NO PERMIT NUMBER Lot No. A W
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
sI/8�
File No.
_ Sanitary No.
Date 196
Application is hereby made for a permit to
•
a story, TyeTS'
e
to be occupied only as
in accordance with Plot,Plan, Plans and Specific filgdllerewith,
Estimated Value of Improvements s A?P, 0 �� �pp
FEE$ , Ai0 Plan Check $
.Ow nor Address
Contr, mss/ Address
Phone �
S
State L
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 1196_/ FEES a6-0
Contr. ZI l 'Address
Phone �7State License
Approved WILLIAM D. OCNEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Date S�;dd¢{�.t-1,Cb 196 GAS FEE $ J
PLUMBING jF�EEE $
Contr. 4a11I1paA , � A-1 N11 t�1� Address ,CSL%7 Z6
Phone Sys - a.;a3 State License 18bs79
Approved WILLIAM CJ.
APP L CA) TION FOR APPLIANCE PERMIT
Date � � 196 FEES
Contr. G Address Z4&Phone State`3� o - O j 50 State License
Approved 7 sil ia®N136K jE
Applicants airee not to violate any of the
Workman's Compensation Laws of they
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION _6 BUILDING
Da tq / ,Q ns ct
UNDERFLOOR eC —G U
Data .'Ins pac r
FRAME o– ZL-G
Dote Inspec r
LAT PLASTER O, LL '�-6je
^Dn cf
FINAL CD'
Date Ins as c far
ELECTRICAL
.OUTLETS SERVICE SIZE _
SWITCHES UNDERGROUND
� � D.,a�te�, Inapaefor
RECEPTACLES ROUGH WIRING ,� RM
/ '
i _qy, Inspector
FIXTURES FINISH WIRING
D t Inspector
H.P. CHARGE FIXTURES Q�
Inspector
PERMIT FEE Motors
t Paie I actor
TOTAL FEES FINAL 1
Data Inspector
Eld
PLUMBING & GAS
r MAIN DRAIN - SIZE MATERIAL
I STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Data or
MAIN DRAIN FEE ROUGH COMPLET :2 —
DofAor
STORM DRAIN FEE MAIN DRAIN
Da for
WATER SYSTEM FEE GAS. PIPING �' —
D to for
GAS PIPING FEE FINAL aZ- 6^
Date. Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Dote 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 • PERWTtFEE
FLOOR FURNACE - TOTAL/FEE
INSPECTED �— G l
nate Inspector
ROUTE SLIP
Filo No.
p y— Date
Location
Q
Subject Qom .
Notes
Approved �/
GAS SERVICE NOTICE OFFICE
y
V/ BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
19
To .
You are hereby aut zed to conned the GAS service for
Owner or Tenant .... . . ................
At ...ar/"�-. ....... .............._.................
New Service✓.................
No. of Meters .1............... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter .....................
�. .................
..............
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY. OF CUPERTINO
Sewer Connection SanitaryPermit No. .......
112"Plumbirm F- al
Plumbing Permit No. ..lf.. !r.._..
Lot No. .. // ..
----------------
Owner or Tena��'.✓,. ?` � —.L.. . +�r' - _.:.......:......_......
At
Tract .............. ..... ,�0 ......................
DateConnected ..............................._G✓.F .........................................................
DateFinal ...... ...-................1 ?!(...........--...................................--...,_--
................
6�PLUMBING INSPECTOR
111 12/66-1M -
�- OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
You are hereby auazconn electrical service for
OOwner or Tenant ........ :..t► �,. .......................
` No. of Wires ....Z............ Size of Wires .... ......:Y.... Size of Switch1.QO.
I
Motor Load .......................... Voltage ................................ Phase .................,.................
Heating Load ........................ K. W. ............/
No. of Meters....\ ..................... Voltage ................................
Light._ 11(Y......... New Sen'icr ...... I<emnnect..._............
...........
Heat................. 220. re 'rc. .... ..__. >(ocr Scrvicc...._.....
No. of Add. Meters............
