NO PERMIT NUMBER Lot No.j
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO G
File No. �rll l
p Sanitary No. L
Date -�L_.�_196
Application is hereby made for a permit to (� �T
a story, Type " Z `�
to be occupied only as
in accord a with Plot Plan, Plans andSpecificationfiled herewith.
Estimated Value of Improvements S
FEES G f• O O
Plan Check E
i �t t,,�
Owoor _ Address t7Zs19�fa. Xs
Contr. Address
Phone s2.r,• -//tf7 State license �'r�-7 f�
Approved or/z
^i[ I
APPLICATION FOR ELECTRICAL PERMIT
Date _L_L_L— 196 tr FEES CP-
Contr. 7Glu�L/ Address
Phone - a 9 /f- 4 -7 0 6 State License /y Li"9
r e
Approved WILLIAM D. E1Fyt-erlrr14
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 / GAS FEE $
7 Q� PLUMBING FEE E ,23_
Contr. _ t/ J!/ Address �ay 7 -C:7- 64, V C
Phone '�7 `s - State License oz 3c19 4-.A-
Approved
.A-Approved WILLWA D. LiCfdCViCH
Z/Y� APP (CATION FOR APPLIANCE PERMIT J�
Date 196 FEES
Cont', Address �.� d "S /✓
Phone a 3 - State License'
Approved (N ^"r-..•.-c.'L
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION QAPPROVALS
BUILDING
FOUNDATION �� 0
O4TE INSPE R
UNDERFLOOR 3 -Z6 `-
- fTE IN SPEC R
FRAME �
DATE (�' iNSPECTCffl
LATH LASTER J,-^ 2 _6 v
GATE TOR
FINAL 6 - !3 -6
FDATE / p IN TOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
SROUGH WIRING DA E INSPECTOR
DATE INSPECTOR
FINISH WIRING_ - Z
DA E INSPECTOR
FIXTURES v�
DATE INSPECTOR
MOTORS
DAIE INSPECTOR
FINAL y�
'DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND '
AT SPECTOR
PARTIAL ROUGH "-
AT SPECTOR
ROUGH COMPLETE
DATE SPECTOR
MAIN DRAIN
ATE NSPECTOR
GAS PIPING
DATE I SPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE , INSPECTOR
MISC
ri T INSPECTOR
MISC -
DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... ?...: .......1.. ��.................. ............ Building Permit No. ......................
G� `� j~�� f-%ti
The Building Located at .^, .at._.'.:!.. ......... _...... �........:..'' .)........./.............. ..............
Owned b ... tAosw.k? ' /..... ./ .�
y :..::...................................... ......................................:.....................................
Has Been (A .......................................................
me ) For Use As: ......:.`�r_ ...
.................................................................................................................................................
.................................................................................................................................................
.............................I............I..........
. -�
........................................................................
................,....t .
102 1/63-500 BUILDING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN
.............I......... . ._
.. ... L..! .. ..... 196.`r'
To
You are hereby a ori col nett electrical service for
Owner or Tenant ................ ..
At ............ _.. .... .................................. ................................. ............. ....
_:.
No. of Wires .........:.� ........ Size of Wires ...... �...... Size of Switch
Motor Load .......................... Voltage ................�........... Phase ...................... ...
HeatingLoad ........................ K. W/.................................. Voltage .............................. .
1 Light.......✓... 1lo.....e New Service./. Reconnect......
No. of Meters..........1...._..
Heat................. 220...... ... hree it ... . ....... Move Service..........
No.of Add. Meters............
Power............... rev ase,............. Move Meter...........
............... ................................ . .. ..... ............... ...
P.LRCTRICAL 1 SPRCT J
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COP),
CITY OF CUPERTINO 11
//
./:�........ ................... 196.0 "
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
❑ Sewer Connection Sanitary Permit No. -- �yys%�.....
dumbing Final Plumbing Permit No.J�,lfJ .......
,/� ....... Lot No. ..... ----------------------
Owne�r.o9r Tenant ... L--.. ._...... . ......................_-...................
At l %;, . .......... r �.
Tract .....::;:_.•f„Yr.�.?�:4G!n�i5-.'.11z!��/�'.y'.C�Ll..��...........................-�--�/-��j-
Date Connected ............. ..........
Date Final .... s_J ✓..-.Y.-.- ......-.-............-........... ..-.......... 19.Sz?✓
........................... /./.i/.,--- ...:, ..-... .....---..............-.--. 19&.
...
................................
PL MBING INSPECTOR
111 12/66-1M
ROUTE SLIP
File No.
Date Out ® —
Date In ,2 -2b –b P
Location
Sub ieat.
Notes � -3 �
Approved' ,2 -o2A r
Date Inspector