NO PERMIT NUMBER (2) a/410 .si �d�-�z.C� 4�i�•c.tti C Lot No.` [ G ,(,z
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO / 7��/7
File No. S/• f/
Sanitary No.
S7o8'
Dot 96 V
VV Application is hereby made for a permit to
t
a story, Typ
.T V
to be occupied only as ` Q �
in accordance with Plot Plan, Plans and Specifics eon filed herewith.
OQ
q Estimated Value of Improvements $
a?�O D 0
FEE$ �- / //�� Plan Check $ p
Owner — Cr Gi{4./Y—� Address C'%a lips-
/D /�/�•
LLA
Contr. ^^ C� Address S&-1p 0tea_.
Phone dGS� —��w State License /�/ / 7 Q--'
Approved WILLIAM D. HENFViC14
APPLICATION FOR ELECTRICAL PERMIT
Date �?" 3 1A96-4- / FEE$
Contr. ZL�'+"-�-��-�`-� Address
e
Phone (a '—'S—rG L/ State License �1'� LD
' Z
WILLIAM D. 131-=f11LV7Cf*
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 'Z 196 GAS FEE $
PLUMBING FEE $
Contr. Address /^2 3li4 Lf
Phone State License �a �/ S ,72v
c
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 �Z FEE$ fid. 5e"ZJ ,
Contr. Address
Phone —�' V Y -;�� State License I �'� .SQL
Approved WILLIAM D. BENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
5
RECORD OF INSPEC ION R VALS pp
F&— 6" X1`6�� BUILDING'-1
ATION
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
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND _.
`�Qata� Inspector
RECEPTACLES ROUGH WIRING L`-T` _
b , Dq Inspector
FIXTURES FINISH WIRING / [ (o
Inspector
H.P. CHARGE FIXTURES � v' L
Date Inspector
PERMIT FEE Motors
/ O Dyte Inspeefor
TOTAL FEES FINAL to
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
25-4,r
WATER SYSTEM SIZE IATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date r
MAIN DRAIN FEE ROUGH COMPLETE " c e
Dais or
STORM DRAIN FEE MAIN DRAIN _U
D for
WATER SYSTEM FEE GASP NG
/y Date / 2tor
GAS PIPING FEE FINAL D' 6(�0
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERSREGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC '
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED, ✓ u�0 _
Date Inspector
LOT NO.
NO, STREP.
APPLICATION FOR PLUMBING PERMIT
.Z d CITY OF CUPERTINO
z
s 0 � s-Sanitary No.
Y 0 /1
0 7 C.111�rJ. r
a Uate , �19�.1 I Permit N
3 :;=r� 1 Pee, $ �. O
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 of; 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_„ .
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F I-
Use of Premises
00
3 Ownea� C�' Address
Z J (� Ce�Q z�� a_POCF
z p.�� �Qvw Address
CONTRACTOR, AGENT
3 a
Phone �L' �i&A'r-
- �
WILLIAM D. BENEVICH
ao State License/7;a 9 7 Approved
U PLUMBING INSPECTOR
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Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. -'r7or
..,........................
Qi—Plumbing Final Plumbing Permit No. ......
�ryy
Lot No. ............?.-�................
Owner or Tenant ........ .... I.... -----------------.............................
At; -<=Z.. .. ........... . .....................................................
... ...........................................
DateConnected ................................... —-- -----------------------------------------------------
DateFinal --------------------------------- ... ... ........................................................
...........................
Z
WPLCIM�IBING INSPECTOR
111 12/66-1M
ROUTE• SLIP'
File No.
Date 9—.p6 —6
Location 7E — y Lr/Q..�..�
Subject
Notes
Approved G—(,"b
Date I a etor
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 .
ELECTRIC SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S OFFICE
CITY 01: CUPERTINO
1 196_
i TO
You are hereby authoried.,.toy�[�inect>eectricaI Service for
Owner or Tena m
A, ... ...
�Z............................. ............. ........_.........
No. of Wires .......Z........._ Size of Wires .. Size of Switch
Motor Load .......................... Voltage ... ...... ........ ...._ Phase ..............r
HeatingLoad ........................ K. W. ......... ........... ..... . Voltage .............. ..........
No. of Meters.... Light........ Servicr..'/Rec'onnrcL.................
No.of Add. Mev�,,,�,�*::��::::
Heat
220..... 1_.._f1h;ee7 Wire..__... Move Service.........
ervice
Power......... Th has, _� Move Meter..............
........
Alt,,
ELECTRICAL INSPECT R
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..../f..-......1-7................ 19-..Q. Building Permit No.15-1127-
'Me Building Located, at ........AZ"4-----...... .....................
Owned by ....xo��* ........
................................................... .....7...............
.. ..
Has Been (Completed) For Use As: ...... .........................................................................
(-A� Fb..vvk.��...................................................
...........................................................
..................................................................................................................................................
................................................................ ------------------- ..d-...................
1
..................................................*..............
BUILDING INSPECTOR
102 12/66-1M