NO PERMIT NUMBER40
A/&6 21 fJ Lot No.
No. Street f 01//4
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO /
\ File No. 7,�C
pp Sanitary No.
Do to 196.2_
to be occupied only as
is hereby made for a permit to
a _ a— story, Type - Vr i )7
in accordance wi�tPlot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements SJ A/ aLid OM
FEES p��0•S�
—Y
Ow ne r
Contr.
Phone
Plan Check $
C� /�
Address 4193��-Os✓ �.�Wa I"ej
Address
State License /J—/7 9 /
Approved 4"&1M w� 1
APPLICATION FOR ELECTRICAL PERMIT
i h! oa
Date �— o2L 196 �/ FEES o� b
Contr. ;!Z - ge�r b0a irir �69 DA Address S rCl�,7w� rCt
Phone — 42 ffl� State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date i 3 196 L GAS FEE $
PLUMBING FEE $
Contr. __ 611-4, Address - / c;LJ K-
Phone --V `f-- S—' 1-- 3 L .3 State License 14C -4S %r`Z
Approved WILLIAM D. Bc'NF);f H
APPLICATION FOR APPLIANCE PERMIT /
Date �_ 1% -1, FEES 3 p �.
Contr. Address -/13d +O / .
Phone !''-2t State License
.. Approved WILLIAM 0.'BENEVICH
Applicants agree not to violate any of,the
Workman's Compensation Laws of the;
State of California
RECORD OF INSPECTION APPROVALS -
e,,,, QY BUILDING
n4
APPLIANCE
S �,_6r
P N CTOR
p —4
rQ�
6
FOUNDATION Is-- o v
DATE
3__ Y3 _41D
6
PECTOR
INS CTOR
UNDERFLOOR
S_� 9yTE
INSE TOR
DATE
FRAME
IN SP OR
G DiTE
DATE
IN SP R
LATH PLASTER
INSPECTOR
DATE
INSPECTOR
IN SP OR
�7 � �p A�f,E
FINAL Q( /VTC
DATE
INSPECTOR
ELECTRICAL
'�- -
ELECT.
UNDER(
ROUGH
FINISH
FIXTUR
MOTOR!
FINAL
DATE
PLUMBING & GAS
INSPECTOR
DATE INSPECTOR
�
?RGROUND
APPLIANCE
' _ DATE,
/(y
'IAL ROUGH (n/
P N CTOR
DAT
ECTOR
�/
iH COMPLETE ZA
D E
PECTOR
DRAIN
MISC
S_� 9yTE
INSE TOR
1I PING YY
� p E
INSPECTOR
DATE
L DATE
INSPECTOR
DATE
INSPECTOR
DATE INSPECTOR
�
APPLIANCE
INSPECTED
�
—4
DATE-
INSPECTOR
MISC
DATE
INSPECTOR
1
MISC
DATE
'�- -
� INSPECTOR
MISC
DATE
INSPECTOR
ROUTE SLIP�eJ
File No " e;? �
Date
Location
Subject..���e2 Z�
Notes
Brdg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CM' OF CUPERTINO
2 --Sewer Connection Sanitary Permit No . .....
..............................
-7
Plumbing Final Plumbing Permit No - ............................v
v
F\ A - - (� Lot No . ........ ...................
Owner or Tenant
At ...... C>Z.1 ...
Tract ..................
Date Connected .
DateFinal --------------------------------_.............D....
111 7/63 -IM
OFFICES COPY � � `
ELECTRIC 'SERVICE NOTICE
1. BUILDING INSPECTOR'S OFFICE.
CITY OF CUPERTIN pp
I To
You are hereby aut riz t wane lectrical service for
Owner or Tenant .......
At
No. of Wires ------- ---------- Size of Wires " '......
._ ...... Size of, Switch I.
► Motor Load .......................... Voltage ..._.......................... Phase ............. ._......... ......
....
Heating Load ........................ K. W.............. ......... .._....... Voltage
I
/Light... .. i io.... <. New Serail !....-. Reconnect .....
No. of Meters...................
' (II HeaL._...._"_... 220... /._� T ee Wir ..... . Move Service....._..
No. f Add. Meters............
Power ......... Ph .....- -,.... Move Meter
ELECTRICAL INSPECTOR,
GAS SERVICE NOTICE orrlc;s
COPY
FFIC
1 BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIZsLO
.-_ _.. _ _.. _...... _... .. ............ _ ............-.,. 196
To
You are hereby an o 'ze to c ect the GAS service for _
Owner or Tenant ..........
.. ........... .....:.._......._......:.__.'...._.._........_.....
At._...._.....c—�X_�._.v�...._`..
New Service _`...........
No. of Meters .......�.............. Reconnect ......
Move Service . ............
No. of Add. Meters ............. Move Meter
PLUMBING INSPECTOR '
I
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date -------- ........................ 19-61
The Building Located at
Owned by
Permit No. >?.. L S?..A L"
(Completed)
Has Been (AFor Use As: .......--- ..............��.�..... .........---.............-- ---
.... ............... ...------------............_.............................
T;(�C3 .
..............,:..................
----..................................
BUILDING INSPECTOR
102 12/66-1M