2583 20610% IcEod i ues :Avenue LOT NO. 91
may, s ]is If
W APPCATION FOR BUILDING PERMIT
Y I JUL 24 1963 �� Cln, OF CUPERTINO
� LL
G Q Sanitary No. 0
3 u 1 17 �C
Lys - 196 3 Permit No.
o 1 Application is hereby made for a permit to erect
a
a U) a 1 story,Type Frame Building
w
,�. to be occupied only as Single family residence
a
a o in accordance with Plans, Specifications and Plot-Plan filed herewith.
040
3 Estimated Value of Improvements, $ z 7 C2Q0 — Fee$ 60.00
O
J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
J_ o Cupertino will be complied with.
3 < In nd Em i Devl rs . I 960 Camden Av.Campbeli
– b Owner_ rWddress
w z
W w By Address%% den Av.Cam 1;
rc a
< 0379-2280
U Phone Approve
On State License 184784 _ BUILDING IN5PECIOa
RECORD OF INSPECTION APPROVALS
c
FOUNDATION Q -19 3_J
DATE NSPECTOR
UNDERFLOOR 9- Ar
onrr: ' tNsaecToa
FRAME �A-) -/?-3
DATE INSPECTOR
LATH and PLASTER
onrE / INSPECTOR I
FINAL BLDG. //-A- X A
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DA INSPECTOR
FINAL GAS —�
DATE INSPFCTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPFRTINO
Date ..... ..........
............ 19-2 ..... Building Permit No4,)
The Building Located at ....fA-r.... ....
......
................. ... ...................
Ownedby ..... ............ .... ----------------------------
ef�
Has Bee`-_.(Altered)�For Use As: ------
—;:-Ad. ................ ...............
----------------------------------------------------------------------------- ... ..............................................................
.................................. -
-------------------------------------------------------------------------------------------------------------
-------....................................-----------------------6/` -----/n /,
-------------------------------------------------------
------------------ ------ ...... ...............11...........................
BUILDING INSPECTOR A
102 7/63-500 J
OFFICE COPY
G�j
ELECTRIC SERVICE NOTICE
BUILDING INSPECTORSOFFICE
CITY OF CUPERTINO
To ................. -------- . DIG 1961k
You are hereby. authon�z\ed t nnect el cal ice for
Owner or Tenant --------------- ------ A
.... ... / -,C� ;
At ... .. 5 ..............
............ --- ---
4.
-. ...V-&-A
�Z
No. of Wires ........t-, ..
j---------- Size of wires ...
Size of Switch
Motor Load ........................... Voltage ..................... ....... Phase ---------------------------------
Heating Load ------------------------ K. W. ----------------------------. Voltage ..... --------------------------
No. of Meters.......I New Servi.ce.. Reconnect....__.........
No. of Add. Meters............Lig E� W*r,/........... Move Service........._.
HM�htt� 110 Th
Power............_. Tlu ------- Move Meter..........--_
104 1/63-500 ELECTRICALINS p
10,
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OU CUPERTINO
.................... ----.---r---I.. .. .......
.. ................ 196:�
. . ..
To
You are hereby ai!%zel to connect the GAS rvice for
Owner or Tenant .... ........ ........ ....
K..... ... ... .... ........ ....................
At ------- ..............
No. of Meters ... ....I New Service .... .........
.............. Reconnect ..............................
Service
Move S,
No. of Add. Meters .............. ov Meter ...... ...................
PLUMBING INSPE 0
Ito 6/63.500