NO PERMIT NUMBER yw
Lot No.
1
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No, X,/07J
Sanitary No.
5771 d/=
Dare � 196
CApplicationn is hereby made for a permit to tl
(,�{4l a L story. Type " T
to be occupied only as
in accordance with Plot Plan, ns and Specification filed herewith.
Estimated Value of Improvements SV`i.nsa'adi 61j
FEE$ — Ilez 40 0Plan Check $ w.
Owner 9« MlZr , e� ft1dAddress Ad 7
or dr
Contr. Address -_
Phone State License -4A&#Mx,& 4z
Approved 6 �
APPLICATION FOR ELECTRICAL PERMIT
00�
Date O �� 196 FEE$Cont,. _� `^-I/�-.�-✓ Address
Phone -ZS-a - SSZ State License o2
Approved WILLIAM D. FSEPiryie`L6
APPLICATION FOR PLUMBING & GAS PERMIT
Dote �U 196 6 GAS FEE $ - S�
PLUMBING FEE $ �5-3• J�
Contr. Address
Phone _ y6 State License 2 Z 5e 7 3 f�
WILLIAM D. BENEVIC14
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of,thg
Workman's Compensation Laws of the
State of California 1,
RECORD OF INSPECTION APPROVALS
FOUNDATION a �20 -6F BUILDING,
Date _6 d � Ins pct
UNDERFLOOR --,&' Cpy
FRAME 'Q Dom/
J6 -6 d ,Cn�.,�.°l.t� 4I
AT' PLASTER r/Dat In" e
FINAL /
Date Inspector
ELEC RICAL
,OUTLETS
u S ' SIZ
SWITCHES UNDFR
DateInspector
RECEPTACLES RO IRING ' YY'
Dae Inspector
FIXTURES FINISH WIRING��O CCPi
H.P. CHARGEdat
FIXTURES
I - a �q Inspector
-
---Date-" Inspector
PERMIT FEE Motors
p� Inspector
TOTAL FEES FINAL _ Y
Date Inspector
PLUMBING,& GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Dote
MAIN DRAIN FEE ROUGH COMPLET D 3O'
Dote r
STORM DRAIN FEE MAIN DRAIN c7
/ D r
WATER SYSTEM FEE GAS PIPING
Date e r
GAS PIPING FEE FINAL
Data nspector
PERMIT FEE MISC
Dote Inspector
TOTAL FEE M_ ISC
Date 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 PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
Data Inspector
ROUTE SLIP _
File No.
Date
Location
F
Subject_� O� ,7
Notes
Approved, /-e'1/
Date i ti s p6 c t 0r
CERTIFICATE'- 01 COMPLETION
BUILDING INSPECTOR'S OFFICE
^� CITY OF CUPERTINO -7
Date . .)---`.._.�C---0.................... ig.. ?.`'-- � Building�i Permit No. S� 10`.1.3.
The Building Located at --1v---77..... iCe ....... i�GC ,fit...... "-'-`---
Owned by -,.. . w -... ... .... ...._........__........._...... . ..7�L - -----------
((Eompleted)
Has Been Altered For Use As:
------------------------------------
.... ..... ...... ..............
............----------------------------------------------- ---- ------rJ .............................
BUILDING INSPECTOR
102 12/66-IM
OFFICE COPY '
ELECTRIC SERVICE NOTICE
�} 1 BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
You are hereby aDtori—Zed to conn elecfricatY&- *
Owner or Tenant ......1...,...... _.. .. !�C?!
...................c
�C
No. of Wires ........................ Size of Wires ...................... Size of
Motor Load ......................... Voltage ................................ Phase .........`.:......................
HeatingLoad ........................ K. W. -----............................. Voltage ................................
�) (Light...._......... 110.. ...._.. New
Se ............... Reconnect...........
.......
No. of Meters..S.T.>......1
Hat................ 22 . ........ hree i ............... Move Service............
No.of Add.Meters............
Power.........._... h e................ Move Meter.............,
s
..... ................. .. ........... . .. . ....................
81ECTEICA INS CTOR �
GAS SERVICE NOTICE O`tIc"
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO /
......................... .. . ...
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .. ..... ...G
At _ D77G .. . .. r� y¢ ' .. ._._ ......_..� _.......__.
f New Service .. ...........
No. of Meters .../_......__ Reconnect ..... ........
Move Service ..................
_..
it
No. of Add. Meters ..... ........ Move Meter ........ ...... . ........
PLUMBING INSPECTOR
I
Bldg. Dept
Office Copy
K"NG INMCMIS CW"=
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .....
g,-Aumb- inal Plumbing Permit No..-.f 1-07,?........
:z;;NEL�- Lot No. ----7�..................
. ..................................................
Owner or Tenant .... e
At ....... z
Z-7 ........4 '-4- -----------------------
Tract ..............91-----
....................................................................
DateConnected -------....................... . ..............................................
Date Final ..................................... - -- -----
------ ---- ---
------
P p --------------------------------
E
ING INSPECTOR
III 7/63-IM
U 7 U I �_a"—o +/\ LOT NO. 72,
NO. STREET
APPLICATIO:NI FOR APPLIANCE PERMIT
v z i � C11'Y OF CUPERT[NO
xe -` 'JAN `? 21°6°
0 a Date 196— Permit No. S— U-7 3
U
• ° Application is'hereby'rrrarle to the City-of Cupertino for a permit to
o F install gas appliances as listed on the reverse side hereof, and agrees to
i in install said appliances in accordance with the provisions of the Plumbing
= Code of the City of Cupertino, and all other laws applicable thereto.
3 Use of Premises,
20 l /J
„ Owner Y T�L Address
0A
J n/ Z__±'
J o BY Address��/0� --Carr-��
CONTRACTOR, AGENT
3 m Phone v gy o
Y 2
a o y State License 7� Z Approved
—U PLUMBING INSPECTOR ���
o
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A`R WC-ATI N� FOR BUILDING PERMIT4�p .zo InITYOF CUPERTINO �0 ��° AUG 1 !� 6$ MT Sanitary No. 0�
SV
i U Date ����C��+y _ _ a196 P' Permit No. -51 [� 73
o CATplicat4ofi is Me'LeP TVI'' 1permit toei�
a
aa a story,Typc ^—/�71y Building
to be occupied only as 7 f� �f in accordance with
a
0 0 flans, Specifications and Plot-Plan filed herewith. 00131 Ck Fee
� ; Estimated Value of Improvements,$ ��Q — , Fee$
Z J �
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino be compli d with.
3 t-
- Owner CC/• v 1M Address%
wZ
M a ey / Address -
< o ��—� 5�9y�
Phone
_U
Z� 6 7 APPro
State License i' UILDiN° INSPECTOR ✓