NO PERMIT NUMBER Lot No. O
No. Street 4V Wil
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. y'
` Sanitary No.
Date 196
A lice tion is hereby made for a permit to r
a .story, Type �/ Z L7
to be occupied only as
in accordance w' Plot Plan, Planes and Specification filed herewith,
Estimated Value of Improvements s ca oyd
FEE$ — ''ee ,s�� �� J Plan Check $ L
Ow r,erN,/!FO'Y�+"V Address 0( �
Contr. Address yy`
Phone7�f�. "'b State License
Approved J 1 i ✓//
APPLICATION FOR ELECTRICAL PERMIT
Date /6/ 196 6 FEE$ __ .22. 7O/
Contr. v'� Q"'"""� Address 1 d J-/�--�/ 2
Phone7_ `3 �' ,�,j— d- ..
- � � State License /)Z-f�
fL_ �
Approved =:21>�r-.� .
APPLICATION FOR PLUMBING & GAS PERMIT
Data s � 196 1" GAS FEE $
PLUMBING FEE $
Z
Cont,. -'v+•-�-eJL� 4 Address �
�
Phone ' .fSl�o State License
,Approved WILLIAM D. RFnIFtrt�w
APPLICATION FOR APPLIANCE PERMIT
Date �' 196 d' FEE$ �'�'
Contr. c-- o� Address `77 '9 Xla
Phone -�"6 O
`� State License // 0 )-
Approved
Approved WILLIAPA D. BENE:VIS
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
6 �' BUILDING F�. �Jt�"'wY- ��6�
FOUNDATION
GATE INS E TOR
UNDERFLOOR S 3-6
7- 9 -W DATE INS E TOR
FRAME
D/AT INS TOR
LAT PLASTER
p DATE INS E TOR
FINAL —� � —� I
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DA E INSPECTOR
ROUGH WIRING
pn
D T INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES LX
DATE INSPECTOR
MOTORS
DA / INSPECTOR
FINAL
DATE INSPECTOR
13-6 -- YMBING & GAS
UNDERGROUND
DATE NSPEC TOR
PARTIAL ROUGH _7
DAT�y," PECTOR
ROUGH COMPLETE 4-12-
MAIN
DATE SPECTOR
MAIN DRAIN
/ CTE INSPECTOR ,
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE r ,
INSPECTED
DATE INSPECTOR
MISC
DATEINSPECTOR
MISC
� Q ECTOR
MISC �DZ
_ DATE INSPECTOR '-"�
1 � _
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .l...... r -/....................,aa19-ppr:.:.i . Building'.PerQm�it[No..3-�t� -
The Building Located � -------l. .L...L... ...exp Zoa—/�`.4.�.: r..............
Owned b _ �..�f_..:::}. I` ...ht/`-...�:.................ti •." -a---- �-- )-
y .....
Has Been (
} 1
(Altered)) e- --
For Use As: .._--... ... ----.�`-----------------------------------------------------
...----------------------------------
. .........................---....._............. ,
- �• .......- .................---....
............._----..........-----...........................--- -
-- .. �,..
.....................................------------.......----------
BUILDING INSPECTOR
102 12/66-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE,
CITY OP CUPERTINO
196 '
......_._..................._........_ - ..___......, ...0.(�
To
You are hereby auth rize to connect ele triEal service for
Owner or Tenant ......._._ ... ...:`. 1'" "W
._...-` ..... ....`^'J L4.......... ...................._ ..
lgCA
No. of Wires ...........:_..-------- Size of Wires ..... ..............T Size of Switch
Motor Load .......................... Voltage Phnse
Heating Load ...._.................. K. W/................
�_............._ voltage ...__....... ... ........
111
No. of Meters... Light......!...... lltl._.-.... N -Service.....
econnect.................
........t......
Heat................. 2?0...... .L
Wir ..... Move Servic.........
No.of Add. Meters............
Power....'.......... P Se_.. _. ...._ Move Meter......
. _
ELEC ILICAL INSPECT
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTI��O
.... 196.0p�
...............-...... .......
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .....
.... . ........I....... .............. ..................
At 4�-
New Service .......................
No. of Meters ...//........... Reconnect .............................
Move Service
.......................
No. of Add. Meters .............. Move Meter ........................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
n Sewer Connection Sanitary Permit No. ......
Er--plumbing Final Plumbing Permit
Lot No. ------
----------------------
Owner
----- ------- ----
Owner or Tenant
At ...
----------
-------------------------------------------------------------
Tract ...........
------------
----------------------------------------------------------------
DateConnected .................................. -----------------------------------------------------------
Date Final 196<4
---------------------
,;.,A� -
PLUMBING INSPECTOR
111 12/664M
ROUTE SLIP
File
Date Y P
Location
z
Subject l:77-�-
Notes
Approved
Date -Insptitor