51167.3C2 9�e I -�• . -� Let No.cs2-/—
No. Street '0/ J-/
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.3 7WIC 7 j
Sanitary No. G �'1
Date S 196
Application is hereby made for a permit to
/
� /.tit,_� a /
to be occupied only as
in accordance
Estimated Value of Improvements
FEES �aeS`.- o/)
Owner
Contr.
story, Type .- 2 L
Plan, Plans and Specification filed herewith.
s CA -or 6 d d °
Plan Check•$
Address 02-,'9 S 'All -c'64
Address fCI
Phone c"A 7 State License /`s_/ 7q /
Approved WILLIAM D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT /)
Date 196 _D,,�n - FEES �t v
Contr. V Address �`�'
Phone 7.3 t1, --5— State License
Approved WILLIAM D. BE14EVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Dote /3/ 196 GAS FEE $
^J PLUMBING FEE $ 'L' -Z
Contr. �T t pe_ O Address
Phone Z 3 �' 3 Sfate License
Approved WILLIAM D. BENT-yrry
APP ICA TION FOR APPLIANCE PERMIT
Date - 196 FEES .1/1v' 7.
Cantr. �' L�. Address
Phone State License
' Approved
Applicants agree not to violate any of the
Workman's CompensationLaws of the
State of California
RECORD OF INSPECTION APPROVALS
- «- 13-1a- G^^^ BUILDING
FOUNDATION46-3 6 p
DAT NSPECT
UNDERFLOOR _ A-t�
DATE IN SPEC O
FRAME 2-' -6 1p
DATE INS R
LAT & PLASTER b -
DATE EC TOR
FINAL -3
ATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
LUMBING & GAS'
34 )
ERGROUND
DATE
INSPECTOR
UNDERGROUND
DA
INSPECTOR
iH COMPLETE 1-2- -
E
��YY//
INSPECTOR
ROUGH WIRING
' ,'g0A
p. ATE
INSPECTOR
D
NSPECTOR
4Y'
L
FINISH WIRING
DATE
INSPECTOR
INSPECTOR
INSPECTOR
i
FIXTURES
DATE
INSPECTOR
MOTORS
�. �=
ATE
/c/_
INSPECTOR
FINAL
DATE
INSPECTOR
LUMBING & GAS'
34 )
ERGROUND
-DATE
6
9PECTOR
PIAL ROUGH -
DA
INSPECTOR
iH COMPLETE 1-2- -
/ TE
INSPECTOR
DRAIN -//- E
p. ATE
INSPECTOR
PIPING
NSPECTOR
4Y'
L
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTED
MISC
MISC
MISC r7 "
DATE INSPECTOR
APPLIANCE
----------
4��
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
S/14 7't
Date ...... ............. 19.0 ... Buildin Permit No . .................,..
The Building Located at ----021 .. ........... .... ... kLn ......................
. ..........
Owned by .—hZi. . . ..... ao�� .....................................
HasBeen (ComP'eL*d) F., Use As: ................................... ....................... .....................
V)L . ...............................
...................................................... ......... ... ...... ...... -....................
BUILDING INSPECTOR
102 12/66 -IM
i
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
i. �.
.........�............ I9�9
You are hereby aut or e t e el ctrical service for
Owneror Tena .......... .. .......... . ....... .... ..... ........ ._.:.......... -.........
Ig v�
No. of Wires ...... .............. Size of Wires ......X....... Size of Switc �.
MotorLoad .......................... Voltage................................ Phase................................
Heating Load ....................... K. W................................... Voltage . .
Light..,/ 11{✓ �ew Se "ce............ I<rconned.......
...._ _.
No. of Meters....................
Heat................. ?20....hi.c Wir ..._ .... ?fore Serricc.......
No. of Add. Meters............
.Power...............c P ...... ..
ELECTRICAL INSPECTOR
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
You are hereby authorized to connect the GAS service for
Owner or Tenant ... ........ -- .................. ...... ...........
At... ...
New Service
No. of Meters ....../........... Reconnect .. ...... — ......
Move Service ..................
No. of Add, Meters ............ Move Meter ..........................
PLUMBING INSPECTOR
• Bldg.' Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. ..p....
......
g-�PIumbing Final Plumbing Permit No.
Lot No—a..11 --------------
Owner or Tenant --------- . .............
At..............................
: ...................
............... ...................................
Tract ----- - ---. ...........
--
-------- - ----------------------............
------......
.................... .....................................
Date Connected ............ ............. .
DateFinal ---------------------------- ............ ........................
PLUMBING INSPECTOR
111 12/66-1M