NO PERMIT NUMBER �^c Sf� I A&'� �. Lot No.a7
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary
Dote 196_7
Application is hereby made for a permit to
aj 02— story, Type 'f-. = T
to be occupied only as
in accordance th Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements S C;L4 . D d d G
FEES tfo .Jr /J Plan Check $
Ov'r,er _2�L.,( `ri��.^.'t� Addras
Contr. Address
PhoneStare License I-S-/7�2
7
Approved
J�
APPLICtATTION FOR ELECTRICAL PERMIT
Date ��/(S - 196 a FEES .2
��
Contr. �-- r-e-�-/ U- ' J Address
Phone —e.2- nE C- State License J/S 73, �
Approved �'
APPLICATION FOR PLUMBING & GAS PERMIT
�/3
Dare � 6 196 7 GAS FEES -n
PLUMBING FEE $ ol-G - J-0
Cont'. Address _LL6 0 —/7,G•�� '
Phone ' 'u7 3--� Z.3 0 9 S 2, —Z�--
State License q
Approved z/L t .u�-��
/Co
APP CATION FOR APPLIANCE PERMIT
Dora 1% FEES — ////�/,G,7,ed
Contr. t/ Address /�d •5 /, "
Phone 9112 X, State License __/_7�C '2- 6 ("'Z
e G
Applicants agree net to violate any of the Approved MI 1 tn��
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROXI LS
jL-I L 6 7 BUILDING
FOUNDATION
AT INSPECT
UNDERFLOOR
DATEd INSP' OP
FRAME �� o
DATNSP OR
LATH PLASTER �� 6 `
DA,Tk IN SPE OR
66
FINAL '3 .-
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
GATE INSPECTOR
UNDERGROUND
DA� INSPECTOR
ROUGH WIRING Z
OAT INSPECTOR
FINISH WIRING I V
DAT INSPECTOR
FIXTURES y�
�A'TE"- INSPECTOR
MOTORS
3 ` qA7T INSPECTOR
FINAL I 7ce�",
DATE INSPECTOR
P MBI & GAS
UNDERGROUND
DATE/ NSPECTO
PARTIAL ROUGH Z _ —"
DAT p� TOR
ROUGH COMPLETE -2' 2
3
DATWt
OR
MAIN DRAIN
D TEOR
GAS PIPING
-� _ /ITEOR
FINAL Y
DATE TOR
MISC
DATE �, INSPECTOR ,
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE .ry N ECTOR
MISC
GATE INSPECTOR
ROUTE SLIP
i
File No. SII�I
Date —Olt
Location
Subject
Notes
Approved
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........a----------LA.............. 19-4--0... Building Permit
cvThe Building Located ato.? -------------------- - -- ..... . ........
Owned by -----J�"— ll'
........... ----------- ---------------------------- ------ ----
Has Been (Completed) For Use As: ------7�FD-b-uk..............................................
"U"44
..................................................................................................................................................
I---- -----...................................................................... ....... .......................................................
------------------------------------------------- ------------- ----------------------- ---":-)-------------------IF----------- ----------------
------------------------------------------------------------------------
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY-
(� ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
--- CITY OF CUPERTINO
........_............ ...... ..':._f. ,/_
To ......., 19G..
You are hereby a4t ri ed.. o connec electrical service for
Owner or Tenant ........).�'n..A•d„5,�.�
` No. of Wires ...... ............. Size of Wires ..... ....a Size of Switch -�...v.
Motor Load -------------------------- Voltage .._......._. .......... ._... Phase ........ ..... ........
Heating Load ............ K. W. .___......_................... Voltage
LighC....�./_: uU.._�New Service..._.. ... ecunnea......._...._...
No. of Meters............._...
Heat.........._..... 220.....x..... hree ..._. ..... Move Service......... .
No.of Add. Meters..........-.
Power.-.......... Three haz .... .L..... Move Meter..............
I
I s
ELECTRICAL INSkCTORr 1
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTI�
t3 ............_... ..._...... 19ar
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ... def.'.yL.[.J..........._._................:..................
At �� -
New Servicev ................
No. of Meters ............ Reconnect
.............................
Move Service .......................
No. of Add. Meters .............. Move Meter ..........-...............
*PLBlNgG INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
M Sewer Connection Sanitary Permit No.
. /17.........
Final Plumbing Permit No. 6.110pl-------
,)-7
Lot No. --------- ---------
Owner or Tenant .....
-------------------------------------------------------
At ---
..............I----------------------------------
Tract
- -----------------------------------------------------
Date Connected ----------------------
-xX,??2----------------------------------*------------------- 192�
--
Date Final ---- --------------------v4f112--------------------------------------------------------- qjfll�P�
----------1-� .. -1fe
-----------------------
41;�PLUMBING INSPECTOR
1II 12/66-IM
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION N NOTICE
-DEPARTMENT-------------
Department ,,/'
Job Located at - - ----------
-------------
-------------
`°
...-- �- cv (. --:..� te:
: _ a
- . ------------
,n.
---------------------------------------------------------
s;.
:-----•--- -------'-------------
- -------------------------------
--------
----------------------------------------------------------- .........--------------------
You
--- --------------.You are hereby notified that no more work-shall be.
done until the above violations are corrected. When
" corrections have been made call the inspect r.
Date:
252.4505 .:-- 07:7_6X-- - ---------
City Telephone Inspector: " ----- --------------------------
ROUTE SLIP
File No.
Date Out .(( .2 2 --g,7
Date In
Location Z 7
Sub at. i�a�
N
Notes
i
i
Approved"
Date Inspector