NO PERMIT NUMBER (2) r � •,1 - .. 1,
I �,�� • —�1r—w a Lot IN T
No. Strea t' i
,J
APPLICATION.FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.S/O
For,
Sanitary NO.Data f,'
Applreby made for a permit to
le
v
/ss�syA S-
story, Type
eo be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith•
Estimated Value of Improvements $ CQ%T s 0 0
FEES ® Plan Check $
Owr•er Address
Contr. ddress
Phone St.
to Libense`
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 4^ FEE$ C9
Contr. SF bt .r.�l -� Address A:9,,Y !/ 4•
Phone ? 7 - '7/ �� State Licensey/�'/9�'���
r Approved
�/-APPLICATION-FOR PLUMBING & GAS PERMIT
Dora Z 196 GAS FEE $ / �O
� �/Q� PLUMBING FEE $ �� 1
Cont,. _ �-`p�/`�"�-'a/` /1-4"w�c-e/e'Address
Phone �/ �- D S� r State License / 7 /
`5 /
Approved WILLIAM D. BENEVICH
APPLICATION FOR APPLIANCE PERMIT 7S-
Date Qom— 196 y AFEE$ �{p
Contr. Address ry-�• r/'�""'��
Phone y 3� State License // y T i
Approved WILLIAM D. BFNEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
' 1
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
D f / Inspector
UNDERFLOOR
FRAME 'e�/a-�'f Inspector
ATH PLASTER pector^1"7-C(
ata Inspector
FINAL
Date Ins oectar
ELECTRICAL
,OUTLETS /41e
SERVICE SIZE
SWITCHES UNDERGROUND
ctor
RECE PTACL S ROUGH WIRING
/ `f0
FIXTURES � � FINISH WIRING D a Inspector
LS" D e Inspector
H.P. CHARGE FIXTURES
ate Inspector
PERMIT FEE U Motors
Data
TOTAL FEES 3 7<r FINAL —
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LoTERIAL
WATER SYSTEM SIZE i"TERIAL
TOTAL FIXTURES / D /0 UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Data
MAIN DRAIN FEE �' ROUGH COMP LET O'o�7
tit tar
STORM DRAIN FEE MAIN DRAIN/L)--/-,7^(oi
Data s
WATER SYSTEM FEE �I GAS PIPING
ate or
GAS PIPING FEE S� FINAL
Date Inspector
PERMIT FEE MISC
TOTAL FEE
// � MISC Date Inspector
� V
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS 2 7S
BLOWER FURNACES / I COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE v2�
FLOOR FURNACE J /r TOTA '-,t 7C
INSPECTED �i'6J ` s4
Date Inspector �t
lOT NO.'3-hY-
-J� STREET '
CITY OF CUPERTINO &1' eG �� 5
CITY o: cupMfCATION FOR PLUMBING PERM1T
n
NI'A+:Y ffi�t 1976
Sanitary No.
y2 Permit o. _�Z-U- 7
Date �� (O/ Fee
I
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino,and all other laws applicable thereto.
Use of //, „ Work To Be
Premises u\/ Pvformed
��j? /� Address
Owner Winn... ` n p L
Phone d�- -20� 7l'�a �7�ZC- �-�/
By Address
p�/1 C-o7ntra�ctjor,Aper c
Phone 19� /Q�1/D
State�nse, /A32 Approved
Plumbing Inspector
\ I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
LA
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33 m° N ° i 03333 ° ° Y ° o "m ° au -
m V u. 2 2' N Q N w > N LL '0
F0-
ROUTE SLIP
File .No . S j d e 7
Date Out / L —;�-e --s--
Date In _
Location 021�'-
.r .l (/ o-zp- i -3
Sub j e o t . —.�/��2�
Notes 1"4,d
Approved 1- 11- 64
Date Inspector
ROUTE SLIP
File No . 1-51 /0ep7
Date Out
/ Date In
Location T
Subject — —
Notes
Approved
Date Insp:ctor
CERTIFICATE . OF COMPLETION
BUILDING INSPECTOR'S-OFFICE
CITY OF CUPERTINO
Date..... -7 �.....:................. 19. ' Building Permit No4�i�%T
The Building Located at _........CZ r — .... .r ....... y '.:_:'
a � .
Owned by
(Completed)^^ � . r
3� Has Been k. ./'For Use As: ............... "----.-...:..._...-�--
t: (Altered)-'. .�v✓
t .. ..... .....................................
.............................................:.:
s _. .
............... ...................... ................................. ............. ... .......................
....
.:................. .
li%o BUI DING' INSPECCOR
1027/63-500 `•y _ _ ,
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No.
...........................
dumbing Final Plumbing Permit No.,.:J/—O.
............
Lot.No. ...................
Owner or Tenant
. .................. ................
.........................
At - - -----
00f
...............................................
Tract .................. ..... . . . ........
DateConnected ------------------------ ..................................................
DateFinal ............................ ............................................................ 19
.............
----------
PLUMBING INSPECTOR
III 7/63-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...............—Z—//
.............................. 196-4TO
You are hereby auho ed to electr' mi
Owner or Tenant ;�
..........................................
At :............................................. ?............................................................. .
DOS
No. of Wires ...................... Size of Wires ......................-
Size of Switch .....-
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .....--.............. .......... Voltage ...........................
No. of Meters..../. ht.:. .:.**:... 110. New Service............... Reconnect..................
Li"'
Heat- 220............ Three Wire............... Move Service-....._....
of Add. Meters............ Power............... hase Move Meter..............
M;0�
. ......... . ......... ................... .
...... ..........-
... ............
,.e" ELECTRICAL INSPECTOR
GAS SERVICE NOTICE 01410'
BUILDING INSPECTOR'S OFFICE COM,
CITY OF CUPERTINO
....... -......... ...... 1964�1.
To
You are hereby authorized to connect the GAS service for
5�la
Owner or Tenaru �nW .. .WZI�774�, ....
.... .....
At
New'Service ......
No of Meters ............. Reconnect ....................
Move Service ... ..............
No. of Add. Meters ....... Move Meter .... ......
:,'-ILUMBING INSPECTOR