NO PERMIT NUMBER (2) to *6'a 71 �! 41, Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO c
File No.
-/ Sanitary No.
Do to 196 -,7—
Application is
96 -,7—
AAppplicationis hereby made for a permit to �7+
a ------/--,- story, e s = V
to be occupied only as
7
in accordant(lwith Plot Plan, Plans Specification filed her ith,
Estimated Value•'of Improvements $ - d, V Q G ��-
p r
FEE$ �J e) Plan Check $
Owr.er Address 911
Contr. p - Address
Phone ��Q �id��� State License --.Zp
2 Approved ��� _- s=��!•� /.
\ ( ,
_ D /
W
7 APPLICATION FOR ELECTRICAL PERMIT 8 0
�— FEE$ �
/q
Dote 2_- 196
Contr.X"--j L1 t ♦ . Address �.�9.L �`� ✓.t/tt� f;fes
Phone -��r�-.� 7 d d State License 15 73 S-7
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
/ o
Date -s 196 GAS FEE E ��
n /J PLUMBING FEE $ 3 d
Cont,. _ -�/���+'�+-.�G��+ Address llS-.V �♦tC.�c--e.�
Phone 3 - ,Y"d 7 '7 State License Z 13.f-
Approved
APPLICATION FOR APPLIANCE FGRI IT
Dote 196 FEE$ 7.5
Contr. 71 411 6"— J 11
Phone kJ2�!/ oP-6 Bs� State License
Approved
Applicants agree not to violate any of the
Workmen's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Sa /� actor
UNDERFLOOR b �
_ te - actor
FRAME
Dat pector
LAT PLASTER ""
Oa
FINAL ^
� od�0 C ,
7$a t9 c�� Inspector
ELECTRICAL
,OUTLETS eEiVICE SIZ
SWITCHES UNDERGROUND • 1
-pt!> n for
RECEPTACLES ROUGH WIRING
*in FIXTURES FINISH WIRING s pector
�
H.P, CHARGE FIXTURES spector
Inspector
PERMIT FEE Motors
T A L F6E INAL Inspector
I � /
Dora Inspector
MAIN D N SIZEIF) I MATERIAL
STORM SIZE I MATERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES �� °= UNDERGROUND
FIXTURE FEE PARTIAL ROUGH - D-
D to I r
MAIN DRAIN FEE �vi ROUGH COMPLETE
^Date / c or
STORM DRAIN FEE MAIN DRAIN C7-
Data spe ctor
WATER SYSTEM FEE / ' GAS PIPING 130
Date
GAS PIPING FEE si FINAL
Date ' Inspector
PERMIT FEE o�-� MISC
Z 'Date Inspector
TOTAL FEE � / � M_ ISC
Date Inspector
i
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS iS 3
of
BLOWER FURNACES � COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE o`7•-`=
FLOOR FURNACE TOTAL E � 7,
INSPECTED -1-2,21-eY __---
DateInspector
FA
r�z�
�Iv--
Vie.-�-�.�.(C��-<---�� �l�___.
:�
CERTIFICATE OF COMPLETION
BUILDING� INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....�7z----------9b.................... MO., Building Permit Ko.51ool, 2--
....................
The Building Located at .........
Ownedby .................W---------------------------------------------a
Has Been (Completed) For Use As: -4�f-()—---------------------------------------------------
(44W")
.........................................................................I........................................................................
....................................................................................... -------------....................................
---------------------------------------------------- ---------------------------- .......---------- ..........................
._------J .....................................
BUILDING INSPECTOR
102 12166-1M
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.........—..... U........ ..........-... 196.?
To
You are hereby authorized to connect the GAS service for
Owner or . ..........
At
. ..............-....
New Service ...............
No. of Meters .... ...... Reconnect ........ .....................
Move Service ..................
No. of Add. Meters ..... ....... Move Meter .......................
PLUMBING INSPECTOR
Brdg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ---------
Q--�,Imbing Final Plumbing Permit No.
LotNo. -------1 'f-----...--------
Owner
.7- ---- ----
Owner or Tenant ....
At ----
.. .. . ..n
-------------------------------
Tract ------------
Date Connected
---------------------- 19-47
Date Final Ape
------ .............
----------------
LUMBING INSPECTOR
111 12/66-1M
. OFFICE COPY -
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF PF.RTINO
, ._ ..._..........._...�."_�../... ............... 196 .
You are hereby auth ized o nn t electrical service f
Owner or Tenant ........_---:rO
At ........
.v. ...v-.7 . .....f.. a ? .....
No. of Wires ......+Z--- --- Size of Wires - ... Size of Switch �.U.� ......
"Motor Load ---------------------.--- Voltage .............. Phase -
Heating Load ... ..................- K. W. ...-..---..._...... ... Voltage
................................
No. of Meters
No.of MeteMrs.e......s.....:.-...........
Ligh.t................. I 10 .... New Sender ....... Reconnect................
Heat ..
220.._....._. Three re_ 0111 Service.....-....
Power............... Three Move Meter.-......-....
_ V
/�y�^ �1 - P.LECTRICAL INSPECT
5
ROUTE SLIP
File NoOO/• 2—
Date Out 9- 7- 4 7
Date In, -J-7p-6 7
Location
Subject .
Notes
Approved —6 7
Date Inspector