NO PERMIT NUMBER (2) l
_ Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. S��G
Sanitary No.
Dote 196
Ap lic tion is hereby a fa a permi to
tory, Type
to he occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements $
FEE$ � -I Plan Check $
Owner V Address
Contr. Address
Phone aS7 — State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Coritr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Conir. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the -
Workman's Compensation Laws of the
Stdte of California
YI
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Do to Inspector
FINAL
Date Ins oe ctor
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING '
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector
TOTA FEES FINAL
Date Inspector
UMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector
STORM DRAIN FEE MAIN DRAIN -
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE - MISC
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 _ —
Dote Inspector
V� I l �I}'Cal�rce3//�irn77',L�✓� .9ry��>iii LotN /p�p
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.,167. 1
Sanitary No.S�G/
Dotef,�i6Q$,�196
p�,�ppApppplication is hereby made for a permit to
.-xAze . a story, Type /L/
to be occupied only as ZfZ4
in accordance with Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements s .26, L�
s
FEE$ 1pD' Plan Check $ r.,/�
Owner RL_1ii ��/I iKX/ Address aa2 .5 oC.Ge., ��
Contr. S/yL� / �� Address
1
Phone State License
Approved CM.dKJ�cA2l�ifi/r�✓ y/n(
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$ Z•3 ",O/
4:7ContrAddress
Phone 73'6 —S�1'� State License
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
4 "U
Date 196 7 GAS FEE $ �s
PLUMBING FEE $ 0 D
Contr. (9.L'� Address-" X21
Phone State License 1Jr-6 S 7 l`
WILLIAMD. BENI="ViCH
Approved
APPLICATION FOR APPLIANCE PERMIT
Date ^�aL 7 1%T? FEES A ,cp.�`z ' S-
Contr, iN�-^//+//S' / Address,�JC'^' 1
Phone v3 Z'f- 'y State License /`f 2- Y Z
Approved
Applicants agree not to violate any of the /'la
WDrkman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS ... P
BUILDING
FOUNDATION (ti '6
f 2 Z ^ q�E INSP OR
UNDERFLOOR-
,7
PATE INSP TOR
FRAME ^ �
DATErpw,,�sI N,SP, TOR
LATH & PLASTER -2-64 v'"-"- 11
Pq E INSP R
FINAL — 6 '/J
DATE INSPECTOR
f� ELECTRICAL
ELECT. SERVICE C V4s i`
'DATE SPECTOR
UNDERGROUND
04 TOR
ROUGH
ROUGH WIRING
;A� NSPEC R
FINISH WIRING
07
' All&
FIXTURES DAT INSPECTOR
\I
-. D�- INSPECTOR
MOTORS
' 6 D4yE INSPECTOR
FINAL
r - -
DATE INSPECTOR
/, 1 _ -f__fLUMBING & GAS
UNDERGROUND
DATE PECTOR
PARTIAL ROUGH ?-/I/- /
G-`7
D AT.9 SPECTOR
ROUGH COMPLETE
INSPECTOR
MAIN DRAIN
ODATE INSPECTOR
GAS PIPING
pATE INSPECTOR
FINAL �r�
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
PPLI
INSPECT D
DATEE INSPECTOR
DATE INSPECTOR
MI C
DATE INSPECTOR ,
MISC
DATE INSPECTOR
OFFICE CO ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY or CUPERTINO
................. .. .... . ..
"7 ........... 196.,7
You are hereby authojized to connea- Ilectrical service for
Owner or Tenant ... A...... ...................
. .......... ...............
At (/0..:7...... ......
No. of Wires................ Size of Wires ....... Size of Switch
Motor Load .......................... Voltage ....... ........................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Lig'
No. of Meters...... 110...:........ New Service..��.. ktocomect........... ......
Heat.. 220............ Three Wire................'Move-Service............
No.of Add. Meters............
Power............ Three P Move Meter..............
....................
iLECTRICAL iNspBcrop.
'CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date.... Q.i�....:.....fl............... 19.4. .. Building Permit No.
The Building Located at ....oz/...�.�}. ....._. .......
Owned b /
Has Been
cComete For Use As: ......S.77 WL:......................................
...................................................._....................................................................I........................
...............................-----.........................-`---....................................---._...._...........................
......................----......................... ............................... ------- ............................
......... .. ...........................
BUILDING 'INSPECTOR
102 7/63.500
ROUTE SLIP
File No , 5-1167- 1
Date Out
Date In I/— ?-67
is
Location o?! 786 Co//LIYVwevf41
Sub,jeot
Notes
Approved
Date Insp;cto:
�I OF COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
. (,0(0 /.,f - S. -- .. �. . . 19G L..'�
I To
You are hereby t oci o co electrical service for
Owner or enant ...... ..........
o 7 � b ? '
r *- ....................................
.``.�/..-......
i
No. of Wires . ................ Size of Wires ...........C........ Size of Switchl. 6.oh#:...
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W�.............J..../............... Voltage ................................
ILight..... New Service............ Reconnect..................
No. of Meters....................
Heat................. 230......... . T ire ............. Move Service............
No.of Add. Meters............ ... Move Meter..............
Power............... T Phu ............
...................1:...............:........'..:..r.:.. ..................
RLRCTRICAL IN RP OR
OFFIC
GAS SERVICE NOTICE COPNI,E
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........... ...... 196.7
To
You are hereby au"thizcd to connect the GAS service for
Owner or Tenant ............ ......... ..............................
IyA, .. .. .. ....
New Service .........
No. of Meters Reconnect ..............................
Move Service ........................
No. of Add, Meters .............. Move Meter --.......... .......
PLUMBING INSPECTOR
• Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No. ..........
Z]/Plumbing Final P16mbing Permit
Lot No. ..._a----------------
Owner or Tenant .... ...z..... ......
..n...............................
At
Tract ----------
......
............. .. ...............................................................
DateConnected .............................2.. .. ............................................. 19../....
Date Final ................................ ...
...4
............... ............
UMBIN H�S�i
111 12166-IM