51037 Q
1�/ �� 'I F ���8� ✓�f Lot 14o.(5 6
No. Street ��
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. -570-3.9
AUG 5 9864 Sanitary No. i�9
Date CITY pc 96kCITpC 1'Tlti s I G O ode for a permit to
G�il/s1.�l�rCY a ..� story, Type -5Z-T
to be occupied only as f FiRvli }� Ae'e4L -'an
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements § QQIJ
FEE$ -w Q � �/ Plan Check §
Ow ,(/�L
er � �6cy,/s 7" ddress do- A&,X
Contr. Address
Phone -Z-'5--?-0&n - State License 6
Approved
r.� ' OCTP&LI&aWONftFeOR! ELECTRICAL PERMIT
Dote 196FEES
iG
�Q.
Conrr Address
Phone -
��//��ggpp�� oZ Z State License
Approved
e1kLq :AW10W54R MBING 8 GAS PE TISEP 11, n64
Date 196 GAS FEE $
PLUMBINQ,ITY S Ar
-
CITY OF CUPERTiNO
w11/ nT�a Vf1 /'
Contr. �" Address llF•f
Zt-0 742s-7�
Phone
State License
F' • Approved
APPLICATION FOR APPLIANCE PERMIT S�
Dote 1% FEES 7
Contr. San Carlos Sheet Metal .Works 779 OLD COUNTY ROAD
Address SAN C4,P.10S �y I�nnni n
LY. 1.2605
Phont{�e'} State Licens 0828
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OE IHSPN PROVALS
FOUNDATION
j j BUILDING
ater
UNDERFLOOR
". DPS yaciw
FRAME f
Da Peet"
LA PLASTER � "'
—� -rL5' afar
FINAL
Dab Imaactor
ELECTRICAL
;EA
SERVICE SIZE
lm UNDERGROUND
' ROUGHWIRING
Data Inspector
°�'Z' FINISH WIRINGData Inspector
FIXTURESData Inapaetor
/ Meters
D b etor
FINAL
Data Impactor
PLUMBING 3 GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN I SIZE RIAL
WATER SYSTEM SIZE / IRRIAL
TOfkt. FIXTURES /�� UNDERGROUND
FIXTURE FEE PARTIAL R
M or
MAIN DRAIN FEE °� ROUGH COMPLEvu
STRM DRAIN PER MAIN N or
r a
WATER SYSTEM FEE GAS PIPIKG —
Dote
OAS PIPING FEE FINAL
Z ds N pastor
PERMIT FEE MISC
TOTAL FEE. - MISC to InaFactor
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE .UNITS FEE
CIRCULATING HEATERS REGISTERS
N �
BLOWER FURNACES Q COMBUSTION VENT d^'
SUSPENDED UNIT MISC
GAS RANGE MISC
BAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL F
1. INSPECTED
ROUTE SLIP
File No. 5 /037
Date Out—
Date
utDate In
Location Zc eG
///ro sem,,, Ze -e x
Sub j eat
;dotes
Approved 2-
Date I isp:Ctor
II
GAS SERVICE NOTICE OHM:
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
196!-�7
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At
.................
New Service ..tw<.... .........
No. of Meters ...... Reconnect ............
Move Service ...........
No. of Add. Meters ....... Move Meter ......... ......
e 6MBING INSPECTOR
it tsi,lg. Ucp.�
• 'Oii.:e C"Py
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO yyQQ
F-1Sewer 'Connection Sanitary Permit No- -----r/�,"-------------
dumbing Final Plumbing Permit No. ,✓.��,. ./..-------
/ \' Lot No. ......0--v........... ....�
Owner or Tenant ._..�+G/ . .. .. ... ..�---- .----.....---";'`
At .�/,L IO2sr.G
.,e•s
Tract ------ ----
Date Connected .. 0:--. O 'IuuT ........................................... 49-L77-.
- I /
Date Final ............................
..�a�.�. ...................x.19-(r�7...
I.
w PLUMBING INSPECTOR
III 7/63-IM
OFFICE 'COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
................... ...................... 1965
To
You are hereby authorized to connect electrical service for
Owner or Tenant ---e
...................
At . .....
.......................................
No. of Wires ----------------- Size of Wires�a.......... Size of Switch/Odt,91..
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ------------------------ K. W. .................. ............... Voltage ................................
ht
No. of Meters ............. 110............ New Service............ Reconnect....-.............
..... 220... . Three Wire................ Move Service............
Meters............
No. of Add. Heat
Power--------------- ter.............
EW -------- ......
LE
104 7/63-500
CERTIFICATE O:F `. '00MftEtl-ON
`BUILDING. INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date :"e.�r - 19 L`.� Building Permit ....
O !
Tfi'e Budding Located at
Ft a
N ,caned by,.-- -,C�'v..y1° .. ,.rt1.415lt'S
I-fas Been (ComPleted):, U ✓ Y, r ? _
(Altered) . or Use As:
...................................................................................
'
-------------------------------
S
'_ BUILDING INSPECTOR
102 1/63-500 -