NO PERMIT NUMBER (3)L
No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File Ndt RC1 7 ��
/Sanitary No. v
Data 196 L
Application is hereby made for a permit to
to be occupied only as
in
Estimated Value of Improvements
FEES
a
Plan Check $
Owner Address
Contr,
Phone
Address
State License
Approved _
:ation filed herewith,
APPLICATION FOR ELECTRICAL PERMIT
L
Date! Y�v196 7 FEES 1'7'� 7 �
Contr. IA24n e 1Address
Phone 7State License 2- 2- 77.C-�
Approved - F �'Z_
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196
Contr.
Phone
GAS FEE $
PLUMBING FEE $
Address
State License
Approved
�� APPLICATION FOR APPLIANCE PERMIT
Date L 196 /�/� FEE$ G v
Conte. / 1J LLi d� O Address 02-T/ � Nd_
Phone e V 7-/0 1? 50 State License /*,J-/�z"e
Approved &�/4Z _e-
AppHcants agree not to violate any of the !�
Workman's Compensation Laws of the
State, of California
RECORD OF INSPECTION APPROVALS
-SIZE
BUILDING
FOUNDATION
UNDERGROUND
STORM DRAIN
Date
.�aa
ROUGH WIRING IO• et0• C:
UNDERFLOOR
Inspector
Date
Date
FINISH WIRING
FRAME
Inspector
Date
Do to
FIXTURES
LATH & PLASTER
MISC
• Date
Inspector
Do to
.-- Date
,OUTLETS
SWITCHES
RECEPTAI
FIXTURES
r
PCHA
RMITTAL FE
Inspector
Inspector
Inspector
Inspector
Ins/
ELECTRICAL /
-SIZE
ERVICE SIZ
MATERIAL
UNDERGROUND
STORM DRAIN
SIZE
.�aa
ROUGH WIRING IO• et0• C:
MATERIAL
Inspector
Date
Inspector
FINISH WIRING
Date
Inspector
Date
Inspector
FIXTURES
MISC
Date I I Inspector
Data Inspector
�- uT
fdMG & GAS
MAIN DRAIN
-SIZE
ATERIAL
MATERIAL
TOTAL FIXTURES
STORM DRAIN
SIZE
MATERIAL
REGISTERS
WATER SYSTEM
SIZE
ATERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
REGISTERS
PARTIAL ROUGH
BLOWER FURNACES
Date
Inspector
MAIN DRAIN FEE
ROUGH COMPLETE
MISC
• Date
Inspector
STORM DRAIN FEE
MAIN DRAIN
MISC
Date
Inspector
WATER SYSTEM FEE
PERMIT FEE
GAS PIPING
FLOOR FURNACE
Date
Inspector
GAS PIPING FEE
FINAL
Date
Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
MISC
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
TOTAL FEE
INSPECTED
Date
Inspector
OFFICE COPY
U�t
To
You are h
Owner or Tenan
No. of Wires ....
Motor Load ------
Heating Load
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
................................... 196
Size of Wires ---
.................... Voltage ................................ Phase..................... ...- ......
...
.................... K. W.................................... Voltage ........
j'No. of Meters.....'.
(Light.....__... 110........................ New Service .....
No. of Add. Meter Heat.....0
Power ............... .
has
n
Etecnucnr
i
Reconnect ..................
Move Service............
Move Meter ..............
/o .3 S -V
No. Street
r
'>y Lot No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.,5-wd ? 7
Sanitary No.
Dote � � 3 196
Application is hereby made for a permit to
to be occupied only as
a story, Type
in accordance with plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES n!
Owner �^"J
Contr.
Phone
Plan Check $
Address —
Address
State License
Approved _
APPLICATION FOR ELECTRICAL PERMIT
P
Data �3 1g FEES
Conti, Address .Tb
Phone 12 State License
\ / S -a
/ �131/Y 4/' - / D
J i
Approved t+nt t tAnn l r—rr CH
AP LICATION PLUMBING
8 GAS PERMIT
Ir
Date Lj 196 d
GAS FEE $
PLUMBING FEE $ - S -W
�v^
Contr. __ �/
v
Address 26 G �^- n. O
—
Phone _3% t�' 7�. �C
State License — 2-rl9 7 V, OK ,
Approved WILLIAM D. BENEVICH
y 1 j FOR
APPLIANCE PERMIT
Do to 19APPLICATION
FEES
,, n
Conti, /�aJy-e,..�
Address ca-/
Phone
State License
wILLLP-:A D. DENEVICH
Approved
Applicants agree not to violate any of the.
Worhman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
I
FOUNDATION
DATE
INSPECTOR
UNDERFLOOR
INSPECTOR
FINAL
DATE
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
MISC
INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
FI
s
' DATE
INSPECTOR
ELECTRICAL
"t—
ELECT. SERVICE
DATE
INSPECTOR
UNDERGROUNB
1 � DAT
INSPECTOR
RO I -�
DATE
INSPECTOR
FI WIRING
DATEINSPECTOR
FIXTURES
DATE
INSPECTOR
MOTORS
AT
INSPECTOR
-D
I
FINAL V
DAT
INSPECTOR
UNDERGROUND -
PARTIAL ROUGH
ROUGH CAMPLEI
PLUMBING & GAS
GAS PIPING
DATE
INSPECTOR
FINAL
DATE
INSPECTOR
MISC
DATE
INSPECTOR
MISC
DATE
INSPECTOR
INSPECTED
MISC
MISC
APPLIANCE
DATE
DATE
DATE
DATE
INSPECTO
INSPECTOR
INSPECTOR