NO PERMIT NUMBERNo. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO /�7y7
File No. S/• t+•
Sanitary No. 1.5
Dotq(��96 F/
VV Application is hereby
to be occupied only as
Lot No.
for a permit to cr
a �� story, TvpS
in accordance with Plot Plan, Plans and Specificalino'n filed herewith.
OQ
/ �% Estimated Value of Improvements $
4* D
FEE$ P_ / //�� Plan Check $ LL
Owner — Cr Gi{4./Y —� Address 9:2 7 p
� ID / 1 g9"
Contr. ^^ C� Address
Phone dGS�—��w State License / �J 7'
Approved WILLIAM D. HENFVICI4
APPLICATION FOR ELECTRICAL PERMIT
Date �?" 3 1A96--- / FEE$
Contr. ZL�'+"-�-��-�`-� Address
e
Phone % State License �1'� Z
WILLIAM D. 01-=f`ILV7C
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196
GAS FEE $
PLUMBING FEE $
Contr. _-
Address / -2 3 Y
phone
State License �a �/ S ,7 f c
Approved
APPLICATION FOR
APPLIANCE PERMIT
Date 196
FEE$ fid. 5e"ZJ
Contr.
,
Address
Phone —�' V Y -;��
State License
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
Approved WILLIAM D. BENEVICH
s
RECORD OF INSPECaION R VALS p n D
�rui— 6-X1`6 ° BUILDING'—I�aA__9, %�
F NDATION
D re In p t
UNDERFLOOR
,ta 6 Insp r
FRAME
oat —6 ns pact
ATH & PLASTER
Data Ins r
FINAL 6
Dare Ins De ctor
ELECTRICAL
RECEPTACLES
FIXTURES
H.P. CHARGE
UNDERGROUND
Lr
ROUGH WIRING
FINISH WIRING b
SERVICE SIZE
Inspector
i Inspector
C>1 oj� Inspector
FIXTURES I CU- c
Dare Inspector
Motors
/ O I Dyte Ins pe afar
FINAL to
Dare Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
§Q,-4 -Ei 2_%y _E �j
WATER SYSTEM
SIZE
ATERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
REGISTERS
PARTIAL ROUGH
BLOWER FURNACES
Date
r
MAIN DRAIN FEE
ROUGH COMPLETE "c 'a
a
MISC
Dais
or
STORM DRAIN FEE
MAIN DRAIN _U
MISC
D
�lo—
for
WATER SYSTEM FEE
PERMIT FEE
GASP NG
FLOOR FURNACE
/ y Date/
2tor
GAS PIPING FEE
FINAL D' 6 (�0
Date
Inspector
PERMIT FEE
MISC
Dare
Inspector
TOTAL FEE
MISC
..,..e .. awe...
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
SUSPENDED UNIT
a
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR FURNACE
TOTAL FEE
INSPECTED
Date Inspector
LOT NO.
NO, STREP.
APPLICATION FOR PLUMBING PERMIT
.Z d CITY OF CUPERTINO
z
s 0 � s -Sanitary No.
Y 0
0 7 C.111�rJ. r
a Uate , �19�.1 I Permit No
3 Pee, $
O Application is hereby made .to the City of Cupeltirio for a Permit to install plumbing
o a Pipes and/or fixtures listed on the reverse side hereof; and agrees to install said prices
and/or fixtures in accordance with the Provisions of the Plumbing Code of the City of
a m Cupertino, and all other laws applicable thereto..'�J_„ .
w x
F I -
.a, LL Use of Premises
00
3 Ownea�/��� ='C . ZLXz&/ Address a1225
z p.�� �Qvw Address
CONTRACTOR, AGENT
3 a 1 �� &A'r-
�i
- z Phone
WILLIAM D. BENEVICH
ao State License¢7/ 7;a 9 7 Approved
U PLUMBING INSPECTOR
x
m
n
O
x
d
O
N
b
trl
_�
z
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. -'r.......7....or
.............
Qi -Plumbing Final Plumbing Permit No. ......
Lot No...... ....... ?.-.. .......
Owner or Tenant
-------------------- .................
- - -- ------
At; ....... -f4 5��
..................................... .............
Tract.... . -------------------------------------------
��;z*6 . .. ...... . D�
DateConnected................................ . .. -x.0 --------------------------------------------------
DateFinal ------------------------------- -------------------------------- --------------- ......
PLUMBING INSPECTOR
111 12/66-1M
ROUTE•SLI1
File No.
Date
Location 7E — V Lr/p•..�.
Subject
Notes
Approved
Date I a ctor
GAS SERVICE NOTICE 'OorCE,
BUILDING'INSPECTOR'S'OFFICE
( /
CITY. OF CUPS T N I/ (%
�- To
You are hereby authorized to conned the GAS service for
i Ownei or Tenant : �:./�`.. ... .,..' :._ .,..... .`.........
.l�-'- ..
At -���......._..,....:....
c. • "New Service ... ......
No. of Meters ...............: „ ' Reconnect ..
. . Move Service':........
......
No. of Add. Meters .............. /Move Meter .....................
.. Y ?PME
ING INSPECTOR .
' OFFICE COPY
�
ELECTRIC SERVICE NOTICE � r BUILDING INSPECTOR'S OFFICE
CITY OI' CUPERTINO - �:(�
.� , V / �.............. 196_.V.
To i ed �
You are 'hereby authorto 1 nnect> el@cfrical service for
Owner or Tenant
At ....... .........,..-... r..... ......4 .... .'..-................ ............
...../..__...../_...
No. of Wires ....... Z... ----- ._ Size of Wires -�... ...._. Size of Switch 1..vpr'L.7
Motor Load .......................... Voltage ... ....... .......... ........_. Phase .....
Heating Load ........................ K. W. ......... ................ ...... -. Voltage .............. ._..........
...
1 .Light......_ �I10.../New Service..'/Rec'onneCL.................
No. of Meters....
Heat ................. 220 ..... ..�h Wire..__... Move Service.........
No. of Add. Meters.........:.. /�
Power .............. ...................Th has*....~... ..... Move Meter..............
ELECTRICAL INSPECT �
1
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....A --i7......1./ ................ 19...Building Permit No. 15 -1127 -
'Me Building Located at .12p
......... .. ........... /6-�( ... I&A.Z .....................
Owned by .... xo�� -Ctam� ............ .. ............. ....71A.......
....................................
Has Been (Completed) For Use As: ....... ........................... ............................................
75.1...... _b ..vv �.
................... .... .................. .....................
............................................... ... * ..............
BUILDING INSPECTOR
102 12/66-1M