NO PERMIT NUMBER (2) �T it' I Cv.l �./'Wt.[• Lot No.
No. Street ��/ 2_`�
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. Ss�s2 �-
Date /a 19677—
Application is hereby made for a permit to
a story, Type s
to be occupied only as
in accarda with plot plan, plans and Specification filed herewith.
e
a
Estimated Value of Improvements S 9
_J7S � Q 00
(o D JJ//SD
FEES �• Plan Check $ 3r
Owner Address ea
Contr. Address
Phone 0? State License
G d+ Approved WILLIAM D. EIENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Do to 196 7 FEES / S -7)Carat. _ ���--fh--� Address 6119 S— ILL ^4
Phone L--� 7 D State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 4 �- 196 GAS FEE S ^�J c
PLUMBING FEE S 2.3. 3'4
Carat. __ (7Address fit-6a t%iZ�
Phone r 7s —f� J State License ✓3�' S^L
Approved
APP CATION FOR APPLIANCE PERMIT
Data196 FEES /C) SU
Contr. r Address �3y �1./' i
Phone 3r �'" 09. i' State License
Approved WILLIAM D. GENEVIRu
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
' _ ` - id-0 -S7 BUILDING a
FOUNDATION Id I-3 �6
DATE IN E OR
UNDERFLOOR 0�7ij�G
DATE INSP OR
FRAME i& tj--6
DATE IN SPE OR
LATH PLASTER —, r 6
.1p IN SPE R
('FIN AL ^_`b /p
/-,,t ATE fJ 1O INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
_ ' D INSPECTOR
ROUGH WIRING
_ 1 DACI 6PCCTOR
A
FINISH WIRING '/ IL
_ DA E INSPECTOR
FIXTURES
, (}ATE INSPECTOR
MOTORS
' D INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE l INSPECTOR
PARTIAL ROUGH /Y
DATE SPECTOR
ROUGH COMPLETE -�
DA E SPECTOR
MAIN DRAIN Z—1-2
DATE INSPECTOR
GAS PIPING
ry DATE INSPECTOR
FINAL � '�-�/_
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR .
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE y CTOR
MISC
DATE All INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... .13-1...................... 19. jr- Building Permit No.
The Building Located at r
1 .2 r
-6. .............
Owned by ..... Qlkek - (
............................... .........
Has Been (Completed
41terad)) For Use As: ....:... .............................................
................................. ...............................................................................................................
.............................................................-............................................. .....................................
.......................................................................................... .................. t
C-... I..............
2
. ..........n..................................
BUILDING INSPECTOR
102 12/66-1M
TEMPORARY GAS SERVICE
DATE: ... ... . ......
......... Fee: Z-1-14a................
..... ........
.. . .. ......................................................
ILI .... ..... .....
.............................
CITYUF .........................I-------
REASON: ----A 711�W..... .......................................................
The undersigned agrees to be responsible for the gas service at the above location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino. Phone ........
..................................
1171/63-500 INSPE OR ..... ......4 'r- �'(A:�N-T-4=0-W- N-E--R-'f .............
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTfNO
Fj Sewer Connection Sanitary Permit No.
er"I'lumbing Final Plumbing Permit No.
Lot NO. ..,AK ...102
.....................
Owner or Tenant ....ze
At
.......... .................................................................
Tract ........
Date Connected ........................... 19.....
Date Final ....................... .�
....... �/,...........................................................
......................................................
PL MBING INSPECTOR
111 12/66-IM
GAS SERVICE NOTICE OFFICECOPY
ISI BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.. . .. ....... .........-... .................. 196.Jcl.l�
You are hereby autho 'zed to connect the GAS service for
Owner or Tenant ..... ........
At ....
............
New Service ...............
No. of Meters ... ............ Reconnect ..............................
Move Service .......................
No. of Add, Meters .............. Move Meter ........................
. ...............
Q—
PtUMBING *&SP-E...CTO.
...R.
OFFICE COPY --
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
Or CUPERTINO
l ........... 19$ -
To . ..
on are hereby an%Lrd .. e4eIec-t*ri,,i.ca1efor
Owner or Tenant ......... ... -
At .....Z..i.. l . .....---..........----.......... ...
.
I' No. of Wires .....�........... Size of Wires�........�...... Size of Switch'.PPA.....
Motor Load .......................... Voltage ................................ Phase ................. • ............
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light..-...,/..... it0.�. New Service..: .. Reconnect..................
No. of Meters....................t Ahra
'[....I .. ......_..._ 220. hree No. of Add. Meters............ Power............... se..... . . . Move Meter....-....-....
ELECTRICAL INSPE R
104 7/63-500
TEMPORARY ELECTRICAL SERVICE
DATE: ............t........... ....................... Fee: .4C�o
.....................
. .... ................ .....
OWNER. .......�-- .77k .T
...4.�z......................
AT: .
T
..... t-C.
1 LJ
......... .......
LOT:
REASON: ............
The undersigned agrees to be responsible for the electrical service at the above location,
until th uilding is ready for occupancy, and is released by the Building Department,
CityCuino. Phone .......G..•..%�——1, — I k r5�
. ............................................
.............. ......... . .....
INSPE '0
1 1/63-500
16 9;:;:: ANT OR OWNER
NO. STREET LOT NO. �A -
N Q
x o APPLICATION FOR ELECTRICAL PERMIT
LL
3 aF CUPERTINO
U
o Date Y J G.,,•""� ,G� Permit No.
0
a I=ce $ CSD
a m Application is hereby made to the Cit of Cupertino for a permit to install electrical
W I wiring an ` ixtAt�t aCUKRBOverse side hereof, and agrees to install said
0 o wiring an fixtuurre1s in accordance with the provisions of the Electrical Code of the
> 0 City of Cupertino, and all other laws applicable th
z_j Use of Premises �a D9ATi�GC. Le
J 0 4
a Owner / Address
W w By ��i�li /! 1��7�f� _ Addres
G1 0 NTRACTOA, AGENT A CO '
_U Phone: -��.ypp ELECM UL IN6P8
il State
New HPL Pees
Size Service Conduit......................Number of Outlets.................. .......... .......... ......... ....
Size Service Wires..........................Number ,of Switches................ .......... .......... ..............
Size Service Switch........................Number of Receptacles............ .......... .......... ..............
Size Sub Feed Conduit..................Number of Fixtures.................. .......... .......... ..............
Size Sub Feed Wires..._..............Ranges................ KW.............. .......... .......... ..............
Number of Circuits................... Oven .............. KW.............. .......... .......... ..............
Number of Meters........................Signs.......... 'rransformers........ .......... .......... ..........
....
Misc................................................Dryers........................................ .......... .......... ..............
Motors.................... HP.................... Phase.................... Permit Fee $1.00
Motors.................... HP.................... Phase....................
Motors.................... HP.................... Phase.................... H P Charge................
..... ....
TOTAL FEF,S
RECORD OF INSPECTION APPROVALS
RoughWiring................ ............................ Fixtures ...................... ............................
DATE INSPECTORDATE IX"E".R
FinishWiring ................ ........................ Motors ............. ....................
DATE INSPECTOR DATE INSPECTOR
Final .......................... ........................
DATE INSPECTOR