NO PERMIT NUMBER La, Na.
'ula3o
No. Stree6f
APPLICATION FOR BUILDING PERMIT TT
CITY OF CUPERTINO �/ y
Sanitary No. (0 � /
File No. .5-11S71
Date 196 Q-
Application is hereby made for a permit to T
a story, Type Jf S
to be, occupied only as '
in accordan a with Plol,Plan, Plans and,Specificalion filed herewith.,
Estimated Value of Improvements S ;2.67 QOO. /
FEES ... � Plan Check $
'Owner W'-'Z- el-tax2 Address WjFs Y ' Q jz
Contr, � Address QQ
Phone _. .42Y.2 -..2(W3 State License
Approved �.�1/• (� K
APPLICATION FOR ELECTRICAL PERMIT
Date .b 196 9 FEES
Conte 02ndt&M.1 Address 4! .J O" i'Cd. .d
Phone —_73(0 - y.'� / State License '/-7 41�01�2
Approved IA,)' to. �
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 9 GAS FEE $ ` /•
�1 PLUMBING FEE $ -3•,5-eo)�J
Contr. IIiX/VH ��tQy'—eo, Address )i-23V' 2-+ A Ch"-Zp.-/�a - . 4 /Y
Phone --2 4/.5-'�23�3 State License
Approved /1)-40.
APP ICATION FOR APPLIANCE PERMIT
Date s5`-.27 1% FEES Q y/�"'DD
Contr. '/ t Address 130 -�` ��/t'n�'�-� �•
Phone 'D9.3y State License —r-2 JUJ
Appioved !! ''
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California - ry
I _
RECORD OF INSPECTION APPROVALS
r, < p BUILDING
y, ��Z6�4 DATE INSPECTOR MISC.
PAD FINAL,
FOUNDATION-
UNDERFLOOR
OUNDATION UNDERFLOOR foil
FRAME
LAT PLASTER
GRADING FINAL
FINAL BLDG. .
ELECTRICAL
DATE INSPECTOR MISC.
A
III I _ 16^ PLUMBING, GAS & APPLIANCE
I g 9 DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH-
PARTIAL
OUGH PARTIAL ROUGH r ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. 2
FINAL GAS 2 -
FINAL APPLIANCE Z
DATE INSPECTOR MISC.
i
MISC
MISC
MISC
CITY OF CUPERT INO
10300 Torre Ave.
CORREC.TtON NOTICE '
............. -----------------I........................
8
Job Located at 78 .....
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..................................... ....................................... ------
- --- - -----------------------........... ------------------------------------ ......
............ ----------------------- -----------------------------------------------
..................----------------- ----------------------------- ----------------------
-------------------------------------------------------------------------- -------
---------------------- --------------------------- ------------..------- -----
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252-4505 Date: ------*------
City Telephone Inspector: .. ... .... ..
CITY OF CUPERf1NO
I 1030'0'Torre Ave.
- CORRECTION NOTICE
------- .. --------- -
Job Located at
----------------
. . ........ .... . .. --- --
-- ----
...............
...... ..
...... ....... - ------
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-------- --
--------------I-----------------
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......................
1
------------ .......... ------------
111� I - -T
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--------------------------- ----------7;v ---------------------------------
-------------------------------- -----:-----------------
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-------------
--------------------------- ------------------------------------------ -----------
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---------------------------------------
---------------------- -----------
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call th inspector.
Date: t
252-4505 k'-1----------------------
City 'Telephone lnspector;, "�---
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...('..`I................................... Building Permit No.
The Building Located at ... 3 .... 'q... Dgj�,�I ...........
. ........6.
Ownedby .... ...C12AAIF.................................................. ..7*................
Has Been (<V�For Use As: ...:5
(Altered)
.................... ......*................*............................................ ........ ...... ...... ..........................
................................................................................................................................................
. ............:.............................................................................................................................
........ . . .. .................
PUILDING INSPECTOR
102 12/66-IM
OFFICE
GAS SERVICE NOTICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
9.....................I......... 196......
...........1
To for
You are hereby authorized to connect the GAS service
CgAtJE-:.......................................................
Owner or Tenant ... .......... .... .......I.........
..................
At .... .2.1.6.3.0..... G.OE
...a.......................
New Service .....X ....... ....
No. of Meters .. .... . ............ Reconnect ......... ..............
............. .......
Move service ..
No. of Add. Meters ..............
Move Meter .......
PLUMBING INSPECTOR
lu . . . .
u
0-
LL
ow
0
09
cz:
u Qp--
IL
04
CITY OF CUPERTI.NO OFFICE COPY
ELECTRIC SERVICE NOTICE
You are hereby author.zed to connect electrical service for
6��r
Xe, ... ......... ......... .........
Owner or Tenant
litho
........... . ..... .-....... ..
I. 2.
At ....... .......... ...... ........ ...... ......... .. ....1--.11--..............
No, of Wires' .......!?r!�...... ..... Size of Wires Si f S 'th f"
........... .... Size 0 X41 ...........
Motor Load .......................... Voltage ...........--.........— Phase
Heating Load ........................ K. W. ................._..........._.. Voltage .........
New Service.... .....
No. of Meters.......
Light...... 110.1/.... ........ -I(ecunnect...........
Heat................. 220.t"�.... Three Wire....Afo�� Mo'c servic.........
I No. of Add. Meters............
Power..... Th has'.._. ..._..... Dtuvr Meter........
r
.... . . ...
ELECTRICAL INSIIFCT04
ROUTE SLIP
File No 77
Date
Locatinn
Subject
Notes
Approved
Date I spector
e;
21630 Fitzgerald Drive
NO. STREET .o LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO.-
51,187.1
DATE 11/7/711 19
Application is hereby made for a permit to
Conetr T A Fir 8T ace a story,type
to be occupied only as
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 800
FEE$ 8.00 PLAN CHECK$
OWNER T)nn TrnenPnn ADDRESS
PHONE 253_07619
CONTR, ADDRESS
PHONE STATE LICENSE
APPROVED .T.A. Rvato/h
BUILDING INSPECTION RECORD
DATE PECTOR DATE INSPECTOR
FOUNDATION / . Qu: FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIE DOW NS -MISC-
DIAPHRAMS
MOORE BUSINESS[ORMSINC„LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINALMOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS 8 INSULATION
UNDERGROUND ROUGH FLUES 8 COMB.Alii-
PARTIAL
IRPARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
riz4 /,A b,P,t LOT NO. IBJ
NO. STREET
CITY OF CUPNRTINO-• (VAL. ACO
CAP. { 3 a
d CITY)A 0ffi ATMIOJ�N FOR BUILDING PERMIT ( FEE
w DateYif f/4�T7� Q T ly Building Per.No.
SanitaryPar.No.
3 LL ��ll C11
u Application is hereby made for a permit to' ��t/Z�1J C£
w LL a story,y, Type Structure
i O
~
F:to be occupied only as in accordance with
a
z Plans,Specifications and Plot-Plan filed herewith.
aw G
w F Estimated Value of Improvements,$__4?()0
a PI Ck Fee$
0 It is hereby agreed that the requirements of the 4WD
w Cupertino Building and Zoning Ordinances and all Fee$ O
6 3 other laws applicable to the construction,location,and Total Fee$
z g use of buildings within the City of Cupertino will be
z complied with.
3 Q D(_D Al
w z OWNER PHONE ADDRES
a O CONTR.OR AGENT SS
— U
PHONE STATE LICENSE BUILDING INSPECTOR