NO PERMIT NUMBER _R1J 4 Lot No�
No. Street /` 41,40
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.,�// LIZ
Dote 196
Sanitary No. S`e �
�
Ap lication is hereby made for a permit to T
a story, Type �zy
to be occupied only as
in acc rda with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements s s.1- ri ti
GG —T
FEES 0 d Plan Check $
Owner Address 2tC �i(.r.
00,
Contr. Address
Phone - 02-1-2 State License 'ir/ 791
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date r — E13 196 /�� FEES - c;Z a
Contr. _ ��. 161?*"• Address 917-6-
Phone
>Phone 7�6 -s5ia/ M M -
aPofa License
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
/ sem
Data S��- � 196 cl' GAS FEES
PLUMBING FEE $
Contr. Address i 3
Phone 2 3 2..3 State License S 5 -
WILLIAN . tyt-tvnvt
Approved
6 APPCA�J TION FOR APPLIANCE PERMIT/a. 73�
Date 196 e' FEES f�
Contr. � � Address 1/-4,)
Phone — 3 7 —4 9.jam State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION 6 lC
G A TOE' 7e��hN$PQEC R
5
UNDERFLOOR - '7 — 7 o
t GATE IN SP. TOR
FRAME 7- 11- 9
11— o \U
/��DATP Q INSPECT R
LATH �PLAST ER U '
_DWE? IN SPE
FINAL FF(L��_
DATE INSPECTOR
TRICAL
EL
INSPECTOR
U ER ND
1 / pAiFE INSPECTOR
ROUGH WIR G
' INSPECTOR
FINISH WIRING �
_ ajrINSPECTOR
FIXTURES
�TE 1. INSPECTOR
MOTORS
A AlL INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE ECTOR
PARTIAL ROUGH
DATE SPECTOR
ROUGH COMPLETE6 fe
D —
pATE tNSAECTOR
MAIN DRAIN 6
DATE INSPECTOR
GAS PIPING
DATE I SPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
D4TE INSPECTOR
MISC P`
DATE INSPECTOR
MISC
DATE NSPECTOR
MISC
J ATEINSPECTOR
nvu li, JLlt '
File No.
Date 1-13 —(,
Location. �6
�i
l�Nr�✓'�11�/��� .ili
Subject
Notes
Approved
Date Insp r
CERTIFICATE '� OF COMPLETION
BUILDING wspEcrorvs OFFICE
CITY OF CUPERTINO
Date ....... I—-----1.7..............
. .... .. .... 19-a. Building Permit No��..UAY
The Building Located at L02.13-7----S........... ....... .........
------------- -----(
- 2........ .............
Ownedby ------- ......(A,* - - ------------I.................... .. ---------------
Has Been (C(AheieA
omplete�) For Use As: ................................................................................
.......................................
..................*...........................................................*.................................... ...................... ...........................?.............................. ........................................ ----- --- - -------------------
.........................M.W—........................................
BUILDING INSPECTOR
102 12/66-IM
I ,
ELECTRIC SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S OFFICE.
CITY OF CUPERTINO
�. '... ..... ...... 1960.
................................
To
You are hereby a t or mI a electrical service for
Owneror Tenant ........ ......... .. ...... ....................... ...........-.. .. . .... . _.
At ....��. "(.S`......... ........ .. . . . . .._..-...... ...._.- _. . ........ _.._. ...... .. _. .
No. of Wires _..Z...._....... Size of Wires .._ .y.. Size of Switch ...�.� `
Motor Load .......................... Voltage .............----...._.......- Phase .............. ....
:...... . . ...
HeatingLoad ........ ............... K. W. ..... ........ .. ................ Voltage ................'._..:...-... .
Light.......... .... IIU...../N�w Service.Z. Reconnect............
.....
No. of Meters... 1Z.
,�`///
- 1 HeaG............... 220....... .. T' Wi .. .. ._... Move Service..:........
No.of Add. Met ers............l
l Power............... Ph .......... .. Move Meter..............
............ ...... . . ..... .. /.... ...
P.LECTRICAL INSPECTOR
GAS SERVICE NOTICE OPFtcrs
I � BUILDING INSPECTOR'S OFFICE COPY
'
CITY OF
TINO
. , t9h.d(y
...........................03�� You ..
are hereby authorized to connect the GAS service for"
Owner or Tenant _._ ~.... .'-'. �. ......�`.�
k / .New Service ................
No, of Meters ./................. Reconnect ..:...........
................
Move Service .........._............
No. of Add. Meters .._.......... Move Meter ........
ALUM
. ............BING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
n Sewer Connection Sanitary Permit No. .....11-4-$417, ......
gy-'Plumbing Final Plumbing Permit ........
Lot No. ......... ---------
S
Owner or Tenant ........ .. ...................... .................. -------------
At ---- -- ............................................ .........
Tract .......... . .. ....... ... . ...
tv
Date Connected ................................ Ido ...............................
DateFinal .....................................� ,7 ............................
.................
LUMBING INSPECTOR
1n 12/66-1M