51120No.
Lot No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO'
Date -3 /2 3 196 _9
Sanitary
File No.,S-/lJt-?
Application is hereby made for a permit to
I a story, Type
to be occupied only as
in accordance with Plot Plan, plans Xd Specification filed herewith.
Estimated Value of Improvements
O
FEE$
Owner &1211;6M
Contr.
Phone e2S 7- to r3D
Plan Check $
Address
Address I=30 a A,,^ t244 -
State License / 577 - 054L
Approved 41- LY.
la
APPLICATION FOR ELECTRICAL PERMIT
Date ' 1-r 1969 FEE$
Cont,. �'&NrSR- /�^�/iSs 0t, Address
Phone 2e1 1 - ba i6 State L
Approvi
APPLICATION FOR PLUMBING & GAS PERMIT V Q
Date -S -,23 196 Q
GAS FEE $ (15-19)
PLUMBING FEE
E sy .-.-----
Contr, 4LMSJZ /lti
Address
O • «�{'.
Phone /X -S 9-64`30
State License
i97G
Approved
APP ICATION FOR APPLIANCE PERMIT)
Date 3 -a-3 199666
FEES
OJ -
Contr. �> i ury�40T�•
Address ���^A
D �
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Phone-�•S-%- �Dl.3O
State License2Zek*'
Approved
Applicants agree not to violate any of the
(/✓
Workman's Compensation Laws of the
State of California
,
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC: - -
PAD FINAL
FOUNDATION /
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPE TOR MISC.
UNDER
ROUGH
FINISH
FIXTU
MOTOR
FINAL
ROSfNO OUG
WIRING
6/J
9
ED WIRING
RES
S
]w�-,..1 %ia+�.�-w /....LP_ /�tY to r+„-�1"7'a-rk.I�--`�. = JS..�u F.� _ [.. c�..n.�=;---• �%� I
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL-PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INS
i
TRENCHING -PERN11T
SIDEWALK PERMIT N.' 116
DRIVEWAY APPROACH PERMIT
I CITY OF CUPERTINO
Fee $ ------- 15d --- Date ------- 1967
.... .......... .... .....
Permission Is Granted ----
Location ..._.---------------'--(l..
Purpose ---- ----------------------- ..... ...
_..._-------------------------
COnf rRCtOC................. ..... ...........
- --- ---------------------- ---- --- - - -------------- ---------
NOTE: All work shall comply to all priditions contained in Ordinance 130.
Issued by --------- ...
-- ------- ----------- ........ .... ---------- --- .... ...
RECORD OP INSPECTION
---------- ---
DATE
.......... ------- : -- ----------- —
DA N',
........ ... ....
DATE
........ .... ..............
TIME
...............1'1
--------------'I TM E
.........................
ri A11!
............... -----------------
INSP17CI Oil
..... .......... .
INSPECTOR
INSPFCIOR
------------------ ....... ... - .................... ... ---- ............... ... .........
DA 117 TIME INSPECTOR
NOTE: Inspector must be given 24 hours notice on each Inspection. 115 9/6o-5oo
NO.
LOT NO.
qi,WtW10oR ELECTRICAL PERMIT
1619oCUPERTINO
L.�
Date ,1 n19' _ Permit No,
ttere
Ap}1 jiM i4rby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install aid
wiring ,,^.nd dor fixtures cvithrovisions of the Etc ode oflle
Cit of Cupe d other laws afirci5ic thereto. \`
Use of Premisg=-- M M
n n
Owne �T Address _—
R.y wi,✓pi liY'.(�./J Address
CONTRACTOR, AGENT
�j Appro e
Phone; X � le .4—�/ E
ELLECTRICAL
State Licensex Z �.7 �/ice
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NO. STREET " / I
-A4k4ei' PL TION FOR PLUMBING PERMIT
z Q ;ggp ,Y OF CUPERTINO
zz 1
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r p h Sanitary No.
Rj �.�IA�` ? f3 X69
0 a Date �;�'196� Permit No. 1.0
3�
w n Pee
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ffTlva[iq is Iier�1j ri��idttlpe City of Cupertino for a permit to install plumbing
0 a pipes and/or fixtures is I t reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other I W6 applicable thereto.
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LL Use of Premises
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zJ Owne�i4�/ (,/% t� Address
o IIr Address
i F CONTRACTOR, AGENT
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Phone Z. S 7 -- l 3
0 State License ��% G SI / Approved WILLIAM D. BENEVICH
T PLUMBING INSPECTOR
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LOT NO. /
„ � APP61CSi4jTI,ON jOR APPLIANCE PERMIT
d Z tom` . �t C, OF CUPERTINO
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05 Date j - l�v9 1a Permit No.
U .. , 7p
Fee $.�3
° 0��yAp`Iicatyn� sE�tiyyl&irle to the City -of Cupertino for a permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
<m install said appliances in accordance with the provisions of the Plumbing
„ = Code of the City pf Cupertino, and all other laws app 'cable thereto.
S Use of Premises
o° /
04
�.Z Ey.
° CONTRACTOR, AGENT
3P f
— y Phone_._
ao State License
Address
ApprovedWiLLIAM D. BENEVICH
PLUMBING INSPECTOR
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0�4 z/ / LOT NO.SL
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Ztiti m AC TION FOR BUILDING PERMIT
ip
o� � CITY OF CUPIiRTINO
LL I_
o Sanitary No.
3 U
UareMAS 1962 PerNo. l� -a'V
o
o Q O !,/ApP� atyq{ jF_he_rcby ade f r a per lit to �J�l 9� .ice Se!/�s� �
i m a l� JstYot�j'R`I''"Y �� Building
aw - nn
to be occupied only as accordance with
a
0 o Plans, Specifications and Plot -Plan filed herewith. P] Ck Fee
3Estimated Value of Improvements, $ 0� v Fee $
Oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws applicable to the constructionry location, and use of buildings within the City of
J— o Cupertino will be col lied with.
Own Address �—
L si Address�Z230A�/vJe£^/j///�
u
�
U Phone A roved WILLIAM D. BENEVICH
–U State License �y7 `j�(i•5J / pp BUILDING wsveclaR