NO PERMIT NUMBER !?-
RECORD OF INSPECTION APPROVALS {�
FOUNDATION 0 " -ZS ` BUILDING -AAlva
I ns pettar
UNDERFLOOR 2
29'
e_6`
FRAME
to
— b
Dat
ATH & PLASTER b o
FINAL
-02
'
6 0
Do to 1 ns Dector
ELECTRICAL
,OUTLETS ��SSEE x
SWITCHES UNDERGROUND C ' 7G�R�b I
c Inspector
RECEPTACLES ROUGH WIRING — fat� V�--
FIXTURES FINISH WIRING Dote tLI&AI nspecter
H.P, CHARGE FIXTURES Dat Inspector
PERMIT FEE Motors Inspector
ate Inspect r
TOTAL FEES FINAL '�
Dote Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND _/
FIXTURE FEE PARTIAL ROUGH ,3 �
Dote p for
MAIN DRAIN FEE ROUGH COMPLET —.�--0
Date s or
STORM DRAIN FEE MAIN DRAIN S D
WATER SYSTEM FEE GAS PIPING � —&' d'l" r
to r
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Dote 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 PERMIT FEE
FLOOR FURNACE
� � TOTAL FEE
INSPECTED O� o?
Date Inspector
a 7 a Lot No.10
No. Street el
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. d—ll(, 7'
9 Sanitary No.
Date 196 7
Application ids'hereby made for a permit to
`r"�-'sia a story, Type S—
to be occupied only as
in accord ce with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ CAC'tt�l tm
i
FEES Plan Check $
� _ tom/
Ownner �/�/ Address Z 2-0 r� /'•+/ 'd�
Contr. Address
Phone State License 1rl
Approved
APPLICATION FOR ELECTRICAL PERMIT
3=
Date �C�� 196 � FEES 2-(,'
�i D n
Contr. � lK/ � /� Address Z-2 -f- &� I/ le S
Phone 7�G —S� �� State License
Approved
X
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 7 GAS FEE $
PLUMBING FEE $ ,2
Contr. pe-4--)pe-4--) 4E"^=
Q/ 1,23Address � 3 V /r'/f^'"r
-i
''-""r y J
Phone c2 S — 2 3 L' 3 State License
Approved
�Jo(
/ O APPLICATION FOR APPLIANCE PERMIT�a ,S-
Date 2 1% 7�,, �a FEES p
Contr.lT - tc� s�q�"�/`�-'r Address .1q-4A- '/�
Phone -37a d / 4"r State License y`'" L
Approved ,
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
i
ROUTE. SLIP
File No.S//t7,
Date '1J.dCA
Location
� ISubject
Notes
Approved 3-Z9-6'r
Date Inspector
CERTIFICATi OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY rOFpCUPERTINO
Date .. .x..---9.7...................... 19.p.Q..,..�^ /�ildmg Permit No. `.�..�t✓. Z.I
The Building Located at ... 1..7 Jr :....S...t9.-:�Gd......!..?.
1
Owned by .... L�.f3,......................................
..................(� .�p�l
Has Been (Completed) For Use As: .
............................... ....... . ... .::......... .. ....... ..............._..................
............I.......... .. .......�/..'-::... 3�:.............................. ...�
. ..........................................
............................ .. ...... ............... .. .. -- ....:...... ---------------- ... . .
............--------- .:............................
BUILDING INSPECTOR
102 12/66-IM
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
n Sewer Connection Sanitary Permit No. ... 5-9....? ......
Eg,4fumbing Final Plumbing Permit No.,52162,4.
Lot No. -107----------------
Owner or Tenant .......... .... ......7 _4 ......—...........
At
... ..... ...................................................
Tract ........... ......... ... .......
DateConnected ......................... ...........................................
Date Final ................................
.................... ....................................
............WPL .............
111 12/66-IM
O E COPY
ELECTRIC 'SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
d CITY OF CUPERTINO
......... . ...,.._.., 1968.
To
You are hereby a o ize t n e electrical service for
Owner or Tenant ... ' . .. .. .. .. ._ _..
At
-N0. of Wires ..A �.... Size of Wires: :... ... Size of SwitcVC0A'.....
Motor Load .... ............ Voltage ........ ...........A—......... Phase ..._............_....... ... ...
HeatingLoad ........................ K. W. .................................. Voltage ................................
1. / (Light.........1...... li0..:... New Service...... ...... Re+inert..................
No. of Meters..........1...... 1
<Il Heat................. 220... it .._......... a Service..........
No Add. Meters............
Power............... T se............. . ove Meter...... .....
........... .. .. . . .... . .......1......._........ .. ... . .
"- ELECTRICAL INSPECTOR
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTqq0
C
. ...... .... ..�' ............ .................. 196P
i 0 �
You are hereby authorized to connect the GAS service for
Owner or Tenant ....
.. .Z.........
At
.......................
New Service
..........................
No. of Meters . ... .... Reconnect .............................
Move Service .......................
No. of Add. Meters Move Meter ........................
............ ..........
................... ............
PLUMBING INSPECTOR
f rICE
F1 y ELECTRIC SERVICE NOTICE
BU DING INSPECTOR'S OFFICE
CITY OF CUPERTINO
► ............... 196
............................... . .... 7
0
You are hereby au riz o` beet el rival service for
Owneror_11nant .............. . ... ........ . .... ......7.............;��....... . ............................
At .......... ..t :�.... .. ...*i' .... ..... ... .. .......................
No. of Wires r ........ ... size of Switch
...................... Size Of Wires ......
MotorLoad .......................... Voltage ............................ ... Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
ice.. ........... Reconnect..................
Light
............... 110.......... New
No. of Meters....................
No.of Add. Meters............ 220...... ... Th wir ... ........... Move Service............
Power.. T h . ........... Move Meter............
..........
ELECTRICAL I SP R"'
ROUTE SLIP
File No.
Date Out
Date In
Location
Sub ieat. 4
Notes
A proved: _.� ty "6:� chit`
P /
Date Inspector