NO PERMIT NUMBER (2)jrLot No!w
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. G,Fa 7
s'
Date .�,=196 .7 0
Application is hereby made for a permit to
to be occupied only as
in accordance
Estimated Value of Improvements
FEE$ Oy
Owner
Contr,
File No. %4;,'177 /
a / ,story, Type 1 . ',7'
Plan, Plans and Specification filed herewith„
Plan Check $
Address 6_Zd0- 9 J :r6z 4 ! �V .P
Address
State License /J—/ 7 9 /
WILLIAM D. BENEVICH
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 41 196 d
FEE$ c;2-
2Contr.
Contr.—�
Address J _
Phone 73 6 x'5.16
State License
Approved 6
APPLICATION FOR PLUMBING R GAS PERMIT(/ V/46
Dote 196 :26
GAS FEE $
PLUMBING �
FEE $ o2s.3 �s
Canty.
Address ///fir% C/�
Phone -� SKS--e L. i d-�
State License /1L N f 2:2
Approved
7/ APPLICATION FOR
Date 196 % C
t /
APPLIANCE PERMIT
FEE$
C ontr. �C'f-��
Address
Phone —32 - U/n To'C
$tate License
Applicants agree not to violate anyof the.�-
Approved
Workman's Compensation Laws of the
(/
State of California :.
i
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR
PAD FINAL,
5'
0 '
�� D
FOUNDATION
SANITARY NO.
UNDERFLOOR
749
-1oLAFRAME 7-16-74---
UNDERGROUND ROUGH
PARTIAL ROUGH
TH & PLASTER
LATH
2l T� • • r,
GRADING FINAL
—7
ROUGH COMPLETE
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR i MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC
BACK FLOW REO.
5'
0 '
MISC
SANITARY NO.
MISC
UNDERGROUND ROUGH
PARTIAL ROUGH
S
2l T� • • r,
7
—7
ROUGH COMPLETE
•�J'
26
-70
MAIN DRAIN
�—
70
FINAL PLBG.
r
FINAL GAS
Td
FINAL APPLIANCE
i�icocr Tna MISC.
MISC W S .
5'
0 '
MISC
MISC
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ............ .:.'{f! 19 //n Building Permit No. ................../
The Building Located at .............
Owned b ! i-.�----,n�wC.................------------------...........--
y ......... U —.... .
(Completed)
HasBeen For Use As: ------...........................................................J......-.
(Altered)
............................................................... ...... - .......
........ �1 � �--------------- ------
BUILDING INSPECI'OR
jPr;1 GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
...... 1900
To
You are hereby authorized to 'connect the GAS service for
Owner or Tenant ........
At
..........
New Service .....
No. of Meters .........1......._... Reconnect . � ............. ... —,
Move Service ..........
No. of Add. Meters ............ . Move Meter ............... ..
.................
. .......................
PLUMBING INSPECTOR
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
10�)
You are hereby
authorized to connect electrical service for
O.........
Owner or Tenant ........
,��,7-
.
At........
.............. ..........
....... ...... ....................
No. of Wires ................
..... _ Size Of Wires
"
------ Size of Switch / ....r, ..
Motor Load ..........................
Voltage
Phase ..........
Heating Load ......................
- K. W . ..............
Voltage ... ................
No. of Meters ...................
. (Light ......... ...... It .... . .....
New lomonnect., ..... --.-
No. of Add. Meters.-.....-....
I Heat ................. 220-
Three Wire.... Xfo,c scm,-_ .... ..
.......
Three Phase.... .......
KLECTMCAL INSPECTOR
17&
,
n, Sewer Connection
I
%C] Plumbing Final
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER -PLUMBING NOTICE
Sanitary Permit No. -----------
Plumbing Permit No. .4-1 ...... 7--,7 / --------
Lot No. ------- :?.57
Owner or Tenant
........... .......... --------
(A ez,_oL
At ...
...................................
Tract .............. 0-
_-t�
......................................................................
17
Date Connected
.........3--_---s'-G..-.-......v
.........................................................
19.... —
DateFinal ............
.............................
---------------------------------------- 19........ .
........I.....--
.� 164.IldC� ------------------------
PLUMBING INSPECTOR
ROUTE SLIP
File No.
Date
Location_����`,Sy
Subject
Notes
Approva4_V
CITY -OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
I
Repartment 0
Job.Located at ----------------------------------
fly
ISJ
------------------ ------------------------------------------------------------------- -
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: ---- --------
City Telephone Inspector: 94��
-7
OFFICE COPY
ELECTRIC
CITY OF CUPERTINO
SERVICE NOTICE
7�
1
7
To
You are hereby aut
mon tt electrical service for
Owner or Tenant ..........�'-
At ...
No. of Wires __..........
Size of Wires ..._._............. Size of Switch .................
Motor Load .........................
Voltage ..... ............. ._...._.... Phase .._...... ....... .......... .......
HeatingLoad ........................
K. W. ....... _.__............ ........ Voltage
t Light ................
No. of Meters .................... 11`Heat...........
No. of Add. Meters............1
110.._..... New SCr\'IR'.. .._. Rewnnea.._......
t � ... ..
... '�0......... .. Three \lir re ..(...... _.... \love Sen'in_.......
�22 /
Power.........
'ChrS ?hasy_..�.._..... \fu•:c bfv-ter.......
ELECTRICAL INSPECTOR
ROUTE SLIP "
File No.
Date
Location— �y�✓f
Subject���,
Notes
Approved -�s-
Date tor