51087Am- v�Y �L Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File
Sonitory No.'� L
Date 196
is hereby made for a permit to
.story, Type sm -37
to be occupied only as
in accordance with plot plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEES --27,424 Pion Check $
Owner Address
Contr. Address
Phone
State Lice
ns
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dare y L� 1:2-/196 15-8
FEE / & Z,
Contr.
Phone 7 7 -' 7 � 4l
/J - /
Address /E - L ` �T
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date T 196 GAS FEE S /
Contr.
Phone
PLUMBING FEE $ q A 0m
Address ^ /y
State License/ -7/S `� /
WILLIArl D. OCNEVICH
Approved
��� APPLI SON FOR APPLIANCE PERMIT 7S L
Date -F�— 1% FEE$ �//� �J�
Contr. �"`" r-- "-'s-' Address / /s�-��/ C=9!:- ZZ.7f.
Phone A' —C) c� State License
WILLIAM D. BENEVICH
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
R ORD OF INS E TION AP0 ALS
FOUNDATION J�J BUIL
UNDERFLOOR 9-.�f —/,/s /
FRAME
Date
LATH' PLASTERRA 20 �
FINAL
Do to
Ins Doctor
ELECTRICAL
SERVICE SIZE
I
,OUTLETS 77
UNITS
O
SWITCHES -9'0.
02p.
I
RECEPTACLES
61L
FIXTURES /7
/
/f
H.P. CHARGE
2
2,f
jS
PERMIT FEE
Data
Inspector
TOTAL FEES
?/
3
-7
Ins Doctor
ELECTRICAL
PLUMBING & GAS
MAIN DRAIN
SERVICE SIZE
I
UNDERGROUND
UNITS
FEE
STORM DRAIN
SIZE
I
ROUGH WIRING
61L
025
WATER SYSTEM
ate
Inspector
FINISH WIRING
TOTAL FIXTURES
Data
Inspector
FIXTURES
FIXTURE FEE
Date
Inspector
Motors
MAIN DRAIN FEE
GAS DRYER
C e r
ctor
FINAL
_
i
FLOOR FURNACE'
Date
Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
I
I MATERIAL
UNITS
FEE
STORM DRAIN
SIZE
I
Lm,4TERIAL_
/v
025
WATER SYSTEM
SIZE
i
JATERIAL
TOTAL FIXTURES
/s
O
UNDERGROUND
FIXTURE FEE
/
PARTIAL ROUGH — .?--6
MAIN DRAIN FEE
GAS DRYER
ROUGH COMPLET 36-1!4
c r
STORM DRAIN FEE
FLOOR FURNACE'
MAIN DRAIN
Dat
- S
ns
WATER SYSTEM FEE
GAS PIPING
Date
�-I-
r
�=
Date
for
GAS PIPING FEE
FINAL 42
.f'1.
Data
Inspector
PERMIT FEE
MISC
/
Date
Inspector
TOTAL FEE � �
W
MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
/v
025
BLOWER FURNACES
i
COMBUSTION VENT
SUSPENDED UNIT
MISC
GA5 RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR FURNACE'
TOTAL FEE
% Si
INSPECTED
Date � nspecfor
f
ttRfi1FIC-ATE OF COMPLETION
BUUDM INSPEC:MWS OFFICE
CITY OF •CUIgMnNO
:Dote ......:.. ../If _.......... _...... 19... �_,�::. Building Permit No._df:Gi.
The Building Located at ... `i J/.j oe.......z.�ryr� .// '........_..._.
�y% �.' -.��
.; ....................... by ...:_..
Iiu Ban �� Ita d) :For Use As........ j.!� x_........................_............
"" MIILDW INSPEG7'OR
102 7/63-300
BUILDING INSPECTOR'S OFFICE
CITY OF CUMRTIN0
Bldg. Dept
Office Copy
Fj Sewer Connection Sanitary Permit No. .........
Plumbing Final Plumbing Permit No..�7 -------
oe7el lot NO. .. .............
Owner or Tenant A��Ov ......... ----------------------- ------
At. ............................
x
................... ............ ................. z'4
Tract ............
DateConnected --------------------- ------ --- ------------------------ ------ -------------- 19.4 ....
------------------------------------ ------------ .........
Date Final ...............................
---------- -
PLUMB G INSPECTOR
7/63 -IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
19
— Z
............ './
To
—
Youare-*reby au
Owner or Tenant
At
No. of Wires
Motor Load ................
