NO PERMIT NUMBER (2) �/7 O .3 I C om./ ♦ Lot No. I fe
No. Street C/�/
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. � 7
�p
Sanitary No. S/ ` a
Data196 ,2—
Application is hereby made for a permit to
story, Type
to he occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements f
FEES Plan Check f
Owner Address dells'.-ac.
Contr. Address
Phone d S7 State License /S/ 7 9/
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 9/ '� ,196 I FEEf � `� ,J � I � o
Contr. t:Va'-A-/'�/ ) Address 9'ZS / +n/ /�" �y
Phone r71 fe ' S- 2� State License /z '74Z a—
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote / 196 57 GAS FEEf a3, Sy -
'PLUMBING FEE f y, . / t�
Cont'. �t--�r / Address a 3 ,v 9 J
Phone State License ,
Approved L2Ze� ` ,4
APPLICATION FOR APPLIANCE PER
Date /0 / 196 7 FEEf
Contr. �'u�^� Address
Phone U�,L s�,�. � � ' State License / e7Z a- L'
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS /
FOUNDATION
BUILDING
��� to Ins pe o
UNDERFLOOR
re ! Ins ecb
FRAME � �
Da Q n
LATH 8 PLASTER ,6
Daft 2�` 1 s ecf r
FINAL L t�
Date Insaectar
ELECTRICAL
,OUTLETS SI
SWITCHES UNDERGROUND
Ins peetor
RECEPTACLES ROUGH WIRING cy eU L
_ Pp.to-r
FIXTURES FINISH WIRING 1``'I1 b Inspector
1 _DP Inspector
H.P. CHARGE FIXTURES l
---R. Inspector
PERMIT FEE Motors
_ Dm n Inspector
TOTAL FEES INAL \ _l GV\
Date Inspector
le• \ —fo MBING & GAS
MAIN DRAIN SAE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH - —
Date or
MAIN DRAIN FEE ROUGH COMPLET
Date f r
STORM DRAIN FEE MAIN DRAIN
D tpWn.p..torr WATER SYSTEM FEE GASP INGtoGAS PIPING FEE FINAL — V' Date
PERMIT FEE MISC
Date ns pector
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 t OTAL FEE
INSPECTED —47 '!o
Date Inspector
ROUTE . SLIP
File No.✓—//6 2 /
Date 3 -74 f.
Location Q6
Subject
Notes
Approved 3 — -74 r
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... :..�`:2�:.............:.. 19�.b!!...! Building Permit No,:,IllR..f� f.
g9/...M4 3.... , .......�c. ........................1
j Owned by ........ :... . .._p. ...q6...)..
The Building Located
' Has Been (Completed For Use As: ..... ..(l...w^...............:........... ..---------
.....................................................:............`I..... ......... .......................
........................
BUILDING "INSPECTOR
. ,` 102 12/66-1M
OFFICE COPY
'ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
Ir
CITY OF CUPERTIN F I
..................................9...................... 196
IlaTO I ..
You are hereby ut d-to nett electrical service for
Owner or Tenant ..... . ...................................
At
.. ........ . .. ..... ......*....... ...........
.......................-Q>Q1 ..7J. ..... .......... .. ............ ...................................
No. of Wires .......at-..—....... Size of Wires ............)........... Size of Switcf Oop.......
Motor Load .......................... Voltage .......................... Phase .........z........................
HeatingLoad ........................ K. W. .................................. Voltage ...........................
(Lig hL.......6011� ice... Reconnect................
No. of Meters..... ........ 110............ New Sery
. .......... Move Service............
No. of dd. M. Heat................. 220.....jt--Thre
Power............... Th P I gh .............. Move Meter.............
.............................. ... .... ........:;�
ELECTRICAL 'IN PE OR
104 7/63.500
I.
96 GAS SERVICE. NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
....................X—
...................... ................ 196.s..
TO
You are hereby authorized to connect, the GAS service for
Owner or Tenant
po�
At
New Service .... ..........
No. of Meters .. .............. Reconnect .............................
Move Service :......................
No. of Add. Meters .............. Move Meter ........................
LUM ING INSPECTOR
• Bldg. Dept.
r Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OP CUPERTINO // pp
Sewer Connection Sanitary Permit No. .: �//Sa//Q.........
Plumbing Final Plumbing Permit No.�,l/.b7. ..
Lot. No. ..
...:-1
41
Owner or Tenant .. (. .........At - �
Tract ............ a.-.... .:.
........................../ ...
DateConnected ..........................///7 ...-..................................................1 194�f7--.
Date Final ...................................!'/...al'. ..........-.....:.---...-.....- -.- . 194v"f
.................
PLUMBING INSPECTOR
111 1266-1M
OFFICE COPY
f"Qci ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........._.............. .. 1967..
To
You are hereby thop'ed tq coiinect, electrical. service for
Owner o5 Tenant .........,i.--t...,: :.`.'_r.. .............. ._.... .n ..........
At ...... .. .. '. ..... :..;.. 7C �......_�T�......... ...
No. of Wires ...:�7 =...............Size of Wires _ .-... ... ..... Size of Switch
Motor Load .......................... Voltage .........c....:-.....- Phase
Heating Load .....................:...K. W: .............................. Voltage .................. ........
:
No. of Meters.... ...... Light. .......... LIo.J:.._... New Service...._.:...... Reconnect..._.............
i ........
HeaL._.................. -0...._..... Three W' ............... Move Service..........
.
No.of Add.,Meters.......:.... yyyy////���� ,
I. Power............... _. T ee rh'afe.............-.. Move DSeter.:............
ELECTRICAL INSGHCTOR /'
ROUTE SLIP
File No .
Date Out
Date In
Location C 2r* b
Sub,jeot L _
Notes 397. 0 '
Approved
Date Insp3ctorr