NO PERMIT NUMBER (2) 1
2�7� //tIr/ ' �sw.�.I�� �°••6•A/� Lot No. �O 9
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
G Sanitary No.
Dote 196 a
DAp Uc¢t' is hereby made for a permit to T
a story, Type S_Z s/
to be occupied only as
in accordanct4ith Plot Plan; Plans and Specification filed herewith,
' .30 eoo O °
uEstimated Value of Improvements $
a,
FEE$ Plan Check $
Owner Address 023.)1'3
Contr, T Address
Phone z21& 1 State License 1S •_�
Approved 92&4i/
ri
3•D APPLICATION FOR ELECTRICAL PERMIT
Date 196 - FEE$
/01 if — �/9 ew
Contr, Ow
Address
7qA O�/17 i1 d n
Phone State License S'$
7 0 0 WILLIAM D. BENEVICII
Approved
APPLICATION FOR PLUMBING & GAS PERMIT .
Date ]_ 196 qx GAS FEE $
t PLUMBING FEE $
b
Contr. Q 11 Q Address
Phone —!ems_ �/D �� State License
Approved - WILLIAM D. BENEVICH
�� /��� 2 APP A TION FOR APPLIANCE PERMIT
Date 196 FEE$ /
Phone State License
v .
K Approved WILLIAM D. BENE'VICH
Applicants agree not to violate any of the,
Workman's Compensation Laws of the !jt
State of California
RECORD OF INSPECTION .APPROVALS. '•
FOUNDATION —/7^,4 P 0 BUILDING
Da 6 p Inspect
UNDERFLOOR 0
_DOafa 6 Ins act no
-t SS
^tea�, ry, Ins ecf
ATH PLASTER 7 p-
FINAL
O to to6 0 I s
Date Inspector
ELECTRICAL
,OUTLETS
SWITCHES UNDERGROUND SERVICE SIZE '
q. e� Cop Inspector
RECEPTACLES ROUGH WIRING OO
1 I `, to Inspe<for
FIXTURES FINISH WIRING t
D e
H,P, CHARGE FIXTURES- _ Inspector
1
.�-
PERMIT FEE Motors Inspector
TOTAL FEES FINAL
1-H e� Inspector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE -MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES . UNDERGROUND /
FIXTURE FEE PARTIAL ROUGH (�
r
MAIN DRAIN FEE ROUGH COMPLETE
for
STORM DRAIN FEE MAIN DRAIN - yjo�
WATER SYSTEM FEE GAS PIPING ' ✓r6Y c or
Date p for
GAS PIPING FEE FINALZZ-1-5--do
- I'"
Dote Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE 'MISC
Date Inspector
esesesse
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC `+
GAS RANGE MISC I
GAS DRYER PERMITiFEE
FLOOR FURNACE "TOTALtF E
INSPECTED44
Date Inspector
A
OTICE-OF ADDITIONAL CHARGE
JUL 2 6 Icy kl-,�PERTINO
BUILDING INSPECTOR'S OFFICE
Date 5!pm lj�qy —
0. ....... ........ ..T-, ,fie Permit No.5&C�)
To ...
.............
Address
Reason
...................
............ ........... .......... ............ ... .................. .......... ............... ............
-
---------------------------------- ....... ........... ................. .......... ............ ......... ...... .................
.................
6
n, 1/5,
04 3/59-300
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
y
Date ......�.�...-.... .Q................. 19---ft.f7... Building Permit No. ;?_tUUI�_ �
The Building Locat aat/..�Cn�..�.. ...r:. �.lq....ijrt < ...... ........ .... .
Owned b 6 �� ( e� • ` .�... `a y . .
y .....:...... .................. . .... ............ ............
(Completed)
Has Been CA
d 1FQ• 4— For Use As:
................................................----...............----....
�..+..... ........... .._��.....�............................................................
....................................................... ................................... . ....... ...................................
u
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF...CU.P.E.R.T,I,N.0
TO
You are herebyco for
Owner or Tenant ..---
ze
At ........ -TC
No. of Wires .....11............ Size of Wires � Size of Switch
Motor Load
.......................... Voltage ......!........... .......... Phase ...................... ..
Heating Load ........................ K. W. .. . ... ... ..... Voltage.-
No. of Meters---- ight.�........
L New Service,.,.... Xeconnect__
... .....
Heat
21 ...
No. of Add. Meu�"*�**!�� 0 ---�Thl Wire- Move Service...........
Power.......... ... Th .1hase .....a.. Move Meter...._........
...........
ELECTRICAL INSPECTOR
GAS SERVICE NOTICE OFFICE,
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINg/
.........../Zo%---'�................................ 196?
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
........ ...................................................
At
...aoll...................................................
New Service
........................
No. of Meters ..../............ Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
,zz"PLUMBING INSPECTOR
+ •Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ............
ea'�Plumbing Final Plumbing Permit
Lot No. ....AU,9----......-
_
��
Owner. or Tenant ... ...........
At
Tract //
-- -"----------------------------- -------------
(r�
Date Connected --------------------------------
.=.....lc ..................................................... 19.4,v
Date Final ......................... -`f' " ' 19`r?
.......
PLUMBING INSPECTOR
111 12/66-1M
ROUTE SLIPV
File No. 6%4D/•
Date
Location 26,/
Subject
Notes
Approved
Date Inspector