51167.1 J
RECORD OF INSPECTION APPROVA_LS�,.., Q
FOUNDATION — ?_ 67 BUILDINGJyY,a��((JJ��
G te/ Ins pe or
UNDERFLOOR C�
/. _ a^e pactor
FRAME
Dote Ins pe�t ppr
LAT & PLASTER _6 Cih.o
` qte L I s o
FINAL .0
Date Ins De c for
ELECTRICAL
,OUTLETS
SWITCHES UNDERGROUND
f I a SC, Inspec or
RECEPTACLES ROUGH WIRING
/ z ID�ta J ';)
FIXTURES FINISH WIRINGns pector_ �C
H.P. CHARGE Inspector
FIXTURES � Z I �-�� I
n^'
PERMIT FEE Motors Inspector'
-L_ I°�e( Inspector
TOTAL FEES FINAL C7
Date I Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND /
FIXTURE FEE PARTIAL ROUGH -�-(�
Doten or
MAIN DRAIN FEE ROUGH COMPLETE `C
Date for
STORM DRAIN FEE MAIN DRAIN
e
WATER SYSTEM FEE GAS PIPING Daror
Data I
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE � M_ ISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER ` PERMIT FEE
FLOOR FURNACE , -TOTAL FEE
i
INSPECTED
Dae '1 Inspector
Lot No. /O 3;1
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. `�—xla 7�
Sanitary No. A. O
Date 196
lication is hereby made for a permit to
9��
a story,
to he occupied only as
iVaccorda-illwith Plot plan, Plans a 6„
d Specification filed rewit
Estimated Value of Improvements $ �y 0 d C) do
FEE$ 'F0S a Plan Check $
Owrmr � �+�-t� Address �a 9 S" �i+•�•-a_
SC
Contr. Address
Phone rv�.<" 7'/// State License / 5-17 g
Approved ---
APPLICATION FOR ELECTRICAL PERMIT
Date 196 7 FEE$
Contr, Address
7-16
Phone / 3G �`S�� / State License 1,2- 2 L
., Approved ^B�"
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 7 GAS FEE $ �o
PLUMBING FEE $
Contr. ^"�"'J`�'"��'r Address /,22 "G ^7 T
Phone ��ts`ti? 3 3 State License �o ��(`y1r-�.1%
Approved ,7.4
APPLICATION FOR APPLIANCE PERMIT
Date 196 z FEES
Contr. l %�-st" ��"`'`-� .�?.'e'e''y� Address
Phone 37State License
Approved C(J�✓�.lZ.--w-c�,C��
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
CERTIFICATE OF, COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... --------------:' 194-7 Building Permit N0�7./
The Building. Located at XI;IjLd4a,
............ ------ ................ ......
Ownedby ------ ----- ----------------------------------------------------
-
Has Been (Complete )
For Use As: ----
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----------- - -------------- -------------- -------------------------- --------------------
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BUILDING INSPECTOR
102 12/66-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
t
01 . ...._............... .... .... , 1967.
To
You are.hereby 4ori�, to m ect electrical service for
Owner or Tenant . - - . . . - .. ........._.. .. .......... .. .. ......_._ . ..
At
No. of Wires. .:._-zz— .----- Size of Wires ..�.�..... ... Size of Switch+�.p.. :...
otor Load ........... .............. Voltage ._.............._._.......... Phase ............._... ....... _.
I. +#'Heating Load ........ ............... K. \Xr. ._..........-...........-........ Voltage .
................_......_.... .
No. of Meters.......
Light....: .. 110...'� ew�NSen-ice... ....... Keconnect......_........
�........... ,- ,
Heat......_..... 220.......... hree e.... ......_ Move Service..........
i No.of Add. Meters............
Power............... hree aze.... .. ..... Move ter..............
„ ELECTRICAL "",c
Oq
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY'
CITY OF CUPERTINO
. ... .......... 19
................/a -1 .. 6,7
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
........... ...... ...........
At j/1 _.
New Service .........
No. of Meters Reconnect ...... ......
Move Service .... ...... ...........
No. of Add. Meters ....... Move Meter ....I..................
PLUMBING
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ........
[�lSlumbw* g Final Plumbing Permit No.--s-114gzz-.
Let No. -------------
Owner or Tenant ......pe-
At
--------------------------------------------
Tract -------
Date Connected ---------------------------
-- -- -----------------------------------------------------------
DateFinal -------------------------------"i9:2ZZ2---------------- ------------------------------------- 19j;�7
( ;e�,, t --
---—------- --------------
------------
PLUMBING INSPECTOR
111 12/66-IM
ROUTE SLIP
File No.
• Date Out i
Date In
Location
Subjec-t, � �Q
Notes �J [fpz • 7
Approved ' q/ - 6
Dat d Inspector