NO PERMIT NUMBER (2) Lot No.
No. Street (�
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO �J
File No. X1100/
Sanitary No.
O L
D6 to / 0 196
,Application is hereby made for a permit to
a story, Type s Z. yT
to be occupied only as '
in accordance Plot'Plan, plans and Specification filed herewith,
Estimated Volue of Impen
rovemts S
V
FEES - �" Plan Check $ // t� e
Owner a�� � Address a-�'f 1—Oui.yy ,
Contr. Address
L-9
Phonal' � S � � C" r.� State License -�� 7
,J WILLIAM D. BENEEVICH
Approved
I fill Mr
APPLICATION FOR ELECTRICAL PERMIT
Date- �6 z� 196 a1" FEES Gv2�
Contr. � / Address /^^'Z"��
Phone- -i 6 �3� State License " yY).. 2— t
- Approved WILLIAM L .
APPLICATION FOR PLUMBING & GAS PERMIT /
Date 9 196 L GAS FEE $
PLUMBING FEE $
Contr. e�'e'>--J Address/2� 2 / Y
Phone -- oZ 5<S _2'3 Z 3 State License `J 7 S
Approved —WILLIAM In
APPLI ATION FOR APPLIANCE PERMIT
Do to 196 , FEES n �`�"' 7'�^ .•
Cont,, Address lie t(j
Phone - 3J �- C) r/ .j }� State License
Approved __ _ __ _�^•d
Applicants agree not tomiolate any,of the
Workman's Compensation Laws of the
State of California - +
RECORD OF INSPECTION APPROVALS'*4110-2-✓-c 9- -
FOUNDATION
0 - IY- 6 ? BUILDING
Dates Q Ins y,
UNDERFLOOR �7— !/
)— to Inspector
E
FRAM '
Dyt Inspector
LATH 8 PLASTER
_Dodlpoc� ,6 ns r
FINAL — (p
Date Insoector
ELECTRICAL
,OUTLETS SERVICE JE
SWITCHES UNDERGROUND
- ,a: Inspector
RECEPTACLES ROUGH WIRING _
oto Ins pecfor
FIXTURES FINISH WIRING�-n !
a _aDate Inspector
M.P. CHARGE FIXTURES
Dome—uq 411 P,
Inspector
PERMIT FEE Motors
Z' ,Ye—allo Inspector
TOTAL FEES 6 FINAL 0
Date Inspector
PLUMBING 8 GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES . UNDERGROUND,
FIXTURE FEE PARTIAL ROUGH
Date
MAIN DRAIN FEE ROUGH COMPLET -
&te r
STORM DRAIN FEE MAIN DRAIN/- 7-9/ 31
to r
WATER SYSTEM FEE GAS PIPING
Date I
GAS PIPING FEE FINAL �^
Date ns pector
PERMIT FEE MISC
Date napeclor
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
EDRYER, PERMIT FEE
FURNACE TOTAL F
O "
INSPECTED Aare Insoector
ROUT)IP-,
,File No. SZ—
Date V
Location
Subject
Notes
Approved a �
Date Inspec�elY
CERTIFICATE � OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... ...... .............. B '11ding Permit No.,:W.7. ,
The Building Located at .1f."'Ad.]...... .... ....... ..........................
Ownedby ---C,.L.A�.S...................................V.L... .. ............
HasBeen Cc For Use As: ..................................................................................
...................................................�F. b........./,
..........................................................
...............................................................................................................................................
I
........ ....................................... . ...... ................... ...........e.. .........................
............................
BUILDING INSPECTOR
102 12/66.IM
OFFICE COPY
CITY OF CUPERTINO
fffi ELECTRIC SERVICE NOTICE
You are hereby tho iz di. co ne electrical service for
Owner or Tenant ..... ix. ....... ............................................
. ....... .. ....
At ........................... ......... ............ ........ ..............................
No. of Wires ........!;4......... Size-of Wir, s Y.. Size of Switch
. .........
Motor Load .......................... Voltage .. ................. ........... Phase .... ...... .............. .
