NO PERMIT NUMBER (3)/QJ O O I I Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
-�J Sanitary No• "
Dote / 196
�jAp�plication_ is hereby made for u permit to ^ '/
C/ _C _ sr^„ Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ y00
FEE$ - 101k
f" --PPlaan__.Check $ -6{ '
Owner I& �1�tl�4s
Cont'. Address A 9 I /_wc.
Phone - 'f�v/����iy /) State License
/Ia/1 s
Approved W
APPLICATION FOR ELECTRICAL PERMIT
Data � /�� 196 7 FEE$ `--3 n
Contr. C Address
Phone / a a" 7C9 V State License
Approved Wit-1_IAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Date '7� 196 7 GAS FEE $
qq p PLUMBING FEE $ -3- .S O
Contr. Address
Phone 0 7!yState License
Approved
APPLICATION FOR APPLIAN PERMIT d.
Date 1% )7 ^^ (/�' F/EJE$ e.l�
Contr. � � Ve t�s.e. C0l`141ress �.�� W..t.f�is./ /"ter
Phone - o?�� —(� n d�2 State License r G
Approved !N/C/[1t�..._•__
Applicants agree not to violate any of the
Workman's Compensation Laws of the I
State of California
RECORD OF INSPECTION APPROVALS /dad oK- 7-Rs d 7- E k.X�e
FOUNDATION - 47BUILDING
��Z- ra¢.yVpV�1e $'- 2r•6 ' Nb-�R s for
UNDERFLOOR WAU -n
FRAME bb
Date Inspector
LATH 8 PLASTER
a o�
FINAL --JQdat_e 6
Date Insoector ,
EL, CTRICAL ( y
,OUTLETS ISERVIC EIZI
SWITCHES
Inspector
RECEPTACLES ROUGH WIRING
11_f Inspector
FIXTURES FINISH WIRING _,f
gjen
H.P. CHARGE FIXTURES - r �Inspector
Date Inspector
PERMIT FEE �Motors
_ D4
Inspattor
TOTAL FEES FINAL
7 Inspector
PLUMBING eGAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
��ec. 1c'�gaF• � ��
WATER SYSTEM SIZE T�
TOTAL FIXTURES RGROUND -C7
FIXTURE FEE PARTIAL ROUGH
Date for
MAIN DRAIN FEE ROUGH COMPLET Q-S-
D to ctor
STORM DRAIN FEE MAIN DRAIN 7
Date or
WATER SYSTEM FEE GAS PIPING - S'
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE M_ ISC
O O Dat _ of
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MIrC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
Date , Inspector
BUILDING DEPARTMENT
CITY OF CUPERTINO
(orrectio otice
Jobatedt _- .... ...'�L��
I have t ifi s day inspected this structure and these premises
and have found the following violations of City and/or State
L gover 'ng same.
-- - -- ....-- - ....:.......
--- ...........
.. ... ..
................ ..._ ._.... .. ..
.. .. - ---- .... . . . ....... . .T...... .............
..................
0
.. - ....
....... -- -- -... ..
6
notified that no more work shall be don
a.
c r ctions have b- e call the inspector.
I
Date ./l./. ...�. ----
Inspec r r [wilding Dept.
DO NOT GMOVE THIS TAG
101 12/63-INf
, ;
OFFICE COPY
ELECTRIC SERVICE NOTICE
5 BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To `I.
II .
. ..
........................ . ... ............... 196 .
You are her aathorr�gd t nnect el ical a ce for
Owner or Tenant ......... ....:..!'.....-. . ......................
.......
At b���
No. of Wires . ............... Size of Wires .... ..... Fl
........ Size of SwitQ.fa. ......
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ......................... K. W. .................................. Volt/age ................................
No. of Meters....................
Light..... 110....✓.._..A
/..... Reconnect..................
Heat................ 22 . . ire............... Move Service............
No. of Add. Meters............
Power............... e................ Move Meter..............
............... ................ ............
ELECTRICAL t SPECT R
BUILDING DEPARTMENT
CITY OF CUPERTINO
Correction Notice
job Located a .. .... "
I have this day iafrected this structure and these premises
and have found the following violations of City and/or State
ovemin me.
...._...... ....._................... ... .._. .._.-...- ...........
L�
.. ..... . ...... ... .
..-.. . .. . ... ........................ ..--......
... . .-, �.. .....
- --- - --- - - ; ---------------- -- - ..................
Y u e c t* d that no more work shall be done
upon ies it the above violations are corrected.
When c do s 'e een made call the inspector.
Date - o. .� �j........ ---- ...-----
n,ecto Buildint, Dept.
DO NOT R17MOVE THIS TAG
101 .12/63-IM
OFFICE COPY
J
.ELECTRIC SERVICE NOTICE
IBUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO �y
._--...._..._......7. - - ......_.........._..., 19G.L..
To
You are hereby authorized to connect electrical
electrical service for
Owneror Tenant ........ ...............— ............._......_.........................-- ---...
At ,lCz ..� . ....... .._ ...........................................................
No. of Wires 12................. Size Aires ..... ............... Size of Switch _ ......... .. .
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters..... ............
Light............... 110............ New Service......... Reconnect..................
I No.of Add. Meter............
Heat................ 220e��... Three Wire................ Move Service............
Power............... Three Ph—ae................ Move Meter..............
........../../c 7. '.�.fi.W.^.:4Fr. ..................................
v ELECTRICAL INSPECTOR
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CERTIFICATE ", OF COMPLETION
BUILDING INSPECrOR'S OFFICE
I
CITY OF C UPERTINO
Date ...lb...27..................... Building Permit No.-1U&74--
The Building Located at ---1.0—s-i;?.-------
Owned by ..v......r�4-t, .....TAr......AP
Has Been (Completed)
For Use As: -----
................ .....................
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102 12/66-IM BUILDING INSPECTOR