NO PERMIT NUMBER t ?=z6 p.21 ! ,11^ .( Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT C
CITY OF CUPERTINO
..` File No. 71
77 Sanitary No.
Dote A 196 7
Ap lication is hereby made for a permit to
L::� . T
a C1.1 story. ype 1 y
to be occupied only as
n accorqqce with Plot Plan, PlaoTand Specification filed h r lith.
Estimated Value of Improvements s 0 d G O
i
O0
�
FEES � Plan Check $ //f Q�
Owner �r/"�'�� Address ap�/p j/--/x
Cont'. 77 Address
Phone State License 7 9
Approved WILLIAM D. ElENF.'VK t-c
APPLICATION FOR ELECTRICAL PERMIT.
Date �� 196. FEESlex
Contr. � -�'L e—.� Address —,0"2
Phone " ' `- State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT (�
Date & /7, 7, 196 GAS FEE $
PLUMBING FEE
�Q,�
Contr.o� �-��'" a' AddressPhone 52?a�`�-<173d3 Stnte Lice nsa �4,L6 S70
Approved WILLIAM rN Arcnrt:ev-....v
APPLICATION FOR APPLIANCE PERMITis-
Dato 1119996 p? FEE$ //`jj// �Q—
Contr. "_'�-�^-.i i Address I-30 .0 l& �.'�.^'
Phone 3 7 _ Q 9s State Licensee
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California °
� 1
N
RECORD OF INSPECTION APPROVALS Q
FOUNDATION ),2-.V —Ly- BUILDING •�, .a.�Q -d
UNDERFLOOR 7
/O pota6 Irrct
FRAME J/
%Instpepector
LATH PLASTER
FINAL
Date Insoector
ELECTRICAL
,OUTLETS �C
toot
SWITCHES UNDERGROUND /O uli�F
Date Inspector
RECEPTACLES ROUGH WIRING 1 O— /Z-
/_ QW Inspector
FIXTURES FINISH WIRING y �
t
H.P. CHARGE FIXTURES � I �� Inspector
Inspector
PERMIT FEE Motors
I IPq �xl)atr
Inspector
TOTAL FEES FINAL tri
Data Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH G�
Dat° or
MAIN DRAIN FEE ROUGH COMPLETE/O-/7-62
Data
OMPLETE O-
Date or
STORM DRAIN FEE MAIN DRAINA9
ata or
WATER SYSTEM FEE GAS PIPING o7' .17
Date for
GAS PIPING FEE FINAL
Date Impactor
PERMIT FEE MISC
Date Inspector
TOTAL FEE MLSC
Date Inspector
169 W
TYPE OF APPLIANCE UNITS rFEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC _
t
GAS DRYER PERMIT FEE
FLOOR FURNACE
INSPECTED
Date Inspector
A1bUTE SLIP
File No.
,Date Out FZ
Date In
Location Ye�. 6PZ
Subject
. .Notes
Approved
Date Inspector
ROUTE SLIP
File No,
Date Out LZ —6 7
Date In 22- 6 7
Location ' Z--
Subject.
Notes
Approved '
-, Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ---- ................. Building Permit NO5'/.14.7y
The Building Located at ......Co.-forApr...4v p- ...I.........
Owned by --.. -f ...... -?2.)
b. 15"e.............................. .......... .. -6��
..........................................
Has Been
(Completed) For Use As: ..........
.................................................................................................................................................
................... ......W................................................
..... .................. ..................................
....................... ............................ .................................. ...... ......
.............C 144.4;�ZZA.....................
..........w......................................
BUILDING, INSPECTOR
102 12/66-IM
FFIC
GAS SERVICE NOTICE OE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO'
.................
..................................
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At ..cx /(.9 ?
f2
, ..—..... . .. . . .. . ........ .... ...
.. .- ..
........................... ...
.
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. ....�1.�� ..-..
Plumbing Final Plumbing Permit,)No —n/4�..r/.......
Lot No. ....... ................
Owner or Tenant ..��
At ,...........................................
Tract ..... .~' twas ;Crf ._. ....................................................//........
DateConnected ....................../ , ........................................... 19.`/ ..
Date Final .......................... 19':
............ . ...... ...................... q
PLU BING INSPECTOR
Ill 12/66.1M . '
OpPKE COPY ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
..I Z S 196-
To 1
You are hereby hoaze n electrical, service for
Owner or Tenant .......... P.'.�-#'r.'�.-.:..... .. . ^..:!`'^- !".............. .. ........--..........
..
No. of Wires ....U............ Size of Wires ...............7"...: Size of Switch
Motor Load .......................... Voltage ................................ Phase .................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light....... 10�/ New Service............... Reconnect.,................
No. of Meters...�.............1
No.of Add. Meterr............1 Heat................. 220.... . .. hree i . ............. Move Service............
(Power............... h ft......... Move Iter..............
r
RLRCTRICAL INSPR 9O.P3
% VIOLATE 2& N
} » 7f{
ZA
/
m
\ nil
/ / ] —
\ � � } } } � % % ■w
]
/ §J �
—0 R
} � n « j ) f
{\ � { \ � I \ / k \
> > \ 9 $ C
CL
E(
§_ mo ■
- § ■ ; ,
� ;
§ r ° \ °
; ; {\ .
} ) 3
; tv
¥ .