NO PERMIT NUMBER Lot No. /1�
No. Street .-2 3
i
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
! File No. Sli'Pl
Sanitary No. Cz
Do to 0 196 Z—
A plication is hereby made for a permit to
story, Type = T
to be occupied only as
in accordan ewlith Plot Plan, Plans and Specification filed herewith.
o Estimated Value of Improvements $
a•G 0 0
FEE$ o� /f Plan Check $ 0• a�]S—y /J
&Owner Address -.a o- 91 f-04_+>~4.. b "d
Contr. Address f G
Phone .ZX02 ^ //S8" State License /5/7 9
Approved WIL'LI NT D. DENEVICH
APPLICATION FOR ELECTRICAL PERMIT
Dote d 196 .7 FEE$ Z?- >4� ->a
7Li /.1r� � 1
Contr. '2"`Zt--+ J Address //y J G'
Phone - y��^� 7 y e) State License / 7S of 7
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
( v l
Data / �G" 196 7 GAS FEE $
PLUMBING FEE $
Conti. __l� �/ (/J�z.• Address e• — / 7 .�:Z' Ct,.,<_. � C
Phone SL3c� �'1"U c State License ' ��Q
Approved
APP (CATION FOR APPLIANCE PERMIT
Date ` l' 11 96'x" FEE$ .,,Q 0 O
Contr. �"'c-c-ems Address �a Q v�d
Phone9'.-7 Ae - State License
Approved WILLIAPA Lt- H
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION D— - ,e
D4TE INSPE R
UNDERFLOOR
FRAME
DATE IN SP T
LATH PLASTER LL-G
DATE INSPECTOR
FINAL 31'6 r/�/
FDATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DA� INSPECTOR
ROUGH WIRING
1 DATE INSPECTOR
FINISH WIRING
- pAi INSPECTOR
FIXTURES
•�Y-"/�
DATE INSPECTOR
MOTORS
yLf_ ATE INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATEPECTOR
PARTIAL ROUGH : 9f
DATE NSPECTOR
ROUGH COMPLETE
DATE SPECTOR
MAIN DRAIN
TE INSPECTOR
GAS PIPING
FINAL d IY
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
' DATE INSPECTOR
APPLIANCE
INSPECTED
DATE I INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
i
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..S..:....�l ........................ 19.4..'..... /J Building Permit No:: P b..�........
The Building Located at .... l:y.-r "......�!:^.'.......C'�
..................
Owned by . �1. ..':....t/t_�.! �....................i.....1�-:!?t':".!"........A...........
..............
(Completed.)
Has Been '4A,k,.d) For Use As: ... ....
.................................................................................................................................................
.................................................................................................................................................
................................................................................
..... . . .d......:...............................
102 1/63-300 BUILDING INSPECTOR
. BhU. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
[Sewer Connection Sanitary Permit No. ..S /IzZI..........
Plumbing Final Plumbing Permit NO.S...01)...........
..........._."'............�.................Lot No. -...../.. ---------------------
Owner or Tenant ..... %��
At ..........° ./- ...p.�C.e•!.,....._C�( ................................................................
Tract .........�w1�-0.Y.. ...alc.!.........((J...v" .........................................................................
DateConnected ..........1.-' a 2►/..`...p9 ........................................................ 19.........
Date Final ........ 3�... R.../................................... 19.........
W
PLUMBING INSPECTOR
111 12/66-1M .
TEMPORARY GAS SERVICE
DATE: . ................ Fee: .....A.0.............
0 ...... . .....
AN 22
AT: ..... . .........�
er2:5 'Yr
CIA q;�AJPWW .......................... ..............
REASON: ...........4 �e�
The undersigned agrees to be responsible for the gas service at the above location
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino. Phone ----- .....................
INSjOR ENA TOR OWNER
117 1/63-500
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
11 CITY OF CUPERTINO
................../7 .�----- .......... ........ .... 196.11*1�
You are hereby. authorized to connect the GAS service for
Owner or Tenant .....jl-4ac......1:z;e
At ... 1 ..'..... . .......
New Service
........................
No. of Meters ...... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter .........................
. . ..................:............
..............
4:r" PLUMBING INSPECTOR
OFFICE COPY- ELECTRIC ARVIC E NOTICE..
BUILDING INSPECTOR'S OFFICE
CITY OF...CUPE.R.T.I.NO... a -.- 196S..
......... . .. ......
You are hereby%2d I for
Owner or Tenant .... ...........................................
At .... ...
INo. of Wires ......*1............ Size of Wires .........................................tza
...... Size of Switch ....................
Motor Load ...................v...... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
I? , Light.......... 110...1.-.:---- New Service.......Reconnect_--Lconnect..................
No. of Meters........ .......... ..........
No. of Add
Power---------------Heat.................
.0
ELECTRICAL
104 7/63-500
TEMPORARY ' ELECTRICAL SERVICE
C50
DATE: ................... ......................... Fee: .(2!�.................
OWNER.
AT: ......
-..................................................................................
LOT:
REASON: .......
The undersigned agrees to be responsible for the electrical service at the above location,
until e building is ready for occupancy, and is released by the Building Department,
City f
Cupert'no'. pp
Phone ... ...................
..... .... ............................. .. ........ .... 4\.QL...C4
INSPECT
"SPECT
116 1/63-500 OR TINANT OR OWNER
- NO. STREET � LOS NO.
y, Q
0
O APPLICATION FOR ELECTRICAL PERMIT
`y
K LL
3 aCUPERTINO
W LL
I
LL o Date MA5 // Permit No.
O Q
I-ce $ GOO
a
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Application is her �pI,�7,,�)! f Cupertino fora permit to install electrical '
wiring ar@Mix® y��tdd [Weverse side hereof, n d agrees to install said
0 o wiring and/or fixtures in accordanre with the provisio of the Electrical Code of tl
> N City of Cupertino, and all other lass's applicable the t .
0 <
o <
z J Use of Premises
J o
J G
3 < Owner Address
— N
W a By ei lG/QI _ Address t
G O
CO AACTOR, AGENT A roved
_U Phone: any-ii�e pp
roved' rrrsve
�d State License:_ ✓
NEW AM PHOS
Size Service Conduit......................Number of Outlets................. ......... .......... ..
Size Service Wires..........................Number of Switches................ .......... .......... ..............
Size Service Switch........................Number of Receptacles... ........ .......... .......... .............
Size Sub Feed Conduit..................Number of Fixtures........ ......... .......... .......... ..............
SizeSub Feed Wires..._..............Ranges................................ KW—........... .......... .......... ..............
Number of Circuits................... Oven ............. KW.............. .......... .......... ..............
Number of Meters........................Signs.......... Transformers........ .......... .......... ..............
Misc................................................Dryers...................................... .......... .......... ........--.-
Motors.................... HP.................... Phase.................... Permit Fee $1.00
Motors.................... HP........... ........ Phase....................
Motors.................... HP.................... Phase.................... H P Cha rge................ ......
TOTAL FEES
RECORD OF INSPECTION APPROVALS
RoughWiring................1�............. ............. Fixtures ...-................. ............................
DATE INSPECTOR f DATE INSPECT..
Finish Wiring ...............I..................... Motors ....................
DATE INSPECTOR Final ..........................D AT 81
I ........IN. .I.0.T.0.R........
OATS INSPECTOR
:ROUTE SLIP
File No. s
Date Out
Date In ,
Location
Subject `
Notes
Approved &1117
Date Inspector