FILE 51181a2 i
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Data 196
Application
. is hereby made for a permit to
�
to be occupied only as . .4-e1�__j
Lot No.
File No.-�1�X
Sanitary No.
r
.story, Type .ice 1 y
in uccordanA wijVPlot Plan, Plans and ,Specification filed herewith„
Estimated Value of Improvements
FEE$ 000•`-%
Owner
Contr.
a a-G.eoe4..'
Plan Check $ �j q
Address
Address
Phone State License ia'17f�
Approved �es/
APPLICATION FOR ELECTRICAL PERMIT
Date `3/s 196
FEE$ 7�
Contr. rQ-� o n %
Address
Phone -2 7 0 J _
G
State License
,Approved _ ��
r x
APPLICATION FOR PLUMBING & GAS PERMIT
DateY� 196
GAS FEE $
PLUMBING FEE
�f
Contr. X/
Address /a 4 O —�7'L� Se
Phone 'Y 76 "Z"y d
State License c2.3 093--2-
Approved
i
J
Z APPLI ATION FOR APPLIANCE PERMIT /
Data I%
FEE$
Contr. f/
Address
Phone .37 �� D y j y
State License
..,
Approved
Applicants agree not to violate any of'th e
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS `
BUILDING
FOUNDATION 3'-6 Q
/ DATE 1s CTOR
UNDERFLOOR Z- -b r _
^� _DATE INSP OR
FRAME
DATE! IN SP 6GT
LATH PLASTER
DATE SRECTOR
FINAL S- to - 6 f
DATE INSPECTOR
-
ELECTRICAL
ELECT. SERVICE
PLUMBING & GAS
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
DATE NSPECTOR
GLYIIR]YRb� 2 - � _ L J
DATE
INSPECTOR
UNDERGROUND
GAS PIPING
_
INSPECTOR
ROUGH WIRING
V/ DATE
T ��
INSPECTOR
_ AT Er
FINISH WIRING - v
FIXTURES
/
FATE
U
INSPECTOR
DATy
INSPECTOR
MOTORS-�
DATE
INSPECTOR
MISC
FINAL
�-
INSPECTOR
DATE
INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
DATE NSPECTOR
GLYIIR]YRb� 2 - � _ L J
INSPECTED
MISC
MISC
MISC
DATE
DATE
DATE
APPLIANCE
INSPECTOR
INSPECTOR
SPECTOR
/ O b
ATE
CTOR
GAS PIPING
�_
� —�
ATE
ECTOR
FINAL
DATE
INSPECTOR
MISC
DATE
INSPECTOR
MISC
DATE
INSPECTOR
INSPECTED
MISC
MISC
MISC
DATE
DATE
DATE
APPLIANCE
INSPECTOR
INSPECTOR
SPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date--..�---- ...----- ................... 19Ak.... Building Permit No.......
The Building
Owned b
Has Been (Co creed) ) For Use As: ---- 5.T-1—wk
---------------------------
a
BUILDING INSPECTOR
102 12/66 -IM
FI PY�
To
You are hereby
Owner or Tenan
c
At ... �...........
No. of Wires ......:"
Motor Load ............
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO
Size of Wires ..
Voltage ......
!9.. I.. . Q�....._.....
service for
_...:..................
Size of Switch
..... Phase ..................................
HeatingLoad ........................ K. W....................... ......... Voltage ................................
Light/. 1 to.. /ew Service......' ReconnW..................
No. of Meters... �...............
No. of Add. Meters............
Heat ................ 220....... T W re... ...... ... Move Service............
Power ............... P ,.... .:.. Move Meter..............
ELECTRICAL INSPECTOR
GAS SERVICE NOTICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
196AOP�
To
You are hereby auth i,zed to connect the GAS service for
Owner or Ten ....... ...... -- ....... .....................
At.. .... - .........
New Service ../......--
No.
....
No. of Meters .... Reconnect .. ..... -- ....... . ...
Move Service ... .....................
No. of Add. Meters .............. Move Meter ............ -- ......
PL BING IN�PE&OR
Bldg.' Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No.
E -1 -plumbing Final Plumbing Permit No. -1.5-11el
Lot No . ....... -- ------- ------
Owneror Tenantt/'- .... . .. .... ---- - --------------------------------- -------------------
--------------------------------------------
At
Tract
/..:.
-----------------------------------------------------/--------
e;x -- v
DateConnected ....................... -- ------ ------------------------------ ---------------- 19...
DateFinal ............................ -------------------------------------------- ------------- ---- 19 411f,-
,IV PLUMBING INSPECTOR
111 12/66-1M
ROUTE SLIP
Pile No. 157/ r/ -
Date Out /—a? --e P
Date In
Lccatic °�'t.. Y
Sub jec_t.
Notes
Approved' / .2
Date Inspector