NO PERMIT NUMBER20440 I TOWN CENTER LANE ILut No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51027.7
�-
. Sonita ry No. 4604
Date 001 - 2l 1965
Application is hereby made for a permit to
Erect a 1 story. Type 5-F-2-1Hr.
to he occupied only as Frnf aS,�DY� aj Offi nes
,
-in accordance with Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements ' $ 4-j,Coo. oo
FEE$ 12'1.00 Plan Check $ (,Creevan
owner Chrisman Homes, Inc. Address 654 Georgia Ave P.A.
Contr.
Address
Phone DA 5-9168 20=6'706
State License
3/ 4
Approved _ 'J.A. Busto/h
APPLICATION FOR ELECTRICAL PERMIT
Date � �'� 96 - FEE$ � ,
jx\Conir. Address
Phone - 310 �'b�i. 1. State License.
"/4ARPLICATION FOR PLUMBING &GAS PERMIT
Date 7 196 G GAS FEE $
PLUMBING FEE $/
Contr. _ t���, �2Y O-G� o� �. C
r' Address p�
Phone - L.�% a - 9s�A State License (� �,20 Z 7 KO
Approved
AP/PLICATION FOR APPLIANCE PERMIT,
196 (n "" FEE$ ""
Contr.'- ZL�-✓y�(i'�ln..t % 6C ddress -' /.i-/ i`4
p
Phone - ci 7`j6State License
Applicants agree not to uiola'te any of the
Workman's Compensation Laws of the
State, of California
Approved
I
REf:a,R,D_OF INSPECTION
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APPROVAL5
BUILDING
ELECTUEAL /:f-Y-`6dv's-Q /
Date
UNITS
UNDERFLOOR
SIZE
SWITCHES
LibiTERIAL
Date
F E
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UGH WIRING
- LA PLASTER
ate
{
S
FINAL
•"Date. -moi/
`
H.P. CHARGE
Inspector �.
Inspector
Inspector
(
/
ELECTUEAL /:f-Y-`6dv's-Q /
,OUTLETS
UNITS
�
SERVICE SIZE
SIZE
SWITCHES
LibiTERIAL
UNDERGROUND
RECEPTACLES
Z.
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UGH WIRING
Inspector
FIXTURES
S
INISH WIRING
Jns actor
Xl1
`
H.P. CHARGE
�r
IXTURES
ns ctor
PARTIAL ROUGH 0 (mob
GAS RANGE
Date
Inspector
PERMIT FEE
—
Motors
STORM DRAIN FEE
MAIN DRAIN
WATER SYSTEM FEE
patter
TOTAL FEES
FINAL
:��3rq
,GAS PIPING FEE
��
c Datee rr
Inspector
biv
Date Inspector
PLUMBING & GAS. -
MAIN DRAIN
I SIZE
I
I MATERIAL
UNITS
STORM DRAINpi/G...�
SIZE
I
LibiTERIAL
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
WATER S STEM SIZE
TER
TOTAL FIXTURES ,30
aS_�
N ERGR UND 3e//
FIXTURE FEE
PARTIAL ROUGH 0 (mob
GAS RANGE
Data nspector
MAIN DRAIN FEE
ROUGH COMPLETE
STORM DRAIN FEE
MAIN DRAIN
WATER SYSTEM FEE
�
-
Dole
G SPI NG L
i
m
:��3rq
,GAS PIPING FEE
��
L
a N
Date Inspector
PERMIT FEE
MISC
Date Inspector
TOTAL FEE
� —
MISC
vale inspeCTor
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
SUSPENDED UNI •A
%
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT E •`
a'O�
FLOOR FURNACE
TOTAL E
INSPECTED ��� b l
Date _ Ins Doctor
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection
�umbing Final
Owner or Tenant ....
At ._..Q.L�..
Tract
Bldg. Dept
Office Copy
Sanitary Permit No.:_ �4a.�.j .........
Plumbing Permit No. 6 -'..!PX 7-.•..7.
Date Connected ......................... !....1._p...- ..-----.--......._..---------............ 19_4�4=
Date Final........................-'....._�..- --- ._
--t--. ...c. -
...........----........ 19-.L(=
PLUMBING INS E OR
111 7/63-1M
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14
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GAS *SERVICE NOTICE OFFIC:
BUILDING INSPECTOR'S OFFICE COP)'
CITY OF CUPERTINO
4) r%
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196c
are
Owner or Tenant
A,, .. .��Z-4-u
No. of Meters ........
to connect the GAS sKn,ice for
No. of Add. Meters ..............
New Service
Reconnect .... . ........... ...
overvice ... ....................
Se
WING INS
PE
PE 0 Meter ................
M
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. J��tl 4n
• OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINOZ yypp
�n ..... .:.....1 ................. 196 -
You are hereby atfhori4ed%to connect electrical slrvfe for
I. Owner or TgQant .................. ...........................
At...........�......�.....................
No. of Wires ..... a,..
--------- Size of WirYsx. ---- ..Msmof SwiA;
Motor Load -------------
------------ Voltage ................................
Phase ..................................
HeatingLoad ........................
K.W . ..................................
Voltage
• I
. + .. -No. of Meters .....
t.�
..
U.
I1
w
Reconnect ....................-.
No. of Add. Meter.s........
HLeBaht..
.220...........
................
re Wire..Move
Service ............/e
.......
...............
ePower
Thr l_..
Move Ater .........
..........................................
ELECTRICAL
v
OWNER:
CITY QAP
-E LECTR I CAL
...........................
SERVICE
Fee:
zvb
... .... ..... n
>IcLOT: - .....--L
---------------------------
------------- --
REASON:
The undersigned agrees to be responsible for the electrical servi c a the a ove location,
until the b ilding is rea for occupancy, and is released by the Building Department,
City 0 7p ?I
v INSPECTOR
1/63-500
Lj (2
TENANT OR OWNER
Ack V'RY 'GAS SERVICE
GAS
........ Fee:
----------
uu
AT:
------ --- - ---- ------------ ---------
LOT: A7A-
REASON: .........
The undersigned agrees to be responsible gas is at above location,
until the building is ready for occupancy, and is released t -Building Department,
City of Cupertino.
..... .... n, -- ---------
ct AJ% pl� o n --- C . . . ........................
46 ----------------------------------------- ............ . ........................ :.-- zv-Le-/ n- ...
117 1/63-500 INSPECTOR TENANT OR OWNER
Loca
'ROUTE SLIP
File No. •S/n��
Date Out_/cp
Date In
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Notes %.F41W 06'e-'a�
Approved /0
Date Insp;ctor
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I AGREE I WILL NOT VIOLATE ANY OF THE WORKMENS
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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