NO PERMIT NUMBER /)
,A/ ��./ I g7,/ u" iC Lot No. cv
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO p
File No. 411,8
Sanitary No.
Date 196
y/��
Application is hereby made for a permit to
Ca story, Type 1 f
to be occupied only as
in accords with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 02.2i6
r
FEE$ ^ , Plan Check $
Owner A d d r a s s 02 0 p J— 4A (
(Los,
Contr.
Contr. Address
Phone .2 S00 ��� �y State License ---/.5—/ 71�
Approved
l APPLICATION FOR ELECTRICAL PERMIT
Date -3/ / 196 FEE$ r2 2, `LSA
Conrr. �"'�-F.t_p/ Address
Phone - CP- 90 — d 70 0 State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT i ✓^
Dore 2 L 196 a GAS FEE $ " Ste/
PLUMBING FEE $ a ,? sem
Contr. - Address O— 1'7 (..e (..^^� S
Phone State License a`3
Approved �.J
Data APPL ATION FOR APPLIANCE PERMIT /aha
nQ 196 FEES
Contr. NSC-s".'( Address -�
Phone s7,f `09 dX' State License /1� �Q' �0 2i /
Approved _ r't/oo( /llt�t 11
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
i
BUILDING
FOUNDATION
DATE INSP CTOR '
UNDERFLOOR 'r 6
DATE IN9 TOR
FRAME ' 6
DATE p INS OR
LAT PLASTER — 2"r Y
6D�E SPECTOR
FINAL ' 2 7^
/ ✓V\n C^ r jA TE r` .`
E�"` _// INSPECTOR
N+ LEECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
3 ZDAT INSPECTOR
ROUGH WIRING �
DATE INSPECTOR
FINISH WIRING ( �
_ DATE INSPECTOR
FIXTURES J a
DAT INSPECTOR
MOTORS
p D_AT ry/ INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE CTOR
PARTIAL ROUGH
DATQE� I SPECTOR
ROUGH COMPLETE ^2 ��/
DATE RECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING y 0�
TE 9PECTOR
FINAL ~"
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
�S` PPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
` DATE - P CTOR
MISC v
• DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTORS OFFICE
CITY OF CUPERTINO
Date ..:.1........... ....................... 19.41... Building Permit
The Building Located at . ......
....... ...... a...........
Owned by .... ........ ................................../it.. ....4.......
Has Been (Completed) For Use As: .....
.....................................................:......*:**.........................................................................
.................................................................................................................................................
.................................................................................
.............. .................
.........................................................................
102 1/63-500 - BUILDING INSPECTOR
GAS SERVICE NOTICE 01TICT:
COP)'
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...................... /0........................... 196?
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
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO qq
❑ Sewer Connection Sanitary Permit No.
Plumbing Final Plumbing Permit No.,�,�l
Lot No. ......
Owner or Tenant ----------------
... ............... .....................
At
Tract ...........
Date Connected .........................
DateFinal .............................. Lr ��.....-.------------------------ .......................... 19-
........... ...............................
0.
PLUMBING INSPECTOR
111 12/66-IM
O PICS COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
-- CITY OF CUPERTINO
.................................. ......................., 19G!I.....
To
You are hereby a h riz , conn ledrical service for
Owner or Tenant ............... ..... .. .
............................................11t
No. of Wires ....J................ Size of Wires ..`�"..7�.. Size of Switch'-C pC5
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
............... I10.0/... ice./!.. Reconnect..................
No.of Add.
No. of Meters....... LightN Sery
........... ,
Heat................ 22 ......'. Wi _....... .:.... Move Service............
Meters............
Power............... Ph ... .... Move Met ..............
............................ '.............._...........:. .`..
ELECTRICAL INSPECTOR
ROUTE MIP
File No .
Date Out e7- 9
_�
Date In 2 6 —.—
Local'ion
Subject O 122 ' —
Notes C3_2_y: y�
Approved 2 ��
Date Inspector