NO PERMIT NUMBER .. C. •a--air P. 4 ,
`
A 5°o 7 `/ ^T+1 �/�
$—No �7��.�CX�. /��G.-iY Lot No. 5-3—
No.
. Street 1
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.�.tir/601 d/
Sanitary No. J ZF47
Do to
196
Ap Vicat' is hereby made for a permit to
a story, Type 4 47to be occupied only as
in accordant w th Plot Plan, Plans and Specification filed herewith,
Estimoted Value of Improvements $ .2 7,,
FEES j 6 Plan Check S
Owner Address
Cont,, CAddress - Tc
a
Phone 'e State License S' --
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 3/ 196 FEES
Contr. L% l -e_.:_�- - - Address LL9__-I� ��-
Phone State Lice nso /:2 7_3 9
Approved - i'1_
APPLICATION.FOR PLUMBING & GAS PERMIT c —
Date 3 f 196 1 GAS FEE $ J� J
/ n^ 1 2&,;,A
/^}�/��� PLUMBING FEE $ — 07 J ?) _
Contr. �.. X. � lT'�Address �S7 C J-t-0-4L..J
Phone a 9 3—.S-0 -7 7 State License _a3 d 93
Approved
APPLICATION FOR APPLIANCE PERMIT —
Data /t'3 196 n / FEES /p�13 O"D
Contr. ss _�� —0-'y
Phone /�� o�"fi o ,Y I" // 0or-
Applicants
State License
/
App lfcants agree not to violate any of the Approved _,�C/ �a<
Workman's Compensation Laws of the
)'tate of California
RECORD OF INSPECTION APPROVALS
/ BUILDING
FOUNDATION
^/�^qE INSPE OR
UNDERFLOOR ffLLYY
DgTpE INS P R
FRAME' �— `E e
DATE INSPE R
(::LATH PLASTER �l
pDATE INSP CTOR
FINAL ^ 6 0
INSPECTOR
�NLJ/CI
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
_ _T�j ('� INSPECTOR
ROUGH WIRING /\OYv
DAT INSPECTOR
FINISH WIRING ~~
AT INSPECTOR INSPECTOR
FIXTURES
`-- DATE INSPECTOR
MOTORS
DAT�(y INSPECTOR
FINAL
"DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE TOR
PARTIAL ROUGH "-�
�0 TOR
ROUGH COMPLETE —
DATE CTOR
MAIN DRAIN— - CTOR
GAS PIPING u �2 �TE
E ECTOR
FINAL ✓/
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC INSPECTOR
DATE
APPLIANCE
INSPECTED
DATE wsPECTOR
5`
MISC INSPECTOR
DgTEi
MISC PECTOR
_ �-
DATE
MISC.
'�� DATE INSPECTOR
41
ROUTE SLIP
File Not001' 2,
Date Out/—q—�
Date In
Location.
s�
Subjeot
Notes
Approved
Date. Insp;cto_
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...
..................................... 19............ Building Permit No.-5./()U
The Building Located at
e..............
Owned by ... * �t .Jre....................................(....00...........;
Has Been (Completed) For Use As: fZ L)
(Ab=djr- . .....................................................................
............... ............. ......................................................
................................................
......................... r9tifev...... !FFF77....
t
... ............................
............
....................................................................................... ....................
.........................................................................
102 1/63-500 BUILDING INSPECrOR
CE" COPY
ELECTRIC SERVICE NOTICE
i� BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO t
y...... 196 _.
To
You are hereby ut n d o nn el rical crbr 'ce fo
Owner or Tenant ....................... ... ............................ ...................
�
No. of Wires .. ............... Size of Wires . b.......... Size of Switcf� y^�-.r'!'......
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
1 No. of Meter;....... Irhtfu0..✓.... New Servim_ ..... Reconnect..................
��!
Heat................. 220....... y- ee W' ............ Move Service............
No.of Add. Meters............ /��J e
Power............... ase..... ........ Move Meter..............
................ ...... ........... ... .
ELECTRICAL INSPECTOR
rI GAS SERVICE NOTICE 0HICY:
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
To ........I.... .7.-m�... .....-................. 196,?
You are hereby authorized to connect the GAS service for
Owner or Tenant ...
At
..............-
New Service-1
No. of Meters ... Reconnect ................... ......
Move Service ........................
No. of Add. Meters . ....... Move Meter ............
PLUMBING INSPECTOR
Bldg. pep[.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
M Sewer Connection Sanitary Permit No.
R*�Plumbing Final Plumbing Permit
Lot No. .....J� Jam. -
Owner
o- ------
Owner or Tenant /5 C.
---6-1116�47------------------------------------------------------
At
------- ----
_-------------------------------------
- - --- ----- - - - --------
Tract --------
.. ................. .............................................---------------------
Date Connected ------------- ( �; / al
-----------------**..............................
Date Final ................
--------------- - - ----------------------------
-7?� -4�7
....... ..... -------------------
PLUMBING INSPECTOR
111 12/66-IM