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51179 L.2 T41 6P,n" --(/ Lot No. SI No. Street 6�9/'�_R ) APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. . 'ii79 Sanitary No. �erL_�- Z Do to 0 y 196 /Application isis hereby made for a permit to 'r "'�'�" a '� story, Type 7- to to be occupied only as in accordanwith plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements S :A FEES - ft S. S'y Plan Check $ Ow r,er Address /,r70G Contr• ,, Address Phone 2.1-6 oZ/ T State License/ 02 .2 Approved L�� e'�.e-✓�-'e-SCJ/ APPLICATION FOR ELECTRICAL PERMIT Date / 2'L/ 196 .7 FEES '12- Contr. Address //7 c Phone j6 7V O State License Approved APPLICATION FOR PLUMBING & GAS PERMIT l Date 1967- GAS FEE $ q PLUMBING FEE $ 1 3_ •� Conti. ' •'�-`. Address / Z 3 )1 Phone -2 V- 3 1- 3 State License ' 1^���,'" S 5 Approved 6&ge,-.e_v ' .� . / APPLICATION FOR APPLIANCE FERMI T/ Data 196 7 FF�EE$ Contr. Phone ��' L b3 State License � Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California ' RECORD OF INSPECTION APPROVALS BUILDING n FOUNDATION DATE INSPE T R UNDERFLOOR- FRAME NDERFLOOR FRAME DATE INSPECTOR LATH & PLASTER _��pq yE INSPE R FINAL DATE - INSPECTOR ELECTRICAL ELECT. SERVICE GATE INSPECTOR UNDERGROUND ' DATE INSPECTOR ROUGH WIRING , �' DA E INSPECTOR FINISH WIRING Z D T vjf INSPECTOR FIXTURES - INSPECTOR MOTORS AT INSPECTOR FINAL DATE INSPECTOR PLUMBING & GAS UNDERGROUND, ATEIN 9PECTOR PARTIAL ROUGH DATE SPECTOR ROUGH COMPLETE DATE `NSPECTOR MAIN DRAIN o? 70_6 DATE INSPECTOR GAS PIPING DATE INSPECTOR FINAL DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR MISC ' DATE 9PECTOR MISC .� DATE INSPECTOR �p31 i3rf,� 10234 Portal Avenue', CupertinoLOT No.' 51 NO. STREET L APPLICATION FOR <BUILDING PERMIT ° J�'^"" —_`� CITY OF CUPERTINO oa [ Sanitary Na. W a Date' (0 GT 13 1967 LV196 PermitNo. '5 �/7 ro Application is hereby made for a-permit to Build OF U) i`3� { K�IV�4ly z N a Q'storyt,Type V I J Building aw w 1, to be occupied only as Single family 0 o in accordance with Plans, Specifications and Plot-Plan filed herewith. 3 Estimated Value of Improvements,$ 28.000,00 Fee$ 85.50 z J 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 0 Cupertino will be complied with. 3Q Owner OMECAgDUILDERS. INC. Address 15700 Winchester Blvd. w ° B , Address_ Los Gatos a a 0 Phone 356-2146 Approved Ff State License 222326 _ BUILDING INSPECTOR RECORD OF INSPECTION APPROVALS FOUNDATION DATF. INSPECTOR UNDERFLOOR DATF. INSPECTOR FRAME DATE INSPECTOR LATH and PLASTER DATE INSPECTOR FINAL BLDG. DATE INSPECTOR FINAL ELEC. DATE INSPECTOR FINAL PLBG. DATE INSPECTOR FINAL GAS DATE INSPECTOR NO. STREET LOT NO. 'W i o 1APPLICATIONFOR ELECTRICAL PERMIT 3 = � IDEC 2 8 1967 CIUY�op cuPiarlrao S Date —• +z 5- — - 19t1 Permit No, , /� �� o < tail VY' l,rll4"IC.� 11U Fce_�, o1 � a U)W Application is hereby made to the City of Cupertino for a permit to install electrical ,w. T. wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said a wiring and/or fixtures in accordanfe with the provisions of the Electrical Code of the 00 > m City of Cupertino, and all other laws applicable thereto. 