NO PERMIT NUMBER t72/ '7-X/ 1 l Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO r
File Nc.y �,`'6 7�
Sanitary No.
Dote 196 ,7—
Application is hereby made for a permit to
a stor Type �—2 T
to be occupied only as
in actor nce with Plot Plan, P#PfU and Specification filt9erewith.
Estimated Value of Improvements S [�-/, C) d2
n y
FEES o `S` Plan Check $ 'yn �q
Owrmr � Addressee-9 /�.r d. UX
Contr. Address
Phone s �� ��� O State License �j S� /
Approved w" 1 fAAA n
APPLICATION FOR ELECTRICAL PERMIT
c �
Date o 196 ' FEES
Contr. Address � C
Phone 43 G - Q5--�7�/ State License - �oZ �d 2�
r
Approved f L j-°"� i
APPLICATION FOR PLUMBING & GAS PERMIT
p S
Date d � � 196 7 GAS FEE $
�,//� //✓)//�? PLUMBING FEE $
Contr. ' /�'.iC' J 1 y�`^"��_ Address
Phone a Yf�S - 2--3 Z 3 State License
/6r' 7rs
Approved V11T IAMI D. GIZNI1yicm
APPLICATION FOR APPLIANCE PERMIT 7 S—
Date1�% -7� FEES �jL/ �
Contr. r%i'" r`�^-u-�ty '-`"`-'/ Address /'S'I
Phone l./3 7 _ G State License
Approved`i. 4.t'./z2g."" .
Applicants agree not to violate any of the /d
Workman's Compensation Laws of the
State of California
ytna.-J -lo-I L-4 7- �...A
RECORD OF INSPECTIONp APPROV-Au—
FOUNDATION —�7 — / BUILDING. J
Date ns pact
UNDERFLOOR
'D to Q 2 Insdect
FRAME
e Ins pe .
LATH 8 PLASTER D7 yG
_DAB / p s actor`
FINAL O 0
Date Ins ue ctor
ELECTRICAL
,OUTLETS
SERVICE 51
SWITCHES UNDERGROUND
nSpector
RECEPTACLES ROUGH WIRING �
to Spector
FIXTURES FINISH WIRING "
Ica
t Spector
H.P. CHARGE FIXTURES ' � fir
V.. Inspector
PERMIT FEE Motors /y
1 '� �6 Spector
TOTAL FEES FINAL I�DO
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
4 _
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND -
FIXTURE FEE PARTIAL ROUG /O '16)-&7
Dot 1 r
MAIN DRAIN FEE ROUGH COMPLETE//731P
Data or
STORM DRAIN FEE MAIN DRAIN -2-
D t r
WATER SYSTEM FEE GAS PIPING
/Date tot
GAS PIPING FEE FINAL (�
Dote Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
Dote Inspector
TYPE OF APPLIANCE UNITS FE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE"
'
I
FLOOR FURNACE TOTAL FEE
INSPECTED -
Date Inspector
;.,ROUTE SLI P
File No: 57U 7-
'Date Out c�' 2e•�7
Date nIn
Location 217-
Subject
ZSubject
,.:.:Notes
Approved
Date Inspector
ROUTE SLIP
File No-T//6 7 r
Date 3 - 2- 6 f
Location_= ��
Subject
Notes
Approved l — �� W
Date Inspector
CERTIFICATIr00 COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
���ZD � f
ateJ..e^......a�....................... Building No. '' . . ..
The Building Looycatedd5 at .I...........re. /�_�
Owned by ....J.:.? .......�d.".7"Q..........................................._ Il t4c ..,�.V.. ....
(Completed) %)w'G
Has n For Use As: ......tiS
.......................................................................................................'--------........................:.........
..................'---............................................................................................................................
..........
.....
. .......
.................:....................._......_....... ..................... .................... <
..: .... ...................................................
BUILDING 'INSPECTOR
102 12/66-1M
OFFICE COPY
ELECTRIC, SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
... ,
.......................... .. ... 0
.......................... 19
TO
6
You are hereby o 'ze ton clectrical electrical service for
Owner or e L
A ... 0... .1.. ............... ........4� .................
No. of Wires ..%%.............. Size of Wires'-10'
. ...
.. ....... Size of Switchf.00AL.
Motor Load .......................... Voltage ................................ Phase ............................
HeatingLoad ........................ K. W. .................................. Voltage ................................
107� New Service<.�....... Reconnect..................
No. of Meters. h .... ..... Move Service............
're
No. of Add. ...... 220.......... T r ire..
Power--------------- hr:: ase.... .. ...... Move Meter......:.......
............
.................................. .. ............
ELECTRICAL INSP CTO
104 7/63-500
IP Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
M Sewer Connection Sanitary Permit No. ........
�/TIumbing Final Plumbing Permit
LotNo. ...... .. .-------------------
Owner or Tenant .......
------- ........................................
At
Tract .......
DateConnected .........................../Z;/s----.................................................... 19,47-
Date Firuil .��..
. ...................../
.2 ................................ .......................... 196�lk
------------------
............
IpLtJTM;aATIN�z INSPECTOR
111 12�66-1M
GAS -SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
70 CITY OF CUPERTINO
......... ....... ............. ................. 196e
TO
You are hereby authorized to connect the GAS service for
Owner or Tenant
At
New Service .............
No. of Meters .......... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
..........
. ....................
..........:............
PLUMBING INSPECTOR
ANV OF WORKMEN �
I ,2 , zVIOLATE. STATE �CALIFORNIA,
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