51175 la G 90 Lot No. 3 .Z
No. Sitar -2�o j)
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. s 73
Sanitary No. -I-
Do to
fDate L 196
Application is hereby made for a permit to
a .story, Type
to be occupied only as
in accordance with TVot Plan, Pians and Specification filed herewith,
Estimated Value of Improvements s 3G� 0606-0
FEE$ 11 /Ds•`kird Plan Check
/s�.,,,�
Owner Address
Contr. Address
Phone Stare License �9 Z 4 0
Approved «+ .
APPLICATION FOR ELECTRICAL PERMIT
Dare L�3 196 P' FEES 3� • ' r]
Contr. ¢,t/ [ Address C71/ 7<
Phone 2-9 4— .7 b State License a y� i -6/
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dara 196 GAS FEE $
PLUMBING FEE $ `fd•J U
Conry. �"` O✓`�" '� Address /9/
Phone .37 9/ State License 23a eo
WILLIAM D. DENEVICF9
Approved
APPYCATION FOR APPLIANCE PERMIT/z s -z
Dare "L� 196 FEE$
Conry. Ad cess /
e
Phone '� �� �O O StatehLicense
Approved
Applicants agree not to violate any of the. x
Workman's Compensation Laws of the .
State of California
RECORD OF INSPECTION APPROVALS
C, BUILDING
FOUNDATION — - d C✓"" '^"'
DATE INS TOR
UNDERFLOOR d�)
DA E IN SPE TOR
FRAME " �d�6
DA Epi INS9 OR
LATH PLASTER 4���a
DATE N E OR
FINAL ��(D
n DAE INSPECTOR
W.."•'`'V`- E(/ ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
INSPECTOR
ROUGH WIRING ` �� �+ �
DAT INSPECTOR
FINISH WIRING
DA INSPECTOR
FIXTURES �
DATE INSPECTOR
MOTORS
qAT INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
' DATE RECTOR
PARTIAL ROUGH
DATE RECTOR
ROUGH COMPLETE
D4TE ECTOR
MAIN DRAIN —1
ATE SPECTOR
GAS PIPING �
ATE SPECTOR
FINAL
fcg
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED /
DATE I INSPECTOR
MISC I I
DATE INSPECTOR
MISC
MISC DATE i ' SPEC TOR
DATE I INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO 75---
Date ....:.:....../-•{....................... Building Permit No.dE""- -
....................
The Building Located at -------
Owned by
----- ---------- ----------- ..... .... ........
Has Been (A(Complkmvd)eted) For Use As: ......... -------------------- ------------- - -----
------------------ -- ------*------ - - ------*.. . ...................
------- ---- ------------C.. ------I--- ................................
........... ....... ......... .. .......... .
................ ..... ......................................
a-L--JL.....................:-----------
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
r CITY OF CUPERTINO
.....-..._......._._(....... ....... 196.�
To
You are herebytathrizedto o_n Sectrical service -Owner or Tenant ... t,X.Tt\6-�J � � -
II No. of Wires _....... Size of Wires .�.f---.: , Size of SwitchZr.l.coA
Motor Load .......................... Voltage ................_.............. Phase .......................
...-.......
HeatingLoad ............. --- ---- - K. W. . ..... .._-...._........_.._. Voltage . . ..............._......
(Light--...._✓.. Iltl...✓.._.. New Service... Keconnec[........_.....;..
No. of Meters---_ )
<Il Heat--.._..-....-... 220...../ATeWi e..... __ Move Service..........
No. of Add. Meters...........- ,. Move Meter..............
Power............... Ph e..........
PLECTRICAi. INSPF.CTO
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN
�T opi P/...... ....... ...... ................
You are hereby authorized to connect the GAS service for
Owner or Tenant ..... ..................
.......
yy
........... ........ . .
At .4�...... ....................
New Service ..............
No. of Meters ..4Reconnect ..... ....................
9
Move Service ........... ...........
No. of Add. Meters .............. Move Meter ........................
............I.................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit
CE10"Plumbing Final Plumbing Permit
Lot No. .....
--------------
Owner or Tenant ....61'e-11 a�I
,xz-;n ..... -- -- --
----- --------------
At ... ....... ----- ---------------------------------------
--------------
Tract ----- . ....... -------02-- --------------------------
-
DateConnected ............... ........................................................ 19.4p.
Date Final ................................. 19.4r-
------------------------- -------------------------------
10'
................
...........!�.�5.
41;-PLUMBING INSPECTOR
111 12/66-1M
ROUTS SLIP
File No. SII7s�
.,Date Out a
rfQ
Date In. —6
Location
t , 3
Subjeot . W.
Notes
� �IS=67
Approved_ Inspector
Date