NO PERMIT NUMBER (2) t �
I0 1 4I I : . �sA�.AiiL.6/ / •/` �^ Lot No.71
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
I17 File No.
]�Olz1I
Sanitary No.
Data 196
Ap tion is her made for a permit to
n sto Type
t'1', Yp
to 6e occupied only as w
in accordance with plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements • $ Z 3•
FEES Z�r� Plan Check $
Owner � Address
Con". ddress
Phone Sto te'L i cense
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date /0- a"S— 196 '� FEES
Contr. C' � Addresses
01 37 -7 - / T State License / 0 L2
'Phone
Approved /iD`
GJ APPLICATION FOR PLUMBING & GAS PERMIT -
Date / _ 196 GAS FEE $ / S�
,l
PLUMBING FEE $
Contr. G ry X ' e/ �l- Address <Zs�
Phone o2 / a -�S.S"� State License 1711-37
l/
Approved WILLIAM D. BENEVICH
APPLICATION FOR APPLIANCE PERMIT/`,, �-7
Date 196 �f� FEES --`` ,ln ,��/
Contr. �"-�� Address 3 �/- /`" �" ("41
Phone - '3� State License /5�r;,- G
WILLIAM D. CENEVICH
.. Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION
r BUILDING
Dore I for
UNDERFLOOR
Data
FRAME ctor
- �-S
/�JMgC"�, Dte i n tot
LATHS PLASTER -
FINAL '��18�o�` Ins actor
Data InSaect.,
ELECTRICAL
,OUTLETS l;Z d
SERVICE SIZE
SWITCHES 3z �� UNDERGROUND p 9
icSy /-06 -3� r
RECE PTACL -� �� ROUGH WIRING
/,/c / �O D e Inspector
FIXTURES FINISH WIRING
Z - ate Inspector
H.P. CHARGE �5 FIXTURES
��i /
PERMIT FEE p7J Motors Date Inspector
Q ate tot
TOTAL FEES ��� FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN I SIZE I LA6TERIAL
WATER SYSTEM SIZE IIERIAL
TOTAL FIXTURES O D trti UNDERGROUND
FIXTURE FEE PARTIAL ROUGH - -CJ'
MAIN DRAIN FEE2. ' ROUGH COMPLET -Dafe/ I or
� q
Date or
STORM DRAIN FEE MAIN DRAIN
Dat
WATER SYSTEM FEE GAS PIPING n 1
GAS PIPING FEE Dot r
FINAL
-Date ns pe ctor
PERMIT FEE � MISC
s--p Date Inspector
TO L.FEE Ip MISC
pt,✓ Dote Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS Z5
BLOWER FURNACES COMBUSTION VENT Z 2-
SUSPENDED UNIT MISC
GAS RANGE Mt
GAS DRYER P RMIT FEE oZ .
FLOOR FURNACEIpTOTAL,EUr7025
INSPECTED—
Data Inspector
ROUTE SLIP
Pile No . s 16-9
7
Date Out
Date In
Location ��� a
Sub j ec..t.
Notes `
/
Approved /oA 7GK�
Date Inspector
ROUTE SLIP
Pile No. .S—/d S
Date Out
Date .In _
Location
SubJeot
Notes
Approved S/S/
Date Inspector
I
CERTIFICATE OF - COMPLETION
BMI DING .INSPB&OWS. OFFICE
CITY OF CUPERTINO
y, ..... , 19..f��.. Building P/ermit No., .�r��G.._..a�
17h a n:_ -tt I(: .� :.,., a 1 k�� rl..I.*............
Owned by ..a y"�/1��ltr_._ �r ........:Y .IF, . ....... ......_..........._...._.
((CAaalblpxede)d)
Hu Baa� For Use .' : ......... hY / 0j_................._..._..... ,
!/ ..................._..........._........._...
....
I
...................._...................................... _...._..._............_..._..._..
d almom msracroa
:102 7/65-300
Bldg. Dept
offkv Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
0 Sewer Connection Sanitary Permit No. ..... I ..........
J
EY-1flumbing Final Plumbing Permit No. - _ 7---------
ot No. -.,mpr0..................
.. .................................
:771 .......
......15.;�
Owner or Tenant . ....................................
At ../074 -!--:---------- -------------------
... .......-1�............ --------
Tract ............. M ------------------- ...............................
......................
DateConnected ----------------------- /69........_........................... ............. 19
19.
DateFinal f ....................:................................
------------ . ...�.:--------------------------
PLUMBING INSPECTOR
I. 1II 7/63-1M
GAS SERVICE NOTICE OFFIC;
()y/ cot>Y
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
... .. ....................... 1964—
To
You are hereby authorized to connect the GAS service for
Owner or Tcnan,
At ......... ........-.....
New Service
No. of Meters ...I/ Reconnect ..............
Move Service ...... ..... . ..
No. of Add. Meters ....... .... Move Meter ..........................
PLUMBING INSPECTOR
(� I OFFICE COPY
'`n'✓/1 ELECTRIC SERVICE NOTICE '
BUILDING INSPECTOR'S OFFICE
s' CITY OF CUPERTINO
.........:......./a..^ ....6...................� 19G.S�
To
You are hereby auth izedized to7;A,
MC
Owner or Tenant .............J :.a..-------... ......................................
No. of Wires .............. Size of Wires ! ......... Size of Switch �Da�.
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. ............... .................. Voltage _............................._
ht............... IIU.. .......
New Service................ Reconnect..................
No. of Meters..._
(Lig
/.........1
�' Heat................. 220............ Three Wire................ Move Service............
No.of Add. Meters............
Power............... hue.. Move Meter..............
..'';a.
E................. .
; LINSPECTOR..NSPECTOR � �'