NO PERMIT NUMBER (2)gg s L\7
No.. Street -
o
Lot No. 4r 3l:
rl
)/6 3i
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. er'O 3 -
Dote
Dote 196
Application is hereby made for a permit to
to be occupied only as
Q.Z-_ story. Type J_ ✓
in accord'ancWith Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements
FEE$6",,////� /�
Owner 2 "r -
Contr.
$ oZ G D 71>h a
Plan Check $
Address o2-19 .1 0aA `..- :%u�
Address
PhoneyZ S ^ a _ si 6 S 3 State License /J�/ 7 f /.
Approved WILLIAM D. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
y
Date /d �'� - 196 /�� FEE$ 02 4'e-
Contr. 4j Address
Phone 7�" �' j .State License 2-fG --- z—
WILLIAM D. BENEVICH
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �G 196
Contr.
`/'L I--
)
Phone
GAS FEE $
PLUMBING FEE $
Address
State License
Approved WILLIAM D. BENEVICI'$
APPLICATION FOR APPLIANCE PERMIT
Date l// 196 d" FEE$ !A O' 7J� /J
Can— -(9& Address
Phone 3 7 j' _p 9 3 State License
Approved WILLIAM D. BENEW9M
Applicants agree not to violate on'y of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
p-� P _ BUILDING
FOUNDATION
6 Datg/� ` dy Ins pe o
UNDERFLOOR J
CDafry or
FRAME G
Dae / for
LAT PLASTER G
Da �Ls <
FINAL O
Date Ins oector
ELECTRICAL
SERVICE SIZ
UNDERGROUND
YZ-
ROUGHWIRING (�
FINISH WIRING CL'
FIXTURES <Q IDC
Date
Motors
FINAL
Dote
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
I r f-� . . F,
Ina pa<tor
)�Anspector
Inspector
.LA A
Inspector
-
Inspector
Inspector
UNITS
FEE
,OUTLETS
WATER SYSTEM
SIZE
SWITCHES
TOTAL FIXTURES.
RECEPTACLES
UNDERGROUND
FIXTURES
PARTIAL ROUGH/O " O -
M.P. CHARGE
PERMIT FEE
MAIN DRAIN FEE
TOTAL FEES
ROUGH COMPLET —
'92tr
SERVICE SIZ
UNDERGROUND
YZ-
ROUGHWIRING (�
FINISH WIRING CL'
FIXTURES <Q IDC
Date
Motors
FINAL
Dote
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
I r f-� . . F,
Ina pa<tor
)�Anspector
Inspector
.LA A
Inspector
-
Inspector
Inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
WATER SYSTEM
SIZE
TERIAL
TOTAL FIXTURES.
REGISTERS
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH/O " O -
COMBUSTION VENT
Date
MAIN DRAIN FEE
MISC
ROUGH COMPLET —
'92tr
GAS RANGE
D 6
for
STORM DRAIN FEE
MAIN DRAIN —`
;,PERMIT FEE
ate
r
WATER SYSTEM FEE
GAS PI N
Data
r
GAS PIPING FEE
FINAL
Date
T Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
MISC
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 FEE
FLOOR FURNACE
TOTAL FEE
INSPECTED
Dafe Inspector
1lVUl��L�L�'r
File No..y� ��
Date :Z�
�i
Subject
Notes
A proved
Date
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF. CUPERTINO ¢ 7
Date ....da.. ...... ..�.................. 19--- '.`...` A B Min 1P�eyrmit No.
The Building Located at .?..... � ........ ��?"... L! . ...). 5 ..................:............
Owned b t+',-`4^v+"......�l.t-,..4...:....... ...................... : /•.ff.!
y ............ ' .....
(Compit
Has Been (hltercdj) For Us �::...............
...............................................................
....r...........�j^...... _...... _.:
BUILDING INSPECTOR
102 12/66.1 M
You are
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
. .... .. 19 1-9
to., electrical --tfn6T cle rical service for
Owner or Tenant .......... .................
At .... ...... ......... ...........................
lls�
At .. -')�/Size of SwitchNo. of Wires ........................ Size of U ............ : ....... .. .................
Motor Load .......................... Voltage ................................ Phase .........................
HeatingLoad ........................ K. W . .................................. Voltaige ................................
No. of Meters.................. light "D ... C Z�jq, o,,., nSec I
I_f'a _,W
...... T5t
T
No. of Add. Meters.... 22( T ire ..... .1"
Power ............. S Nlmv Meter...
11 . — , V
........................... ......... .... ... . ....
ELECTRICAL INSPECTOR
GAS SERVICE NOTICE OFFicfi
COPY
BUILDING
.......... CTOR'S OFFICE'_ ... �I
CITY OF CUPGRTINO
. a 1969'
ro
You are hereh authorized to connnneecctt the GAS service for
Owner or Tenant .._.:.._....C�.a�f-sr... ...................
nc�..../1,.._...._..._......:..:.1 .................
New Service ....... ...........
No, of Meters ................. Reconnect ..........
" .. Move Service .........._:..... .....
.A
No. of Add. Meters ....... Move Meter ......... .............._-
PLUMBING INSPECTOR .............
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .......
9--flumbing Final Plumbing Permit No. ��..�.........%
Lot No...--
-.........
Owneror Tenant ..................................................
At.....................................................
Tract ..........
..........................................
DateConnected ............................ ... 7 .................... .................................... 194�.
.S
DateFinal .............................. ---4?,z� ..................... . ..............................
PLUMBING INSPECTOR
111 12/66 -IM
I OT NCL y Z Y��
NO. STREET
W a APPLI ATION FOR BUILDING PERMIT X63
° CI � CUP .R iN
a_ _
O
. 5 U ji'l
i ary No..
W W Date o i9�(� Per lo.
`o pplIcation is hereby mad for a per to 8 T—
a ( v✓
W a story, Type-' n^ 1, Building
W
to be occupied only as �.� in accordance with
p'o Plans, Specifications and Plot -Plan led her th. PI 06 W__
�"; Estimated Value of Improvements, 9oC.[�i .�� _ � , Fee $_
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the of
o Cupertino w' I be omplie with,
3�
m Owner r1
W Address
u i By Address
<0 Phont_�(S7 —,246,57:3 ApprovedWILLIAM D. BFttF`r1CH
State Llctnat Zµ15 / 2 � , BUILDING INSEP.CI'OR ✓
CITY'. OF CUPERTINO -
10300 Torre Ave.
CORRECTION NOTICE'
Department -----
ob
r
----------------
/�.tz
T A
CO.
You are hereby tif' t re work'Aall be
done until the a vi� re corrected. When
,
corrections-, ave, 1
Date: ,. been de call a nsp ector.
City Telephone Inspector: