51069 Lot No.
No. Street
PLICATION FOR BUILDING PERMIT
TY OF CUPERTINO 'A.
TV File No. /Q
SEP 22 9864
_. Sanitary No.
Data
Cf 11 if Ur I✓Uf�.e �3
Application is hereby made for a permit to
a 'i _ story, Type
to he occ Led only as _ ,
in ac cordance with Plot Plan P ns'and Specification filed herewet
h
:'Estimated Value of Improvements i '$
i.
.FEE$.- ' O � ` Plan Check $
A� �t J00-1%k`-
'
C ontr, wV {�'►AA/fe Address
Phone 2r-dEr Ir State License �� • � �
Lv- Approved WILLIAM D. MZNEVICH
r 1
Q
D
APPLICATION FOR ELECTRICA k86f' 24 1964
Date 196 pp FEE$
Contr.. P-)�i L Cl•.P re Address - '^"r"
Ph o e. C—\/ %�' I'I % State Licen li O (3 _
Approve —j7+.
APPLICATION FOR PLUMBING & GAS PERMIT ,
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Data 196 FEES
Contr, Address`
Phone State License
Approved
Applicants agree not to violate any of the '
Workman's Compensation Laws of the - !
State of California
}
RECORD OF INSPECTION.APPROVALS
FOUNDATION BUILDING
UNDERFLOOR Date Inspector
- FRAME v, Date — pector
Do to Inspector
LATH & PLASTER
Date I actor
FINAL �
o Inspector
�O ELE AL
OUTLETS Lo L`ti
ERVI 51
SWITCHES UNDERGROUND
- Date tinspector
RECEPTACLES d ROUGH.WIRING
Date Inspector
FIXTURES (b C FINISH WIRING
FaAo— Data actor
H.P: CHARGE FIXTURES ' ..
C Date Inspector
ERMIT FEE ( _ Motors
TOTAL FEES FINAL �# e � for
I�
Date " . Ll Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN I SIZE I LaoTERIAL
WATER SYSTEM SIZE ilTERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Dote Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE 'MAIN DRAIN Date Inspector
Date Ins pector
WATER SYSTEM FEE GAS PIPING
'
GAS PIPING FEE FINAL " Date Inspector
- -
PERMIT FEE MISC -
Date Inspector Date Inspector
TOTAL FEE MISC ., '
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
•SUSPENDED UNIT MISC
GAS�R'ANGEMISC
GAS DRYER PERMIT FEE -
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector r ! /
I O
NO. STREET
W ® IA�ION"FOR BUILDING PERMIT
° ' ITY OF CUPERTINO
ISEP 221964 '; w sanitary No.
= n Daae, 196 No. ,SIO 9
�(, I
< C��7rl� �n PER'T� -bap rmi r
<N a story,Type Building
w a
to be occupied only as
0 o in accordance with Plans, Specifications and,Plo 4 led herewith. •®
> 'n
0 ; Estimated Value of Improvements, $L_6LStLb! Fee$
i J It is hereby agreed that the 'requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with. -
3 t-
- a Owner /TTFa-vt CREF/' d'ARK/Nf.Address
u BY--J Address 2 2
us
Phone z Q - S '
Approve
State' Licens B ING INSPECTOR
RECORD OF -INSPECTION APPROVALS
FOUNDATION
- DATE: INSPECTOR
UNDERFLOOR
DA'1'6 INSPECTOR
ranMr: I—
+ `•'
I nnrc � INSPECTOR -. .
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG, J
DATE INSPECTOR
FINAL ELEC.. I
' DATA INSPECTOR
FINAL PI.BG.
DATE - . ` INSPECTOR
FINAL GAS
DATE _. INSPPCTOft
�p OFFICE COPT ,
ELECTRIC SERVICE NOTICE
BUILDING °INSPECTOR'S OFFICE
CITY OF CUPERTINOry .
I '_ a� ...,. 196......
:._...... d.
You are hereby a onz ttoo connect a tical se ice/l or
-Owner.or Tenant .._^��—S,t.-.eaAJt .. ..--_. . ... l7J�x4....................`�. i
....At -----------l.:ca.:.'2...t:,S4..----- -'�- ------------- -- - ------------------...._................---------
No. of Wires ....... ................ Size;of Wires ....................... Size of Switch
MotorLoad .......................: Volt. age .........-------....---....-...: Phase ..............................
Heating Load ------------------------ K. W- ---------------------------------- Voltage ......................
Light:::
ight............... 110.........: ew Se 'ce............... Reconnect....../--
No. of Meters--------- ------ -t ..
HeaL...._.......... 220...:...:.. .Three Wire :`..'........ Move Service....--
No. of Add. Meters......_..-. �
.Power............... 'Thr I'S .7 ._:..'.:.. Move Meter..............
- 'ELECTRICAL .I SPE OR,
104 7/63-500 -