NO PERMIT NUMBER �_ T d T I �/►.a.M-tib Lot Noie
No. Street
/6 G/
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO G
File No. SIIO J
���• Sanitary No.
I, Dote 796
plication is hereby made for a permit to Tom^
a C;:,� story, Type
to be occupied only as
in accor ance 'h plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements f 313 9) 0 d`
�
FEES 20o 0-t
//��rr�� T� Plan Check f �} �Q /��
Owner ( - Address' 9 S 1 v' /5► s/{.y�
Contr. Q' Address a�l�
Phone CO2 9/ State License /S 1 7 5,,,
Approved
/ APPLICATION FOR ELECTRICAL PERMIT
Date 'S G 196 eP FEES
Contr. _1.�4�-�(�L!-� Address
Phone a 6 State License /oz
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dore Y 796 L GAS FEEf
PLUMBING FEE f X2-6.
Contr. _-� '�'✓ el`�`""�i T)' Address _ /L3 Y >1.
Phone Le"5�_ 2 3 2- 2 State License - /J L Jf7 5
Approved 1111a�ETpI'7^!
�C ,` APPLICATION FOR APPLIANCE PERMIT
Date ,/1% FEES
Contr. /u'r�-c-cam �7...c���R Address 13 a J /✓_.,tC-.�.� �
Phone '� 3 State License
Approved WILLW4
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTIO ARP OVALS
)"4- S-�)-6-' � UILDING
(?4_ F!_ z2�—/e / p
FOUNDATION /' 2 �r- 4
_ D4TE INSPEC OR
UNDERFLOOR `5 — 2-_6 `
DAT IN SP
FRAME �� Ig
- (D
DATE NSPE
LATH PLASTER E ��� `6 ��
rDATE N OR
FINAL k"
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE /
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DATE INSPECTOR
FINISH WIRING
INSPECTOR
FIXTURES
INSPECTOR
MOTORS
O INSPECTOR
FINAL '
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE SPECTOR
PARTIAL ROUGH
DAT SPECTOR
ROUGH COMPLETE
I DA 1 SPECTOR
MAIN DRAIN
nD/ATE INSPECTOR
GAS PIPING / ^� r
ATE INSPECTOR
FINAL _/,_>/
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
O _DATE - PECTOR -
MISC
DATE INSPECTOR
ROUTE SLIP
File No . Si /6' 7
Date YS�
Location Z/CJ �C
Subject /� LD
Notes 4:2 �� —ZV9
Approved C,/—
Date
ns for
f �
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...........gam.. Cr Building Permit No. 7
/a ................
'� __.
The Buildin Located at ... '....... ...,:. .....
tt� ��•, h c
Owned by ....../.: ':."::s3'--- ...t'/.:!!.....'".'.__ •+'=
.................................... ......................................
(Completed) V— (.'-`( (�i f� ,
HasBeen (Aiteredj- For Use As: ..........`-).................................................................
..................................................................................................................................................
....-----.................._......................'-'---..................'-----"'----.......................................................
....................................................................................... f.y ..1'......k....w. ............................
.................................-- ....................................
BUILDING INSPECTOR
' 102 12/66-1M
Bldg. Dept.
Office Copy.
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. ........
9--Viumbing Final Plumbing Permit No..15/—/OP-7......
Lot No. .....P6.......... .
Owner or Tenant ...
At
Tract -----
Date Connected .........................
... .. .. ........................................................... 19l ----
DateFinal .................................. .. 3..---.......... ...... 19.
. ..................:........................
PLUMBING INSPECTOR
111 12/66-IM
CE COPY
ELECTRIC* SERVICE NOTICE
BUILDING INSPECTOR'S OFF
CE
CITY OF CUPERTINO
� r-r
.............................................. ...............
TO
You are hereby auth ize ct e electrical service for
Owner or T ..n..at
............... ....
A t
... ........ .. ... ..... ....
... .......... ....... .t
.. ..E!..... ........ . ... ....... .. ......................................
No. of Wires 11Z................. Size of, Wires .................... Size of Switch
Motor Load .......................... Voltage' ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
O..?!!�... New S114r.
No. of Meters....... .......... Reconnect..................
No.of Meter,��:�::::�. Heat.. 220.; Three
Power.............. ...
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
............................ 196.4..
' To
You are hereby authorized to conned the GAS service for
Owner or Tenant ..... c.... `. ......
...................:............................
At .�%/50.. -....... . . .
.....New Service ..........................
No. of Meters .../............. Reconnect ..........:..................
Move Service .......................
No, of Add. Meters .............. Move Meter ........................
PLUMBING INSPECTOR