51139 Permit lU ;7 3 Lot No.
No. Street 41,
AflliILITION FOR BUILDING PERMIT
Y OF CUPERTINO
�JUL 201964 File No.
Sanitary No.
Date lY91"t�'s'°"��41
Application is hereby made for a permit to T
T � l
to be occupied only star
iPlan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 706y`=
FEE$ �� �� plan Cheek $ 1100
Owner N�r I,J [y //Y/i'/moo Yu 7T Address o7i 3�1/ ted P
Contr. Std/P t-r s. " 9 \H'* Address /(7yI /J`(4YOK r rr.
Phone 2.�.z-w.a 96 State Licen a J , V' /
Approved
FAUG 10
1964
AP*F96
PLICATION[�FOR
��ELECTRICAL PERMIT
Date ER�Iy� FEE$ContrAddress
Phone State License /
ErMONR
Approved BING & GAS PERMIT /
DateGAS FEE $
CCI��FZ� PLUMBING FEE $ Lf�(•�/
Contr. Ak Address/-;::?/ /
t
Phan
ejAU6�0011`�WIO,H
State License �l 0 5 .s
Approved
FOR APPLIANCE PERMITDate FEE$ /� Y�
S/. fP�°SIC f�tFt3q �P1fl 5�z ( a /2 fv ��scl. r ✓it�iA�sac9
Contr. Address H
uvv
Phone l✓N ' — y y State License
� Approved IT`t7rLX//.iy�
Applbaants agree not to violate any of'thc
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION -aI' BUILDING
i_ pector
UNDERFLOOR -c1
Data Inspector
FRAME
Date Inspector
LATH & PLASTER
Dat to
/ _ 1 spector
FINALI
Date Ina oector
)-C,7, ELECTRICAL
,OUTLETS O SERVICE SIZE
SWITCHES U UNDERGROUND
// Date Inspector
RECE PTAC L£� � ROUGH WIRING
Date Inspector
FIXTURES � FINISH WIRING
Date Inspector
E FIXTURES
Date Inspector
PERMIT FEE Motors
TOTAL FEES r FINAL
1 D — e _ I specter
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZETERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES // UNDERGROUND
FIXTURE FEE b� PARTIAL ROUGH 3/-V
00 Date Inspector
MAIN DRAIN FEE -- ROUGH COMPLETE
Date Inspector
STORM DRAIN FEE —11 MAIN DRAIN
p(� Date fispector
WATER SYSTEM FEE GAS PIPING
ata spector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
n
Date apector
TOTAL FEE 5i MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS - REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC zGLC' /• U9
GAS RANGE MISC
GAS DRYER PERMIT FEE o�• �'
FLOOR FURNACE TOTAL E
INSPECTED
CERTIFICATE OF 'COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........ 19.L1.4 Building Permit Nrh!�711-gq
...................................
4-Z....
The Building Loc , at
Owned by ........... ...... . .............. .. .....
Been As: . ..
Has Bee (Completed) For Use
It e-r K-2
L..
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.... . QBIJ1 LINGINSPE It,
102 7/63-500