NO PERMIT NUMBER Lot No.x
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File
f Sanitary No.�,�
Do to ~ 6 196
Application is hereby made for a permit to
a story, Type A-.41-L7
to be occupied only as
in accordant Pith Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements s 624% a a Or
FEES 6 9 0
Plan Check $
Owner Address .2asu jr7z Ks.�
Contr. Address
Phone ss2 .S—e2 /S� State License 'Osre79
r
Approved / -- - � r
[T
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES a/ S- p
Cont,. 01 / Address ///c J-
—fT
Phone - =;F9 6"170 d State License /IF
Approved WILLIAM n
APPLICATION FOR PLUMBING & GAS PERMIT �
Dote// 196 GAS FEE E
PLUMBING FEE E � � J-2
Contr. �1C/ Address / u' oma' / 7 �:Z 6� f
Phone State License . ;2-3 a 50 -r ;�-
Approved N '+��•r`'c-�./
APPKATION FOR APPLIANCE PERMIT
Date 1% FEE$ //�' S�
Contr. (L�e� [l-[/.,C /ha�Z'...0 Address /fid
Phone .Y7S - O Y3>1
State License Q,,��
Approved e6jl&�±_ _'_I/
Applicants agree not to violate any of the Ja(
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATEp- INSPECT
UNDERFLOOR-
FRAME
NDERFLOOR 3^ 0 0
Or E IN9 E OR
FRAME - 3old
DAT Ep IN CTOR
LATH & PLASTER - O'E 0
ATE IN P TOR
FI!(AL 6, 6 G
DA SPECTOR
ELECTRICAL
ELECT. SERVICE
DATEtOR
UNDERGROUND
DATETOR
ROUGH WIRING ��
rOrrATOR
FINISH WIRING `� ' , bOR
FIXTURES AADATETOR
MOTORS
TOR
FINAL `� DATETOR
PIIJMBING & GAS
UNDERGROUND
DATEry IN 9P R
PARTIAL ROUGH '3- .ZO '6 0
aSPECTOR
ROUGH COMPLETE -�d�
D TE PECTOR
MAIN DRAIN
DATE NSPECTOR
GAS PIPING
r N DATE INSPECTOR
FINAL Cy
DATE dv INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
INSPECTOR
1
MISC
• OATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
// CITY OF CUPERTINO
Date .../.........k.`.....1(f....1 19........ .. yr /Building Permit No. ...............
The Building Located at ... ..E.!{�1/ .. L {' •
Owned b /r4? f.. :.....�. cc rt .. 1 fr ............... ..............
y ............. _.
Has Been �(* Fmltlete) For Use As: ....z.?... _Gi /- ............................................
.................................................................................................................................................
.................................................................................................................................................
.....................................................................:.............y.:.—...................
A...............................
(,........../.Y.sly y
BUILDING INSPECTOR
102 1/63-500
GAS SERVICE NOTICE 01TICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.................. ..............
*ro
You are hereby authorized to connect the GAS service for
Owner or Tenant
At 06?0
New Service .......
No. of Meters ..... Reconnect ..............................
Move Service ........................
No. of Add. Meters ........ Move Meter ..............
INSPECTOR
*AL IN
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. ......
PPlumbing Final Plumbing Permit 9./.....
Lot No. ..... ...................
Owner or Tenant .......
................................................
At
.........................................................................
Tract ........ . ......... ........
Date Connected ....................
......................................
Date Final .... ..........................
..............................
111 12/66-1M
1'
(/ ELECTRIC SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO (_
To
' You are hereby auth I d -conn t lectrical service for
i
Owner or Tenant ................
At .......c .�.. ..�l..l........ .... .. . ... .... '.... .... .........................._. ..........__........
—y�
No. of Wires ...... ........... Size of Wires ..... ... ........ Size of Switch .�.... .S..I-.1-
Motor Load .......................... Voltage ......................_......_ Phase
HeatingLoad ........................ K. W. .................................. Voltage ............ ................. .
No. of Meters..... Light........... I LLL. ... New Service_. ..... Reconnect..................
No,of Add. .............
Heat................. 220._ Three 're.�........... Move Service..........
Meters............
Power............... Thr Ph Move Meter..............
........... .. . .. .... .. .. . ....... .;.:�ti .....
ELECTRICAL INSPEC O
ROUTE SLIP
File No. �s//��•
Date Out eZ -e2 I— dr
Date In
Location T
Sub lie at. U �
Notes �3'z9. 7 ) R
Approved'.?-.2-/--6ep
Date Inspector