Loading...
FILE 51167.1 Lot No. /iJ No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. t-r./l` 7 co. Sanitary No. 1,t-"19 Date G 196 7 y i A plication is hereby made for a permit to a •L story, Type r z L to be occupied only as in accordance gy Plot plan, Plans and Specification filed herewith, DEstimated Value o/ Improvements $ CAd FEES - o S • sin. ,Plan Check $ ^. - Owner `�e�i� Address .J-,l fe S &4 04- ` ,W r Contr. Address Phone C't d' 7 /0"I V State License Approved d APPLICATION FOR ELECTRICAL PERMIT Date !T 1196 7 FEES .2.g, 9 s Cont,, thy/ l Address Phone State License f�^'Z �' Z-- Approved iApproved ! APPLICATION FOR PLUMBING d GAS PERMIT Date Z I L 196 7 GAS FEE $ PLUMBING FEE $ r,2 G. sS b Contr. G Address /'� 3 4 /ft'' )9" J Phone S 3 State License Approved APPLIC ON FOR APPLIANCE PERMIT Date / 6 196 FEES /p-/�a Contr. Address l� `S ,&. . Q— Phone — "3 State License /JL2- o 7 2i .A'pproved Applicants agree not to violate any of the i y T AOL- Workman's Compensation Laws of the !t State of California ! 1 -rq-6 Y t,,wVQr RECORD OF INSPECTION APPROVALS v �� FOUNDATION /S--6 BUILDING O U� a1 �W — qte 6 / na eoon /_ UNDERFLOOR tvl /J Ina ect FRAME �C —D�_6 L J ry Dat Ina ecfe LATH PLASTER ' ula/ d n e r FINAL / d O C Ins Dec for ELECTRICAL ,OUTLET$ SERVICE SIZ SWITCHES UNDERGROUND _ Z Inspector RECEPTACLES ROUGH WIRING Da� 'I_ Da, Inspector FIXTURES FINISH WIRING D Inspector H.P. CHARGE FIXTURES Inspector PERMIT FEE Motors D Inspector TOTAL FEES FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH a r MAIN DRAIN FEE ROUGH COMPLET ¢� STORM DRAIN FEE MAIN DRAIN / r D f n r WATER SYSTEM FEE GAS PIPING GAS PIPING FEE FINAL Data na pecfor PERMIT FEE MISC ate nspecfor TOTAL FEE MISC Data Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE f MISC GAS DRYER ` PERMIT FEE FLOOR FURNACE \ TOTA E INSPECTED Dafa Inspector CERTIFICATE OV COMPLETION BUILDING INSPECTOR'S OFFICE q CITY OF CUPERTINODat / TheeBuild�:.l r/il.a..at.......�J a7.�(.�_h-f°.!�d�!1.'.l.Building ermit'No✓1�C�:�.�. Owned by .... 6.. ...... -- . ...., .... A j ..' ....... ..... (Completed) j Has Been For Use As:. ---............... ............................ .............._............. , (delteee�.,.. ..,.....................................I.............. .......4--------------- ---------------------- --- of K y'.Z3 �' .` , .........._........... .. . ............................. - . .. ..... .... ---- q. ............ 'A.: "^.. ................................... BUILDING. INSPECTOR 102 12/66-IM j . GAS SERVICE NOTICE . 'OFFICE: / BUILDING INSPECTOR'S OFFICE COPY CITY OFUPERTINO / ...C............�� ............................ 196. To You are hereby authorized to connneecctt the GAS service for Owner or Tenant . . ..... . At . /flL:.... . . . ... ...... / _....... ......................:...... .New Service ...5;77��,...... ...... i No. of Meters ...1............ �. Reconnect ............................. Move Service .......... No. of Add. Meters .............. Move Meter ........................ PLUMBING INSPECTOR Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF' CUPERTINO n Sewer Connection Sanitary Permit No. E;.--Plumbmg Final Plumbing Permit No. Lot No. Owner or Tenant ....... P.v......C.. At --- ........... Tract .............. Date Connected .......................... � Date Final ................................ ................... ..................................... 19 ................ LUMBING INSPECTOR 111 12/66-1M COPY �LECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE. , CITY OF CUPERTINO_:_ . ,...J........... _...�L:..c..�.. ....... ...... To . . You are hereby autho z conn ct electrical service for Owner or.Tenant ......... .. .. ................. ..-. ..........:....._.....-...._..-...... :i T No. of Wires .. Size of Wires Size of Switch/ - � .. ..� ' • Motor Load ......:.................. Voltage'..... .._. ......... Phase ........................ I, Heating Load......................... K. W1...........:........................ Voltage ........ ....................... No. of Meters..._........-............... <Il ../ - "?a ... . o No.of Add. Meter. 1Heat................. 220........ r W ........... onService ......... Power.......... h ..... ..........:...., ... ve Meter......:..:..., « ' ELECTRICAL INSPECTOR ROUTE SLIP. File No. Date Out 7 y, Date In �� _ Location Sulyl6ct �� ��— Notes Approved Date I Spector