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