NO PERMIT NUMBERNo.
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Do to 196 ---L—
to be occupied only as
is hereby made for a permit to
a
Lot No.
File No.
Sanitary No. en/ Sfr. .L
story, Type is' Zy
in accordEnceah plot plan, plans and Specification filed herewith,
Estimated Value of Improvements
FEE$ &op. s 6
Owner @1112
`411
I Contr.
I Phone
Cl
$ 7aais0Y
Plan Check $ y
Address. i
Address 1C
State License /Se'/!2 40je
Approved AAAWA - '�
G
APPLICATION FOR ELECTRICAL PERMIT
Date e 196 1pFEE$ a //5—
Contr. Address -;F.)J / ' ,�r/f / 4's'
Phone
State License
VVILL1AM D. GENEVICH
Approved
APPLICATION FOR PLUMBING & GAS PERMIT_
Date j
196 G" GAS FEE $ s�
//�� {/,�� PLUMBING] FEE $ C/ �t '
Contr. �1ln 1-1,,1- 1 /7 Q Address 034
Phone - fi /4 --a3at3 State License I V ws7�
Approved WILLIAM n n .. ... _
APPLICATION FOR APPLIANCE PERMIT
Date �w2 196 ` FEE$ //I' yy
Contr. Address /-a?v 'z
Phone - 1- % r'O Y J State License
WILLIAM D. DENEVICH
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State -of California d
RECORD OF INSPECTION APPROVALS.
FOUNDATION -/ 2 'd 11 BUILDING
D / _ p In ec ib
UNDERFLOOR C
Dote Insp roi
FRAME
Date I ns pe
LATH & PLASTER —
Do _ In e
FINAL
Date Insoector
ELECTRICAL
RECEPTACLES
FIXTURES
H.P. CHARGE
UNDERGROUND—
ROUGH
NDERGROUND_ROUGH WIRING i
FINISH WIRING _
FIXTURES
Motors
FINAL
SERVICE
U
Dae _r
Dae "
i°tom
Da ek
Data
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
for
Inspector
IrLs
Inspector
WATER SYSTEM
SIZE
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
REGISTERS
p
FIXTURE FEE
PARTIAL ROUGH _2Y4
COMBUSTION VENT
DaterP..ctt.-"
MAIN DRAIN FEE
MISC
ROUGH COMPLETDat'STORM
GAS RANGE
MISC
DRAIN FEE
MAIN DRAIN 'YWATER
PERMIT;91IE
FLOOR FURNACE
SYSTEM FEE
GAS PI NGGAS
PIPING FEE
FINALDate
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
MISC
vine mspecror
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;91IE
FLOOR FURNACE
JJ r
TOTALIFEE
INSPECTED teiz
n.t. .lns Doctor
ROUTE SLIP
Filce No.
Date
Locationf��J/�J
Subject
Notes
Approved / —/�
CERTIFICATE- OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... 10� ... . .... t 2 ............ 19-4 ir Buildin 5))97
........ Permit ...........
Te Building Located at 3..V..4 ......... 4'.Z ................
Owned by-------------
...................................................
Has Been (Completed) . mpleted) Yor Use As: ..................................................................................
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
i...... ......... ....�.y.�_t..t_..............., I9p...
You are hereby author'z d oEx.—&X�
for
Owner or Tenant ........F:....:...^ ... ............ ..:...:........
....
....:. .-.-.._ .. .../........................
No. of Wires ..�........... Size of Wires Size of Switc 0 0.A.. -..
MotorLoad .......................... Voltage ................................ Phase ..................................
Heating Load ........................ K. W . ................................... VoltaI
ge ...............................
Light ......./l IU..�;,1_1
Sen'icr.rHemnnect...............�.
No. of Meters .....:.............
No. of Add. Meters............ Heat-- ............ 220...E re... ?Tuve Service....._....
Power ............... ax ._. \fuve Metrpp......
l • - - - ,Y -
...................................................... ............
t
'[L[CTa!CAL INSPECTOR
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO , ry
0
You are hereby authorized to conned the GAS service for, r
Owner or. Teenant/.
.......................:..............
000
At
_ New Service .........................
No. of Meters .. .............. Reconnect:............................
Move Service .........'..........':
No. of Add. Meters .............. Move Meter ...........:
� ..............',
PLUMBING INSPECTOR
Bldg, Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r -j- Sewer Connection Sanita ry Permit No.
dumbing Final' Plumbing Permit No.rIx �- --------
ell Lot No. ---/Y ...................
Owner or Tenant ----
............................................... ...........
At....................................7...---------- 7
Tract ----------
................................................
Date Connected ............................ ?VA- ..
9 ...................................................... 19, .6
Date Final ------------------------- /V�?z�- ......................... . .............................. 194Y....
PLUMBING INSPECTOR
111 12/66-1M
Cupertino Sanitary
• District Copy
BUILDING INSP.ECTORIS, OFFICE
CITY OF 'CUPERTINO
Sewer Co
nnection Sanitary Permit No..( ......................... .......
Plumbing Final Plumbing Permit ... ccl ....
'I Lot No....7-1 7 ............
Owner or Tenant ........ A2-4146k� -
At --------
---- - -- -e.
Tract...............................
Date Connected ------------- ------------
Date Final ..............................
111 7/63 -IM
- -----------------------
U.......................
................................................. 19............
PLUMBING INSPECTOR;.
Bldg. Dept
' Office copy
BUILDING INSPECTOR'S OFFICE n.
/ CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .�4..
------ .C......
❑ Plumbing Final Plumbing Permit No.
%�t .... �(.�.....
t 1 1 A, I / . Lot No......._I-7 ----------------
Owner or Tenant
At---------o�),t.
Tract ...................
----------------------
Date Connected ....................................... ... --- )...........................
Date Final ..
PLUMBING INSPECTOR
111 7/63 -IM
19............
I�_ ELECTRIC' SERVICE' NOTICE, OFFICE COPY
BUILDING INSPECTOR'S .OFFICE
CITY OF CUPERTINO
...... .......... ... ....
You are hereby
Owner or Tenant ---
At .........
02 i
No. of Wires ..........
Motor Load ............
Heating Load ..........
service for
.................. ....... .................. ........ I ......................... ..........
.... Si --- ) ............... Size of Switch ...................
.... Voltage .... ..................... ..... Phase ...................
.... K. W . .............. ............... ... Voltage .............. ............
`ht'�:::��
110 .....
...... New Service ...........
Reconnect ..... ............
No. of Meters....
He L.
No. of Add.
21 ..
1 r Wmv-n..'.
y j
Move Service ....
Power....
Pdle ..... . ... ...
move Meter ..............
ELECTRICAL INSPE(
.... ...........
OR 6
1s%
L
� Zdl g
ppp �.
No.rsSGeet S i1 Lot No.
n 1 1 r� �Ag$�.ICATI(itN FOR BUILDING PERMIT
I F1U kc^City of Cupertino 6
��// /n� Sanitary No.
Date iithYYtTl�1f1 1� 1„ PgrmitNo.
Type
to be occupied only as
Building
in accordance with
Plans, Specifications and Plot -Plan fiW herewith.
PI Ck Fee
/ C:2 rcl
��
Estimated Value of Improvements, $ �2v7 a no
• Fee $
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be compll d with.
Owner
Addres
By >
Address .LO
Phone -.2-19-.2- _ `�' ���
Approved Aft D- BENEVICIj
State License
Building Inspector