NO PERMIT NUMBERLot
No.
APIRLICATION FOR BUILDING PERMIT
Vf�e� TY OF CUPERTINO
JUl.9 196a File No..S'o'-3
�64 Sanitary No. 165
/� nj�A.
Datee &N. o
1!' Application ishereby made for a permit to •�
E2EG% a story. Type
to 6e occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Valuw of Improvements S
Oo
FEES �� Plan Check S
Owner IES �F� ��' ✓. �• Address v
ve
Contr. Address
Phone / d S� State License
Approved
of
IRREW
fd. D APPL IFOR ELECTRICAL PERMIT
�t ppAr
Date 161 r FEES
Contrr- Address
O
.Phone 7 j HN State
Llce
Dp�(iin Approved
3► JUL `b19�09 R nW.U. BING & GAS PERMIT So
Date "'`'-'7196 GAS FEE $ /
CITY
Contr.
Phone
Statee: 2
'DEC 12Pq'q#A 1i)'FO
Date 196
Contr.�Y� /�pi/f7f
Phone 6Gr /
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PLUMBING FEE $ /600
Address
State Licens
LIZL—
Approved
R APPLIANCE PER
FEES
Address 1�N•/�tirr�^+-.•✓
State License 9Z
2"" G >" z`
Approved —.L
RECORD OF INSPECTION APPROVALS
SERVICE
,OUTLETS
BUILDING
SWITCHES 3 3
FOUNDATION
RECEPTACLES
20
FIXTURES
Date
Inspector
UNDERFLOOR
Se
PERMIT �FEE
eo
TOTAL FEES g
to
actor
94
FRAME
Inspector
FINISH WIRING
Daley
Data.
a for
LAT PLASTER
d
FIXTURES
MISC
pector
_ DXj
FINAL
Date
Motors
MAIN DRAIN 0
FLOOR FURNACE
0
for
Data
In•Uectar
ELECTRICAL
Date Inspector
PLUMBING & GAS.
MAIN DRAIN
SERVICE
,OUTLETS
22 tY
SWITCHES 3 3
Zo
RECEPTACLES
20
FIXTURES
'IZ,�
H P. CHARG
ROUGH WIRING
Se
PERMIT �FEE
eo
TOTAL FEES g
�6
Date Inspector
PLUMBING & GAS.
MAIN DRAIN
SERVICE
SIZE
22 tY
UNDERGROUND
SIZE
L.,IATERIAL
l..
TOTAL FIXTURES
Inspector
ote
ROUGH WIRING
'
eo
COMBUSTION VENT1'�--
Date
Inspector
FINISH WIRING
00
Data.
pacfar
Inspector
Date
FIXTURES
MISC
pee/
Inspector
Date
Motors
MAIN DRAIN 0
FLOOR FURNACE
0
for
D to
FINAL
GAS PIPING �� S
Date Inspector
PLUMBING & GAS.
MAIN DRAIN
SIZE
1 MATERIAL
TYPE OF APPLIANCE
STORM DRAIN
SIZE
L.,IATERIAL
l..
were Inspector
APPLIANCE
TYPE OF APPLIANCE
I
t•
TYPE OF APPLIANCE
WATER SYSTEM
SIZE
TERIAL
l..
TOTAL FIXTURES
REGISTERS 0---26—C
UNDERGROUND
-23,'
BLOWER FURNACES:''
eo
COMBUSTION VENT1'�--
FIXTURE FEE
PARTIAL ROUGH
00
Data.
pacfar
MAIN DRAIN FEE
ROUGH COMPLETR" `/'
MISC
pee/
STORM DRAIN FEE
PERMIT FEE
MAIN DRAIN 0
FLOOR FURNACE
0
a a
�7�--
WATER SYSTEM FEE
GAS PIPING �� S
TO
,�
Date �
GAS PIPING FEE
FINAL
00
Data
•pector.
PERMIT FEE
MISC
ate
nspec for
TOTAL
TOTAL FEE
%
MISC
were Inspector
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS 0---26—C
10
-23,'
BLOWER FURNACES:''
COMBUSTION VENT1'�--
SUSPENDED UNIT
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR FURNACE
TOTAL FEE
�7�--
INSPECTED) �A'C'fX.ST
Date Inspector
_Date /— 7 19 �S I
inspection
Location .Lo/ 62
File #
i
Inspey;tor
„y%d+
-eTdg' Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
0 Sewer Connection Sanitary Permit No....�........
a4intnbing Final Plumbing Permit No. S /.0.7 ........
Wt No. ........ U Z .............
Owner or Tenant
At
Tract......................................... --............................................
Date Connected ...........................]5..............................:..................... 19.YJ”
DateFinal.....................................�..^..._�........�.......... ....................... 19.�.v
v
U11t 7/63-1M PLUMBING INSPECTOR %1=;C:..7
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
%�/ ff v �r /�
Date ............................................ 19.0 :r.....// &illding Permit No.✓..II!�7-2
The Building Located.........................
Owned by ..... !1.::!�w:A�.... f,.i..!•*�fc„_.:::'f?f.!!,'.d.......`..'.a...
(CAmp ' )>
Has BeenC leted, U: :/ r l+� J/............................................
(Altered)For Use As:......
.................................................................................................................................................
.................................................................................................................................................
......................................................................................
..........
.............................
........~.... /r���
102 1/63.300
ft BUILDING'INSPECiOR
-!
OFFICE C6PY "
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
......... _..... _/:7/y........ ..--- ------- , 196
To
;.You are hereby author' ed to conned electrical se ' e for
Owner or Tenant .........!/�%....*eoof
(,7�.........................
......... .............................
No. of Wires ..V ............. Size of Wires . .Q......... Size of Switch CAAAA.'
Motor Load .......................... Voltage................................ Phase.... ..............................
HeatingLoad ........................ K. W . .................................. Voltage ................................
Light ............... 110 ..... ilNew Service..'....... Reconnect..................
No. of Meters.. .............
Heat ................. 220............ Three Wire................ Move Service............
No. of Add. Meters............
Power ............... ree P se................ Move Meter..............
......... ...........................................
ELE TRICAL INSPECTOR.
104 7/63-500
GAS SERVICE NOTICE OFFICE
�v
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
To ....................../. /T.O
...........................1 196
You are hereby authorized to conned the GAS service for
Owner or Tenant ...sCSY
. .�
At.r�39..-... °..... t�.................................................
New Service . ................
No. of Meters ... ,r ................ Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
......... ;iVTLuMXf
BING INSPECTOR