NO PERMIT NUMBER (2) l
O l
107 / I O� /`�� *� Lot No. I3
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. /���` 7 2
Sanitary No. SY
ky
Date 196
A pliepation is hereby made for a permit to T
(��1 �'ya .story, Type S f LT
to be occupied only as
in accord-091with Plot Plan, Plans and Specification filed herewith
Q Estimated Value of Improvements $ t7�i C d
FEE$ _w/ d dQ Plan Check $
Owner 131s�1.
//�A Address �� .�� �✓ �/�4sr
�Contr. Address
Ph�na �"' ���0 State License
r
Approved (-IJ —A _
APPLICATION FOR ELECTRICAL PERMIT
/ o0
Date a 196R FEE$
Contr. // -may ��0. / OA 6.C� Address gas
Phone - /�.� �. �Y �� State License
Approved WILLIAM D. BENEVICH
�APPLICATION FOR PLUMBING & GAS PERMIT /
Date 196 GAS FEE $
PLUMBING FEE $ of ro-S--e) r
Contr. ��'�"--� Address /01.3 X �' n7 J
Phone State License - Zk64-7 9
Approved _irlLl_IA64 n ll NFVIf�L.
APPLICATION FOR APPLIANCE PERMIT _
Date S-/3 196 FEE$ /3' o�S
Contr. ✓`^ '✓' Address 13 d
Phone - 37 h —d 9 State License 2-6 ie-Z
/ Approved _ WILLIAP4 D. EENEVICFI
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS`
e.IBUILDING
FOUNDATIONy
( ^ �la /
DATE I ECTOR
UNDERFLOOR S 2-'3-6 IS, _.1.
[ `O TE IN CTOR
FRAME v -�� o
GATE/, IN SP OR
LATH PLASTER r7 6
FINAL �2 ^ ITE IN roR
O DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE 17
GATE 6 INSPECTOR
UNDERGROUND
/O TE I / J�AINSPECTOR
ROUGH WIRING
GATE INSPECTOR
FINISH WIRING y
DAT INSPECTOR
FIXTURES Y
DATE INSPECTOR
MOTORS
OATINSPECTOR
FINAL v
DATE INSPECTOR
Pf BING & GAS
ems"'
UNDERGROUND
DATE PECTOR
PARTIAL ROUGH
DAT J� SPECTOR
ROUGH COMPLETE •-�� O
D4T SPECTOfl
MAIN DRAIN
D TE IN SR£ T R
GAS PIPING r6
^�O TE IN SP C R
FINAL CT/' YY
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
p- APPLIANCE
INSPECTED L9 r�•d `�v-Y
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
ROUTE SLIP
File No. :5— 7.1
Date 6
Location cl-,�
Subject
Notes
Approved 9— 3- 6 S
Date Invbkctor
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .....:5?. ................... 1941.. Building Permit No.
The Building Located at ----
?--------- --- - -----.........
Ownedby .....................................---------------------------------------
Has Been (Completed)
�Altered+ For Use As: ...._..... R ..........................................
.............................................. --------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------- -------------------------------------------------------------------
--------------------------------------------------------------------------- -------- ------------------
--- - ------- fl
----- -----
-------------- ---------------------------------------------------------
BUILDING INSPECTOR
102 12/66-IM
CE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE,
O (
I-�L, CITY OE CUPERTINO
To ('
--= - _..._........._._ _.._y._�.._... . . ., 196 ..
You are hereby autho z t `Mbnect el trical service for
i
Owner or Tenant ...... _,..
I
No. of Wires .. ............... Size of Wires ----- Size of Switch
Motor Load
.......................... Voltage ._....__...._..... ....... Phase ....... ...-........
......_ .. .-.
1.
Heating Load ----------- -------- K. W. ......._...-............... ..... Voltage ....__._..___.............
Light_/.. IIU._e� New Service.........
'1 '�''.� Reconnect..... ..._......
No. of Meters-.:...._..._--....
' Heat......._......_ 220...,x.-.�.. ree W" e Move Service...........
-------------
No.of Add. Meters-.-......... -
.... .......
Power_....._..._. ree P se...... ....... Move Meter-.............
ELECTRICAL INSPECTOR `�
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. -,574.3!..0 -
... ...........
Plumbing Final Plumbing Permit No. S,11-4..7e---
OFLot No. ...1.13--------------------
Owner or Tenant ------ .......................
At ---
..
--- --------------------------------------------
Tract ----------
-- ----------------------------------------------------------------------------------------------
-
Date Connected .......7..--.3.0- 900 .. 19............
.. .... ...........................................................................
Date Final ---------------
:., 19------------
-------------------------------------------------
PLUMBING INSPECTOR
111 12/66-1M
GAS' SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
................ ................... 1961.
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ....
.. ......
At ..... 1.iV.......167 .....
... ot�... .................................
6ZVA-F .
New Service ..........................
No. of Meters ....r...... Reconnect ..............................
Move Service .......................
No. of Add. Meters ......... Move Meter ........................
.................. ........—.................
PLUMBING INSPECTOR