51175 Lot No. 3 O
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
fi Sanitary No.
Do to j 196
Application is hereby made for a permit to 7
a story, Type `5
to be occupied only as
in accordance wA Plot pian, Plans and Specification filed herewith,
Q
Estimated Value of Improvements S AN 0 00 Y`
FEES �� S Plan Check $'
n
Ower . Address 699 ' 6j
Contr. Address
Phone State License /f.-4 o /
Approved WILLIAM 0. BENEVICH
APPLICATION FOR ELECTRICAL PERMIT
D ! �
Date n� S 196 ' FEES '�1e O
Contr. `� V Address —2/ 7�/a """''��"�d,�
Phone 9 (9 7 6 - State License
Approved / _
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 -2 GAS FEE $
PLUMBI G FEE $
Cont'. Address
Phone S 7 / / State License 3
Approved
Q / APPYCATION FOR APPLIANC PERMIT
Date / 196 L �J�/ —) FE�EE
Cont'. + e+�f�-�-'-/ /�Aa`dre`ss 77 .� !i—'-tp �c-- '•-C /�-�/
Phone .5 9/- Z !n d 1' State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION X-2 't6 BUILDING
9-DoT -to
UNDERFLOOR
FRAME
ro 'DDote ns
Dote e _6 . Ins pea
ATH 1
PLASTER
In
FINAL a "-"
Date I ns oe c for
ELECTRICAL
,OUTLETS
SERVICES E
SWITCHES UNDERGROUND
}Date/ ``ns pector
RECEPTACLES ROUGH WIRING � O�
DateInspector
FIXTURES FINISH WIRING y ( ^
t Inspector
H,P, CHARGE FIXTURES "-
Dote Inspector
PERMIT FEE Motors �
TOTAL FEES1,-H FINAL �
I _ ,LD to (. Inspector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE 11TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH / G
to
MAIN
n r
MAIN DRAIN FEE ROUGH COMPLET .D
re or
STORM DRAIN FEE MAIN DRAIN �&o
Date r
WATER SYSTEM FEE GAS PIPING
Date In t r
GAS PIPING FEE FINAL _ /�
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Date Inspector
,I
TYPE OF APPLIANCE UNITS EE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GASRANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE -TOTAL FEE
INSPECTED ""-
Date Inspector
roT N0.
/0660
NO. STREET
W �AP,PL'I�CATION FOR BUILDING PERMI
r o ITP OC CUPERTINO
o a Sanitary No.--
w 4 Uate IAUG 1 �%a7f3 ,i1917`�9 Permit No. ��� 7 S
x o
o a 'P.. tic n isV U� �{t;ie�b (m�ade(�for a permit to�.e��=>�—
_ a � story,Typ'-TIN I S Building
' )
to be occupied only as �<ioGEv� '.Zf�O 3 in accordance with
20 Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
r ; Estimated Value of Improvements, $3L 400 Fee
oz J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location, and use of buildings within he City of
j o Cupertino will be complied with.
3 N Owne 7 GO iY3 Address ikO.E' 6
W
W By Address,& 63
as
a Approved
State LicenseZ�� B .DING INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... ..
... ..................119-6:7., Building Permit No .1:.7..2./---
10 6.5-V - �-4
The Building Located at t4l If
6Z-----oe.............................................
Ownedby- ------�j-,AAJ------CUA,.'#............................ .............................................
(Completed)
Has Bee6' For Use As: ......... .......................................
................. ............................... ----------------------- ------ -- --- ---- ------ ----------- ----- --------------
.......................................................................................... ......................................... ............
---------------- ..................... .......................---------------------- -------------------- . ... ....................
...............................
BUILDING INSPECTOR
102 12/66-IM
OFFICE COPY ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
196-7.
To
You are hereb()aut orized Qo electrical'.service
Owner or Tenant ........3 . . .. . ... ..... ...
. ................. ... ... ..............
At ....... ...... .... ....
-0 4
No. of Wires ............. Size of Wires .. ...7)!7�------
Size of Switct?—. J -
Motor Load .......................... Voltage ........ .. ... ... Phase ...............
HeatingLoad ........................ K. W. ................................. Volt-age ............................
'T h 11o.ae<. New Smicc.,'- Reconnect.........._._..
..
........ Recomect.....
No. of Meters....... .....JLHieatt.,����,� 220 T
No.of Add. Meters............ Power...............
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
�v CITY OF CUPERTINO
...................... ......................... 196.17
To
You are hereby authorized to connect the GAS service for
Owner or Tenant Zzel'a4e�
New Service ................. ........
No, of Meters Reconnect ..........
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
PL BING INSPECTOR
• L Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF. CUPERTINO
F-1 Sewer Connection Sanitary Permit No. .....
gYPlumbing Final Plumbing Permit No.4::M- 17,5--
Lot ------------ -----
b
Owner or Tenant --- .I
/
- .— ----------- -------------
ItLW—W
At -- - - ------- - - --- --------------------------------
Tract -e��--- -- ------------ ---------------------------------------- ------
/QJ
Date Cormecte- ----------- --------------------------------------------------
------------------
DateFinal -------------------------------// 4/1 ----------------------------------------------------- 19
PLU BING INSPECTOR
111 12/66-IM
ROUTE SLIP
File No. ,y// 7S ;(
Date Out Z!-6 7
/Date In ll -z1—` J
Locatior:
Sub,jeot
Notes
t
Approved -6
Date Insp:cto
ROUTE SLIP
File No.
,Date Out Q - / r- —
.
Date
In .
Location
Subject .
�K
Notes
Approved 67 �` O
Date Inspector