NO PERMIT NUMBER (2) Lot No.1.3y
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO 7
File No. I:Qeli
/�/� Sanitary No. ��
Date 11 A/ / 196
Application is hereby made for a permit to
a � story. Type ..Cl —1 —�
to he occupied only as
in accordance with of Plan, Pla nd Specification filed herewith,
EstimatedValue of Improvements $ _63
(� d 0
FEES 7 Plan Check $
Owner 6L,11''nxi Address - 15799-5— �y/4-2 OrQ, ` will/
Contr. /.1./1 i 4Z� Address t
Phone --. 0�.� ����� State License �•�/ ��� j
Approved
WILLIAM D. EIENEVICH t
APPLICATION FOR ELECTRICAL PERMIT
Date 1 6 �/ FEES.
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
/
Do to 196 GAS FEE E (/a��
_ PLUMBING FEE $ c;2—(p-'s-0
Contr. 62n / � _ Address 1.2 d jce 9 �/
Phone X31 0-3.113 State License �2/� /
Approved
APP ICAI, TION FOR APPLIANCE PERMIT,) o
Data _� � 196 ...� FEEb
Contr. Address
Phone k+��`r� State License 0Z y
Approved L v v
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California '
(�ECORD OF NSPECTIOAP ROYALS 1MQ 66X^a ��
6 6Yp� "
FOUNDATION - BUILDING
Da Ins a
UNDERFLOOR
FRAME
D eg—^6 na ecf
LAT & PLASTER D
Da Ina a<to
FINAL
Dare ' Ins oector
ELECTR , g SI
,OUTLETS —�Y'`�''�''.''Y�
SERVICERVICE SI
SWITCHES UNDERGROUND —/
41' t Data' �/ Inspector
RECEPTACLES ROUGH WIRING ��1 O
FIXTURES FINISH WIRING
e
D Inspector
Inspector
N.P. CHARGE FIXTURES
- Inspector
PERMIT FEE Motors p'
gsq �r Inspector
TOTAL FEES FINAL l' /�
Data Inspector
lessees
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL I
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH — ,?—(o
tr
MAIN DRAIN FEE ROUGH COMPLETE
¢JA for
STORM DRAIN FEE MAIN DRAIN O- / i
"
961p ( or
WATER SYSTEM FEE GAS PIPING
rQata 1 p <br
GAS PIPING FEE FINAL
Date Inap ctor
PERMIT FEE MISC
ate Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS I FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE // (r TOTAL FEE
INSPECTEDa
Mtn Inspector
i _ RVU1L"„JL1L
File No.
Da t
Location 7 � Q
rdsm� v r . i—�rJ
Subject
Notes
Approved GO —(D� ✓ ^�eC
Date —° Ins for
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r' �j"
Date ....10......�.......................-, 19.6.�..!�..... {Bju�i} mg/ Permit N0 .6,1; V7. ....................
The Building Located at ..../.^ .1.y� / �^-'/""ttfl ................
Ownedby ........`.....`.....:(....................-......................... ................................ ........................
Has Been (Completed) For Use As: ................................
()ttmed). �^f_
........................................... ..........-. ........:D .......................................................
.........................................
-
.......... ........................... .......................... .......-.. ...............................
BUILDING INSPECTOR
102 12/66-1M
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO��//��``
�/ ._.........._......._...'.1....._'y . ... ...... 196..
To
You are hereby auth a Ct conn ct electrical service for
li
Owner or Tenant ........_.. ..... ...i.. .... ... .._........_....__.......... ......... ..
At ...........qzak.. .. ....... . . ..... ........ .. .......... ................ . .....
.._...._.....nn.....
No. of Wires ......................... Size of Wires . _... .- .Size of Switch'.UQ-.Y`7
MotorLoad .......................... Voltage .............................. . Phase ...................... .. ...
HeatingLoad ........................ K. W. —............................... Voltage ._.............._...._..... .
Heat._....../220.....ThtmPhas
Wire./...... Move Service....._......
No. of Meters... L'
Power............... Th ......... . Move Mete
Light................ IIU............ New Servtcr.......... Kecannect..
No. of Add. Meters:...........
Meter.............
P.LECTRICAL INSPECTOR
I ,
GAS SERVICE NOTICE OFFICE
COPY
' BUILDING INSPECTOR'S OFFICE-
.1,�� CITY OF CUPERTIN/�O ��r�
....................... ..
To
You are hereby aututh7lied to connect the.GAS service for
Owner or Tenant ...;�!!t` ...4.... . � � ............. ..........
..............
..
At /�/-
_.. New Service .... .............
. of Meters Reconnect'.............- Move Service .......
No. of Add. Meters ......... _ - Mode Meter;.......:'.......:.........
PLUMBING INSPECTOR
Bldg. f)ept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No.
[90"'Plumbing Final Plumbing Permit No.%--�—Zze7......
Lot-No. ....
Owner or Tenant ...... ............................. ----
...... .... "*'*"
............
Atz------ ........................................
T ................................................ract
.................................................. 19 6.......Date Connected ................... ........—f�K
DateFinal ..................................../...0/, f...........---......... ............................
............... ..... -------
-f-L—UMBING INSPECTOR
111 12/66-1M
WENE Wry
ELECTRIC SERVICE NOTICE
/,... BUILDING' INSPECTOR'S OFFICE
CITY OF CUPERTINO -�MPp'....�.......... ......... ....... 196.4f-
To
You are hereby au horiz d to co9,nect electrical service for
Owner or Tenant ....P . ..... ... ..:..... .............
At .... ..L.c�6. ................ ............. .............. ..:.......... . ................:......:..........^.:....
No. of Wires ..... ............ Size of Wires":... Z ..... Size of Switch . �..ry...
Motor Load .......................... Voltage ....................1........... Phase ......._................ .......
HeatingLoad ..........:............. K. W. .................................. Voltage ................................
11 (Light...`.......... 110............ New Service. .. Reconnect..:...............
No. of Meters....._`:............
(1l Hear..
x20..........,. Three Wire................ Move Service............
No,of Add. Meters............ ,
Power............... Phase.... ......... Move Meter..............
..................................................................................
' ELECTRICAL INSPECTOR'