5115710];4.0
No.
(CONVENT)
N. SARATOGA-SUNNYVALE RD.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Data July 2 196 5
Lot No.
File No. 51157
Sanitary No. 4517
Application is hereby made for a permit to
Erect a 2 story, Type
to be occupied only as Convent
o -H-1 Hr.Bld
in accordance with Plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 179,000.00
FEE$ 294.50
0,,..r _St. Joseph's of Cupt.
Contr. Gurries Construction
Plan Check $
Address
Address
270 San Jose Ave. S.J.
Phone o4o-o495 State License
Approved W. D.BenevS
,1
`�s
APPLICATION FOR ELECTRICAL PERMIT
7
iDare 196 S{' FEES
U�
Contr."-<-L��c-�-�• LT Addrezz /O 3—%
Phone - %G 7^ 7e 71 State License 9/ p
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Do to 196 GAS FEE $
PLUMBING FEE $
Contr. Address 'z/ems
Phone '�� 7 �Y r
State License .r --C S S b
WILLIAM D. BENEVICH
..NNS
APPL ATION FOR APPLIANCE PF 41JM—
Dote 196 FEES
Contr. Address
Phone �( ��Q/ >' State License .04?XZL40
Approved WILLIAM D
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
I
�61 P i r UQ LOA LLS
V Ps Jam+ C"a R A i I Je. t u H
RECORD OF INSPECTION APPROVALS -.
FOUNDATION �' BUILDING
UNDERFL00. O Cl nspector
a� 9 e
FRAME `�.
MQ6 MQ '- $'( WQ4- 1-If-%fynsp cor
LATH 8 PLASTER
t� Daie' Spector
FINAL !�
Inso ctor
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g /Z SERVICE SIZ
UNDE GR UND
--CC 17-UD44-�
R HI I G
t
FIWISH WIRING
FIXTURES_
Motors
FINAL
PLUMBING & GAS
Da
Inspector
Date
,OUTLETS /j.6'
3.
(,O
SWITCHES G
_ Inspector
Date Inspector
RECEPTACLES
w�
FIXTURES /S7
/S70-
S70H.P.
H.P.CHARGE
/12S
PERMIT FEE
/
D'd
TOTAL FEES
eZ
FIXTURE FEE
Inso ctor
L-
«., t U u s
g /Z SERVICE SIZ
UNDE GR UND
--CC 17-UD44-�
R HI I G
t
FIWISH WIRING
FIXTURES_
Motors
FINAL
PLUMBING & GAS
Da
Inspector
Date
Inspector
Date
Inspector
Date
_ Inspector
Date Inspector
MAIN DRAIN
SIZE
FEE
MATERIAL
UNITS
STORM DRAIN
SIZE
LOTERIAL
REGISTERS
w�
BLOWER FURNACES
iATERIAL
�T�PS
WATER SQPYSTEM SIZE
TOTAL FIXTURES .S-`
�/«`
UNDERGROUND
FIXTURE FEE
GAS RANGE
PARTIAL ROUGH -
MAIN DRAIN FEE
MISC
/ Date n or
ROUGH COMPLETE//:%t6
GAS DRYER
Onto for
STORM DRAIN FEE
PERMIT FEE
MAIN DRAIN -.g0 -G-i-
FLOOR FURNACE
Dae or
WATER SYSTEM FEE
A
S
to
`f-
GAS PIPING FEE
FINAL
a--�
Date Inspector
PERMIT FEE
MISC
� �5
Date Inspector
TOTAL FEE �
MISC
Unto 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
PERMIT FEE
FLOOR FURNACE
T4 FEE
INSPECTED?
Data Inspector
'w Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPFRTINO ��//
❑ Sewer Connection Sanitary Permit No........w' 1`.- rr.��......:..
Plumbing Final Plumbing Permit No. ........
OWI
At
T',
DateConnected ------------ .------ //.---�-----................_.....--------__......_._. 19.(-.-
Date Final --------- --------------.. a-'-------------------- ---..------ //0.7//. .---. 1919ot-.
PL BING INSPECTOR
111 7/63.1M