,Power............... Thr Pha .._...... \4n'e Meter........
i
__ s• ELECTRICAL INSPr.0
ROUTE SLIP .
File No .
Date /O-%� -G �
Locatiio!on /� -
Subject
Notes
Approved
Date Insoc't r
GAS SERVICE NOTICE OFFICE
!!� BUILDING INSPECTOR'S OFFICE .�. Corr
�p7 CITY OF CUPERTIN
............ ....:....................... 196.4...
To
You are hereby authorized to conned the GAS service for '
jOwner or Tenant t!J ..1,! .�k�i .....................................................
_.....j
/.��At Cfa£%�?. :: ��W..Gt Cy .. . ........_'....,........... .!'.:.:.....................
New Service ..`./......:......
No. of Meters .. .............. Reconnect ......:......:.:...........
:.
11
Move Service .......................
No. of Add. Meters ............... Move Meter ..............:.........
........ nl�.
......................
PLUMBING INSPECTOR'
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No,�-,e!l�----------
Bl-'Plumbig Final Plumbing Permit No.,:I—ll,?7-------
Lot No. -Z-�r�---------------
--- -- . . . . ...........
At .. .... ------- ................. ................ ..............
Tract ........ ----------------------------------------
.gym
DateConnected ......................... ..... . ..................................................... .... .....
19
Date Final .......................... ........
--- .............. ...................
..............
PLUM INC. INSPECTOR
111 12/66-1M
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... .... 19....._/..... Buildpig Permit No.S...1.1-----------
The Building Lqcated at ....ezo.,.�x....... A............................
Ownedby ...... ..........a...�'*...........*......... ................................ ...... ............
Has Been (Completed) or Use As: --------,...._1.. ...b oil-
... ............................ ......................
.........................................I................ .......................................................................7..............
...........................................................................................................-.....................................
.......................................................................................... . ..... .........
........... ...
.....................................................-........ ........
BUILDING INSPECTOR
102 12/66-1M
NP
S re Lot No.
1 AU 196A8PPLICpACity of Cupertino FOR BUILDING PERMIT
1°". 7
Sanitary No.
-0 Date , 196_ a it No.
m ��
A Itaatlon Frereoj7i"'eFffl�j& t to
E vt 1 r
3 a pZ,- sto ,Ty*1d
Building
m R
to be occupied only a in accordance with
o
o Plans,Specifications and Plot-Plarewith. Pj Ck Feeou
O Estimated Value of Improvemen , '� Fee$ '
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
o
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino &ill be complied with. I ��
Owne Address Z
By Addr
WILLIAM D. BENEVICH
E Phone Approved
1� U State License Building Inspector
T
CERTIFICATE OF COMPLETION
BUILDING-INSPECTOR'S OFFICE
CITY OF CUPERTINO
G Building Permit No."��...1.
I. Date .... ..n..:-......R....................... 19...�..... -�-
The Building Located at .."v..3 e s......L... .... ^ dj....t{"S..... ......... ...........
Owned by .....a !' -...".. a a Aa ...
................_....
...... . -�.............
Has Been (Completed) or Use As: ..............
...............................
..................
.......
..... �t'� > .... .........................:.............................
. .......................................................................................................................................
........._............._........................................................._. w ..:. .....................
t
BUILDING INSPECTOR
102 12/66.1M _
OFFICE COPY
ELECTRIC SERVICE NOTICE
j BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To ..............._........ . ...____..... .:... . a96fg.
I ,
You are hereby autho iz d t nett trical service for
Owner or Tenant ............. ........
... ( y ...
At I Qr..
.
No. of Wires :� ... Size of Ws YSlz�itch
f.
Motor Load ...............: ......... Vol age -L............ ."'.-.:._ Phase
Heating Load ....................... K. W. ........... Voltage
Light ._ lll /New�Servi<e. ,/ _ Reconnect ___,. ...._.
No. of Meters.... .. .
No.of Add. Meters.. . .'_` fi,o
e....... .....eat. 2 o re WMove ServtcPower.. rePhMove Meter.............
ELECTRICAL INSPECTOR