NO PERMIT NUMBER !.-L ;
/0757 Lot No: 7
r
No. Street
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APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 5/087
C Sanitary No.. sel-7
Date 196
Ap lication is hereby made for a permit to
a story, Type Y:!rl OT
to he occupied only ns
in accordelue with Plot Plan, Piansand Specification filed herewith„
Estimated Value of Improvements $ c:2 ELe
m0 I
FEE Plan Check $
Owr.ar r Addres�
V
Contr. 112�1I �A l-% Address
Phone ag/. e/ ( State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
< p
Date l/�'' Q1�96 -5^ FEE$
Contr. 4/ Address `&
U
Phone 3 7 7- 7 4`'i U State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
v
Date 196 -1— GAS FEE $ 1
�
PLUMBING�/F E E $q `�� f7
Cont,. �-Pig.-(hG.0 1�'/�t/�G.E/ �-d Address r / -C./-/'�^•/ ,fit 9
Phone o29d -� ,��V- State License 171.53 17
Approved WILLIAM D. E3EiJ��InCH
DateAPPLI TION FOR APPLIANCE PERMIT 2 S
196 FEE$ 7
Contr. q �?,,,t Address
Phone - �/N �_.d / 3'� State License -/6L
!h
Approved WILLIAM D. QENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
gz�
RECORD OF INSPECT APPROVALS
FOUNDATION — �L"— BUILDING
at ctor
UNDERFLOOR — _
ate i spe ctor
FRAME' / �' � s
�.r/� eP Af/ specter
L T 8 L TER �
.. _ Inspector
FINAL
Date Ins oe ctor
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
eta / I
RECEPTACL 3 La ROUGH WIRING
to Inspector
FIXTURES / j FINISH WIRING
o/ y " Date - Inspector
H.P. CHARGE FIXTURES
-
72=7-7r, / Date Inspector
PERMIT FEE O-O Motors - '
TOTAL FEES L r FINAL 1,2 JNf—k-L ctor
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE tTERIAL
WATER SYSTEM SIZE L
TOTAL FIXTURES /0 /O oA UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date or
MAIN DRAIN FEE ROUGH COMPLETE — -e)
at or
STORM DRAIN FEE MAIN DR 1 I A
WATER SYSTEM FEE G PIPI 9
GAS PIPING FEE S� FINAL to 1.2
Date patter
PERMIT FEE MISC
/ Date Inspector
TOTAL FEE � 6 5 -MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS - REGISTERS jyS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE Y o2-�
FLOOR FURNACE TOTA E
INSPECTED
Date Inspector � '
_ "C.E'RTIFICATE OV COMPLETION —
BUILDING DISPECrOWS OFFICE• '
/ CITY OF CUPERTBVO
R_ f
Date.....f .mss.Y...............1 19••�.�2� �yBuading Permit No. -, d�
......
The Building Looted et,A 2. I
.......... ..
Owned by \-%{�� /& `.. 4..... _......._....._...._......................_...._..— .
............. ........ ............
Ho Han (.doniP�)— m
(A�) For Use AS: .... + " :.............................._........
............_....................................................._...........................................................;........._....
........................................._........................_......................._......_..._...._.......................
_._..
�.............................................._........
................_............._........................_..................-------_
j .Gb `_......................_
HU ix IIVSPISCIOR
102 7/63.300
.� GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OPPICE coFS
yvCITY OF CUPERTINO
�. ..- 9. _...... ............... 19(,-
To
You arc hereby authorized to�connect
/the GAS service for
Owner or Tenan: ...... ..................
At
New Service ...._...._......
No. of Meters ... ............. Reconnect ....._....................—
Move Service ._.....................
No. of Add. Meters ........ Move eter ..........................
PL BIND INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
......................a'....- ...................., 196.`.�.�.
To
You are hereby aut rized to ect electri ervi
o
Owner or Tenant ..................... .�..... ..... ..:...
/oz -��..
At .. ............................................................ .................... ........... ............................
No. of Wires ......�................. Size of Wires ....... ............ Size of Switch/lbe,*-
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters...../ Light............._ 110..x.. New Service.............. '
. Reconnect..................
No.of Add. ..........
Heat................. 220............ Three Wire............... Move Service............
Meters............
Power............... � e................ Move Meter..............
ELECTRICAL INSPECTOR ,
x
- nldg. Dept
Offue Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. .....jyrC7. /.
Plumbing Final Plumbing Permit No.� -14?7..---....
- � . . of No. ......7.......... ..........
Owner or Tenant
�ML!I"'r --...LSR°""'.-'r`.-.'..-'--.............................----..
At 1d,cr.7 .t..`. � �.��r �v-.���ri........................................
Tract .q�r.,Tei/' i -.....-.5............................................
--'
DateConnected ................._------- Q ..---'........:...................---......... 19./r
Date 'Final --"--" """-. 7.....'......._....................-----....._.. 194t7..•
......................
�" •* PLUMBING INSPECTOR
ROUTE SLIP
File No,
Date Out / ,2 -„2 7— �-
bate In
Location 7
Notes
Approved Iz -Z7
Date Inspector
. .:ROUTE SLIP
File No.
Date Out %
Date In
LcrationT
Subject ,
Notes
Approved 00/84—
Date
i8 —Date Inspector
/0'2,5-7 I V/S-riy7/Z
LOT NO.
No. STN F.F.I'
APPLICATION FOR PLUMBING PERMIT
a CITY OF CUPPRTINO
w 9Ir9 Or c6ifo o Sanitary y o WATER DEPT,
S� 8
3 t,4)ate
19 �— Permit No O 7•
ojutv 1JIpy 2Pee $ 3 Co
x
° �p lic In is hereby made to the City of Cupertino for a Permit to Install plumbing
01� pip2s nPor. fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
U)
Cupertino, and all other Taws applicable thereto.
LL Use of Premises
o_ o
> N //,,''''
� 3 Owner 6eCh�-R. Address
v SIT
—
2 By b/u�///Ar LP �t< °j Address.3 C t/ �G.CRy/7oy7
o CONTR TOR, AGP,NT
3
— < Phone 297 — �' /07
�^ s State License. 23 7 / t7� ApproJe
s o
—0 PLUMBING INSPECTOR
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