51216- BLDG 21 Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO t,
Sanitary No. `; 7� ��-
File
Do to / 196 c2� S T
Application is hereby made for a permit to
a _ story, Type - 7
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,•
Estimated Value of Improvements $
FEE$ Plan Check $
Owner Address
Contr. 1�-�J Nt/�Y Address 'Vl fit'
Phone - �� �� r / State License 02'0 2.a.VC
Approved 461e a— ��f--.��
APPLICATION FOR ELECTRICAL PERMIT
p
Date � 196„ _ FEES 91 7,f-
"'�
Contr. TAddress
Phone e2 >e {�' 2-G L State License
Approved .
APPLICATION FOR PLUMBING & GAS PERMIT
Date 0 196 GAS FEE $
PLUMBING FEF $ •S�
Canty. ��/0�../�fy 9! s4 . Address
Phone y;23G _ fe-rf S f State Licensees
Approved
APP ICATION FOR APPLIANCE PERMS
Dote196 FEES
Contr. Address
Phone -_4 S_ 7 State License �oZ V J7L z-
Approved
Applicants agree not to violate any of the 4W
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL '/� 4w
FOUNDATION.9T6er,L e♦ 4?&_L /C,E�'
UNDERFLOOR
FRAME
LATH 8 PLASTER
t ►pM*v-mA scrAr-Awa G
FINAL BLDG.-f--
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH—P3-!4 —
ROUGH WIRING S
FINISHED WIRING �7 V
FIXTURES �� 0
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
�p
DATE INSPECTOR MISC.
CK FLOW RE a - O - a
SANITARY NO.
UNDERGROUND ROUGH—9
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG. 79
^
r,*,— o G --
FINAL APPLIANCE. 7O
DATE INSPECTOR MISC.
MISC
MISC
MISC
ROUTE SLIP
File No
Date.
Location
SubjectaP
Notes
Approved-,j '.2,0-
Date
pproved ,j '.2,0-Date --r Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
r
Date .4-7-3Q.......70-.......... 19..-....... Building Permit No. ..t� �. ...
/
The Building Located at ....1�J `d..TO.....Na. _�7: 1 C IAJ(�^ /� D: ...
Owned by .....rJDR.TH.i f& ✓......�6.n✓ �]'. �a '
-- -
(Completed)Has Been For Use As: .............�...�z�J�:.!{.-,_..,G, Vr,t.1T__-_._...._.
(' teredZ
.........................................................................
....... . ..................................................... ........... ............. .......... ..........
...................................................... 0- .........
..._........ .... .......................`..................
BUILDING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OFCUPERTINO
To
.........................
.......--...----Z....�)...1. —'— --, 19670
You are hereby a horized to nect electric I service for
Owner or Tenant ........ ...... service
4�
At -............
.... ... ... ..... .....
No. of Wires ........................ Size of Wires of Switch —... .........
Motor Load -------------------------- Voltage . - —.... ........ Phase .......--
Heating Load - -- ------------------ K. XXI . . . . . ........ ........ Voltage ...... ... ..... .
Light...,e.O......... S,,ice Reconnect
No. of Meters............. ._
.. Heat...............- 22o...._...... hree Wire...... Move Servic
No. of Add. Meters.......--.
Power............... 9Pase.
ELECTRICAL INSPECT
Bldg. Dept.
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
Sewer Connection6`� 7�
Sanitary Permit No. ........... ... ____
Plumbing Final Plumbing Permit No �- ?,r
PAr-K ruaw Nvur
Lot No.,�I.-D�:...2..L
Owner or Tenant .. .1}R..THC..R----------- C)l f%...---- --- - ----
Tract ---
Date
-f -� .S .f`�.......1.. .xST lc�- Y� .L ..--...-.... ... ... ........._... -- ....
C!
Date Connected ..........
�.ryt--/--l. ------- I9--------....
Date Final ....._-----r..........fC>.--- -'(---ii--" - .�. J-
PLUMBING
_. ..... - ------- ....---.. 19! INSPECTOR
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
----------------------
------ -------------D-e.p-ar.t.mjt
Job Located at ✓---------1 ,2
............ ...............
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been maderthe inspector.
252-4505
Date:
City Telephone., Inspector: - ---------------- --------