NO PERMIT NUMBER 2/ 1 �•f I '� /c/ .�4wr�/ Let No. CA Z
No. Street r.
j' ( itj 1
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
i
Sanitary No. r3 sem!
Dote 196 ;_ - q
r
Application is hereby made fora permit to '
•ST
o 2� story, Type z V
to be occupied only as
in accordance wit Plot Pan, Plans and Specification filed herewith, '7'
Estimated Value of Improvements $ .3-1, 0190 d L-
FEE$ Of�3 "2- Plan Check $ ,p
Owner l�sV.Jt 9±en 0&4�1, Address 19.,,i ` j fe tea/
Contr. Address
Phone el r—.3 C) &-00 State License /VZ6 0�q
Approved 00,11 le �>
APPLICATION FOR ELECTRICAL PERMIT
Date y/1,� 196 FEE$ 3
Contr. Address :�4/ 7 T -42—'(Z- �-
Phone a/l 6 � 7 ( State License
• Approved
APPLICATION FOR PLUMBING & GAS PERMIT
-a
Data �' ' 196 ;> GAS FEE $
/1 PLUMBING FEE $ - • GO
Contr. � Address 6--4 7 S-O Z `�
Phone - '3 ' �'�^l f State License ;?,-3 u SCO' ll
Approved WILLIAMM D. EIE NEi/it941
APP )CATION FOR APPLIANCE PERMIT oa
/
Date 1'/ 196 )'2FEES /e �n
Contr. _*�'^-•`.- �'v�-Ct✓v -lG1ee-.-i" — Address -/7 f ol2L,,Ir
Phone ��- "�-(`e Sld /
State License
Y L ,
Approved
Applicants agree not to violate any of the I
Workman's Compensation Laws of the 1 'f
State of California
G,.
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION 2. -ZZZ
DAZE^' INS TOR
UNDERFLOOR 6 O[/
DATpE- INSP R
FRAME �E_ v
3—� OA�E7 N PECTOR
LATH & PLASTER YYYY
IN SPE R
FINAL S o _SOAP
INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DItTE INSPECTOR
ROUGH WIRING Z
DAT INSPECTOR
FINISH WIRING
_ DAT INSPECTOR
FIXTURES ALA
DATE INSPECTOR
MOTORS
ATE INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATEPECTOR
PARTIAL ROUGH
D TE NSPECTOR
ROUGH COMPLET
DATE PECTOR
MAIN DRAIN
ATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
r /J oar /p' ( I CTOR
MISC,,.,rA/
DATE INSPECTOR
CERTIFICATE OF COMPLETION.
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ----- ........................ lg.zr.. Building Permit No.-5-117S�
..................
The Building Located ...............
Ownedby .... --------------------------a'a.......... ............
Has Been (Completed) For Use As: .......4� f ------------------- .....................
........................(-A....*e.....md............................................................ ................................................
...
............................................................ ........................... .......................................................
.............................
---------------------------------------------------------------------------
.............................. ........................
BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
gel CITY OF CUPERTINO
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 ........................
jz�... . ....................................
PLUMBING INSPECTOR
Bldg, Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ----------
gj,"Plumbing Final Plumbing Permit N0&.;/%7J:7
Lot No. .... ...?---------------
... ..........
Owner or Tenant ..... v.....................
AtAa..........................
Tract ........ ........... -----------------------------------------------------------
DateConnected ........................�—.. .........I............................................ 194o.....
DateFinal ................................... . .... ....... ....................................................... 19 1Y
........................................................................
�UM-BING INSPECTOR
111 12/66-1M
F CE COPY
ELECTRIC SERVICE 'NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........................ :� .....4. ............ 19649-
TO
You atreereby ut orizod 0 con e rica seri f r
Owner or Tenant ----&t0r,,,Z0:0 . ...... . ......................
........... ....... .....
At ..... .... ................. ........... .... . . .... ....... .. . ... .. .
No. of Wires ....!4.............. Size of Wires .... Size of Switi:J6.01)........
MotorLoad ................ ........ Voltage ................................ Phase .................................
HeatingLoad ........................ K. W. .................................. Voltage .. .............................
71�-(Light....F....... N Sel Ice................ Reconnect..................
No. of Meters.... ...
.. .......... Heat................ 220..,.-.-.'
No.c . we.. .. . ... Move Service............
?
IPower........ .. e.....
. . .... Move:Meter.:.......
................ ....... ..... ............................ . ........ ...... .
BLECTIUCAL iNSPECTOR
I
ROUTE SLIP
File No. J� /76'
Date Out
Date In
Location
Subject. 1
Notes
Approved` 2
Date Inspector