NO PERMIT NUMBER Lot No. I J
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO �r
File No.
Sanitary No. 73r`
Do to - 196�—
Application is hereby made for a permit to
((17/tytZ•` a e"Z story, Type Z L7
to be occupied only as
in accordanr. with Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements S3
�u //
FEES plan Check E �4
Owr,er Qh.eCi `� s•sxJ O Address
Contr. Address
Phone IQ IS'3 _QQp Qy State License 19CQ G o 9
Approved (l)�.c.�...a.KJ�
APPLICATION FOR ELECTRICAL PERMIT
Date �� 196 7 FEES 133 / 6-6
Contr.� Address �� � i(r
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT -
/ S�
Date 7 196 ? GAS FEE $ - S
Q� PLUMBING FEE S Q
Contr. _� gz Y Address ' 3� �
`
Phone `3 7 rF 1r 9/ State License 'zj O u d
Approved '~
�// APPLICATION FOR APPLIANC PERMIT
Data � 196 ;2
Contr. /mss 77 9
S9/- rd n s� ' c
Phone ,. St License /�/�ny�O � 2�
Approved wN
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION n`-7.1— ' BUILDING
_Dpt _ Spector
UNDERFLOOR ��
¢te j I s e for
FRAME !7 6
Daf � nsp
LATN PLASTER
FINAL
Date Ina as ctor
�(\�� E�L�ECCTRICAL y
,OUTLETS �r"'� ^t `k—z �� 2. `O _
v SERVICE SIZE
SWITCHES UNDERGROUND
q_ fa_ Inspector
RECEPTACLES ROUGH WIRING I
p�f .Spector
FIXTURES FINISH WIRING—L' ' leo
,) I _ J.1Me Inspector
H.P. CHARGE FIXTURES � �
Dat Inspector
PERMIT FEE Motors
1 1 ID.ko—I b—1 Inspector
TOTAL FEES FI AL
Data as Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND 7' -6
FIXTURE FEE PARTIAL ROUGH / / •�
at 6,
MAIN DRAIN FEE ROUGH COMPLETE
af6 Spector
STORM DRAIN FEE MAIN DRAIN
I
WATER SYSTEM FEE GAS PIPING D to
Data e r
GAS PIPING FEE FINAL
Date In actor
PERMIT FEE MISC
ate nspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE - MISC
GAS DRYER " ' PERMIT FEE
FLOOR FURNACE / TOTAL FE
INSPECTED - — - {
Do to 1 Inspector
r
STREET
b
�op` APPLICATION FOR BUILDING PERMIT
o TINO eOUP037Sanitarc No.
.
S a
U
i a
Date N Q Permit No. (�// 7.r
r O J
'o Application is hereby made for a permit to .t.e4fnO
a
aN a�1 FtorWPE7DT1Nl_ � o2rfZ3� Building
w to be occupied only as 4ZZ 9Q< in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
": Fstimated Value of Improvements, S34 QDD Fee$ Ua
i.ai' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will be complied with.
3Q �//
Owner !/ roil/�•4��/�,11�.//fiYiS.�i/CAddress ? & 6e�
u By Address 63
<0 Phon 30806
^J/ Approved
J State License 7/O BUILDING INSPECTOR
CERTIFICATE , OF COMPLETION
BUILDING .INSPECTOR'S OFFICE
CITY OF CUPERTINO
6 S-11 7r
Date ....... ..............119... ...7. Building Permit N.o. ...... ...............
?1/ '7 41.0
# -t............................
The Building Located at �-;J
Owned by c4m.-Aa
......................................................
.......
............f....................... -4�-,**.-"*,*....*.....*.....*........
Has Been (Completed) For Use As: ....... ...................................
............................................................................................................ ............... ............
.........................................................................:.......... ............I.................................................. .
............ . ..........................
............................................................................. .......
...............................:........ ....... ..............
BUILDING INSPECTOR
102 7/63-500
CICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTI O
_- �
196 ..
TO
it
You are hereb t orized o sect gledrital service for
Owner or Tenant .....................;.......GG....... ... .................. .............. .
..........
.. .... .........Z...l....../7... �... ............. ..... -cA^"......,..
No. of Wires ........................ Size of Wires 41 ...> .... Size of Switch 4..'..�. �
MotorLoad .......................... Voltage .............::................. Phase ..................................
Heating Load ........................ K.
.....W......:.
.........`..........-................ Volt age ................................
No. of Meters........ . . jH'ga
' t110_ '/N SevReconnect..................
..... 220......... Three Move Service...........
.
No. of Add. Meters............ Move Meter..............
Power...............
....... . ... . .
y'ELECTRICAL INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CLJPERTINO,
Sanitary Permit No. . /.....--1---------- .....
Sewer Connection
[dumbing Final Plumbing Permit No. ........
No //j?
-------- --------
7-4. 4-..... .. ..............
Owner or Tenant
...............:........... .
At C� .... ..
----- ..... .
........................ ................
Tract .... ..—w .�- ...
;1— 7 ........ 19,67
.................i;........
Date Connected I............
DateFinal ................... -------------- ----------------------------------------------------
..............................
PLUMBING �PE&0
111 12/66-1M
GAS SERVICE NOTICE OFFICI:
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.........--.. ....-..... 196.17—
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At . . . ..............
New Service ...Al"--
No. of Meters ...,9 Reconnect ...............—
Move Service ...
li No. of Add. Meters ....... .... Move Meter
0��-PLUMBING INSPECTOR
ROUTE SLIP
File No. L57 . f
Date Outer_ T ";
Date In !/--
Location // 79
Subjeot
Notes
Approved
Date Insp.cto
ROUTE SLIP
File No.
Date Out �—
p Date In
Location
Sub,jec.t,
Notes
Approved—
Date Inspector