Heating Load .......
No. of Meters......
/ - ---- -
No. of Add. Meters...........
to
----------- ....................
.......... Size of Wires ------- Size of Switch A&V119.
..........
.......... Voltage ................................ Phase .... ----------
.......... K. W . ......... . .... . . Voltage
Light .............. 110. New Service.._............ ReconnecL.
Heat ................. 220............ Three Wire................ Move Service............
Power .... — Move Meter..............
..............
.......... ......
................
ELECTRICAL
ECTRICAL INSPECTOR
p �/yai GAS SERVICE NOTICE
A I BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
................. ...._ ...... .
To
You are hereby authorized to connect the GAS service for
Owner or "Fen:mt ........ o.._._'., .ae.
At .
OFFICE!
COPY
196,:f -
New Service . 4 .............
No. of Meters ... Reconnect ..............................
Move Service ... ........ ............
.
No. of Add. Meters ......... Move
Meter ...........
PL MBING INSPECTOR
ROUTE SLIP
File No. Jr /U J"J
Date Out -i3- <
Date In
LL l-ation y 01 Z
Subject `-7I
Notes
Approved
Date Inspector
ROUTE SLIP
File No.
Date Out
Date In.
Location
Subjdct C/ e'D 4�` _
Notes -
Approved
Date Inspector
WZ. 0Lot No. 2.y
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO GG
File No. -S �e X77
Do tet! a 2 196 J
Application is hereby made for a permit to
to be occupied only a.s
Sanitary No.
a story, Type
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEES Plan Check $
Owner Address
or
Cont,.
Phone
Address
State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 1
FEE$
Contr. Address
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote la 196 GAS FEE $
PLUMBING FEE $ —r
O.
R �•
Contr. / — Address
Phone �sa s/ 0Ap^^4-3 State License 4C 3 —/'4
Do to
Contr.
Phone
Approved `^��/rr%✓ALr=/1'i"^ii4c'
APPLICATION FOR APPLIANCE PERMIT
196 FEES
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
Address
State License
Approved _
RECORD OF INSPECTION APPROVALS
SIZE
BUILDING
FOUNDATION
SERVICE SIZE
TOTAL FIXTURES.
Date
UNDERGROUND -
'UNDERFLOOR
RECEPTACLES
Date
Inspector
Date
FRAME
H.P, CHARGE
Date
Inspector
Do to
ROUGH COMPLETE
LATH & PLASTER
TOTAL FEES
Date
Inspector
Do to
Date
PIMA
Inspector '
Motors
Date
i
Inspector
Inspector
Inspector
Ins pe ctor
Ins Dec tar
ELECTRICAL
SIZE
11WWATER
,OUTLETS
SERVICE SIZE
TOTAL FIXTURES.
SWITCHES
UNDERGROUND -
RECEPTACLES
Date
Inspector
FIXTURES
H.P, CHARGE
Date
Inspector
PERMIT FEE
ROUGH COMPLETE
TOTAL FEES
Date
Inspector
i
Inspector
Inspector
Inspector
Ins pe ctor
Ins Dec tar
ELECTRICAL
SIZE
11WWATER
TERIAL
SERVICE SIZE
TOTAL FIXTURES.
UNDERGROUND
UNDERGROUND -
FIXTURE FEE
Date
Inspector
ROUGH WIRING
Date
Date
Inspector
FINISH WIRING
ROUGH COMPLETE
FIXTURES
Date
Inspector
Inspector
Date
Inspector '
Motors
0_rl
Date
Inspector
Inspector
Date
FINAL
GAS PIPING FEE
TOTAL FEE
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE 1 . MATERIAL
STORM DRAIN I SIZE I immaTERIAL
SYSTEM
SIZE
11WWATER
TERIAL
UNITS
TOTAL FIXTURES.
CIRCULATING HEATERS
UNDERGROUND -
FIXTURE FEE
47'
PARTIAL ROUGH
BLOWER FURNACES
Date
Inspector
MAIN DRAIN FEE
SUSPENDED UNIT
ROUGH COMPLETE
MISC
Date
Inspector
STORM DRAIN FEE
MAIN DRAIN
0_rl
Date
Inspector
WATER SYSTEM FEE
_
GAS PIPING
GAS PIPING FEE
TOTAL FEE
/
FINAL ' r_.CC` : Date
r
A "M
Date
Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
r..
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
TOTAL FEE
INSPECTED
Dote
Inspector