NO PERMIT NUMBER (2) %J�— 4-7
0
Lot No. A6/7
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
� //7(�
Sanitary No.5- • O �/
Date96lL
Application is/hereby made for a permit to
R 1•!Let; e —a S-
to
Ty e �+
to be occupied only as Q 1'j _ ! ,
in accordance with Plot Plan, Plans and Specific on filed herewith.,
00
Estimated Value of Improvements §
AS 64 '6
FEES 7 O - Plan Check $ C
Owner � ��A � Address �A •Q`� do-L
Contr. c Address
Phone AS, State License /IV—/7 9/
Approved WILLIAM D. E•=NEVICLH
APPLICATION FOR ELECTRICAL PERMIT
Date G 196 a / FEE$ as -
Contr. �7 / Address 9�
/
Phone r3` —S L/ State License /ZY 1"
Approved \Alts I IAM D. D:ZNEV1rH
/APPLICATION FOR PLUMBING & GAS PERMIT �
Date `� a- 196 GAS FEE E `/
PLUMBING FEE $ a 3,5
Contr. _2� Address 1-235e >LJti` l/
Phone 0 State License / )Zct6S7,/ r
Approved /�/ — •� JCJ/
AP LICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address 3 d
Phone f State License
irG..y i
Approved
'YlfLLIAM D. EiENSViCH
Applicants agree not to violate any of the
Workman's Compensation Laws of the •; '
State of California
REJ D OF}jSP5Ef-TI AP OVALS p
Fo15r+DAnoN - ry BUILDING Yom^
oar _ 6 6 Ins c of
UNDERFLOOR
Do� �/• 7� Inspector
FRAME bU
at Inspector
LATH 8 PLASTER � Q
,O DatrO-6 0 ,Inspector
, r
FINAL
Date Inspector
ELECTRICAL,/ 7-31-►8e-
,OUTLETS 'rte �MM►
^Gr SERVICE SI V/-
SWITCHES UNDER ROUND
D Ins pactor
RECEPTACLES ROUGH WIRING �
FIXTURES FINISH WIRING I
--Lb— -DtaO Inspector
Dqr� Inspector
H.P. CHARGE FIXTURES 1
Inspectors
PERMIT FEE Motors
Inspector
TOTAL FEES FINAL
Dare �' Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
pO
44-6�— ^_"�
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH oZ -
Date Ins pactor
MAIN DRAIN FEE ROUGH COMPLETE
r ct
STORM DRAIN FEE MAIN DRAIN 'o2 r
I vor
WATER SYSTEM FEE GAS PIPING � -6,7o i
pfe or
GAS PIPING FEE FINAL D -��-�
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE M_ ISC
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 FURNACE .� TOTAi- E.E
INSPECTED )
D ra _ Inspector
ROUTE SLIP
File No.
Date A0 — � —(
Location��` l7
Subject 07
Notes
Approved/p
Date Inspe t r
GAS SERVICE NOTICE OFFI(E
. ' .F... COPY
BUILDING INSPECTOR'S OEPICE
d' CITY OF CUPERTINO
i
, You are hereby authorized to connect the GAS service for.
OHner or Tenant
p 1 ....
At ..c �+< IaJ .. ,,,/_siir#Z!.lG�`' e[L�-1,?i, i
_ _ .... ...._.
r •
New Service ......
No. of Meters ..: Reconnect
I, Move Service,,..i...,......._.. ., ..
No. of Add: Meters ......'........ - Move Meter .......................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO �-�j
r ❑ Sewer Connection Sanitary Permit No. -1.57/ rf�j..----------
EI'llumbing Final Plumbing Permit No.�.11?;,........
, j.7..................
Owner or Tenant ! `.-- �..(�� .........................................................
At ` /.. -S-.c� ..................................... . .
Tract ..........., ..... -. .. . ...
DateConnected .........................`. � ....................................................... 19.fv
DateFinal ............. .--- .. ...�j............................. ........................... 195aG1...
....---- ....
PLBING INSPE
.........................
MCTOR
111 12/66-1M
RECTR/C SERVICE Norice 'oA I ' �o
AJCg Al
BUILDING INSPECTORS OFFICF
CITY OF CUPERTINO
SEN p p
............ ..7.
. .......3../_......................, 196.4..
You are hea ori d to co nQ ect electrical service for
L (��
Owner or Tenant .... ......... . ...... .......... ....
At ..w�..�.�.. ` ...... ............. ............................... .................................... ...............
No. of Wires ........................ Size of Wires Switch ..
f` Motor Load .......................... Voltage ................................ Phase ....................... ......
Heating Load ........................ K. W. .................................. Voltage .........................:......
/ Light............... 110............ New Service................ Keconntct............_....
No. of Meters....
Heat........../.. 220............ Three Wire................ Move Service............
' No.of Add. Meters............
Power............ hm Phase.. Move Meter..............
.. ..................................................................................
ELECTRICAL INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
P BUILDING INSPECTOR'S OFFICE
! CITY OF CUPERTINO
j To
You are hereby au ri edo�mnn c electrical service for
Owner or Tenant ............. ..
No. of Wires .......... ......... Size of Wires ... .. ....v. Size of- Switch ..�..�.U.S.T
Motor Load .......................... Voltage ....._....................... Phase ......................
HeatingLoad ........................ K. W../................................. Voltage ....................._....... .
!� (L' ht............... 110..../New Servic� Reconnect..................
No. of Meters.............I.....1 s8
(Il Heat................. 220......�T r Wire..... .... ... Move Service.........,..
No.of Add. Meters..........-. /J
Power............... T Pha ........--- Move Metei..............
HL INSPRCTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR!S,.OFFICE
CITY OF CUPERTINO
Date --- // l....../I..................... Q Building Permit No:JZYI
TheBuilding Located at ...... .....................Owned by ...... e I.............................................................................................7
................
HasBeen (Completed) For Use As: ..................................................................................
....................................................
. ..... ........................................................
...... .... ..... .....
.................. ......................................... ......................................................................................
....................................... .............................................
................................... ...................................
BUILDING INSPECTOR
102 12/66-IM