NO PERMIT NUMBER (2) 8&4sA. Lot Noj4V
No. Street
APPLICATION FOR BUILDING PERMIT ,
CITY OF-CUPERTINO s
File No.`v//?OP
Sanitary No. S—"jg2
Date11�6
Applic tt' n'is h/elresbb made for a permit to
E'WV� a d02 story. Type. 15, -z'FX
to be occupied only as
in accordance with PAN Plan, Plans and Specification filed herewith.
4-pe` F-timated Value of Improvements $ 3 (/
�T
FEES Plan Check $
Owner ,
Address
Contr. s �. Q�//�/ Address �-/f� V Q 7N,
Phone —7,1 V — /O/ 'r 17/A State License 9/f 46—/
Approved
WILLIAM n
APPLICATION FOR ELECTRICAL PERMIT
Date �d //�-3C � `/
196 ayFEES a'9 �)�y
Contr. L(J C_ Address f,'qq
Phone — 3�`'f'� J-3 yC) State License
Approved WILLIAM M
. APPPLII�CATION FOR PLUMBING & GAS PERMIT
Date V 196 GAS FEE $ �� J
PLUMBING FEE t —
2
Contr, (�/�/�(^}rQ�-^/` C� � �lX W• Address (",25 C4' .
Phone ? f' �0��7 b State License PZX� //z
WILLIAM D. BENEVICH
Approved
A CATION FOR APPLIANCE PERMIT S2+5—
Do to / 1% FEE$
Contr. // Address Ox
Phone - � —�G�D� State License
I
Approved WILLIAM 0. BENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the • -
State of California
RECORD OF INSPECTION APPROVALS
�( ( ,Q BUILDING
FOUNDATION v - IF <
.AT. INSPECJOR
UNDERFLOOR 6 Nc
INSPECT,6R
FRAME - VjjYY
pDAT IN SPR
LATH
I-L/—T6 -7 IN SPECTO
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE 17
DATE INSPECTOR
UNDERGROUND
gATE INSPECTOR
ROUGH WIRING . yI(�
MATE INSPECTOR
FINISH WIRING
ATE INSPECTOR
FIXTURES _ � y� l
- INSPECTOR
MOTORS
AA_C== INSPECTOR
FINAL
Fj
DA�r
' DATE INSPECTOR
PLUMBING & GAS
urau-A..ae-k
UNDERGROUND
A P C.TOR
PARTIAL ROUGH
DATA 1 ECTOR
ROUGH COMPLETE (�/ _
DATEry ECTOR
MAIN DRAIN
TE ECTOR
GAS PIPING
ATEI P CTOR
FINAL
DATE ell INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED _
DATE I INSPECTOR
MISC
DATE INSPECTOR
MISC
DAT � ECTOR
MISC
a
DATE I INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF�fC'UPERTINO �-^ Fy
Date ....../----------�....�............ 19-!�.9, Building Permit NoJ.�.J..l.z
The Building Located at ...(.D_� Zp.._ ........j/.`c'':r5.4— ./P-� /�...........�./..'.--..---
Owned by .....�9._:...� .......�Gt.IL,tJ-e �f'-.,bl.. ..1... ....
(Completed) "............................'--- ..
HasBeen For Use As: .........------------..................-.....................-...... -'--'-'
tA4ered-)-
.................................� --F.9-'V-- 4. ' ' ' ' .. ..... '....................
............................... ..................................................
.. .. Y..........................................
' .............. ........................................
BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTI>lb
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At
New Service .........
No. of Meters Reconnect ............ ...... ........
Move Service ........ ...............
No. of Add. Meters ......... Move Meter ...... .........
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No.
................
9;-4iumbing Final Plumbing Permit
Lot No. .,CM ----------------
Owner or Tenant ....
... ...................................................
,C ....... ... .... ..... .................................................
At A43.0"'7Cf.7�
Tract ..........
DateConnected .......................A"AA ........................................................ 19.��
DateFinal ................................
............................
PLUMBING INSPECTOR
111 12/66-IM
' • OFFICE COPY —
(/�1 (� ELECTRIC SERVICE NOTICE
' [ BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
....................... :. ........... ts9-.
To
You are he
au o Ized t n electrical se ice for
Owner or Tenant ....... .....'.... ... .:......... ......
. ..
0 t
At .............� .... ......... .-- ..... ............. ...... . ........_.......
No. of Wires ........................ Size of Wires ...................... Size of Switch ....................
MotorLoad .......................... Voltage ................................ Phase ..........................:.........
IHeating Load ........................ K. W. .................................. Voltage ................................
Light............... / New ServicC
Reconnect.................. ,
No. of Meters..........1........
No.of Add. Meters............
Heat.................
220,**-****,*,*
20.... . .. Th irMove Service............
Power............... T - PhasMove er.............:
..................................................... ......
ELECTRICAL INSPECT
ROUTE SLIP
File No .
Date I--3-a
Location PP
oT 3 * - 1003
Subject AW / '^�/ �r`�o' � /��
Notes 0� aer ler&//// ori t/l
Approved
Date 'Inspector