NO PERMIT NUMBER / 0 33 3 Lot Noo.a`(—
No. Str .. ... `j 00
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No, .7 t9d'f
File No. r,,jj IF
Date 19670 .
Application is hereby made for a permit to
a story, Type 41-767
to be occupied only as ,
in accordance with Rot Plan, Plans and Specification filed herewith,
... Estimated Value of Improvements $.3j-e-y-0
7
FEES �0 Plan Check $
Owner ,/ J�..4✓'ta'� Address a2al T� /S[ 06�
Contr. p Address
Phone 9� � ' 7a � 7 State Licensees )I�s'O 7
!I!
Approved / =DJC
APPLICATION FOR ELECTRICAL PERMIT
g�^
Do to L 196�C FEES 17
Contr. �. • ^(T, i `'P--=�- - Address
Phone -t '7' State License C,
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date '7I C3 t7O>
196 yJ GAS FEE $ .
PLUMBING FEF x o rh—'
Contr. Address X90
Phone 7,:5 "--q-ee State License ^9gs pot
ApproI
ved /a �t-t_ *
APPLICATION FOR APPLIANCE PERMIT
Date 1 196 _T� FEES '1d '�
Contr. Address.
i
Phone `j '0 �� State License
Approved /(T'r.G.,a.-c..F-r--✓��—�-
Applicants agree not to violate any of the. /
Workmen's Compensation Laws of the '
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION ' 1�0
UNDERFLOOR L'7 ReA '
i -LATFRAME---8 -i-
LATH
H & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR SMI
UNDERGROUND ROUGH Z
ROUGH WIRING f a'-7
FINISHED WIRING 11-11-1 It
FIXTURES It '11
MOTORS q
FINAL
�S-ems yaaa ,k4fais.w was lCNAN6ED to 14=61 .414,0APPBev[u '08� u,w- aN lk YcaNN'N6 'Peer.
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH fig'
PARTIAL ROUGH S- 8 -7t
ROUGH COMPLETE -
MAIN DRAIN �-
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
OFFICE copy
CITY OF CUPERTINO
ECTRIC SERVICE NOTICE
Owneroore t hn�eb• aut razed two co n,tt e&edrical serv' foTO
} ,X .�..
At3.. .[i
�...(j.. ........... ...:.................................................... .
No. of Wires _...................... a of res ...................... Size of Switc ',�,f
MotorLoad .......................... ge ...................._........... Phase
Heating Load ........................ K. Ali. .................................. Voltage
Heat..............._ 220
0...... New Srreice. `
No. of Meters....... ..
„ .+'.'.�:...... hemnnect.........t.,. ...
No. of Add. Meters.........._ Light ,, -`0.....�.. ree ireL
LAC Scrvicc......... ..Power............. I1 '1'hrc hast.. fnov Mrter... ....
•
...... ..._........_.....r.. ..
EUCTRICAL W9'ECTIR_
w
ROUTE SLIP
File No .
/D/aj a Z4
Locat ' n21
Subject -
Notes
Approved
p
Date Insc or
`1s - - BDept-
O'
O i Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ...... V. .7-
f71 Plumbing Final Plumbing Permit No. ..-�r...�f���...'.'.
\ (� Lot No. .............'Js�------
Owner or Tenant
At ......!-..n.. ..�S..,yt...-..-C/.r--/,.). ...-......% ......................................................
Trac .........................................................----.......-..-.-....................-
DateConnected ..........-7--:c-...3 R.....7/....................................------....-....... 19............
Date Final .............. G `..� ..-'.21 1
...... .... .................... ...................
...................... .........f �:P L,...
PLUMBING INSPECTOR
OFFICE
GAS ' SERVICE NOTICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERT
............... . ..............
To
You are hereby authorized to conned the yGAS service for
Owner or Tenant .....1.pAA...Al. .W.......vwo�4:.,......................................................
At ...../IJ.3..33.....1... ....&..... ...................: .. . .....................G ........
I q New Service ..........................
No. of Meters ........ ........ Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
r...... ...............
PLUMBING INSPECTOR