NO PERMIT NUMBER �t �7ei s� /r-'ci • Lot No./DS-
No. Street j� Y/ �C�
APPLICATION FOR BUILDING PERMIT aJ
CITY OF CUPERTINO
File No.
9 Sanitary No. J-177
Date / 1•' 196
Application is hereby made for a permit to
FAA A -t 0a 2' story, Type
to be occupied only as
in a'ccajWnce with Plot Plan, Plans and Specification filed herewith,.
Estimated Value of Improvements $ 02 d o o O1
r
FEE$ Plan Check $ n_
Owner Address a1 9,T� a.,
C-
Contr. Address
Phone -w2 S- 7-/1/ 0 State License
Approved _.
APPLICATION FOR ELECTRICAL PERMIT
s S
Date b 196 7 FEES
Contr. �� /✓ Address ga S
Phone - -�-3 p+ - `S %tea-� State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date / 02'..$ 196 GAS FEE E
�/ PLUMBING FEE $ '/
Contr. -2 Address l d I cry
Phone --2 is`_ � Z 'Z�2 State License•, `f A S�
• Approved -tom
APPLICATION FOR APPLIANCE PE5MITS--,,
Date 1A9,6 ��-�- FEES 7 �p/�
Cont,
Address /`tV /6L&��•�-----�
Phone '&Z df- 09'y X� State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
"O-fa--'4 -7 BUILDING �t
FOUNDATION j�
UNDERFLOOR
�Date6. Ins o
FRAME
YF
PLASTER Z DeJ. 0,a
Inspe
ctor
b
� D a
ELE I AL
.OUTLETS Vj E
SWITCHES UNDERGROUND Go �MR
r� D e 1 s ector
RECEPTACLES ROUGH WIRING 1
8 U
CeIs pector
FIXTURES FINISH WIRING -&t
/Da 4
M,P, CHARGE FIXTURES 1
0 � Inspector b v
Inspector
PERMIT FEE Motors
�r Dat��Q ns pector
T FEES FIN �O o
Date Inspector
71' G & GAS
MAIN DRAIN SIZE / MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUG / -6
Dot or
MAIN DRAIN FEE ROUGH COMPLET W—
—�°lis
of
STORM DRAIN FEE MAIN DRAIN
D t <tor
WATER SYSTEM FEE GAS PIPING 2.
e nspector
GAS PIPING FEE - FINAL
to Inspector
PERMIT FEE MISC
Date Inspector
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 - PERMI EE
FLOOR FURNACE TOTAL
INSPECTED
Date Inspector
ROUTE SLIP .
h + File -No:�-e-fu ?, /
Date 3 - x9-6th
Location /4-�- /6S'
Subject
Notes
Approved 3- L9 E g
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
ioloo, 4
Date ...... ......C?( ................... Building Permit
The Building Located
Owned by ...... 4— ........ .. .........................................
-- 4
I
A
&LD-Iior Use .........
Has B��, As: .(Altere .... .....
------- - --
X . .....i- ... ....
. ....... ............
.... ..... .. .............................
BUILDING I E 0
1102 12/66-IM
i
oa GAS SERVICE NOTICE OFFICE
COPNI
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
......... .. .............................
To
You are hereby aut o 'zed o tonne e GAS service for
Owneror Tenant .............. ......._._.. ...._._..........._..................'.. ....... ...
. .. .... ..............................
New Service .._ ..............
No. of Meters ........1............. Reconnect ...:........................
..
0;;;6
........_ _.........
No. of Add. Meters .............. ...... ........
.................._........ ..._.... . ..PLUMR
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewe Connection Sanitary Permit No.!7. 77!. ...........
Plumbing Final Plumbing Permit No. S-7147---------
Lot No. ..........
Owner or Tenant .... I ---- ---- I( ................ .................------------
At ....................
Tract .............................. ..........................................
DateConnected ............................. . ......................... ....................... 19.
. ...... . .
Date Final ........................................ . . ... ......... ......
19
.. ........................ . . ...... ...............
111.7/63-1M PLUMBING IN E 0
OFFICE COPY
` ELECTRIC SERVICE NOTICE
I �d BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To ...............C-:>7:...(.c.... . 1969.
You are hereby %utr%' d to n ect electrical service for
Owner or Tenant ..
At _...cj...1.. . y"�.�t ....
No. of Wires ......J:........... Size of Wires ..' .' Size of Switch ,
Motor Load .......................... Voltage ................................ Phase
HeatingLoad ........................ K. W. .................................. Voltage .......................
Light.......yr..:. 110...00.... NA
vicr... Reconnect...._......_.;..
No. of Meters....................
Heat................. 220..,,/.. Tire..... .`..._ Move Service...........
o. of Add. Meters............
... Power............... Tas ... .... . Move Meter..............
.............._-- ..........:..
....... ............. ---
ELECTRICAL INSPECT R
� ^ /\ •' " — OFFICE COPY
CTRIC SERVICE NOTICE
ILDINC. INSPECTOR'S, OFFICE
CITY OF CUPERTINO
To �. f! y JC.. ..
' electrical service for
�IOwner oory_Tenant hereby; aµ�o rze�} to COO _•'
c
No. of Wires ........................ Size of Wires ....... ...>........ Size of Switch ...... ...........-.
r
t Motor Load .......................... Voltage ......................_.._.... Phase .. ................ . ...
HeatingLoad ..................:..... K. W. .................................. Voltage ....... ........................
Light................ IIo.._........ New Servicr. .............. Reconnect..._......_.....
No. of Meters...................
Heat................. 220....__.. Threer ...._._..... Move Service......
No. of Add. Meters............ / l
Power.....,,/... ree Phas :.i............. Move Meter..............
ELECTRICAL INSPEC/ TORT
ROUTE SLIP
File No. //C. 7. _
Date Out y v
Date In i
Location �nzps
Subiec_t. (9—N �EL
k
Notes
Approved d
Date Inspector