NO PERMIT NUMBER Lot No4
9
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. . _//! 7
Sanitary No. `--
Date ��196
Application is hereby made for a permit to
`i`�'x+ a Story Type f Z V
to be occupied only as
in accordance ' , Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements . $ 42 !j 4 D C °°---
FEE$ 4 9, 0 A Plan Check $ {,/ A-
Owner Q - - / Address J19 S,'&A- #'41 9&mq 4
Contr, Address
Phone at s 2 '� �3 State License
Approved A1`//l.it4 4 04 �e_/
APPLICATION FOR ELECTRICAL PERMIT
Date f —Ea 196.v_ FEE$ C2 E
Contr. _><�R9• 6U!In�^f2-4-2 Address
7�
73 - syr / State
Phone License
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Data T 796 GAS FEE $ v �J
` PLUMBING FEE $
Contr. ��-+-+�-/ Address -/ t""3,'-- "L
Phone o2d 3--4 2 State License 1e GS -79
Approved 11VILLIANI 0. E3r-N-VICH
/ APPLICATION FOR APPLIANCE PERMIT
Date ` 196 - FEE$' �y�/'�3
Contr. � Address
Phone 37k-- D 2 State License
Approved _ 1�j /
Applicants agree not to violate any of the .HCl
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
t4- I- , $ -I�- 6P BUILDING
FOUNDATION (O_" 6 1'
D TE ECTOR
UNDERFLOOR -Zf-6
TE _I PECTOR
FRAME 2-5 -6 DA
DATE N TOR
AT PLASTER
? _2
_.2.3.1
!f '3 -6 v lTE IN OR
FINAL r
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE '
DATE INSPECTOR
UNDERGROUND
�
DA INSPECTOR
ROUGH WIRING ,YI
• ,Iota
: TE INSPECTOR
FINISH WIRING S
• T INSPECTOR
FIXTURES III,
DATE INSPECTOR
MOTORS -
DA E INSPECTOR
FINAL
DATE INSPECTOR
LUMBING & GAS
UNDERGR'CrOND,
' DATE INSPECTOR
PARTIAL ROUGH ZP-61
DATja E PECTOR
ROUGH COMPLETE
f� DATE S ECTOR
MAIN DRAIN-
/ TE NSPECTOR
GAS PIPING - -5�"4/
I �/JDATE NSPECTOR
FINAL Y
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
G pgTE , ECTOR
MISC
r DATE t INSPECTOR
'� .nvulu ot,lr
File No.
Dat e
Location !n'-
Subject
Notes
Approved
Date InsVctor
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........ ----—------ .............. 1911---- Building Permit NG.,fT.�-Q-2
The Building Located at ..Ira-es—,......(a
..... ---------
--------- -- .. .......
------ --- ---------------------
............................ .
Owned by
Completed)
Has Been ' For Use As: ----------- ------------------- --------------
- ---- ---
(4-kleredt ---
.............................................................. ............ ......................................................................
............................................. ................ .................... .................................. ........ ..............
..................................................................... ------------ ----- -------- -- ------- --------------
....................... ...........................
BUILDING INSPECTOR
102 12/66-1m
OFFICE COPY
� ELECTRfC SERVICE NOTICE '
BUILDING INSPECTOR'S OFFICF,
CITY OF '.CUPERTINO Q ', �J(/1
(p r I 1yGi�l..
To
You are hereby aut o iz .con c electrical service for
Owner or Te ant ... .......... Q-_.:�. ) / .......... . .:
At
'Y..............
_.. �.j�.>�....... . ...._ . ..,.....
No. of Wires .......2 ......... Size of Wires ....... ........
. __ Size ofSwitch �.w.pr_
Motor Load .............:............ Voltage ._:.............._._......... Phase _
Heating Load ........................ K. W.�............................._.._ Voltage .... ..... ..... .
No. of Meters..........�..........1l Light.........' i 10.._�New Service:..
Reconnect....__............ 2_O�. / atia . service__....of Add. Mete _ Power_....._ The ....... .
Move Meter..............
...............
P.LECTRICAL INSPECTOR
r
GAS -SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTTINO p (y
✓�.1'ry/��(r / ........ 196.6
.............../ r�...............................� ".
0
You are hereby authorized to connect the GAS service for
I
Owner or Tenant .... �... ..^. ...^.' ... .....................................................
At .x=;.2/3 .-.. /:................................................
New Service ..........................
No. of Meters ../............... Reconnect .:...........................
Move Service .......................
iiNo, of Add. Meters .............. Move Meter ........................
.. .. .:............
PLUMBING INSPECTOR
41
. r Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO f%
Sewer Connection Sanitary Permit No. . a....--------
5/Plurnbing Final Plumbing Permit No. /�ll.f; ........
Lot No. ..-(�J.�------------------
Owneror Tenant _...✓. , ...(./: ..Y.Y.-�......... .........................._..............-
Tract ..,. (,}3?TF'. ��. lf.!J�✓1� .............. .........._.....
n
DateConnected ................................... ...................................................... 19.4e
DateFinal ...................................... .. .............................................:............. 19.f7A....
.---------------.-----
G PLUMBING INSPECTOR
111 12/66-1M