NO PERMIT NUMBER (2) J Q.�7r /n✓ � _ _ .� � ihfe .
fIL /fJ�+ M1r♦'/(/�/yL�Q'Z I��(�JI..Q� Lot No. I /
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
V File No.
Bit
� Sanitary No. � O
Date 196 SrL_
Application ' h made fora permit to
a 0 story, T
ti -ppe T
to be occupied only as
' j .
in accordance with Plot plan, PlansandSpec tion filed herewith,
aOEstimated Value of Improvements $ r�..sS .
FEES - Plan Check $ .TT.AA
Owner _00 ' r /A d) Address _-.-4qA 9S //�•� /�Q-
Contr, qq j�� Address l� r ro4
Phone �a Ab eLII�� 6.5State License /.S -7
Approved WILLIAM D. -BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Date bNO1 196 FEE$
Contra Address
Phone ��c3� S�� �/ State License
Approved WILLIADA D. BENEV'Qk
APPLICATION FOR PLUMBING & GAS PERMIT
Date ,L�z- 196 GAS FEE $
' PLUMBING FEE $
Contr. _ ITG-e-++ ie
/J�-�i-[, Address
Phone { -�a-.3 State License
Approved
APP ATION FOR APPLIANCE FERMI/ —0-0
Data 196 FEE$
Contr. Address
Phone `�7 V State License
WILLIASA D. 13ENEVICH
r' Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
r
RECQRD�OF IN1PECTIOAP
. P V _ S
FOU DATION �- -G LDING
D to �y Ins r
UNDERFLOORZZ
O
D e for
FRAME r
(Dat Ins pector
LATH & PLASTER '
ata n c r
FINAL 1,2
Do fe Insoecter
ELECTRICAL
OUT I_E TS
SVICE 5 E
SWITCHES UNDERGROUND
t In actor
RECEPTACLES ROUGH WIRING .._.
Do Inspector
FIXTURES FINISH WIRING I '7
Dote cfor
H.P. CHARGE FIXTURES �- -T
Data Inspector"
PERMIT FEE Motors
Dpj n pe�Jor
TOTAL FEES FINAL Z l'
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUG
D spe<for
MAIN DRAIN FEE ROUGH COMPLETE` 'C,
t Inspector
STORM DRAIN FEE MAIN DRAIN '
a for
WATER SYSTEM FEE GAS PIPING
ate for
GAS PIPING FEE FINAL -
Date Inspector
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 PERMITJEE
I Y
FLOOR FURNACE TO
INSPECTED �"-
n,a., "ns oector
f
ROUTE SLIP .
File No.
Date & - 2 -6
Location �-.� �� - � /JZ-S'
Subject
Notes
Approved /0 - G �o
Date p
• Cupertino Sanitary
District Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
ewer Connection Sanitary Permit No. ...... .........
v2e/sew ...... ...
Plumbing Final Plumbing Permit No. .......//
o. ................................
Lot No. .....(
..............
....- ----.........------........---..........._..
or Tenant ..... .. ..... .. ..... .. ... ... . . . .............
. . .......
At ....... . ............ -------......
-------- - ---- ---------- . ..... . .. ....
Tract ................................................................ . ............ ................. .... .............................
Date Connected ..................:------------- ... .. .....
..7.. ...........................
-------- ------
DateFinal ............................................... .............. ........ ..................... 19............
............................. ................
......... ...........
PLUMBING INSPECTOR
111 7/63-1M
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
elol�sewcr Connection Sanitary Permit No. ...... ...7 U
.....................
Plumbing Permit No. ......../
o. ............ ........
............
El Plumbing Final
Lot No. ......40..6.............
Owner or Tenant ..... ............................ .......................
At ....... ...... ... -------------- --------- ...................................
Tract -------------------------------------- --------- . .... --- -- ...........................
.. ... ..................
Date Connected ....................................P-.'......"......- ........ 19(=k
DateFinal ..................................................................................... ..................... 19............
................................................................ .............
PLUMBING INSPECTOR
III 7/63-IM
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY, Or CUPERTINO
Date .1^'l............4................. Building Permit No5j 1
...........................
The Building Located it 7--
Owned by ...... .......1401... .......
......................................... ---
(Completed)
HasBeen For Use As: ........ ...............................................
............................................................................................................ ....................................
................................. ..............................................................................................................
............................................................
........................................................................
BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE OFFICE
I
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERT>NO�
Yr / //�y..................................
To
You are hereby aututh�o 'zed to'connect the GAS service for
Owner or Tenant
i
.
At cr`��*, -r ...� .:. d .,CY✓z!........... .
........................... ..
New Service ...J............
No. of Meters ... ............. Reconnect .............................
Move Service
No. of Add. Meters .............. Move Meter ........................
.......... ......... ............
P G INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ---------
FZJi-Plumbing Final Plumbing Permit No. ......
Lot No--,�(2Z...............----
Owner or Tenant .....................................................
... .......... .Y
-5? . 54!...................... .................................
At .oc
Tract
............. -1'.............................................
-- ----- - --
DateConnected ............................. .................................................. 19..f. .....
DateFinal ................................ ...............................................
.......ow-��IOMIZ' INSPECPOR.............
111 12/66-1M
` OFFICE COPY
Co ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICF,
CITY OF CUPERTINO
/.
...... 19�
To
You are hereby u ho iz fJc, nett electrical service for -
Owner or Tenant ............ . . ...... _... .. .
....... ... .. ........ .. ... ... ....... ..... ... /6011
_
At �.�.,�._., .... rte✓... ...
No. of Wires ....... ...... Size of Wires .. Y Size of Switch
Motor Load .......................... Voltage ....................... ........ Phase ,.................
...._...... ._
HeatingLoad ........................ K. W. ................/............... Voltage .�........................... .
Light........ ..... I10...../. New Service. econnect........_........
No. of Meters............�......�
Heat................. 220:---.: Wir ..... .... .. ove Service..........
No.of Add. Meters............ '
Power............... P ... ... . .. Move Met ......,.......
I •
.._......................................................... ........I.... .....
ELECTEICAc INSPECT a