NO PERMIT NUMBER (2) �OI61� GSW Lot No J�
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
7 Sanitary No.
Dote 196
Application is hereby made for a permit to
e�
a story, Type -� V70
to be occupied only as
in accordance eh Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements E.�� d d d d V
Q s� �y
FEE$ - / ds Plan Cheek $
o_ 7
Owner Its �IRddresa J Q
Contr. Address Y
Phone �T-3 it se- #cs 0/jf State License 00 of 3,00
Approved -
APPLICATION FOR ELECTRICAL PERMIT
Date Y3 196 FEE$ a 3•
Contr, Address
Phone s3 SL -Ll 2-6 State License
. Approved `•� .______
APPLICATION FOR PLUMBING & GAS PERMIT �j S0
Date 196 GAS FEE E
/� PLUMBING/FpF o
Contr. I O M QT" r .1/f-//Pp IN• Address �/aS
Phone ct �t/SS�Z� State License
WILLIAM D. 61=.NEVICH
Approved
APP TION FOR APPLIANCE PERMIT L
Date 196 FEES
Cantr. �J�24 4
//4G� Address D� Y/
Phone - �— r�r 4� �� State Lica nse ((/,0 7.2 ,,+
Approved WILLIAM D. EIENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the .
State of California
RECORD OF INSPECTION APPROVALS o
FOUNDATION u 12— 6 1 BUILDING �- -�
UNDERFLOOR p
FRAME 2 —p 0 Ins Pe o
Date �—� d Ins peUor
LATH /I—
FINAL
Da
FINAL —' t3 -0 7t5il n p
Date Insoector
ELECTRICAL
OUTLETS
SERVICE SIZ _
SWITCHES UNDERGROUND
to
Inspector
RECEPTACLES ROUGH WIRING
Do Inspector
FIXTURES FINISH WIRING - Y �
I _ Dote
H,P, CHARGE FIXTURES � ti "•� Inspector
D� Inspector
PERMIT FEE Motors
,Y.(,Iota D. " Ina pa ctor
TOTAL FEES FINAL /� Lr—;l [M
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND.
FIXTURE FEE PARTIAL ROUGH
Daf ctor
MAIN DRAIN FEE ROUGH COMPLET -,
Doe ctor
STORM DRAIN FEE MAIN DRAIN O 12
O
n r
WATER SYSTEM FEE GASP NG
/ Date Allfor
GAS PIPING FEE FINAL —(O
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 PERMIT FEE
FLOOR FURNACE D TOTAL FE
INSPECTED
D,t. Inspector
1LU li'LG '•OL11"
File No.5j /92,
Date
Location Wow) 2_
4- -r 3 7 0
Subject r—/NA-e– CY/Z/q0/r
Nottees �O� DoT � �`r`��/ d✓�
L/S✓
Approved1 3- 6�
Date Inspector
CERTIFICATE OF COMPLETION-
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ------44%rM*............ 19............. Building Permit N
, - j- ...........
...............(L'.`.........................
The Building Located at ---- ..........I
Owned by ....C:_.--- ...... ..................(/
.......371
..... .... ............................
Has Been (Completed) For Use As: -------------------
(Altered)""
---------------- ------------------------ ..............
...........................................; . . .......I✓..............................................................................
----------- .............................. *..............................................................
----- -- ------------ --------------- --- -- ----- --
---- ------------------- ........................
........................................................................
BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE
ort=tc::
BUILDING INSPECTOR'S OPPICE COPY
I
CITY OF CUPERTIN
! You are hereby :urthorized to connect the GAS service for
lOwner or Tenant..... ... •:... ..... .... . .. .Q.. ...........
a
IVIAt /0�6 .. _.._._ .:.. .._........................
New Service `. .................
No. of Meters Reconnect .............
_..
Move Service
No. of Add. Meters .............. Move Meter .... .........
.__......
I
. . . . . .. . . . .
PLUMBING INSPECTOR
•
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. &.111'r......
MkK1,mbing Final Plumbing Permit
Lot No. ...., J..L_..............
Owner or Tenant ...62..1zK .. ................... ..................................
.
�O�.................................................
At ....
Tract ........ ...41&0z,6:.........................I..................................................
DateConnected ...........................A.40...................................................... 19.0��..
Date Final ................................. ..-1/%, ............................ 19WIf..
ze
....................
III 12/66-1M PLUMMING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r
To � .
You are hereby 10111forized to cork electrical ice for
Owner or Tenant ......................T�'.......... :- .... ..... .
............................
At ............v:. .............................................................�...
1
No. of Wires ....:.: ....:..... Size of Wires'...'.y.... .. Size of Switch`I:.(;�.c>4....
Motor Load .......................... Voltage ................................ Phase ......................... ........
HeatingLoad ........................ K. W. .................................. Voltage ................................
ILighL...�. u0.... New Service........ Reconnect..................
No. of Meters..........:.........
Heat................ 22AT
hree I ....... . .... Move Service............
No.of Add.Meters............
Power............... hnr�.. .. ....:
....:ELECTRIC
....... are......_.............. r.. V
' AL INSPECTOR
/(v �/ I i 100 A /PSCNO. SrREET cor No. �e f X77
e APPLICATION FOR ELECTRICAL ,PERMIT'
3 CITY OF CUPFRT1No , IAPB 9z, 1"69
° Date 119 -0 Permit No. —
°
a m Application is hereby made to the City of Cupertino for a permit to install electrical
W = wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
o wiring and/or fixtures in accorulanrc with the provisions of the Electrical Code of the
°o
City of Cupertino, and
all other laws applicable thereto.
o_j Use of Premises
J Z
O n
`a Owner l �� Address
- N
W z. By lY/•�'.g-•- AddressVVILLYW-T 121
a o ✓/G(1NJ1/l{? .LC,.[.'tWCTLo o_("`'j;`;'qq APProved _.
—U Phone: _.T` ot'ee+-1r-09
ELECTRICAL INSPECTOR
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No. Street Lot No,
APPLICATION FOR BUILDING PERMIT /
City of Cupertino
Sani[a No.
196 Permit No. i �•
v
Y ` pp'lication ad � a permit to
E 1
3 a—4sto �Ajfype �] — — 1/ Building.
d v
cVto be occupied on as :� „ VJ 1/ N accordance with
T A� tP1aC�,Sp }�J(iconns and Plot-Plan filed herewith. PI Ck Fee S
�•�, _
Estimated ValUd�'T(xfi py4ments,$ O, OOH. Fee$ -7 d �
c `o It is hereby agreed that threquirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
A Cupertino will be complied with. A
Owner' • �\tan LP. pS8� �'\,pt'(-1�\�..n 1a
3 �
L.0 Address
v a ByQ""'b"'a" \ dress
UPhone �'� ��,(� Approve ,
State License OQ�J\h` - ! Building nspector