HeatingLoad ........................ K. W. ............./............._..... Voltage ................................
-ice....... ..... econnect.........
No. of Meters.... ........ Light..............
...... (Light............... 110. sen
Heat................. 220......... Thmree ic..XT..... Mo,c Ser,i'ce....
No. of Add. Meters... Power............... Three P me.. .. MoeMeter
4 - P (-4 ..... ....
..............I.............
CLECTMCAL NSPF.___�
I CTOR
GAS' SERVICE NOTICE: ortacr:
COP -
' - BUILDING INSPECTOR•S,-OFFICE
CITY -OF CUPEPTIN
19(19
-You are hereby authorized, to:connect the GAS service for,:
Owner or-Tenant,.... _ _.. ::.._, ._....._........ . ...._..
At �jlf ..'....... .. ..
Ncw Service .a�.........._.
Na of Meters .. .................: Reconnect'......._;...............
......
{^ Move Service .........: ........
No. of Add. Meters .............. Move Meter .......
PLUMBING ;INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No.
. ...P.. .....
.....
giPlimbing Final Plumbing Permit No.$ )r//4.I7...
Lot No. --ke7—Z2-------- ---------
Owner or Tenant ...t./C/g
........... ..........
At ......... .......
Tract ...... 1-��
. ....................................
. . .. ...................................................
DateConnected .......................... ...... ................................................ 19
. .........
Date Final ............................
- --------
................*--.....".".-,!,.....*..-----
......................................
.1-5�:�L-UMI,31NG INSPECTOR
111 12/66-IM
OFF CE C10P
0
LECTRId IERVICE NOTICE
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
V—*V ...................................... ..... ......... 19
TO
You are hereby aut 0ze Rtojcq6n
lectrical service for
Owner or Tqpant ................ .. ..........I.. ...........................
.. ...........
.............................
At .... ... .... ................. . .......... ....
No. of Wires ........................ Size of Wires ...........-
.......... Size of Switch ....................
Motor Load .......................... Voltage ................................ Phase ................:.................
HeatingLoad ........................ K. W. .................................. Voltage .................................
No. of Meters....... Light110............ New Service 11:mSeecmt �ce:��—
,C
2 .... .... T i Move
.......
No.of Add. Metes............
Power... ........ T P ............. Move Meter.............
... . ..... .....
......r�m#................ ........................
RLIMUCAL INSPH OR.
LOT NO. S 'v
NO. STRE T _ -
W APPL CATION FOR BUILDING PERMIT
Y a CITY OF CUPERTINO' ' �..9
o Sanitary No.
W Date -v 19& Permit No.-
0
o,sO
v : Application is hereby i ade for a permit to 16 .
os
`a a d22na story Type G Building
to be occupied only as in accordance with
o 'o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
> NG
Estimated Value of Improvements, �, • Fee S�T_
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cu Cupertino I com li d with. p
}
N
OwnerX a �/Dir _� Address,,)-n—.?",
uF By�l/�/ Address
<0 Phone 0,52 —QIO�d 3 Approved WILLIAM D. BENEVICH
State License /-5_/ 7 BUILDING INSPECTOR
�gv4p1 I h iiyy
11 � LOT NO, L�y
N NO. STA /6/y
W APPLI A .1B t6JN ERMIT
10
r y 69F�UP[ATIN(
o < 8 an
rt• No.
5U
Q
Permit. ,
I Date
o 6
Application is er4m , aperml
o _
i m a story,Type ,Building
a W
to be occupied only as in accordance with
o `o Plans,,Specifications and Plot-Plan jild herewith. PI Ck Fee
> N 6G g0
F ; Estimated Value of Improvements, Fez$��� —�
z J It is hereby agreed that the requirements f the Cupertino Building and Zoning Ordinances and
A z all other laws applicable to the construction, location, and use of buildings within the City of
J O Cupertino will be complied with,
3 < Owner +. . Address 3 P..
N
i gy _ Address
i ° Phony — 1 (e i 3 WILLIAM D. BENEVICH
_ Approved
1� State License /`S—/ 71/ BUILDING INSPECTOR '