NO PERMIT NUMBER (2) a/�/� 7V IAS�/✓l/ - r(�/ ADA-4, &at No. 71
No. Stre
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
L� � /�Q d Sanitary No.
DataI6W-7196 lL� pF
V--/V—
Application is hereby made for a permit to -T
FI ae: a - / story, Type 1z �v
to be occupied only as St •
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $4RZ 1000
FEES �eO 0 Plan Check $
Owner �� ji
I Address
Contr. Address CgA/J 004 94 015L
9
Phone State License
Approved
�PPLICATIIO'N FOR ELECTRICAL PERMIT
Date 196' � �[' FEES
Contr. /�7/�`T `-^�`� Address
/
Phone ^ �` _ `f SS[U-4 State License
i
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Dote a 1 196 GAS FEE $
��✓t �//fin_ PLUMBING FEE $ 1
Contr. / ate/ . q Address
�
Phone 2//-�- 2��'^t-` 3- State License
Approved WILLIAM D. BENEVIC64
APPLICATION FOR APPLIANCE PERMIT
Data / 2-- 196 Y FEE$
Contr. t/✓C�t'i-/ Address 14,j
Phone d y j X State License a.s
.AT r Approved WILLIAM D. BENEVICH
Applicants agree not to violate any of thr.
Workman's Compensation Laws of the
State,of California
RECORD OF INSPECTION APPROVALS _
FOUNDATION ^ 6 BUILDING .
UNDERFLOOR —Dqq bop
/Y
FRAME l O - 11t% d Ins
Date q Insp c r
AT 8 PLASTER 0 "
_D
at ,0_/ p P c r
FINAL AA�� l/
Date Insoactor
ELECTRICAL
,OUTLETS
SERVICE 5
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING
•Q� ,D7a/t Inspector
Z
FIXTURES FINISH WIRING v Inspector
l to Inspector
H.P. CHARGE FIXTURES
=+a—
PERMIT FEE Motors Inspector'
I 'elnspector
TOTAL FEES 11-H FINAL I v �(�t-o � '
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE MATERIAL
TOTAL FIXTURESUNDERGROUND
FIXTURE FEE PARTIAL ROUGH
MAIN DRAIN FEE ROUGH COMPLET Date 9-et
or
Dote --W770,
STORM DRAIN FEE MAIN DRAIN
Dp�e 6 I
WATER SYSTEM FEE GAS PIPING X2—/7-Y.
gate or
GAS PIPING FEE FINAL ' }✓
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE - MISC
Data 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 •FIRM1T FEE
t
FLOOR FURNACE ly jTOTAL FEE
INSPECTED O _
Dote Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... ............/I..... ....... Building Permit No.,57'11.4
-25�!I
The Building Located at .C7.4....... ....................... ............
. ....
..... .. ... ........ ............
Owned by ....
..... .q ............................... ... �
Has Been (Completed) For Use As: ....... .............................................
(Akere&Y—� ..... ..... ... .........
..........................................:.....................................................:.................................................
.............................................................:...........:................................................................ ...
........................................................................................
- I---- ------------
TAU"-
------------------------------------------------------------- ..........
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
CITY OF CUPERTINO
-I ELECTRIC SERVICE NOTICE
f,
You are hereby aut or et to,co ect electrical service for
Owner or Tenant ..... ...........................
At ...a..�..b. .. ...._�.-. / _._- .....................
No. of Wires ... .............. Si(c-of Wires'....... ... ..... Size of Switch UO
Motor Load .......................... Voltage ..............................- Phase .......................
:..........
Heating Load K. W. ............... Voltage ...........................:....
W
6 `
I' Light...._. 110._../New Sen'ice....0
.e:'..... Kemnnect._........... ...
No. of Meters........---..
Heat................. 220...... l re ote Service...._......
No. of Add. Meters............
.Power............... ttre P ,,r Mcter........
I
I
........................•.......................... .. ......... ...
' FLECTMCAL INS'FCTO.
GAS SERVICE NOTICE 01TICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO/
....../ ...—... ..... .......... 196.?
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 .....................
...........................
PLUMBING INSPECTOR
Office ccpy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No. ..—6✓............................
H-'Plumbing Final Plumbing Permit No. ........
Lot No.
;71....................
Owner or Tenant ------- -- --- - -- ----41::.:4
. ..............................................
.. .... ................
.
At - -- -- ----------------------- -------- ---------------- -- ----------------------
Tract ........... ----- ........................
DateConnected -------------- ------------- 15)--------------------------------- ---------------- ---------
Date Final ................................
------------ ---------
------- --------------------------
----- ---------
PLUMBING INSPECTOR
III 7/63-1M
Fila No. / 16 7 . 2
Datel2 P?-- _
Location �2 w 4c 2 ��
7f Subject
Notesi �z _ut_ JXY unw. � w
Approved/V - /15"-6(e
Date Inspector
EET '4). LOT NO.
NQ /i20
w APPLICATION FOR BUILDING PERMIT
T Q
r o CITY OF CUPERTINO S
R
o Sanitan No.
sa
01962
7
i W Uatc_ 19 Permit No. 5/1
o �' p<C ion i,s he eby a for a permit to L/Lwl
iU) a �llsto(r]y�Type /IJT Building
Building
a W V L /.r ,/ 19 l -
r tube occupied only as�8 in accordance with
0 o CP�ans, SpecificvATt���rand Plot-Plan filed herewith. PI Ck Fee p
F ; Estimated Valllue of InjgXjements,$oZ 0 — • Fee
7f ill
iJ it is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will he complied with. DITZ-CRANE
3Q
_ b Owner Address _95 CRUZ 8t".
Z
Y—' Address 5
a o Phon Approve
y
State License IS-1117�/ ILDING.INSPF.CTOR