NO PERMIT NUMBER C?i Lot No.Pj
No. Street
APPLICATION FOR BUILDING PERMIT \`
CITY OF CUPERTINO
File No.
Sanitary No. Xa q .Z
Date 796 L
�- -App_licat¢ion is hereby made for a permit to -y-
"�^ a � story, Type f_
to be occupied only as
in accordan 6zith Plot Plan, Plans and Specification filed herewith.,
ppEstimated Value of Improvements $ g2 f, 0
FEES Q.S 'rD Plan Check $
I� �j n_
Owner �.�+�+ � Address al >J
Contr. —� Address
Phone a a 7 01Oro, ti State License 164717 9/
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date �'� 196- - FEES
Conor. �"�"-/"`'"-"�`� Address
Phone ;7j ` State License ^p
Approved �""'�;�
APPLICATION FOR PLUMBING & GAS PERMIT V )
Date 196 ,� GAS FEE $
PLUMBING FEE $
Contr. Qlp—hj '//��'N Address /'t 3 2
Phone a 4J-- .2 3 2 3 State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date A 1% FEES /J• �O
Contr. ' / ✓ Address /3, S
Phone 3 7 k-' a/-3, e State License / Z2 � � Z-
' :Approved C-<
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California W.1.
RECORD OF INSPECTION APPROVALS
FOUNDATION 11 9— if BUILDING
Dal-'if
a _ ` p�
In t r
UNDERFLOOR 6 D
�. /Dg t�6 p- ^ Ins pe o
FRAME
-t-14
°a
FINAL --dte ns pact
LAT PLASTER
ew.
oect°r
/_t/_ Date Fw� C'1�0 Y�Irfs
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
to Inspector
RECEPTACLES ROUGH WIRING
fa Inspector
FIXTURES FINISH WIRING
fe Inspector
H,P. CHARGE FIXTURES �
Dats. Inspector
PERMIT FEE Motors
3 .131�tt Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Dote or
MAIN DRAIN FEE ROUGH COMPLET
t6 or
STORM DRAIN FEE MAIN DRAIN
D t %orWATER SYSTEM FEE GAS PIPING�-
GAS PIPING FEE - FINALDate p
PERMIT FEE MISC
Date Inspector
TOTAL FEE M_ ISC -
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
Dote Inspector
CERTIFICATE -OV COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF';CUPERTINO
Date ....... ........................ 19.16T. Building Permit Nw�.1.6..7.•..
The Building Located atv2./..`Z" 9........ .........
Ownedby ..... I.........CA K fl........................................ . .. .........
Has Been (Completed) Fo,UseAs-
�Mteree�.
?— * ..... .......... ........... .. ............................................
....................*..............
......................................
...................................
...........................................
y ../...7.- .6
.... . ... ..........................................................
..............I.............................................................. ........................... ...... .............................
.............f�-.:
............................
BUILDING INSPECTOR
102 12/66-IM
OFFICE COPY •
OFFICE
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
11�.58D CITY OF CUPERTINO D
-^-^ .............._..........._. ... .. ...., 19C,D ..
To
You are hereby aut It ed o cot ec electrical service for
Owner or Tenant ......... `
At ...<z5,2 -t..o..y..... ........._.....
No. of Wires .......Z............. Size of Wirestle....*.* ...... Size of Switch
Motor Load .......................... Voltage ......................_........ Phase ............._ ............ _.
HeatingLoad ........................ K. W. ......................_.......... Voltage _..............------- ........
Heatt.....� 110 .....
New Service.......�r<"NeconnecL......_.....,.. .
No. of Meters.......I............�
...... Th W¢ ..._ .....[.. Move Setvice...........
No.of Add. Meters............ % t
Power............... Th Ph e...........t.. Move Meter..............
" ELECTaICAL INS PECTOE
GAS SERVICE NOTICE OFFICE
p� BUILDING INSPECTOR'S OFFICE COPY
�y��'yy` d CITY OF CUPERTIN
✓ ...........'...... 7............................... 196.Q..(y
To
You are hereby authorized to .conned the GAS service for
Owner or Tenant ....��. . .......................................................
At ............................................
New Service '..................
No. of Meters .. ._.......... Reconnect .............................
Move Service .......................
No. of Add. Meters ......_. .... Move Meter —.....................
......... ... ...........................
PGG INSPECTOR
-Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. .... ......
Plumbing Final Plumbing Permit No.,_�J,1171
Owner or Tenant A4 Lot No. ...4 2-----------------
............................................................
At ........
Tract ................ .....�.,Zeaa
Date Connected ...........................
... ... .........................................................
Date Final ..............................
.ZZZ........ ......... ..........................I............
VIF,
----------- ------
PLUMBING INSPECTOR
111 12/66-IM
-ROUTE SLIP
File No: i/ -2,
Date Out 2- 7 _
Date In_., %/IV 77
Location.
SubJect . 3P< <o
Notes
Approved_�1//'
atef Inspector