03 2J _ Use of Premises J 0 0 3 a Owne Address W W B Address 0 y CONTRACTOR, AGENT <ute: -?, f ApproELECTRICAL INSPECTOR - State License, 2 z O 0 1o?C) / % NEW RPL FEES Size Service Conduit 2-11 Number of Outlets / ,�, N Size Service Wires ;O-Z Number of Switches Size Service Switch /00 4 Number of Receptacles 3 Size Sub Feed Conduit — Number of Fixtures Size Sub Feed Wires Ranges KW L Number of Circuits 9 Oven KW Number of Meters Panels Transformers dy Signs Misc. D ers I/ Motors HPOA Z Phase / Motors Phase Motors HP Phase Permit Fee 2.00 HP Charge �. rb Total Fees 0, • ! O� 3f/ I �O2A� �_ �(/K LOT NO. • NO. STREET APPLICATION FOR APPLIANCE PERMIT ` z = O CUPERTINO z � o Y LL a a I 6 Date ' Permit No. m u Fee $ /Z .2-L LL ° �pi�y t�atip r�,is � r bxpmaTde i o the City of Cupertino for a permit to o a install�g�Vaprpliind615� Ulgtc U),j lthe reverse side hereof, and agrees to z m install said appliances in accordance with the provisions of the Plumbing W Code of the Citv of Cupertino, and all other laws applicable thereto. Use of Premises RESIDENCE 00 N Owner [.�c�t�l Address $J -- SI Pioneer Way J Z ByMERCURY SHEET METAL' & HEATING, INC. Addres , -O CONTRACTOR.AGENT - m Phon o s - State License 166 3 5 Approved 0 PLUMBING INSPECTOR e C 0 ffN z ------ ------ ---- — b : n : J ROUTE SLIP t File Nos//7L I i Date I Location kJ S� I I Subject �� ✓ �---- Notes Approved Date Inspector CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE 9 CITY O/FyyCUPERTINO � �^! Date .. ' ..........9... 19. 0...... Building Permit No../../L.71�.:.. The Building Located at ... Q:Fi.3.T...:....... ... s ....[..�..y..�-.-':....:.....11 Ownedby 4d+' ti,.......� -.......................................... Has Been (Completed) For Use As: ......rTFD-Wr - .................................. -...........^....I..................",I7......-----......---' .......................... .. ................................. .............;..�.:'....:....: ..............:- .................................... BUILDING ' INSPECTOR 102 12/66-1M GAS SERVICE NOTICE OFFrCs. BUILDING INSPECTORCOPY S OFFICE ' . ;, c,� /✓''/� CITY OF CUPERTINO You are hereby authorized to connect the '.GAS service for Owner or Tenant .. .. - . At /419a-? .:� .. .......C.G4 `� .... ... . ............. .... New Service No. of Meters ... . . ......:.. Reconnect ..... ................. Move Service ........J............. No. of Add. Meters .............. Move Meter ...`....:_L.:.:........ .......... .. ......... PLUMBING INSPECTOR . Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE ' CITY OF 'CUPERTINO ❑ Sewer Connection Sanitary Permit No. ©dumbing Final Plumbing ,Permit No.- ��./�... �..... Lot Owner or Tenant --- No....... --------- Tract .......(/C/, ? �..:....�i�.....-. . Date Connected ------------------- ryry------------- DateFinal --.......................... --------------------------------------- —:..... - 19 ----------.. ...........9..--Lfi.....f.�LUMG �!.�.yj........ INSPECTOR 111 1266-1M jOFFICE COPY •• ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE --� ` CITY OF CUPERTINO 1 ......... .. , t9( TO You are here y a o 'zed to connect electral se •c for ' Owner or Tenant .. ... 2+........ .. . .. . —.., .._....... . _._..:... (� No. of Wires ... Size of Wires•- --1.... Size of Switch tt)6A MotorLoad .......................... Voltage ................................ Phase ........................ ..,._... I HeatingLoad ........................ K. W. ......_-------- ......._.__.-. Voltage ..................._..._...... I No. of Meters..... Heat................. 220........Zhr ec W re._. ..:...,... ove Service...._...... No.of Add. Meters...........- Power............... eee..._...._.. Move Meter-.... ... ...........:. . .J . ELECTRICAL NSPECTOE ROUTE SLIP File No . 5-117 Date Out is c . Date Inio /rte Location Subjeot Notes -20 7 9 �. Approved Date Insp:cto: