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NO PERMIT NUMBER Str(ot Lot No. .0 No. Str et � //•j/ APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO [- File No. ///.�f(�� q Sanitary No.—6 OF Do to 196 , Applition is hereby made for a permit to a ml story, Type to be occupied only as in accordance with Plot Plan, Plans and Specification filed herewith. p Estimated Value of Improvements $ PLL &0a QR— FEES p s`• �/1D plan Check $ ./I ,� a Owner LYi� ( n� D Address 4,29/ AZ Z �' ",iP or Contr. Address Q Phone 7�/�I� State License /.5- 791 Approved-._1 'L' ,�Q Z&,&trz APPLICATION FOR ELECTRICAL PERMIT Q Date ��-/3 // -19,6-7 FEES 13y�-4� a / Contr. yayw(1�X1!/ Address Oil Phone 7.3& -SWI State License Approved jf , l APPLICATION FOR PLUMBING & GAS PERMIT v Date 196 GAS FEE $ PLUMBING �FEE $ •y/�_� ,Contr. Address J,23 4-12aeGW& M• Phone 9 Y,1%,23bState License A,sG S? 9 Approved It &-Adgz APP CATION FOR APPLIANCE(/PERMIT' Date 1% Contr. r14 , Address /30 XMxg , Phone 95 7e- D9a1-` State License Approved 1w9. Applicants agree not to violate any of the Workman's Compensation Laws of the State of California - + c RECORD OF INSPECTION APPROVALS �o/ BUILDING" FOUNDATION 3 - 3 7 ` DATE �. - - IN Syy�CTOR UNDERFLOOR -3- /1-� •" _ DATE PEC TOR FRAME 3 DATE Q IN$ ECTOR LATH PLASTER _3 _, C~"��' ATE PECTOR FINAL �-� Z -� DATE INSPECTOR - ELECTRI ELECT. SERVICE DATE INSPECTOR UNDERGROUND pA INSPECTOR ROUGH WIRING / to G -17, / DA INSPECTOR FINISH WIRING ✓ ef DA' E -INSPECTOR FIXTURES DATEf INSPECTOR MOTORS 2 =AyE INSPECTOR FINAL 6 DATf INSPECTOR PLUMBING & GAS UNDERGROUND DATE INSPECTOR PARTIAL ROUGH DATE INSPECTOR ROUGH COMPLETE D4 TE INSPECTOR MAIN DRAIN 6' _'O DA _T q INSPECTOR GAS PIPING 6 PECTOR FINAL �(/ �O • INS ' DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED 6710 ATE NSP ECTOR DATE ' • INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR ROUTE SLIP File No . Date Z',/1-6,9 Locationi�- 9 Subject Notes Approved �� Date Spector r L CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ..1.... ..................... 19'Al... Building Permit No.� ..... .3 1'.. The Building Loca at ...101 YV....... ` �„ N..... �a/C�r.: ....... ......... Owned by ....... . r1�rua:Qe 6 .J` •.... ..... .U................................................................. ._ r........)... Has Been (Completed) For Use As: ............................................` (Altered)- - ...........- - ly ........................... ................._........:................ . --..............................._....................... ........_.......... -- ..............._.. .. -- ........................... ............_, -4 ............... X BUILDING INSPECTOR I102 12/66-1M L o l- Bldg. Dept. 1 Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. ..6.(...Z7........... J' Plumbing Final Plumbing Permit No.5.I.147,3... ,T BHCKFZOW UWIC Lot No. .......ws. ............. Owner or Tenant ........... At ...... /.p...p�... .'9--.....-. '.y.A.kN............Q.Lt.t:....... ...................................... Tract ..:.....1..'.Lo.htTt.- kiGO................................... DateConnected ......... ..` 2. ...'...� ............................................. 19............ Date Final ........,b -E!.Q._'_. p.:................................. q........ 19............ i . . . . `� PLUMBING INSPECTOR 111 12/66-1M GAS SERVICE NOTICE oFPtc;: COPY BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO I .................. 196...... To You are hereby authorized to connect the GAS service for Owner or Tenant ..... ...D.ITZ....... Ck.A!Yt At ......1.0.8.4, .9...... D&y.p.EN...........ft v.a'........_....... ..y.........._...... New Service ..../.