51181 Off/ Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO pp
File No.
QSanitary No.
Date 196 v
Application is hereby made for a permit to
a ,story, Type
to be occupied only as
in acenrd .e with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements s at A. &0.0 0°
FEES9�'! Plan Check $ c/
Owner Address 02da 91-06�1 oy.
Cont,. Address
Phone �"� \\ �-9l O State License /`r/ 7 7,1
12 IV Approved
APPLICATION FOR ELECTRICAL PERMIT
Date �T ,[� 196 tr FEES c2 3' 3--d ` p
Contr, — Address
Phone State License
Approved WILLIAM n. T -Nfmlrr"p
APPLICATION FOR PLUMBING & GAS PERMIT
Data � �� 196 � GAS FEE $
��f PLUMBING FEE $
Contr. '�'�/ Address 7
Phone 7 S O Z/ State License
Approved
C
APPLICATION FOR APPLIANCE PERMIT
Date Dat _ 196 b' FEES j��9/°�z"pew nn
Contr. /Y/g`�.1 Address /,3 d
Phone me 7�� y State License �� 2— V5;2—
Nl,' Approved WILL! L:A D. DCNEVICK
Applicants agree not to violate any of`the
Workman's Compensation Laws of the
State of California IF
RECORD OF INSPECTION APPROVJ6
.y-f _G p_ C. �BUILDING
FOUNDATION _ ' 6 r
DA E N OR
UNDERFLOOR —
DATE }1fyR TOR
FRAME d k,
_ DATE y /, IN SPE OR
LATH PLASTER 5 — ��6 o
/t' �D(pTE IN CTOR
FINAL ///^`�•• 6 UU��//
6 DATE P I CTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DAT INSPECTOR
ROUGH WI IN/yy 1ff+����/ �
DATSPECTOR
FINISH W R
�11 6� INSPECTOR
FIXTUR S a
INSPECTOR
MOTORS
/ _ D E INSPECTOR
FINAL b
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DAT SPEC TOR
PARTIAL ROUGH
DA EINSPECTOR
ROUGH COMPLETE
ATE, INSPECTOR
MAIN DRAIN
ATE INSPECTOR
GAS PIPING
ATE i2laIN5PECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISCI
;,ATE I RECTOR
MISC
� 0
� GATE 3 INSPECTOR
i
CERTIFICATE OAF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OpF CUPERTINO
b..-
Date ....... ..t.lf......................... 196.D....... /-/, Building Perrgit N ...�..........
The Building Located at .. pp�.�.Y.t�� ....... -
.....................
Owned by ....... .... K-----..... ...............11..��:.....7...7..�. ......
Has Been �wr�)) For Use As: -----'S. �.4/�............................................
.................................................................................................................................................
............................................................................................................:....................................
.................................................................................... ... ................ .................................
.........................................................................
BUILDING INSPECTOR
102 1/63-500
I� ELECTRIC SERVICE NOTICE OFFICE COPY
{ � �I BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
(r . t
To
You are hereby a t orize o con ect electrical service for
Owner or Tenant ......_........ . ...� /��._. .. _....�..�. .J -
1
At .... ...... '�,....../. ,.� .I/�1J!V.._.'Z. ..........
jNo. of Wires ..._.._............... Size of Wires ............ Size of Switch ...._ .!-t..
Motor Load ............. ............ Voltage ............... .._... ........ Phase ...... ._..........
...... ._ ..
Heating Load ........................ K. W. ..............._._............. Voltage .....- -......
` Light.......J.... IIt1._ Ney✓Bervice..........� Reconnea...........No. of Meters.................... f
`{ Heat................. 220...... Three Wire ....... . Move Service..........
No. of Add. Meters............
Power............... Three Ph . .. Move Meter..............
..........
.. j
ELECTRICAL INSPECTO '
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN� p
You are hereby authorized to connect the GAS service for
Owner or Tenant ...1C . ... ...C/�lf�` . ..................._...............
At .t1711zn...-.. . yj. _ ... ..... //1....._............. ............_...........
New Service _ .__.._.....
No. of Meters ... /.............. Reconnect ..........................
....
Move Service ... ...............
No. of Add. Meters .............. Move Meter ..................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No- ----� .....dlll
. ...............
E�r Plumbing Final Plumbing Permit No. J—//101.....-/
............... ........
Lot No. ..._ .'.........._....41
Owneror Tenant ---V/- -------- ----------------------------------------------------
---------------------------------- ----
At
Tract ------ ...................................................
DateConnected -------------------------------- --------------------------------------------------- I
DateFinal ................................. ---------------------------------------------------- 19AZ
.................
PLUMBING INSPECTOR
111 12/66-IM