - --./.... . - --.._ _
...._................... ...-
At ........................................
r� ... -
0
Tract ------------------------------------------
- ;...
L�/f2� -- -/- -
DateConnected ----------------------- Q ?...................................................... 19..
I /�
Date Final ........... 19..lG'>�-
6
I. ........................
PLUMBING INSPECTOR
I. III 7/63-1M _. .. .
ROUTE SLIP
File "No. 7
Date Out_,; – a 7- 5—
y� Date In
Location' oU 6
Subject ✓^"'-"�
Notes --
� -
App-roved
Date Insp:ctor
ROUTE SLIP
Pile No . rX
Date Out
Date In _
Location
2-t 3. -
Sub'J6C*t
Notes _
Approved/i 8 r --
'Date Inspector