NO PERMIT NUMBER (2) i
I
A*woloxoi / Lot No, i
No. Street
APP CATION FOR BUILDING PERMIT Y
CITY OF CUPERTINO
Filo NoIs/
(�A 7
JSanitary No. J7 - aF
Date ,L 196 � ,
Application is hereby made for a permit to
T
. . Pliessea story, Type t�Z L/
to be occupied only as
in accordance th Plot Plan, Plans and SpecificaI.tion filed herewith„
�9
Estimated Value of Improvements. $A
FEES 2r,o Plan Check $ r /�
Owner ins - — Address J 1 1+ AMIX
Corier, Address f
Phone OLS-01 "o State License
Approved A) il�lll 4P Pq
r.
APPLICATION FOR ELECTRICAL PERMIT
Date y' 196 ` FEES a S
Contr. Address 9-2-f`�
Phone —_�J � r y-6 "S Y'�/ State License -�o �
WILLIATA D. r—rNIZEVICK
Approved
APPLICATION FOR PLUMBING & GAS PERMIT / I X01
Date A .� 1961]— GAS FEE $ - 1. JJ
'(J'�,u/�
PLUMBINGFEE
$ C
Contr. 1" 1"YA I A I q Address IrY�'7 ao--A C
/�
Phone A 41S���7 IQ State-License � �+�V
WILLIAM D. SENEVICH
Approved
APP LI ATION FOR APPLIANCE PERMIT
Dote 9 p�Z 196 FEES
Contr. R Address /-:i4 1y '�^-�'✓
Phone State License / A7" �L
Approved WILLIAM D. CiENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California -
RECORD OF INSPECTION APPROV S
fi- ,Z/ BUILDING
FOUNDATION
Do _ Inspector
UNDERFLOOR4t:
0 Ina pe
FRAME O a
Oats Ins ec
LATH PLASTER
FINAL
Date Inspector
ELECTRICAL
OUTLETS
SERVICE SIZ
SWITCHES UNDERGROUND
' Daf Inspector
RECEPTACLES ROUGH WIRING I v '
Dpt i` Inspector
FIXTURES FINISH WIRING Z'� 1
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors ��' n
Dat Inspector
TOTAL FEES FINAL v,
Date Inspector .
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE 11TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
to
or
MAIN DRAIN FEE ROUGH COMPLET D•e?.?l
D
STORM DRAIN FEE MAIN DRAIN '.f
Date
WATER SYSTEM FEE GAS PIPING " 7'
to
GAS PIPING FEE FINAL ,2—/,;7-
2
,•-'Date, na pector
PERMIT FEE MISC
ate 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 FF y PERMIT� E
FLOOR FURNACE TOTA'L,FEE`
INSPECTED .
De to Ina pe c for
ROUTE SLIP
File No.
Date /a - /3 -69' n
Locationo �
Subject
��7 `
Notes
Approved /a-/3-6
Date In 6p c or
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...12........4-7................... 19.6-1... Building Permit No.
The Building Located at ........ .................
.
Owned by ............. .. .. ......... .
J ..... .. .
ed
Has Been (CompleFor Use As: —.......'Y. ul'4..... .......................... .....
...........................................................................................................................................
.............................................................................................................................................
........... .........................
......................................................................................;r—)...........
lX
.......... ....... .......................... ........................
BUILDING INSPECTOR
102 12/66-IM
GAS SERVICE NOTICE ! OFFICE
BUILDING INSPECTORS .OFFICE COPY
CITY OF CUPERTINO
/ . 4
//r /y
.. T.
f..,. . . ................. ... . 196
You are hereby authorized to conned;the GAS service for
Owner or/Ten/`ant .... .j
At � /a•�-. .. .. 'New Service ..........................
............
No. of Meters ... .............. Reconnect ......:.....................
:
Move Service ......................
No, of Add. Meters .............. Move Meter ..........'.............
...... .,1 ......................_........
PLUMBING INSPECTOR
i
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ,Z—po...........
g3--'Plumbing Final Plumbing Permit No. .f)7//.
I "? -i
Lot No. -----rK/... -------------
Owner or Tenant ..... ..................................... ....................
At ..... ..
........................................................
... .. .. .
Tract .....%6e
. ................................7...... .............
Date Connected ..................................*-�4 .7-------10r-....*------------ ------------------
19.
Date Final
-- -------
....................... .. .........................
..........................
......................
....................................
�e�,IIPLUMBING INSPECTOR
111 12/66-IM
CITY OF CUPERTINO OFFICE c6py
ELECTRIC SERVICE NOTICE
................ .......1..�j ..... ............. 19
You are hereby autho Nnn electrical service for
Owner or Tenant ........ .......... ... .. .... .....................
At .............
. ....... ... ......... ........... ........................
Z
f Wires ..
No. of Wires ..... . .............. Size 0 0 Size Of SwitcP(S.0k......
Motor Load .......................... Voltage ....................... Phase ................................
Heating Load ........................ K. W. .................................. Voltage ...... ....................
No. of Meters......._......... Lght..,._�_ I10./. New ..... ...
No. of Add. Meters............ Heat................. 220�hrh'e Wir ........ .. Mme ser,km............
Pbwer............... Muer Meter........
'
............................................ .....
ELECTRICAL INSF
OR
� say
No q A' re � Lot No. �_
i
I N 196'PPLI ATION FOR BUILDING PERMIT
AUG 'City of Cupertino
i Sanitary No.
^G
Date �.,{, ,[��,y,�1y9[6�p Permit No. ��
>1: a story.Type Building
U to be occupied only as in accordance with
0
o :: Plans,Specifications and Plot-Plan filed here . h. PI Ck Fee
> ° 6 Q60
z Estimated Value of Improvements,$
6 OQ. ei Fee$ C'�
0 o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
'> all other laws applicable to the construction, location, and use of buildings within the CitMf
c A Cupertino 'll be compli with.
°o_ Owner51 Addrewff—':Q
3 '
By Address
c M D. 13ENEVICH
o Phoney49l6/ Approved
r � 3
. State License Building Inspector