FILE 51001.2 22266. I Hartman Lat No. 27
No. Street
APPLICATION FOR BUILDING PERMIT .
CITY OF CUPERTINO
File No. 51001 . 2
Sanitary No. 5079
Da to 8/3 196
Application is hereby made for a permit to
-- Erect - a 1 story, Type V-I-J
to be occupied only as S F DWI
in accordance with Plat Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ 27.000
FEES 8-i• 00 Plan Check $
Oak Knoll Co. Address 2383 Pruneridge
Santa Clara
Contr, John Sanchez Address
Phone 241-8161 State License 197558
h' uP WILLIAM D. SENEVICH
— Approved
APPLICATION FOR ELECTRICAL PERMIT '
Dato- 196 FEES R
Contr. 00- _; _ t.C'c""ci"_�-�. Address 9-)
phone — �c �� '� 7� � State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
R
Dote ' �'9 196 7 GAS FEE $ C�
PLUMBING FEE $ o2 6.4-'6
l,diLiC Address "4SQ'
Cont': c/
phone a 3 7 7 State License
Approved l(Lx2y� �/
'Jd
APPLICATION FOR APPLIANCE PERMIT /,3 c c
Date �F�EfES/
C antr. 777
Phone s9� �'�P O ,fes State License
Approved tL'��-/�C1P
Applicants agree not to violate any of the
lf'orkman's Compensation Laws of the '
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION ��I(- BUILDING
D rg Ins pe
UNDERFLOOR Y
re_ Ins ec r
FRAME Da•C
Date Inspector
LATH & PLASTER
FINAL c7.-Date p' s ect r
O
Date Ins Dector
ELECTRICAL
,OUTLETS
SERVICE 51E
SWITCHES. UNDERGROUND
1 7, el Inspector
RECEPTACLES ROUGH WIRING 'D
YV
FIXTURES, FINISH WIRING ,
for
H.P. CHARGE FIXTURES
�Dete'—j Inspector
PERMIT FEE Motors
to nspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
�,,,
01
WATER SYSTEM SIZE ATERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
e
MAIN DRAIN FEE ROUGH COMPLET —
tA for
STORM DRAIN FEE MAIN DRAIN
t
WATER SYSTEM FEE GAS PIPING – for
Date 1
GAS PIPING FEE FINAL ' or
Date Ins poetor
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Date 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
t
FLOOR FURNACE .J' TOTAL FEE
INSPECTED
Do to Inspector „ .
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATH INSPPCTOR
FRAME
DATE INSP17CTOR
LATH and PLASTER
DAI'E ' INSPECTOR
FINAL BLDG. j-
DATE INSPECTOR
II !
FINAL ELEC. I-
DATE INSPECTOR
.. FINAL PLBG.
DATE INSPECTOR
17INAL GAS
DATE INSPECTOR
I
22266 Hartman Drive 27
LOT NO.
NO. STREET � L
0 ' - 8
zi
N Q �
/APP��ICA•T ON���FOR BUILDING PERMIT
r °
¢ ® E3 CITYp F CUPERTINO
_ �I
0 a Sanitary No.,�Q_
w� fAU 4 1967
= a Date 1:4GZ Permit No. j`/ DD� a
, 0
`o A pli ation is hereby made for a permit toE rec t
a r U lY 0 ppeELT�No
z a a 1 ory, a 1.-.I Building
W
? to be occupied only as S F Dwl
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$27.000 Fee$ 83.00
OJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J
Z all other laws applicable to the construction, locatiop, and-use of buildings within the City of
O Cupertino will be compli ith.
3N ne p42 Address 2383 Pru', neridge Ave.
W Z
rc a BY Address
< 0 P one 241-8161 i
Approve
�1 Sate Licens 1 8 __ DING INSPECTOR
ROUTE SLIP
File No. }Jao/- L'
Date Out
Date In 3—/ -6 IF
Location
Sub�jec't
Notes _
Approved
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... ...... ......... Building Permit No..Vqq./--.2-A
The Building Located at ---66....... ... .. ....................................
Owned by co
-----------
..........
-KA�-x....... .. ......................... - --------
Has Been (Completed) For Use As: ......... ------------------------------------ -----
------------------------------ ------ ------------ ... ..............----------------- -------------------------------------------------------
.......... ....................... ---------------
....................... .. .......... 7,
............................................................ ................................. - ------------ ......................
............................................
BUILDING- INSPECTOR
102 12/66-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
._. ... . off a.... ...... . , 19616.
To
You are hereby uth to no ct I trical service for
Owner or Tenant ......... .. .._ ... ... .... ....
At ........�.zz:..�.� .......--�-.
- Z�1 {-Zl
..........
No. of Wires ....Z.�.. ._.:.._--- Size of Wires .._�. ..�_...... Size of Switch .r .
Motor Load ...................... Voltage ........ Phase ........
Heating Load ...._.........._...... K. W. ............. Voltage ....... .
' t Light ....�
No. of Add. Meters.. / I IU._/New Service../..... Reconnect_.._....._.....
No. of Meters....1..............
Heat................. 220..... Thre it . ............ MOVE Service..__._.
..........
Power............... T a ............. Move Meter..............
ELECTRICAL INS' CTOI
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............ ............. 196.9?f
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .. ly
........................ ....................
At .,*;;):ai.!F)--(0. ..... ............................:.........I.............
New Service7�-
No. of Meters .. ... . Reconnect .............................
Move Service .......................
No. of Add. Meters Move Meter ...................
............
PLUMBING OR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OP CUPERTINO
Sewer Connedion Sanitary Permit No. .140.17Y
40.17............
M,-flumbing Final Plumbing Permit
Lot No. .....rz .r�.-------------
Owner or Tenant ._._..v . .......-----
----
.---
.---------------------
......._
At ... ?�2'�ti .-, %� ------ •----------- ---------------
Tract .. ........ � .... --------------------------------------------/ �
_ /pp � n
Date Connected -- 5. . z.... ...s�! . ..................... ...... 19.C/2//..
DateFinal ...... ............. . �----------------------------------------- ................... 194?m....
� ...................
"-'PLUMBING INSPECTOR
111' 12/66-1M
OFFICE COPY
LECTRIC SERVICE NOTICE
DING INSPECTOR'S OFFICE
CITY 0rFPERTq.
196.
You are her y athoriz d f6)cono'ec/clectrical ce to(i
Owner Tenant ....... ........................
At -e.4n........
No. of Wires ... ..... Size of Wires 710 Size of Switch _Gcz,
Motor Load .......................... Voltage ......... .......... --- Phase ............ .......
Heating Load ........................ K. W. ...... ......--- - Voltage ....... ........ --
No. of Meters.................... .gh i�)............ New Service Keton=a.........
Li
Heatt:�: o', S"vi........... .
No. of Add. Meters............ Power..... hree .r,v, Met
'r
... ........
ELECTRICAL INSPECTO