51175 Lor No.'o2
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. .1 7`��
f� Sanitary No. J A.2,13
Date 196
A lice tion is hereby made for a permit to T T
a story, Typey = V
to be occupied only ns
in accordance with of Plans Plans and Specification filed herewith,
Estimated Value of Improvements s ,q 0o d'1
FEES e�'I0 S Jy Plan Check $
Owner rte/ •/ 4 C. • Address �/�� j /— ar
Contr. Address
Phone S 3 O y O State License /9
Approved WILLIAM D. BEI`1£VICi'L
APPLICATION FOR ELECTRICAL PERMIT
Date /D Y4 196- Z FEES 3G 76
i
Contr, (<"a
a n Fzr .�.t. .r Address ` - TC
phone .2-9 76 State License
Approved ,��—
c,APPLICATION FOR PLUMBING & GAS PERMIT
Do to / /S 196 7 GAS FEE $
/,, / (/,//��,, PLUMBING FEES $ 3 7 ' —
Com'. `tet-�`y-r-""� 6— ^' Address
Phone 37 �� ��J� State License 2 1 U
Approved
9APPLICATION FOR APPLIANCE PERMIT
Date 1 196 FEES 2
Contr. �"i..r✓q�r[ti-(fie-e ..1''C-� /7.r--4-4r.ss 77 `4
Phone `/—''�'� C9 State License %9,
1 .Approved
Applicants agree not to violate airy of the
Workman's Compensation Lams of the
Slate of California
RECORD OF INSPECTION APPROVALS
FOUNDATION L lir-6 7 BUILDING
UNDERFLOOR / _ 7 Ins pecfo
Dare Ins pa
FRAME - -67
ate Z�ns pecf
LATH PLASTER _ —
D t jY ns et r -
FINAL o
Date Insoector
IRICAnL I
,OUTLETS
�'�-�.Ah�-
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING l r I te� ^spector
D Ins pecfor
FIXTURES FINISH WIRING 1Z"?' e" (o
Z, !' Inspector
H.P. CHARGE FIXTURES ^_l-1 -�J
Date Inspector
7HPERMIT FEE Motors ���
r Ins pecfor
TOTAL FEES FINALl'hJ\
Date / Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE I MATERIAL
i
WATER SYSTEM SIZE IATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH/0-J-4 ;
Date or
MAIN DRAIN FEE ROUGH COMPLET "S`
Dafe or
STORM DRAIN FEE MAIN DRAIN
Dare n r
WATER SYSTEM FEE GAS PIPING ?-
Date t r
GAS PIPING FEE FINAL 2 Date-
ate nspect r
PERMIT FEE MISC
Date Inspector
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 FEES
FLOOR FURNACE I I TOTAL FEE ,
INSPECTED
Date Inspector
/3-4Y
I.OT NO.�
No. STREET
w FOR BUILDING PERMI SITYI OP CUPERTINO
0
TpjjCPi0L17CAMON
UG 1.9S7 �,U• t Sanitary Nu:!
W Date "`191, Permit No. s r11%6
so
T•
o F rApBlica�in is bymade f11ja permit to
a tin 111 I
i N a story,Type. S �S Building
wbe occupied only as Ol/OGEOC'� f<o3 in accordance with
oo Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
> 0
F 3 Estimated Value of Improvements, $3( 00—x—° Fee$/0.55
ZOJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
J- O Cupertino will be complied with, l
jOwne y l o / Address �3
W Z 63
a By Address
Of
pprovea PU
I State 'LicenseWELDING INSPECTOR
ALJI`•1� v
CERTIFICATE OF • COMPLETION
BUILDING INSPECTOR'S OFFICE
J y� CITY OF^�CUPERTINO
Date -.J.....'.'....:T............ .......... 19. l Buildinp�Permit No. :�....... y
!! S
The BuildingLocated at - -
X014 q.� .,,A .... . ..... 7
Owned b l6.Ak' -- r ,....
Has Been (Com ) For Use As: .......... '
--------- y�-- --_----.....----`---------------
......................-....----.....:-----.....----.....................---.....----...:.-----._.--..........---.:......--------------....--
.............................................................. .....................................................
.......................... ..........---- ------------------
.. . .. .....
EI Z Y:
BUILDING INSPECTOR
102 12/66-1M - .
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CI 'S
CITY OF CUPERTINO
o 1 ..._.......... 190./.
You are herebytauthorized(tb coil ect electrical service - r
Owner or Tenant ._. r. ....... J. _.. _,.........._....
At _� c(��.�1...�_.1.U.foq..�....._.t.. ..
7r
No. of Wires ..Z............... Size of Wires--4..-2........ Size of Switch,:-.1.001)^
Motor Load -------- Voltage "- _...._— Phase . .........
HeatingLoad ........................ K. W. ............................... .. Voltage ....._..............._........
No. of Meters..... Light...: ..... IIU... .. New Service Reconnect..............
...
Z.....
Heat................. 220._._4Thrm Wire _.. ...._._ Mrnc Service...........
No.'of Add. Meters............
Power............... � - Th re Pas . _..._...... Move Meter.............
ELECTRICAL INSPEO
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No. ........
Plumbing Final Plumbing Permit No.,..-�/—
....... ....
01, OLot o—c-�/..................
e-,
Owner or Tenant ---Lam ----- ........ .....!............................
At - -- ---- --------------------------
Tract ....... --
-------- --------------------------------------------
Date Connected ............................. 67---
------- ---------------------------------------------------- 19
DateFinal ................................. 7.2?............ --- -- - - -------------------
-----------------------
G IN-IMSP�
'0�.... PLU U BliNG- EC7TOR
III 12/66-IM
1 GAS SERVICE NOTICE COPY;
COPY
/ BUILDING INSPECTORS OFFICE
CITY OF CUPERTINO
jxx;:,.;�.nze
........................,, 196.1.�y
To
You are hereby authorized
autthorized to conned the GAS service for
Owner or Tenant .`ti/Cl!zt ..%........G.�ll. . .......r .........................
New Service .. ............
No. of Meters . . ............. Reconnect ....... ........._...._...
.
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
1
PLUMBING INSPECTOR
i
ROUTE SLIP
File No. 87S
Date Out —
Date In i z-( P-6J
Location 1,,kJ .2- 7
Subject —
Notes
Approved Inspector
Date
i
ROUTE SLIP
, . File No.
-,.Date Out
Date In/
Location
Subject
.. Notes
Approved
Date Inspector