NO PERMIT NUMBER (L3
`>—/jASJ kt -r �4 /VwCJ 'LotNo. i`fC�•�
No. Street I
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. f:/
Date 196
Application is hereby ade for a permit to
1(„iSIL a _S( —L story, rTy e
to be occupied only as '� J Ej
in accordance with plot Plan, Plans
/hand Specifics n filed herewith„
EEss t1mated Value of Improvements E 10
FEE$ Plan Check $
Owner Address �7j 1- �t, AJ14
Cont', Address
Phone .2 �e4�J State License -../Jr/ 7 9
Approved WILLIAM D: BENrVIe,"
r
�R ^r Q` C uiY�c�C. P o WQIt
o0
APPLICATION FOR ELECTRICAL PERMIT
Date FEE$
Contr. / Address
Phone State License — 2—$4 2— 2--
WILLIAM D. BENFIVICIA
Approved
APPLICATION*FOR PLUMBING & GAS PERMIT
Date /2- 196 09GAS FEE $ `/ ,
PLUMBING FEE $ C;z
Contr. Address
Phone o2�4S -d,3 c.;Q State License
Approved �� 464,/
APP ICATION FOR APPLIANCE PERMIT
Date 21 1/96 FEEE /d• ,3—Z
Contr. //`-'�' Address /&d am'=
Phone '/_7.X V f .� State License
f" Approved WILLIAM D. 0ZNFVICFi'
Applicants agree not to violateany`of tlhet
Workman's Compensation Laws of the
State of California i"
RECORDF Igf5TION APPROVALS
6_zo-6� 6^ � 6� BUILDING
FOUNDATION
Date Inspector
UNDERFLOOR
Inspector -
FRAME l
at Inspector
LATH & PLASTER �g I _
FINAL
Data Inspector
ELECTRICAL
.OUTLETS SERVICE SIZ
SWITCHES UNDERGROUND '7�*�
X Dater Inspector
RECEPTACLES ROUGH WIRING U
/ b Dafe�p'
Inspector
FIXTURES FINISH WIRING yj a
_ ,qa fe Ina pactor
H.P. CHARGE FIXTURES �' Ya
Data Inspector
PERMIT FEE Motors —�
ate Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH it rMAIN DRAIN FEE ROUGH COMPLrSTORM DRAIN FEE MAIN DRAIN
WATER SYSTEM FEE GAS PI NG rGAS PIPING FEE FINAL JrPERMIT FEE MISC
r
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 RANGE MISC
GAS DRYER PERMIT rEE
I. P
FLOOR FURNACE T EE
c
INSPECTED
/ no re Inspector
ROUTE SLIP '
File No.
Date /D— ? —
Location .rL�l ` / 3 — 2, / L
Sub j e c t—,
00,
Notes '
Approved,& -V-6 S
Date �Inspeo't6r
CERTIFICATE OF COMPLETION "
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
"lF5
Date ... ..........:!'.5.:-.................. 19.Ad.... Building Permit No._:.--.--....;�•.
The Building Located at .. -_... .,5.......
... ...---...
Owned by �
lete
(Compd) ...
Has Been For Use As: . -....".... . �t"`t�u�. -..... .. .......
...................... ................................................................ ........
............................................................................. .........................................-......................
.---
...........................................•--.............. ............... ..:.. ....:........:....... - ...........
1
. i�� .
...........
..............................................................
BUILDING INSPECTOR
102 12/66-1M
OFFfCE COPY
r� ELECTRIC SERVICE NOTICE
i
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO -
�y / �` :........... 196.
To
You are hereby auto zed�Vconneft 'electrical service for
Y
��._
Owner or Ten t ........._._. .........._....... ..
...... ... ... ..........
At .._............'....... Z. .. . 1� _.. .. ... ........ ............. ....._...
. . ....... .. ..
4 ,{{��
No. of Wires .....:t � .._....... Size of Wires. .... ....... Size of Switchl.0c>A.._..
Motor Load .......................... Voltage .................. Phase ....__...... ....... . ...
HeatingLoad ........................ K. W. ............... .................. Voltage ........ ...............
No. of Meters..... ...--
(Light..... iio._G..... New Service. .......... Reconnect..................
...�..........t
Hear.:............... 220_..x.. 1' wit e.._.. ...... Move Service......... .
No. of Add. Meters............ .
Power............... -q se...... .... Move Dfove Meter..............
i
VAN, ♦L'***.
II ELECTRICAL tNsrecroq' f
I
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
II yi{ CITY OF CUPERTTIINO 9
' .�/l"pvJ, /L! N.................. 196T
` ................./ .
I
To
You are hereby.authorized to connect the GAS service for
cr_
Owner or Tenant ...
I 2.. .... ...7
G
At
.................
/l New Service .i.......................
No. of Meters ...l............... Reconnect ...:.........................
Move Service'.......................
No. of Add: Meters .............. Move Meter .......:................
PLUMBING OR.........�....
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .........
Q,0151umbing Einal Plumbing Permit No.—1511?z.........
Lot No. -.4 6��-------------------
Owner or Tenant ......'14
(- .. .......................................................
At ... ...................................................
Tract ..... .................................----------/...(....
--------- ......
may
Date Connected ............................
......................................................
DateFinal .............................. .. ....... ...............................- - ---------- .... ....
...�;AI ..........................
III i2/66-IM PLUMBING INSPECTOR