`............... No. of Meters ...../.............. Reconnect .......... ............. ..... Move Service ........................ No. of Add. Meters ...._........ Move Meter .._. ....... PLUMBING INSPECTOR OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR' FFICE �,.L.. CITY OF CUPER I - 12- TO You are hereby authorized t nnect eled rical service for Owner or Tenant ..... ........ - ................................................... -... At ....................`............................. .... .............. 1101-4-----------. ........ .... . ..... No. of Wires ........ .......... Size of Wires ...................... Size of S th .. ........./ Motor Load .......................... Voltage ................................ Phase .. .................. i HeatingLoad ........................ K. W. .................................. Voltage ................................ No, of Meters. Light............:.. '110............ New'Service................ HeconnecL................. ..../........... No.of Add. Heat................. 220.._k` hree Wire................ Move Service............ Meters............ Power............... e:......... : Move Meter.............. I - ELECTRICAL INSPECTOR CITY OF CUPERTINO 10300 Torre Ave. CORRECTION NOTICE _{��jDepartment Job Located at�?'"`�..J.. ..... -- �-..gyp.-..� � ----------- ......... ... .. ..................................................................... ...... ...7....................... .... ...... .......-- - ...............:........................... - - . .................................................................... ............... ........... ................................:.......................I........... ...... You are hereby notified that no more work shall be done until the above violations are corrected. When, corrections have been made//call the insp ctor. 252.4505 Date: i!?.-r��, J/P� City Telephone Inspector: j j. l�+..!:�!� , _ a +* mxa __ear__ �agree .the State a California. J 2 E, [ !{» ° a» , \ �\ '0( [} /}\ \ q � \� \ \� w 2 � / J J 2 -0 ƒ}e ;) $« 0 §} { � / W CD / k/ fi § � � - \( em ; K 7 \ 0 ` § � ^ \ (,j / a " FIXMBER MAIN DRAIN ts Fees Units Fees WatSize WatMaterial Bat TubaTo Curb _ ShoTo Pro . Line 'o Existing Siuk Not Conn. Dish Washer Waste Dis oral Wash Tra STORM DRAINAGE Washin Machine Size Water Softener Material _ Bar Sink 11 1 To Main Drain Comb.Sink&Tray To Curb Dental Unit Drinking Fountain mill Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES_ Urinal Fixture Fee .f1 Area Drain Main Druin Fee1-0-20 Water Leader 'm Drain Fee Sprinkler System Water Sys. Fee RelieF W,, s Fee Vac Breaker Skimmer Filter Permit Fee caZ Total / Total Fee , , __ , .6 _ m�. _ � _. __w. , og ,eo)LAWS _ THE STATE _ CALIFORNIA. } , % CL S . � , 0 .a { & \ } /w ` — \ /\2 \ 0� ® i% ¥ . 3 CD -4® ■ 7 \} = - Cl') © ~ \ o= w =� « ° 6 § \ CDG�§ ' E ( § ® CL » . � > > a 00 § z R / / ) \ Z ! LE ® m < ■ & | ■ ® » Q @ < . mCO oo ® ) CD Remarks (Check ✓, Type of Appliance Units Fees II Nev I Replan I Relocate Gas Ranges I L1,11EE Wall HeatersGas Plates 1 I I �— Circulating Heaters I I I Blower Furnaces 1 1 2(yell I I Gas Fired Boilers I I Warming Ovens I l I 1 Percolators _ I �— Griddles Steam Tables 1 I ll I 1 Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous (NAME. TYPE) FlIke-6 1 2. 1 z• poll 0 G-t�PET I PI 1 3.0-011 I p�p�s 2-1H,c,,o11 I _ I I II I rv.� � / 'z•o�ll i Inspectedand Approved ............ ..................................................... DATE INSPECTOR GREE I WILL NOT OLATE NY OF HE 2._�_ LAWS OF THE STATE a �a A. � C) 0- --=w I 2 \ .0 \ « r ( 0 � t� /� � \ � \\* ) �/ � C-D s \ }\) � ��\ � \ Eƒ � § z 2 ; / \ ; X / IN T . \/ \� - c , \