NO PERMIT NUMBER a/ 90� I \ (�G� , Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. G OC
Date �d Z .r 196
Application is hereby made for a permit to
a story, Type 's ✓
to be occupied only as
in accord-99-
ccords with Plot Plan, Plans and Specification filed herewith,
p e
Estimated Value of Improvements j a4 Q d -�
FEES /�Q• plan Check E
Owner _ {� "�+•-i/ Address d
Contr. Address C�
Phone �� ��� O State License 1,/79
Vv;LLIAiyl D. BENEVICH
Approved
APPLICATION FOR ELECTRICAL PERMIT
Datey yr�r r �,71996. l - FEEE a 3. e
Contr. 1Ny. `j-'/pp --/
• /zz7� Address
Phone `✓� _S '`�2� State License
WILLIAM p
Approved
.y
APPLICATION FOR PLUMBING & GAS PERMIT / )
Date O 3 196 GAS FEE
PLUMBING FEE E S a/ 3- JZ
Contr. (n Address
Phone State License
Approved WILLIAM D, EEiVEVir..1-1
_� APP CATION FOR APPLIANCE PERMIT
Dote 96 G> EEE
Contr. Address ( -
Phone State License -�S 2,fV, /
Approved
Applicants agree not to violate any of the )/
Workman's Compensation Laws of the G
State of California '
RECORD OF INSPECTION APPROVALS
c ` //_f—6`f p BUILDING
FOUNDATION 6 , —6 cr.�. [, –Z-
6 Q4TEINSEE OR
UNDERFLOOR (/
DATE INSP R
FRAME _ »_ a
_ D4TE�. INSP OR
LATH PLASTER Z
3 r � DATE INS2Eg9rOR
FINAL 2
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING Z ' ® —
is GATE f INSPECTOR
FINISH WIRING
ATE INSPECTOR
FIXTURES
DATE INSPECTOR
-i
MOTORS
DA4 INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE PECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
DATE INSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
T
MISC f'
4TE � INSPECTOR
MISC
3 �/ p,TE t NSPECTOR
•' DATE INSPECTOR
1
CERTIFICATE " OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
02. � g S..l.11.7...Y
Date ........ . ..............................-.> 19.t;± .... Building Permit No.
The Building Located at -a.2./t- 1...... ..-_(�! ............................
Owned by .... .... ..Cst:a+n. .................................. R ...._"z�._,1.............
Has Been (Completed k ) For Use As: .....................
Sl=' Uwk
....................:... . .............................................. . . . ...................................................
................................ . ....................... ...... ........... .---------------
��---�- . .---.....
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
CITY OF CUPERTINO
Z ELECTRIC SERVICE NOTICE
19
You are hereby a t ori ed con • t electrical service for
Owner or Tenant .................. ...
At .....0 ...1..9..0.1.......... . ......................... .......... ...
.. ..: ..
. ................................n.......
No. of Wires ........................ Size of Wires .�`...�......: Size of Switch '.. �n
Motor Load .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
'
Light......./........ W.... .. New Serearcstc.
�.:... Reconnect ........No. of Meters....................
No. of Add. Meters............ Heat................. Tt0MOIL' SerVia' ........
Power..._ ... h .......
LLLCTRIUL INSPF.CTO. � /�� ��
OFFICI;
GAS SERVICE NOTICE COP)"
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTI
...... 196.
........ ...... ....... 9.
You are hereby authorized to connect the GAS service for
Owner or Tenant ....
At
New Service .�............
No. of Meters ... ........ Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. Move Meter ........................
PLUMBING INSPECTOR
Bldg. De15t.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No. ..61V.42n3.........
J&PmbU-1PI
i ring Final Plumbing Permit
Lot .--------------
v
------ --------
Owner or Tennant.......
At
Tract ............
---------------
Date Connected ............................
Date Final .............................
..............................
(..WP �.. .....................
........
PLUMBING
111 12/66-1M
� R % \S' 0T;THE WORKMEN'S OF CALIFORNIA.
f 7 § 2:& c
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f} } & IM
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-7, K701117— NU11 BLK AIN
U NITS 11 FEES UNITS FEES
'Nater Hente Size _
Water C osets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavaturies To Existing
itc en Sinks Not Conn.
Dish Washers Sewer Boxes
aste Disposals
ash Trays STORM DRAINAGE
Was ing Machines Size
Water Softeners 1 Material
Bar Sinks To Main Drain
Com . Sin s rays o Curb
Dental Units
Drin ing Fou ain
F oor Drains WATER SYSTEM _
oppers ize
Restaurant Sins aterial
Sand Traps 0 TOTAL FEES
Urinals -fixture Fee
rea rams Main Drain Fee
Leader . Storm Drain Fee
Sprinkler valve el,• Water Sys. Fee 1. 0
Permit Fee
TOTAL TOTALFEE 0
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain
Final...
VIOLATE E.I2 THE WORKMEN'S
OF CALIFORNIA.
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Remarks (Check ✓,
Type of Appliance Units Fees II New Replace I Relocate
Gas Ranges II
Wall Heaters II I
Gas Plates
Circulating Heaters
Blower Furnaces I I SII
Gas Fired Boilers I I
Warming Ovens II I
Percolators
Griddles I
Steam Tables II I
I
urnaces II I
Unit
nace
'VMis ellaneous
NAM�Et—TYPE)
I I > yam. I
I I I SII _
pp lance ees I O� S
Inspected and Approved ...... ... .....................................................
DATE INSPECTOR