FILE 51167.1Lot No./O "Cv
h'No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
� Fila No.T
Sanitary No. -
Do to
o. Date 196-7--
Application
96 _7--
Application is hereby made for a permit to
a story, Types ZJ
to he occupied only as
in4accordaneelvith Plot Plan, Plans arjl,Specifieation filed herewisy/
_
Estimated Value of improvements f 42,4 _&TtLti
FEE$ . &-4_C
Owner 2 -
Contr,
Plan Check $
Address
Address
Phone 0? State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data g 196 ,! FEE$
Contr, /"-'o`-'�`-"�/ Address--11g2,f-/"�- -"e
Phone 73 G's L/ State License pn�2 iL 2 2 --
Approved Approved
APPLICATION FOR PLUMBING & GAS PERMIT /
Date 196 -- % GAS FEE $
PLUMBING FEE $ a
Contr. Address 2 3
v /
Phone `-'? Y' S — 2 3 Z.� State License
Approved
u
APPLICATION FOR APPLIANCE PERMIT
Dat* 196 FEE$ _
; , AL-/
Contr. L/61— 0 'c i Address
Phone--,.�,za —G) � �3T State 11-ict
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION—�by�p�6 BUILDING
UNDERFLOOR ��Ld' ^6 Ins po tqP
a Ins pe �'
FRAME '46-
1-14:z) `6
/0 Da tt —c 9 Inspe t
LAT 8 PLASTER ' —c
70a1p'r-/' o Inap c
FINAL /4 0 G
On_�/_2p�`'� Date Insoactor
RECEPTACLES
FIXTURES Hl
TOTAL FEES
ELECTRICAL
UNDERGROUND ISE.
S R` �
Do to
ROUGH WIRING ! y�
D e
FINISH WIRING
to
FIXTURESy �U o�
Motors
FINAL
pector
Inspector
Date / Ins pact or
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
SIZE
MATERIAL
T PE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
REGISTERS
PARTIAL ROUGH
MAIN DRAIN FEE
ate
"CfDoe
ROUGH COMPLET D'
for '
STORM DRAIN FEE
MAIN DRAIN D-
r
WATER SYSTEM FEE
MISC
Df
GAS PIPING a'
spe ct or
GAS PIPING FEE
at
FINAL I v � i�
nspector
PERMIT FEE
Da a
MISC
Inspector
TOTAL FEE
PERMIT FEE
Date
MISC
Inspector
OF APPLIANCE
� NITS
FEE
T PE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
SUSPENDED UNIT
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR FURNACE
TOTAL FEE
TYPE
INSPECTED
Date Inspector
� �70
LOT NO, �
NO. STRE
A
'PP ,LLI A IMFOR BUILDING PERMIT
ITYN OF CUPERTINO dc
F?tx6 967 �� Sanitary No.
Date 196 Permit No. 9S
ppl' tin 1C, Y r a'permit to G!L
C� �'i �ipr'"c�`fffld��j
a story, Type Building
to be occupied only as !0, 'Af&eY4 4-1e f in accordance with
Plans, Specifications and Plot-Plan fiA herewit PI Ck Fee
Estimated Value of Improvements, $ ,1%ADD� Fee $ b?���
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be mplied with.
Owner / Address �je%%��//2��
By Address e�/lam
Approved
State Licens / BUILDING INSPF.C1'OR
v
CERTIFICATE OF" COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......................... 19... r........ Bui ling Permit
The Building Located at .... �.t.7 s ...: ........
.}� �t.r.............................
Owned by ...... C C.�........... S✓yixln: .................................rsAY.._.../0
r Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
..
ewer Connection Sanitary Permit No. .........S,J ....ro------
...
Plumbing Final Plumbing Permit No....�/..(p7 I..
Lot No. ..........
Owner or Tenant ...
At...............
Tract
Date Connected ........................
^.................................
19/�.
.. Date Final.........................................�..
-...-)...... .`�
.... 1967.
PLUMBING
III 7/63 -IM
To
You are hereby
Owner or Tenant .......
At ...2..1...7.v
• C
GAS SERVICE NOTICE OF ICil
COPY
BUILDING INSPECTOR'S OPPICE
CITY OF CUPERTINO ^�
1917.
llybllized_to conr�lc the GAS service for
No. of Meters ..... ........._......
No, of Add. Meters ....
.... ................................
New Service .......
Reconnect .... ......... ................
Move Service ....._.................
e Meter ......................_.
PLUMBING 1N Ii OR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO
To "�
You are hereby authrrii ed conn t electrical service Eor
Owner or Tenan[ .........�?!�C.: ......_.._.._....._....._...
No. of Wires ..... .V........... Size of Wires-._ "...... Size of Switcht'00 .....
Motor Load ......................... Woltage ............................... Phase ......................... ...:
HeatingLoad ........................ K. \iii...... .................... __... Voltage _.............. _..... ........
Light....../I� i10_ New Sen ice �. Reconnect .......
No. of Meters........'. _ ....... ? d+ .. t
._';:.r
No. of Add. Meters............ Heat................. 2_D.-
Thr"Ph e.............. Move Meter..............
Power ..._.......... .....: I,.w., r.,, .. .
r'
- �- RLHGTRICAL,INSP,HCT a
ROUTE SLIP
File No. S/(, 7.
Date Out a)
y� Date In
Location
Notes — 4%03. ;?
Approved' ' b^
Date Inspector