NO PERMIT NUMBER (2) 0XIA, Lot 1413 O
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO ' r
File No.•.7 �.e.002•�
Sanitary No. J--P/ L
Date ` 196
Application is hereby made for a permit to
o story, Type %-rjT T
to be occupied only as
in accordap with Plot Plan, Plans and Specification filed herewith.,
p Estimated Value'of Improvements SdZ4, 0 0 0 0=
FEES // •4 O Plan Check $
Owner Cor Address
• � �
Contr. Address
Phone 2.1-jr /(V� State License it e r�/ r
,. ApprovedWAA /
APPLICATION FOR ELECTRICAL PERMIT
Date 2' 3 196 k FEES
Contr. _.Z-) (x Address(
Phone �S—yu State License ,Pda.-
Approved WILLIAM D. EENEVIr.H
APPLICATION FOR PLUMBING & GAS PERMIT / 1
Dote 196 GAS FEE $ J
PLUMBING FEE I
Contr. /
.Address //+d�
Phone — QsS State License
WILLIAM D. BENEVICH
Approved
A CATION FOR APPLIANCE PERMIT
Datar 196 FEES Q
Contr, Address K
Phone S/ iY L. State License
t WILLIAM D. E3ENEVICfj
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of Califomia
ti
RECORD OF INSPECTION APPROVALS
y-4( BUILDING
FOUNDATION
UNDERFLOOR �I
D 0 Ins act
FRAME —
o
Dat ` O- Ins pecfoi
ATH PLASTER ^(J 1
FINAL
Data Insoector
ELECTRICAL
,OUTLETS
SERVICE SIZ
SWITCHES UNDERGROUND
II ,,Date ��/ Inspector
RECEPTACLES ROUGH WIRING o
' r —f_ Inspector
FIXTURES FINISH WIRING -?.:7 �fJ
H.P. CHARGE FIXTURES �/o Inspector'
Inspector
PERMIT FEE Motors
Inspector
TOTAL FEES FH FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND ry
FIXTURE FEE PARTIAL ROUGH S-6//
Date for
MAIN DRAIN FEE ROUGH COMPLET -?S
DatC., for
STORM DRAIN FEE MAIN DRAIN
n63ctof
WATER SYSTEM FEE GASPIPING/—.Z7?-
Date for
GAS PIPING FEE FINAL./-,"2
Date Inspector
PERMIT FEE MISC
ofe Inspector
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
GAS DRYER PERMIT FEE
FLOOR FURNACE1 52
.TOTA
r
INSPECTED
Dara
Inspector
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!A 6 NO. - STREET LOT NO. q
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X ° APPLICATION FOR ELECTRICAL PERMIT
0
3 < CITY OF CUPCRTINO
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, W Date •_eZ�. —, 19� Permit No.
0 �
Fee S.S:.P•f
a m W Application is hereby made to the City of Cupertino for a permit to install electrical
* w wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
ii o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
> 0 City of Cupertino, and all other laws applicable thereto,
o j Use of Premises -
J Z
0
3 Owner i!!d!A&tA Address
_ N �
W a By Address
0 a CONTRACTOR AGENT LLI p,�.i1 T P�-NIr"1!>(`-y'
`Ur9/�••l.lww �I lUlll �'[�n�2 Approved _.
nine: o""' /j/9 ELECTRICAL INS►EC10{
p. O Nova S46S
State License
en r /!_
CERTIFICATE -"-',OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... ZY..................... MAY— - Building Permit
The Building Located at .....m-1-VY........14"k-fl.ex.....i-,�(----------------------------
Owned by A4 , -�I )
---------------------------------------?...................................... ................................
(Completed)
HasBeen For Use As: .................................................................. ------------
(-Afte rext')
.............. .. .....:.. ................................... .............................
..................................................................................................................................................
-------------------- ............ ---------------.................................. 4.........................
........................................................................
BUILDING INSPECTOR
102 12/66-IM
GAS SERVICE NOTICE OFFICE
i BUILDING INSPECTOR'S OFFICE -
COPY
CITY OF CUPP.RTI,IyO --..._..................
I
To
You are hereby authorized to connect the GAS service for
ee
o ._-_..............._._......�....._._._...._...........
Owner or Tenant .C....... .. ..... _.. ._.. . ..
New Service _...............
' No. of Meters ... ..._._...._ Reconnect ..............................
- Move Service .......... ..........
No. of Add. Meters ............ Move Meter ........._........
.......
NG INSP17CTOR
•
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY Of CUPERTINO
Sewer Connection Sanitary Permit No. -- -----
[ Plumbing Final Plumbing Permit No.
0 P
Lot ...................
Owneror Tenant ---- -------------- ................... ..........-:..............
...................................------------------
At .. ....... ....
Tract ....... ----------------.......................
---------*........................*...1......-...p.
..*----------
........... ---------- ......
DateConnected ................... A, ..............................................
................
............ ..................... ...
Date Final ...........................
...................
PLUMBING OR
111 12/66-IM
(FFWC COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............. ..............
TO You are hereby,6-th'brized to j2prin electrical se7*qe for
Owner or Tenant ....
%J�...........
............. .......................
At ......... .......... I.... . .... .. .................
W17
No. of Wires ..... ............ Size of ......... Size of SwJhC:b.A.......
Motor Load .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters....... I.Lgh :<'110.....�<New Service.... Reconnect
220............)�
HeatMove Service............
No.of Add. *
Power.............. Three hese.............. Move Meter..............
. .. .. ... . . ... . ..... .
8 LEC T PJC A L'INSPECTOR
1lVU1li JLll"
File No.5/, 142, /
Date
Location Woo p.) 4F 2
Lor- 38 - ioli& 4di %,Q,
Sub,jectF/i"UI9 L (tRLi Dz,
Notes r)/G es F>Ex LL?27c4 nN l=1LE
Approved
Date Inspector