NO PERMIT NUMBER / ' , /,1 /7777/n/nX,y
76 7' VAI �6. t Lot No. CJ
No. Street
APPLICATION FOR BUILDING PERMIT k.
CITY OF CUPERTINO
File No.�(,LJsL�
y Sanitary No.�
Date 196
. Application is hereby made for a permit to 7' _
story. Type .L VT
to be occupied only as
in ace once with plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements § c;?A Dao
00
r
FEE§ Pla §
Owr. /'^ Addres
IF
Contr. G Address ,rt�
Phone � .State License v
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date �� �- 196 15 FEE§
Contr. ;, C E6-cz- . Address
Phone (_137 7 - 7 �Z -�dState License
d
Approved`- �
APPLICATION FOR-PLUMBING & GAS PERMIT
Date —1 ' 196 1�_ GAS FEE § /
�- _ ,,/
PLUMBING
FEE §�`��5
Conti.' et p�� � /�/"'� Address _T' s7 ""'-�"� Y
Phone C ILk -d s^ SSP State License _77/� (/
Approved WILLIAM In. mr-fVp-A,r,^u
APPLICATION FOR APPLIANCE PERMIT y
Date 1196 S_ FEES 2 _ ,/O ,(/
Contr, i""`-�'u „ ""`-"
p " Address /;Ja
Phone � y �! C) & State License �� �' `' 2`—
WILLIAM D. BE:NEVICH
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION ROVALS
FOUNDATION "�S f BUILDING -
_ e i s or
UNDERFLOOR �p-y
FRAME 'O 'tL .S ' ns pe ctor
D e i
8 PIASTER '65 actor
DL to
FINAL �/ actor
/
Date Ins Dector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
t n ctor
RECEPTACLES? 3 9O ROUGH WIRING - S"�
FIXTURES /� / �a ote Inspector
FINISH WIRING
H.P, CARGE L $ FIXTURES Dote Inspector
/ - Date Inspector
P MIT FEE �-O Motors
o s
TOTAL FEES �° FINAL ' ctor
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I 64TERIAL
tTERIAL
WATER SYSTEM SIZE
TOTAL FIXTURES / U °� UNDERGROUND
FIXTURE FEE PARTIAL ROUGH 6I' -CSS
MAIN DRAIN FEE C,, D
ROUGH COMPLETE � rS . .
STORM DRAIN FEE MAIN DRAIN O"
est' r
Date/ r
WATER SYSTEM FEE �) GAS PIPING 'oz3-GS
5� Data or
GAS PIPING FEE � FINAL
Date Inspector
PERMIT FEE o`L� MISC _
Date Inspector
TOTAL FEE � (p � MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS /U S-U"-
BLOWER FURNACES / 0 COMBUSTION VENT a o2-
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER " PERMIT FEE 02-
FLOOR FURNACE TOTAL FEE 7 S�
INSPECTED
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING' INSPECTOR'S OFFICE
CITY OF CUPERTINO
r 1
Date.... C1�.C..:'.-::�. ................ 19. ...%;: gBuilding Per `a-..�...:....:i
Y a i
V?
The Building Located at �! -- -,- "G`
,.�_�
Owned by ....\.._.:.:.� .... � f- -............................................
m '/For Use As: ......,.
Has Been �, . -. .. .�......................................
(Altered)` '
...............................................................................-------._................._.................................
.................................................. ---------------------
-
...----' -----..------
..........................................
. , .........................................................
..........................................._.......................----.....----. ., ,
BUILDING INSPECTOR
102 7/63.500
GAS SERVICE NOTICE OFFICT:
Coln,
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
. . .................. . 196,
You are hereby authorized to connect the GAS service for
Owner or Tenant '-�—/4 �—
At ....�7-......................... ............
New Service ................
No, of Meters Reconnect ..............................
Move Service .....................
No. of Add. Meters Move Meter ..... . .......... .......
e�,'�PLUMBING INSPECTOR
Ifldg. 14-pt
uifks Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ......lk�-- -------
Yr-*�plumbing Final Plumbing Permit No.&1-0.?7.......
Lot No. .....e----------........ ..
Owner or Tenant .... .. .......................................
................ ... ............
At ........ .
.................................. ....................................
Trac
19.
Date Connected -------------- ------
a . ........................................... -----------------
Date Final ------ --------------------
------------------------------------------------------- 19A(
II
.. . ...... ..................
.............. ..
PLUMBING INSPECTOR
III 7/63-IM
OFFICE COPY
nom/ ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICF.
� CITY OF CUPERTINO _
I �o? 0
To
You are hereby auth rued toongelectri ervi
lk
Owneror Tenan/t .......... . ...........__>`V/, . ........... . ......._....... ..........................
At ..../O�IO�.. ...........................' .......... . ........................................
'151
No. of Wires .. ............ Size of Wires 7!� ............ Size of Switch eNO
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light............... IlU./.. New Service................ Kttonnert..................
No. of Meters...../........�
Heat................. 220............ Three Wire................ Move Service............
No.of Add. Meters.......::...
Power............... aze.......... .... Move Meter..............
ECTEICAL INSPECTOR,,:
ROUTS SLIP
File No. -!C,' °6p
Date Out
Date In
Location ;4::L d
Subject. -
Notes
Approved iZ-Z7-G
'u n
Date Ispector
ROUTS SLIP
File No. � a 87
Date Out . X-iS�-S-777—
Date In .
LoGa t_io'
Subje--t ,
Notes
Approved_/ /3
Date Inspector