NO PERMIT NUMBER Lot No..2-2-., '
No. Street9-
APPLICATION FOR BUILDING PERMIT
CITYrOF CUPERTINO
File No.*.7//�•
12 -
2 � /4/ sanitary Na,.�33�
Dote .�196 2
Applicationishereby made for a permit to I
story, Type S-1 Jr
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
be
Estimated Value of Improvements $ ..2er2• Q 0
t0I'
FEES !��7r / Plan Check E QQ ^_
Owner Address m2-221. '06 41h
Contr, r� Address �• Q
Phone - 1114P
State Licennsse,///l ���7
Approved /�N l;,9jfi O/s
APPLICATION FOR ELECTRICAL PERMIT
Data /yam 196 r - FEE$ --2 -3 • '5"a
Contr. Address �� y f h S�c�'l Com_
Phone .12'-`1 'r-o) -2 O Q State License
Approved
t
APPLICATION FOR PLUMBING & GAS PERMIT
Dote i 196 � GAS FEE E
PLUMBING FEE $ _e7 2---A O
Contr. Address /142 - /'].,(Z &:e--
Phone
ydPhone - �7r� ifMO State License '-x'44 dd P�L
Approved
APP
[CATION FOR APPLIANCE PERMIT u
. i
Date 196 FEE$ /c2.
�//
Contr. Address /<3 d `S /
Phone d State License -7-'
//OZ' �2-
i
fr WILLIAM D. BENE�r'ICH
1 Approved
Applicants agree not to violate any of the
Workman's Compensation haws of the
State of California
RECORD OF INSPECTION APPROVALS
Y^ �` , /- f- 6 Y �/+7� BUILDING _
FOUNDATION X1.`26 ra / czl '
DATE ^IN SP CTOP
UNDERFLOOR L
DATE IN SP TOR
FRAME -� 2&-g
J
DATE INSPECT R
LAT PLASTER -2'4
�� =ATE IN SP
FINAL 6 OR
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
O:gA E INSPECTOR
ROUGH WIRING /Lo
.; DA E INSPECTOR
FINISH WIRING
DA'jE INSPECTOR
FIXTURES �I�jY r /e-
-DATE— INSPECTOR
MOTORS
OA� INSPECTOR
FINAL r r
DATE INSPECTOR
Zu /-ALUMBIN�AG & GA/S,
UNDERGROUND
Q• DATE NSPECTOR
PARTIAL ROUGH - o
o9t INSPECTOR
ROUGH COMPLETE (((/OOOO�/
DATE SPECTOR
MAIN DRAIN -�
TE SPECTOR
GAS PIPING
DATE SPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
., DATE INSPECTOR
APPLIANCE
INSPECTED
DATE �\ INSPECTOR
MISC
DATE INSPECTOR
MISC
OATE { SPECTOR
l
MISC o`
DATE - I - INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date -------3........�2
......�K............... Building Permit No.
The Building Located at
Owned by ......I)- A-t
-------- - ------ ------------- ------------------ ------------------ .. ......
Has Been (CompleUed)
For Use As: .................
................................................................................... ....................................................
--- ------ ...*............ .. ----------"I',"--,-,------111-1-1---------------------------------------------------
................................................. ............................I....... - ------- -----------------------------
�E41A. Z4
------------------------------------------------------------------------
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
T Z CITY OF CUPERTINO
3 196-g.
To
You are hereby a1 i d toconn electrical service for
Owner or Tenant ....... _
....
........
......-__........._. ._._.............. ....
At
No. of Wires .....3 ......... Size of Wires ..../........ Size of Switch
Motor Load ._......................Voltage ....... ........................ Phase ..._.---. .........
:...__.. ...
i
HeatingLoad ........................ K. W. .....---....................... Voltage ........_..._ ..............
+ Light....../ 110..../... New Sewicr.__. __._ Heconnea_...:..._._....
No. of Meters.......{............
Heat............ 220........_ ee Wi e...... .ae
e service..........
No. of Add. Meters............ Poorer............... se....... Meter... ......... .
f
.............
ELECTRICAL INSPECTOR
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
.................... ............ 19&?
TO
You are hereby authorized to connect the GAS service for
Owner or Tenant %
".*... ... . .. ......
At ......
New Service
No. of Meters .... ...... Reconnect .............................
Move Service ......................
No. of Add. Meters .............. Move Meter ........................
e�'�WPLE MBING INSPECTOR
UIdg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No.
53,-Plumbing Final Plumbing Permit No,��/-a-??.....
Lot No. -.72-------------------
Owner or Tenant ......
At ...
- - - ---- ------------ ---- ------- --- ---------------------------------------
Tract ........-n
----- --------------------------------------------------------------
Date Connected .................. C�
......... -- #- ---------------------------------------------- ------------
Date Final 7
. . .... .............................................................. 19-4�O
............5:;;?6e----------------------
,i:::KU4BiNG INSPECTOR
111 12/66-1M
ROUTE SLIP
File No. Sfo3b
Date
Location " ,ZL
Subject
Notes
Approved
Date .Inspector
ROUTE SLIP
File No.. 510 3
Date Out 12- --26 -C7
Date In 42 —Z6-6
Location
Sub'jec't
Notes _
Approved 42-2)t _d 12 _
Date Inspector