NO PERMIT NUMBER (2) �; �� �
.�____..
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2w- C e /�
Lot No. �Z
No. Street -
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.WVt IID It
QSanitary No.
Date tl 196
gi��
made for a permit to
story, Type
to be occupied an Ly ns pp W
in accordance with Plot Plan, Plans and Speci ficat'on fled herewith,
Estimated Value of Improvements $
FEE$ ��� Plan Check $
Owner Address
Carat. MAIL 11 ddres.
Phone �'//�"JJ�', //✓� ,/� State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
70
Date �/n 3196 � FEE$
Contr. `.c= ` (.4-e.C,vt.c.i Address /`y02` &
J v
Phone State License
^7� L' D
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 or GAS FEE $ /
Q� J _. ' '` PLUMBING FEE $
Contr. �`�^""`-'^"' /�'"-�"'� "`�-/ `-'t� Address :�zs "'
o �� � �7/S3 7
Phone State License
Approved WILLIAM D. SENEVICH
APPLICATION FOR APPLIANCE PERMIT
Date f-pn�Q� ,119966 FEE$ /
Contr. //^'� Dw^-r-✓ J
5n � Address � L
Phone 1 -� O � O 7 2 State License
Approved
Applicants agree not to violate any of the
Workman's Compensation laws of the
State of California
REC�QRD OF INSPECTION AA 0 L
FOUNDATION - BUILDING
D t
UNDERFLOOR --GT I Spector
D I-ltnspector
FRAME - �O
LOTH /4AS ER Date Inspector
�
_ at .spatter
FINAL
Date Inspector
ELECTRICAL
,OUTLETS /y / els SERVICE SIZE
SWITCHES ZC ZcZ' UNDERGROUND
P
RECEPTACLE'S?� 3 ROUGH WIRING �- ds- Ins ector
/ O D to Inspector
FIXTURES / FINISH WIRING
/ 7= 3ate Inspector
H.P. CHARGE ' 7S FIXTURES
Data Inspector
PERMIT FEE Motors
_ �ajor
FINAL ctor
TOTAL FEES �" � (O®
,, . Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE 1.666TERIAL
WATER SYSTEM SIZE 4TERIAL
TOTAL FIXTURES �'� o�' UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date
MAIN DRAIN FEE c-� ROUGH COMPLETE s ns pa ctor
_ Data. for
STORM DRAIN FEE MAIN DRAIN -6 -(S
Dote, or
WATER SYSTEM FEE / ` GAS PIPING - - J
-a — n r
GAS PIPING FEE /5 � FINAL Tpate
y Date Inspector
PERMIT FEE ���`-' MISC
/� S Q Date Inspector
TOTAL FEE M_ ISC
Data Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS C)
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE 7 3�
INSPECTEDDo to Inspector ,
Dept
Ofi;c, Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ............� —2......
[IsIumbing Fina Plumbing Permit No. -.f�QOP7......
t No ............
IV
—4 1-------- %Z------------- .......
--------- --------
Owner or Tenant ------ --- - ----- -
At ............ ........ --------------------------------------
....4f
Tract ..... ....
.. ......................................
----------- --------- .
DateConnected ----------------------- - - ----- --- ---------------- ----- ----------------
------------
Date Final ----------------------------------------t./------ . .... ............ .. . ........ 19.W
....................
....... ... ... LUMB NG INSPE(ZTOR- '*----------
ill 7/63-IM
GAS SERVICE NOTICE OFFIGN
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...... 196e
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
... .... ...
At .0�w ......................
New Service .. ./...................
No. of Meters Reconnect ..........- ................
Move Service ........... .......
No. of Add. Meters ....... Mme Meter .......
PL MBING TOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO// /�
....................l...- ...................., t964:
To
You are hereby acr.u�t �rued t ect electr' serd r
t T=:�
Owner or Tenant .... ...........................................................
........................................
a .�� �r/
No. of Wires . ............. Size of Wires ..................... Size of Switch /� ..�'.....
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
v �
(Light...._......... im..._...... New Service..............- Reconnect..................
No. of Meters .........� /
Heat.. 220............ Three Wire..............-. Move Service............
No. of Add. Meters............
� Power............... haze.......... .... Move Meter..............
........_ ..... ._......................._..:...........................
ELECTRICAL INSPECTOR'.
CERTIFICATE OF COMPLETION
BUILDING BVSPECmws OFFICE
CITY OFF/CUPBRTMO
.................... 19. Building Permit No.,.rle) .t:*?:
ne Building
Owned by SIedra*. �.......rf�!:.:!k.lt....._...._ .
Has Ban (�� �(Altered) For Use As: .........���f Gc�::C.:......................_............
i rJ
.................................................................................................
....................._....._............................................................._......................_........................
_.. .... .........._ _._
_✓ suaDwG nasracrox
102 7/63-300 '
ROUTE SLIP
File No.
Date Out /c;2 -;7 Z
Date In
Location
g,=..3
Subject
Notes ------------
Approve d
Date Inspector
ROUTE SLIP
Pile No . /dam
Date Out _._S
Date In
Location
Sub';60t
Notes --
Approved
Date Inspector