NO PERMIT NUMBER t 1�;
���� I • Lot No. 9s—
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO d
File No. Stt�/J7y
Sanitary No,
Date 196I
Application is hereby made for a permit to
a story, Type �jr
to be occupied only as
in accord ce with plot plan, plans and Specification filed herewith,
ftiEstimated Value of Improvements S •33, ee A
/�
FEES Tu � Plan Check $
Ow r,er _�CJ[s,(a�- f./ Address 'it da. .tars
Contr. Address
Phone State License /moi 9
Approved L • • 4
7�a3/8� � to bo
APPLICATION FOR ELECTRICAL PERMIT
J u
Date S/ '� 196"pFEES � C—
Contr. Address
Phone d-/ State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
r/
Dote 196 O GAS FEES
^/ ,QQ� PLUMBING FEE $ -2 `-rd
Contr. _ 1/�+'+� (0J41/ Address
Phone '� '7'�5"J -d 3 L3 State License
Approved WILLIAA4 D. GENFVtnu
S APP KATION FOR APPLIANCE PERMITS 'd'�_
Date
n� 1% FEES
Contr. Address /--'& 'S
Phone - 37t� G 9 'j State License
Approved VALLIArvi D. LasNZVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the '
State of Califomia
RECORD OF INSPECTIO AtPPR PALS
P.4 BUILDING
� y
FOUNDATION — 24 4
/ / DATE INS E R
UNDERFLOOR—
TO R
FRAME —
DA/TE IN SPECT R
LATH b LASTER 7 -If^o
OAT IN SPE OR
FINAL
— / L- 4Ka
DATE INSPECTOR
ELECTRICAL
7- 1
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
D TE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES l
DATE INSPECTOR
MOTORS
w DAT INSPECTOR
FINAL
DATE INSPECTOR
LUMBING & GAS
UNDERGROUND
DATE CTOR
PARTIAL ROUGH
DATE ECTOR
ROUGH COMPLETE
O(�TE SPECTOR
MAIN DRAIN Gey
D TE ECTOR
GAS PIPING
DATE SPECTOR
FINAL
i DATEINSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DAT nPECTOR
MISC `r
DATE INSPECTOR
1
R V V 1l . 0L1 r
File No . G,r
Date
Location , I —
Subject
Notes
Approved ie �i�
Date Insp o
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... i14-f. P No.......' 9 7.
......................... ......... Btuldin& Permit .......
The Building Located at ...... ...W?........ .................
Ownedby .... .... ....................
............................................... .(4�
U . ,Zz....... ...................
Has Been
(Completed) For Use As: W./"^::.-- -. ......._.................
.....................................................I...........................................................................................
. ............ ............... ..............................11......I........................................................................
...................................... ............................................ .........1........./.................... ...
............. ............................................ .............
BUILDING - INSPECTOR
102 12/66-1M
CtA OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY 01: CUPERTIN
To ................... ....... 196.E.
You are hereby aut ize conn ct electrical service for
Owner or Tenant .....................
At ...............
.. ........ . ..... ....... ........ .. ..... ..
No. of Wires ................ Size of Wires
........ .... Size of Switch
Motor Load .......................... voltage .................................Phase .... ......................
Heating Load . ....... ........:... K. W. ................ ................ Voltage .......... .. ..... . ........
Ligh t.... New Service.._ ....... Reconnect...._............
No. of Meters..........._`.....
No. of Add. Mete Heat................ 220..... W. . . ........ IV
I -le-4t, .
Power............... p se.- Move Meter..............
ELECTRICAL INSPEC
OFFICE,
GAS SERVICE NOTICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.......................... . . ..................................1 196.?
To
You are hereby authorized to connect the GAS service for
Owner or Tenaj oj��2' —77. . ......... .............................. ................
At ....//014//�?.... .. . . .. ........ . .... .....................................
New Service ..........................
No. of Meters .... ....... Reconnect ...................
Move Service
.......................
No. of Add. Meters ......... Move Meter ........................
45� PLUMBING INSPECTOR
k ` Bldg. Dept;
{• Office Copy
BUILDING . INSPECTOR'S OFFICE
CITY 'OF CUPERTINO ;
❑ Sewer Connection Sanitary ' Permit No. ..��_ ?7 .....
E�' lumbing Final, { Plumbing Permit No...�1.� ---- .
Owner or Tenant .--"X--.......-a?.......- Lot No. ...... .-.
-' - ?r te................................................................
At ..--..-..-_..._... ....... ...........
�, ........................................
Tract -------...... -� i _/
- ..............7----------- j---
Date Connected ......:.Date Final ------------.-----------------� `��L?............. . ':-........ -- ..-.-.........,. - 19-/.?�.-..
:.............---........,.1..-
......./ .................. ......
....................... 19_,_ ......
f, w
PLUMBING INSPECTOR
111 12/66-1M _ ! -
• ' OFFICE COPY
ELECTRIC, SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO pp
TO
, cNgp ,�A l? y .... ... .... ............................... 196 ..
You are hereby'a . horized to connect electrical service for
Owner or Tenant ..... ... ..........................:........................................
No. of Wires ..... ?. ............ Size of Wires . ....'. Size of Switch ....1..�.A...
MotorLoad .......................... Voltage .........................,...... Phase ..................................
HeatingLoad ........................ K. W. ...............................--- Voltage ................................
(LighPower.....
t........1.......
ower............. 110. _
........... New Service................ Reconnect... .............
No. of Meters.................... Li ht.......:
Heat................. 220............ Three Wire........_....... Move Service............
No. of Add. Meters............
..._... ee Phase....... ...... Move Meter..:...........
...................................................I................:.............
ELECTRICAL INSPECTOR