51073 e�4.2N0UJZIL- eOv2T Lor No. �aC
No. Street
APPLICATION FOR BUILDING PERMIT
TY OF CUPERTINO
ONU3d
�a d0 Jlll� . ,
Q y^^ File No. /
966 6 111 �. Sanitary No.—
Do
o.Do
7 WIGS)v
pp on is hereby made for a permit to
o story. Type .�
to be occupied only as
in accordance with,plat Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ %090
FEES F �O Plan Check $`
Owner p"'S'—� ^�.� UEd• t-6 Address -6619 � IW1 7,r�/LOH
Contr. _ n QE`c/ Address --�N64ad
Phone /G Stare L1c
' Approved MM
/W
Flr.•
p ZI
( JUL Iss MawA) RAPPELECTRICAL PERMIT
Date �t: � FEES 6S
Conrr: -. /I Address
Phone' State Llcens
0
Approved
/AJULLrfffflj fO BI3UMBING S GAS PERMIT
Date (p�1p9966[p'��G,:{L/ GAS FEE $ /
CITY OPO"C"PEPMOI PLUMBING FEE $
Contr. _ 3390 The Alameda, SantaMitrn Address
Phone *s State License
�Htate Lice J
'DECAV7Ll24w=
�flo R APPLIANCE PERMIT
Do to (�1% FEES
Contr. - �t-s .[ fir-•KJIu" t�W' Addross/ '"'�
Ph State License
Approved
Ap licants agree not to violate any of the.
Workman's Compensation Laws of the _
State of California I
RECORD OF INSPECTION APPROVALS.
FOUNDATION — BUILDING
Dat O .tor
UNDERFLOOR
D ip_ epoctor
FRAME (l
ate pector
A H PLASTER '
D ns pe ctor
FINAL
Date Ins oector
ELECTRICAL
,OUTLETS 23 -X'T. SERVICE SIZ I O
SWITCHES 17 1 -7 C UNDERGROUND p _
R ECE PTACLES7'I 3 1'� ROUGH WIRING
�l-D!O -l I spaetor
Date Ins pa ctor
FIXTURES 2j 2 3c FINISH WIRING
'1 p __D Date Inspector
H.P. CHARGE 3 Z� FIXTURES
Jr I o0 Date Inspector
PERMIT FEE ,I or Motors
_ Dat actor
TOTAL FEES L4 FINAL
Dote Inspector
PLUMBING & GAS
MAIN DRAIN SIZE � MATERIAL
STORM DRAIN I SIZE I 1dmTERIAL
M
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH ' O-
o D t •pe ctor
MAIN DRAIN FEE ROUGH COMPLET
oN
STORM DRAIN FEE MAIN DRAIN Ft
Dptt for
WATER SYSTEM FEE / GASP G G
Baty for
GAS PIPING FEE / FINAL — x/l
t- Date napeetor
PERMIT FEE MISC
als napector
TOTAL FEE MISC
Date Inspeetor
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 TOTAL FEE 7a
INSPECTED
Date Inspector
_.. , . Date
Inspection/
Location LD SZ B:TpN/� c 3
File
i
Inspector
5Y GAS SERVICE NOTICE of COPPT Y'
BUILDING INSPECTOR'S OFFICE
� CITY OF CUPERTINOp r
..................../7/f. ...............................
To
You are hereby authorized to conned the GAS service for
Owner or Tenant ..... .. .._.... ................................
At ...... .........................................
New Service ..` .................
I
No. of Meters ...../............. Reconnect ...................,.........
Move Service ................
No. of Add. Meters .............. Move Meter ..........................
PLUMBING INSPECTOR
CERTIFICATE -OF ' COIN.P( T10'N.
BUILDING INSPECTOR'S, OFFICE"'.
'CITY OF CUPERTINO,..,._
Date ........f:... :c......................... 19:r..:-.:... -. ..Building Permit No.f%:?/ ..:.. .,.
' . The Building Locatedat ....:::..:..:....................:._-rca!.......:......_.....�-:......;..1..��.................:..
�
Owned by .•.. 1. r... . . . 1 ' r-�..................... ..
Com leted
Has Been `( --p- , ) For Use As: "'t+'�^*-'��
(Altered) :. . ..............................................................
..............................................................................:.....................................................
.... `
........................................................................................................................:`..........:......
...................................................
102 1/63.500 `rte BUILDING,INSPECTOR ��
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ... . .
. ..............
.... ......
�bing Final Plumbing Permit No. ...!!
No. ....
......... ..........
Owner or Tenant ........... ......... . . ...... .. ...... ........C ....z..!..........
At ---------------ZZ-1.0--t------- ..............................
Tract ............................................. . ....... I.......................7.........
Date Connected ...................................... ...... ..(
... .. ................
CDate Final ............................................... .... ... ......... .......... 19-
............:........ .. .......
PLUMBING INSPECTOR
Ill 7/63-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPS
5:........._./.'/Y......................... ig
To
You are hereby aut rued to connect electrical ervice
At ..e.....ef,
Owner or Te ... ...............................
At
No. of Wires a................ Size of Wires/............. Size of Switch/';;.&�
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. ..... .......................... Voltage ................................
No. of Meters. 1t0....�� New Service.....:.. Reconnect..................
L
--��::::::Tig ........ Three Wire............... Move Service............
220......
No,of Add. Meters............
:.:
Power
ower............... Move Meter..............
........... ...............................................
9ELECFRICA*L WINSPECTOR'
1o4 7/63-500