51181 t
IU,00
1...,—ai Lot No.
No. Scree
APPLICATION FOR BUILDING PERMIT
CITY OF•CUPERTINO
File No. %-f
rSanitary No. • r342
Date .,_,[�196
Application is
is hereby made for a permit to
r/`_r a story, Type .5- -Z t7
to be occupied only as
in accords 11 Irwith plot plan, Plans and Specification filed herewith,
QEstimated Value of Improvements f
a.z aC; °O
FEES 9.
Plan Check $
Owner C Address
Conir. Address
Phone State License 1,f-1791 'e
Approved
J�
APPLICATION FOR ELECTRICAL PERMIT -.
S�
Data 3�0�/- 196 IL FEEE a3
Contr. q� �r Address
Phone 2 a �� 7 U State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Da to 196 GAS FEE $
PLUMBING FEE $ c>?9,
Contr. _`// iV 1�✓pv"'!i _ Address /Oh-6 O - /,�_u-�.+_.
Phone / U o State License /a3 0 9 J �i
Approved L
APPLICATION FOR APPLIANCE PERMIT/d_ Jv
Dote 196 FEES
Contr. Address /3D
Phone �' n 9 3 State License 2- 1° tf 2,
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION o
Ai T / INSPECT
UNDERFLOOR
DATE INS P.�E- \OR
FRAME
D AryTE N5PEC
ATH PLASTER �_� ^60 zf�to
ATE RECTOR
FINAL `s lo- 6
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
ATE INSPECTOR
ROUGH WIRING / r I
DAT INSPECTOR
FINISH WIRING - `(D "
DATE INSPECTOR
FIXTURES ��'
DATE INSPECTOR
MOTORS 7
ODA(Erv^ INSPECTOR
FINAL \
DATE INSPECTOR
P�B G & GAS
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH I
DATE INSPECTOR
ROUGH COMPLETE
TE INSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
_ia4TE INSPECTOR
FINAL _ 6
DATE 10, INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE I INSPECTOR
MISC
_ DATE RECTOR
MISC
DATE INSPECTOR
i
J
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ----:-- ............... .., /19-t.d----- //p/B/}uilding Peermit�N/oo.. �j.�8�..
.J..
The Building Located at -...f..•:..�.�f.. /O.1.i-•[aj... a�/•..-- A'*`'-*----...`.............
Ownedby .... :� -.. 45 ... -.......................... h.rt a ..3 ...)............
Has Been (Completed) For Use As: ..... ..t.....D ..
.................---------------------
(44te�)
............ ..._.....-----.....------"------.._.................._----.....----...........----.._--..............-------.....-----....
...---.....----........_...............-----........................_.........----.....---......-----.........._....----_...............
--------------------------------------- .............................................h.............�...- ---- ._. -----
f f4,4
......... .... ... ........
BUILDING INSPECTOR
102 12/66-i M
GAS SERVICE NOTICE .017ricil
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN�)
// -.............. ....... ter,.
..................
You are hereby authorized to connect the GAS service for
Owner or TenanL • ............. .......... —....
At .......— --....... .... ..................................
New Service A��........
No. of Meters ......—.... Reconnect .........
Move Service ........................
No. of Add. Meters .............. Move Meter ..........................
PLUMBING OR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .--Cr$Y17
...........................
Cj�'Plumbing Final Plumbing Permit No.,G//zP--/".....
Owner or Tenant -C-,r'
/ �Zee Lot No—:5ZP-------------------
--------------------..........—? --—-----------------------------------------------------
At zg"�
4-e - ,w- - ------------------------------------------- ------
-- ------------------ ...... .........
Tract ........ ... ............. .................. ---------- ---------------------------------------------------------------------
" k
DateConnected ........................ ......................................................... ------ 19..........
,-fx
DateFinal ................................. - ------------------------------------------------------------------- 10�!-------
�--enz: �e&4--- .......................
PLUMBING INSPECTOR
111 12/66-IM
ICE COPY
D ELECTRIC SERVICE NOTICE
ZIG BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
......................... ........
To
You are hereby author ze p connect el I octrical service for
Owner or TenantK. ..... .. .............. ......... .... .............
At ...... ....ql-i ...... ..................
..... .........
No. of Wires ........Z........... Size of Wires ..... Size of Switch(-(30-1:�-
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters...... Ught i10...-...... New Service..........1--. Reconnect..................
A
220..... Wi, Move Service......-.....
No. of Add. Meter,* .. ... .
Power............... P ....... Move Meter..............
.... .......
...... .... ....... .... .. . .. .. .....
ELECTRICAL INSPECTORC
ROUTE SLIP
File No .
Date Out 2
Date In
Location
Sub' ec't
Notes
Approved .2 -,4 r
Date Inspector