51167 / �C/1_.Q ,V'y�),,, (.�Lot No. �Cr
No. Street //D�
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO / r7
File No.'� (/��J'/
Sanitary No. �v
lv
Dote 196
Application^isfherreby made for a permit to T
C/ /L` a ,story, Type-� s-/
to be occupied only as a t F
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ 6e t,5
FEES -�.� S� Plan Check E
Ow r.er — /+ Address —z
I-)
Phone .2, State License
Approved WILLIAM D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Dated/[ 196 FEES easo
Contr. �f /� Address
Of.
Phone owl State License ziii
-. Approved WILLIAM Q R:=NFVIrH
APPLICATIONFORPLUMBING & GAS PERMIT
Dote 814:1-03,96 GAS GAS FEE $
n D /- /Y PLUMBING FEE $ SO
Contr. nfY'.(//��s+t//l�'1•/!/1-/](-�A Address kag
Phone —._ ��-7 —o����f State Lice nsa
WILLIAM D. BENEVICH
Approved
APPLICATION FOR APPLIANCE PERMI,
Date 196 // FEESy�J`�
Contr. Address 1�/ x//e-�-s.�-�.- Q-/
Phone 3 - d �� Stare License 2-
Approved -1. VAIN JI.,1"I
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
l-RECORD OF INSPECTION AP ROVALS
BUILDING
FOUNDATION 3 -b-
DATE
6DATE INSP OR
UNDERFLOOR O�
' CAPINSP C R
FRAME 7- Z' �'
OAT SPECT
LAT PLASTER
ATE NS OR
FINAL �� �O �6
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
E INSPECTOR
ROUGH WIRING '- 11,00crVA
`DATE INSPECTOR
FINISH WIRING 6
^ I O�
D TE
FIXTURES INSPECTOR
( 0�
DATE INSPECTOR
MOTORS !�
„ DA INSPECTOR
FINAL V
•DATE INSPECTOR
PLUMBING & GAS
UNDERGR UND _ G
DATE INSPECTOR
PARTIAL ROUGH
DATE CTOR
ROUGH COMPLETE _
DA S ECTOR
MAIN DRAIN
PECTOR
GAS PIPING _4/,((��7
151PECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
'O _ _ .DATE SPECTOR
MISC
DATE INSPECTOR
1LVU 11:. JLlr '
File No .
Date9- 9- (agl
Location '0-Z
Subject
��
a
Notes
Approved
Date in�,ecefor
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e 1
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gp ti
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_•• -....u'Jen�YtFJ&� ,� ..a..,a... ,3 6l: .i.Y- +'-" i4d` n� � ��.La'li.
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO (max'
�" ..._........._......_. �
To .... ...... ._. 196.V..
You are hereby nut iz con ct lectrital service for
Owner or Tenant ................ ..
At ........ .. b.8``�tC.i................ .... ........ ... � a�xy...... .......
No. of Wires .........v.--...... Size of Wires ......... of Switch 10.041'r
Motor Load .......................... Voltage ....._...... .................. Phase .._......_
........... ...
Heating Load ........................ K. W. ......................._......... Voltage ......... ......_............
Light-:—...� I IU..._� New ekg
�KconnW.......__.... .
No. of Meters.................... �"
Heat--.._..-..___ 220....._� 'hreeve Service......_..
No. of Add. Meters..-.-.-..... Power.._........... ..._.....reeve Meter..-........EL
GAS SERVICE NOTICE OFFICE
COPY
�� BUILDING INSPECTOR'S OFFICE
' CITY OF CUPERTIN (�
i
T� ......._...... .........................
- ....................._........
You are hereby au onzed to conned the GAS service for
i
Owner or Tenant . _..
..
� At .. .O�P /.:... Pm...... .......................
New Service
.........................
No. of Meters .. 1............. Reconnect
.............................
Move Service
.......................
i
fNo. of Add. Meters .............. Move Meter ........................
P MBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ---Cl ------
/Plumbing Final Plumbing Permit No.��/A4 7
Lot No. ...
Owner or.Tenant --141.sXK —----------------------------------------------------------
At
Tract -------------
Date Connected -------------------------
KIP,
Date Final ........................ 9..,l----------------------------------------
-----------------------------------------------------
- -------- --------------
.............�. -P
-
"01FL-UMBING INSPECTOR
111 12/66-IM