NO PERMIT NUMBER34
//0740
Lot No.
No.
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO �J
File No. 3//6 /'Z
�� Q� Sanitary No. S J X740
Dare L 196 ...(l�
Applications is hereby made for a permit to
T
fA� G-� a ���J story, Type y
to be occupied only as 5` I F
in accordance with Piot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements
i
0 /
Owt.er (-Ala
I i
Plan Check E n //1�zi co
Addressoza lu: e0 �Q Cl////
Address
State License
Approved WILLIAM D. BENEVICH
� �
APPLICATION FOR ELECTRICAL PERMIT
Date �(fdb.aL/196 FEES
Contr.Lo"
/�� �D�A•�/D.rrD.O )Address
Phone /.•�', State License
Approved
WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Dote /� /V 11(96
Contr. Ir It it/"fie, 1 ��j lnl �ij.;n
Phone MIT •T — o?'q1 `17 'VI
APPLICATION FOR
Data 196
Contr.
Phone
Applicants agree not to violate any of thfe.�''
Workman's Compensation Laws of the ,
State of California
GAS FEE $ f ��
PLUMBING FEE $t in ,�
Address J�F 54/1 ry_�_-7•'"'A�.'"`^"—=
State License ;
Approved ' WILLIAM. 0 -
APPLIANCE PERMIT
FEES /.p;z \O -
Address �/ 2-':o N.
State License a s- Z X L f
'Approved WILLIAM D: BENEVU714
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
UNDERGROUND ((__
ROUGH WIRING
I
FINISH WIRING
I
FIXTURES C7'
I
Motors
I
FINAL �r
SERVICE SI 'E
i
dtlAp
Inspector
e ns pector
I. Inspector
Ism Ins peetor
Date
PLUMBING 8 GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
ifn_ Y—%— f/ / d— ' <V
Inspector
-- I rv'pv
UNITS
FEE
,OUTLETS
UNDERFLOOR71
Da ,
Oe/6
Z(�
a
Ins e
FRAME
RECEPTACLES
,
Inspector
FIXTURES
Da�
H.P. CHARGE
ns pector
LATH 8 PLASTER
PERMIT FEE
ROUGH COMPLETE
TOTAL FEES
STORM DRAIN FEE
n pe `or
/ O Dat _ / O
FINAL b d
for
MISC
Date
Insoector
PERMIT FEE
ELECTRICAL
to
UNDERGROUND ((__
ROUGH WIRING
I
FINISH WIRING
I
FIXTURES C7'
I
Motors
I
FINAL �r
SERVICE SI 'E
i
dtlAp
Inspector
e ns pector
I. Inspector
Ism Ins peetor
Date
PLUMBING 8 GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
ifn_ Y—%— f/ / d— ' <V
Inspector
-- I rv'pv
UNITS
FEE
,OUTLETS
TERIAL
FEE
SWITCHES
UNDERGROUND
RECEPTACLES
FIXTURE FEE
FIXTURES
H.P. CHARGE
te�
for
PERMIT FEE
ROUGH COMPLETE
TOTAL FEES
STORM DRAIN FEE
UNDERGROUND ((__
ROUGH WIRING
I
FINISH WIRING
I
FIXTURES C7'
I
Motors
I
FINAL �r
SERVICE SI 'E
i
dtlAp
Inspector
e ns pector
I. Inspector
Ism Ins peetor
Date
PLUMBING 8 GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
ifn_ Y—%— f/ / d— ' <V
Inspector
-- I rv'pv
UNITS
FEE
WATER SYSTEM SIZE
TERIAL
FEE
TOTAL FIXTURES.
UNDERGROUND
REGISTERS
FIXTURE FEE
/
PARTIAL ROUGH
COMBUSTION VENT
te�
for
MAIN DRAIN FEE
ROUGH COMPLETE
MISC
STORM DRAIN FEE
t
MAIN DRAIN
for
MISC
WATER SYSTEM FEE
GAS PIPING
PERMIT FEE
FLOOR FURNACE
to
JR9350foro
GAS PIPING FEE
FINAL Q — 7-11--J!
Dote
'I Inspector
PERMIT FEE
MISC
Dote
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
FLOOR FURNACE
TOTAL FEE
INSPECTED—
XDate
Inspector
File No.
j
Date
Location 4�-
Subject---iQ`C
Notes
Approved /e
Date Ins' ctor
CERTIFICATE. OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
---------- ...... 1 66F Building Permit No.
Date ...v--~........19 ... ---- --- .... .
The Building Lo ted at --9.2 -pl
�r <f --- .................
Owned by ...... V ......... ---- ----- - * ------ ......... -----------------
t.�
Has
---- ---------
Has Been (ComP'e'cd) F , Use As: ................................ ........ -
---------------------------------------
--------------------------------------------------- r ---- ------------ h. ------------------- -------- ------ ----- -
-.1. ................ ..
...................... -------------------------------------------- I ......... ::� �L - -- ---------------
------ ---------------------
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
ELECTRIC ,SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
196.E
To
You are hereby
electrical service for
Owner or Tenant .... N,—.- -%�
.......... ........ ............ ....... - ......
2-�
�At .... ..............
Size of Switch ... 10D
No. C xvfi Size of
0. 0 res ...... ........ .......
Motor Load .......................... Voltage .... . ....... - ....
Heating Load ........................ K. W . ...... - .........
A No. of Meters........... .. ...... Light....._��, I o.... 'Ne
No. of Add. Meters............Heat --------- .... - 220....
�Power...............
.... -.. . Phase ..................
- Voltage ... ............. -... - -
ELECTRICAL
...... Reconnect.. ... ......
Move Service..........
Move Metet .......
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OF1710E
CITY OF CUPERTINO
............... / ........ ....... - ........
To
COM,
1964p,
You m hereby authorized to connect the GAS service for
Owner or Tenant .... ..
At... .... .... ......... —
New Service... o� .....
No. of Meters .... /* ............ Reconnect .... ...................
Move Service —.— ........ .......
No. of Add. Meters .... Move Meter ...... .... . ............
PLUMBING INSPECTOR
I
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
� Sewer Connection Sanitary Permit No.-��a7 -----
rgiplumbing Final Plumbing Permit
Lot No. -- ------------------
Owner or Tenant ----- --------- ------------------------------------------------------
At ---- -- (3,1
----------------------------------------
Tract -------- C:
----------------------------------------------- ----- --------
DateConnected ............................ ................... ........................................ 19 -*A
DateFinal .......................... z - --------------------- -------- — ------ ---------------------- 19.Gr0....
INSPECTOR
111 12/66-1M
FFICE COPY
n., D ELECTRI . SERVICE NOTICE
ILDI INSPECTOR'S OFFICE,
OF CUPRRI'INO
....__.__.._.._....._..j�,.i..!. W._...._., 19(�
To
You are hereby, authlr''ee -t me ectrical service for
Owner or Tenant ............��'G.l �y.. ... _..._._...._....
No. of Wires ...... `.... ......----- Sizires .......... Size of Switch
....................
MotorLoad .......................... Voltage ................................ Phase ....... _...... ............... ...
Heating Load ........................ K. \iii. .......... ._...... ........... _ Voltage ....
'Light ................ I I0--...... New Service ..... ........_ Reconnect .... .,.......
.,..
No. of Meters ...................
Heat ................. 220........... Threere.............. M
... ove Service..........
No. of Add. Meters......... _
Power....., hree. hase_.. ..:....:... Move Meter..............
ELECTRICAL INSPECTOR