NO PERMIT NUMBER (2) ��r9a,d_ /� • -- - _- Lot No. /o
No. Stre t //.21
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 5167•,?
• Sanitary No. J a r/o
Data 96 F
Applications is hereby made for a permit to T
FAAre s-%� a / story, Type ✓
to be occupied only as SE
AIA
in accordance with Plot Plan, Plans and Specification filed herewith,
�rC Estimated Value of Improvements $ e2g; 40040
FEES O% Plan Check $
Owner !? Address ^^
Contr, UCJ e�j�/Yl+e� Address d
Phone cps ��/�(.� State License 15/ 79/
Approved
APPLICATION FOR ELECTRICAL PERMIT-
Data `V 196 o FEE$
Contr. Address
Phone 3' 6 S`�,-� State License L - L
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT S'O
Date 196 GAS FEE $ /
/J/� �//� 0 �, PLUMBING FEE $
Contr. 14 iyx-) /�11�yjAddress
��/�—o.�Jt�� State License
Phone WILLIAM D. BZENEVICH
Approved
APPLICATION FOR APPLIANCE PERMIT Do to g Z- 196 IK FEE$ �J/
Contr. Address /3<4
Phone 3�y'- v 9 3'>-� State License
WILLIAM D. BENEVICH
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION °2a^C S' BUILDING
DPAALe,G ry - Insp t r
UNDERFLOOR
Dare p- Insp �tor
FRAME �v ` Z1 _6o
Date
L�PLASTER OD-' -2
FINAL Ve
Date Inspector
ELECTRICAL
,OUTLETS
SERVICEJSIZSWITCHES UNDERGROUND % D � Inspector
RECEPTACLES ROUGH WIRING DgyGam"-I'
a Inspector
FIXTURES FINISH WIRING to •
Inspector
H.P. CHARGEFIXTURES
_Date _ Inspector'
PERMIT FEE Motors
p nspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE MATERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUGH —
MAIN DRAIN FEE ROUGH COMPLET Q Dat �/ i as tor
pe�
at6 / In 'eior
STORM DRAIN FEE MAIN DRAIN D —/—
Date pecto
WATER SYSTEM FEE GAS PIPING at-4
Date pactor_
GAS PIPING FEE FINAL L— U ^6
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 F€E;
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector '
•
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
14e
You are hereby aut ri d S no &Irlical,�scr�ice for
............
Owner or Tenant ................
At —.....Ztq.. .... ....... ....... .......................
.—
No. of Wires ... ................ SiZ4 size of SwitO.0...A,
MotorLoad .......................... Voltage ..... .......... . . ........... Phase ...........I..._.................
Heating Load ........ ............... K. W.. . ........ . ... . . . . . Voltage
Ne Service..... Reconnect.................
No. of Meters.........I......... ght.......... 110_/ W .....
LHi�.t................ 220.......... wit ...... ... ... .xfo,c Service........
No. of Add.Meters............
Power............... P ..... Mcter........
.. ................. -... ...
HLEcTRTAIL INS IFC (�q '
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
C -76)
CITY OF CUPERTINO
1. .............. .................... 196.0..
To
You are hereby.authorized to connect the GAS service for
Owner or Tenant ..... .. ^l�t�
................... ..................................:..................................
At ..... . ..Qo.. ..... ................................................................
New Service ..........................
No. of Meters ..../...........,... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
...............................................................................
PLUMBING INSPECTOR
ROUTE SLIP
File No.
Date
Location
Subject
Notes
Approved/2-3,
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
'�- f 1, ?- 2-
Date ......20.................... 19-kir... Building Permit No. �..t.............
The Building Located at-2... ...6------ 2,1_11....... ..........
-, - - ----------
Owned by ........0-4,.,.A.....................................j,,n . ..........
j F0 t
HasBeen (Completed) F Use As: .................................................................................
(A�EV,4�
......... ...Ep..................................................................
.................................................
..... ..... -- - ----*- ----------- ----**.. .....*.......... -- ----------------*.............................*..... .....
... . .. .... ....... . ......... .... ...................................... ................ -------*......
--------------------------------------- 4......................
BUILDING INSPECTOR
102 12/66-IM
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO /3"A
2KSewer Connection Sanitary Permit No. 15rWY4.-.............
Plumbing Final - Plumbing Permit No..S.. (.1.6..t�..._Z..
Lot No. ---- ------------------
Owneror Tenant ..... .....^-- --^ ....................................................... ----------------------
At .... ..............:............... ..--- -.-----_x/..9..8.6... :��qn-� .....----
Tract ---------
� ..----------------------------'
........ ..... .. ...... - ...."'.
DateConnected ........../-0--------- ---------(f--------------------------------------------------- 19............
DateFinal .............. ' '-_ .^.00 ...----......-'-------......---.... .'----------- 19-'-'--'--'
PLUMBING,INSPECTOR
111 12/66-IM .
/E% /906 I l� .'P0 9 z�
NO. REET
w iAPPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
KY LL V
p a � an No. Tlo'gO
SU
i o U:�t�� -2 196 Permit No. S
or Ap flication�her ode for permit tojvi N a P Qt e ZIT Building
a 9ryb'�yp
1 Ctl16e'oceYpied only as ' in accordance with
20 plans, Specifi�atjns a�n�Plot-Plan filed herewith. Pt Ck Fee
> "; Estimated Value of m
lmproveents,$ljj � — . Fee$
O <J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* i all other laws applicable to the construction, location, and use of buildings within the City of
J o Cupertino will be complied with. 'DITZ•CRANE
mOwner Address �.
W A T
a a By—
a/�� Phone ��l D qo'Approve
State Licenses'-7zz DING INSPECTOR
V_