FILE 51167.102 i ysG I C:P-t.e
No. Street
Lot No.
113/- se o i
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. ���G 7e
Sanitary No. `r�6
Date y 196
Application is hereby made for a permit to
to be occupied only as
FEES
a -/ story, Type rJ 7 ✓
in accoidat&with Plot Plan, Plans and Specification filed herewith.
Estimated Vdlue of Improvements $
Plan Check $
Owr•er Address o2 eZ 9s odus A 6L. If
C/
Contr.
Address
Phone 2s-% /// 0 State License /- /'1/`r'/ 79/
/��7/7 PirLtnt-f/ �-d �t�
Approved (/� /
APPLICATION FOR ELECTRICAL PERMIT
Date % 196 -7
Contr. '-CJ
Phone '3' y
ss'
FEES _ _c2
Address !1'Z
State License - �LZ i✓
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date % 196
GAS FEES
7Z
PLUMBING FEE $ oZG S�
�) p � �%
Contr. -( /G�tii+�-/ i 7./`"�Ts -
Address 1-,2 -SX 9 )/
Phonea �S •2, 1
State License ' S 7 %
/A
Approved - /6
APPLICATION FOR APPLIANCE PERMIT
�//
Date 1% 7
FEES
i,>'-<-e-/'+�-�
Contr,
Address
Phone ?;z 0 %/
State License- /`f -LL 2—
Approved Approved
Applicants agree not to violate any of the
,
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION
Z �6 BUILDING
Date -eps pector
UNDERFLOOR �o-sS'-6 l/lA�
Doje ! Ins pe
FRAME O
Dq 7 e Ins e i
LATHE PLASTER GG/
Uate�S ,.6 8- t r
FI AL
D Ins oector
/ O _( (,,-(,7jn,fjECTRICAL
SWITCHES
SIZE
TERIAL
rtr v �
UNDERGROUND V -1
6 Inspector
-LI-
TOTAL FIXTURES
FEE
UNDERGROUND
RECEPTACLES
PARTIAL ROUG 6 - �L
ROUGH WIRING
ns pector
� � � �� "`r\
Date
MAIN DRAIN FEE
FIXTURES
ROUGH COMPLET - ,7
FINISH WIRING
D Inspector
I
Do tO
STORM DRAIN FEE
H.P. CHARGE
_ 1
FIXTURES t�
Date Inspector
WATER SYSTEM FEE
GAS PIPING -
PERMIT FEE
Date or
Motors
to Ins peetor
FINAL --
TOTAL FEES
' Date Inspector
PERMIT FEE
_
FtL
Date Inspector
MISC
.* j ING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
SIZE
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
PARTIAL ROUG 6 - �L
Date
MAIN DRAIN FEE
ROUGH COMPLET - ,7
Do tO
STORM DRAIN FEE
MAIN DRAT 6 - -
got
WATER SYSTEM FEE
GAS PIPING -
Date or
GAS PIPING FEE
FINAL --
FLOOR FURNACE
' Date Inspector
PERMIT FEE
TOTAL FEE
MISC
Dote Inspector
TOTAL FEE
MISC
were 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
PERMIT FEE
FLOOR FURNACE
TOTAL FEE
INSPECTED /—,//, '14'./ ViE9
Do to Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date I .......... 147 .................... Buil i.p Permit No
f
The Building Located at ..... ortz3y ....... 6X==W ... ll��
..........
Ownedby ---- ........ 6 .............................
Has Been (co"mPletel") *I,,, -
For Use As:
...................................................................................
......... ..........................
........ . .............. * ................ * ....... .........
BUILDING"" NS'PEcrok
102'12/66-1M
GAS -SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
......... ........... /7/�� ......... I .................... 196..gP
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .... :—.. 16 aaotz ....... ............................................
...... . ...... .....
At..................................
New Service ..............
No. of Meters ..............Reconnect .............................
Move Service .........
No. of Add. Meters .............. Move Meter ........................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No....... ------
&-Plumbing Final Plumbing Permit No., -311,617.1..
Lot No..-- 1/7.3 ..................
Owner or Tenant ..... .... 7...
At
Tract ........... . ..... — -.-<
Date Connected ..i ........................ 19
Date Final ..............................
........................................ ............
---------------
T �
PLUMBING INSPECTOR
111,62/66 -IM
Y'.
OFFICE COPY _
ELECTRIC SERVICE NOTICE
'• ry�J BUILDING INSPECTOR'S OFFICE.
CITY OF CUPERTINO �j
.. 1 . % ........ 196-
To
You are hereby auth ri ed t con&401
electrical service for
At
or Tenant 1111....... ._ ... ........................_........................._ 1111
O
t ��� � .Size of Wires
1..71.1... _ _...........
No. of Wires .... ............ :...,`�.c.... Size of Switch/cop
MotorLoad .......................... Voltage ..................................
......_...... Phase
..................
Heating Load ........................ K. W.........1..........:.......11....1 Voltage— ..... ............ ..,.......
.
No. of Meters.......1 Light ................ . tto—......... New Service ........ ....... Reconnect..................
.............
Hea[................. 220............ ree ire... . .. 1111 Move Service..........
No. of Add. rs............
.. Power ............... ee hase............ Move Meter..............
_1111..._ ... ......11 11.. _.._..,..�...
'LE""CAc MSP TO
ROUTE SLIP
File No.�//6% /
Date Out:::?—r—r
Date In
Location/Q3�'
Subject
Notes
Approved
Date Insp;cto:
' LECTRIC $ERVIEE NOTICE .,....,.. yv..
BUILDING INSPECTOR'S OFFICE
CITY OF CUYIiRT'iN0
.. .............
To
You are hereby attfh`orizzeedto.c 11nect electrical service for
Owner or Tenant ...._�```:,fr..�,' ':............ .............�.:.............................................._....
At....N:_A..?...`.�:...........................
...... .
L
'No. of Wires ...c.t............... Size of Wires ...1'.....1'...... Size of Switch .....
Motor Load .......................... Voltage ................................ Phase ..............................
Heating Load ........................ K.W...... ,....... _................. .. Voltage ...................
Light ................ Ito............ ew Service.. Reconnect..................
.......... .
No. of Meters.... .:.............
Hear..........._.._"211
50. _,........ hreefhmef
... .._.._. Move Service..........
No, of Add. Meters............
Power .... . ree......._.. Move Meter ......
ELECTRICAL INSPEC-9R `
li•
ROUTE SLIP
File No. X//6 %
Date Outer -2/-6r
Date In 7J-2I�
Location 6 3
Sub jeot 6?4
Notes
Approved '/- 2-/-6 7 C144"A--" --
Date Insp:ctor
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LOT NO. X's
//j/- 4d f7 /
APPLICATION FOR BUILDING PERMIT
OF CUPFRTINO
Sanitary No. �� G L
Dare r' 19A Permit No. -67"/
6 �•
Application is hereby made for a permit to
Building
Vi 1 r v•. _
to be occupied only as e6 . in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, $ erIft' 6d Fee $
It is hereby, agreed that the requirements of the Cupertino Building and ZoninOrdinances and
all other laws applicable to the construction, location, and use of buile�kjwbmwEcity of
Cupertino will be complied with. 2295 DE LA CRUZ BLVD.
Address SAAITA rt Aon rArtc 9SC 50
Address
ApproverILL1AM D. BENEVICH
BUILDING INSPE.CI'OR
L;
11