NO PERMIT NUMBERJ
Lot No. 9
No. Street
APPLICATION FOR BUILDING PERMIT ('
CITY OF CUPERTINO
File No. 51le07.1
Sanitary No.
Date /G i.Y 196
Application is hereby made for a permit to
'O story, Type - f Z
to be occupied only as
in accordar6lwith Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ ci% DO C)
�9 °=
FEES Plan Check $ /1
Owner Address a�9� 0464 VLL�
Contr. V Address iy Ste+
Phone rJ S`7—/// O State License
Approved / v
APPLICATION FOR ELECTRICAL PERMIT
Date 196 7 FEE$ 's p
Contr. Address /�e_.
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date
i
� 7 196 �7 GAS FEE $
GD PLUMBING FEE $ `d7.3,4� �
Conter-ti.� Address -� `1� /l/
Phone -- a�s ' o`�/� State Liee nsa �k �57�9
Approved Zi�ce/</�—N
APPLICATION FOR APPLIANCE PERMIT
Data /0 119966 �'7 FEE$ ��' °z' S _
Contr, U Address /.36 S /
Phone — - iZd —0 �) 3 i V/- State License
��� �—c•�/ _
Applicants agree not to violate any of the Approved
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
7 n
FOUNDATION G' '�E 'C /
pDAT`E IN LGcCT R
UNDERFLOOR
DATECi OR
FRAME F[� U(J
/D ApTE I�S OR
LATH PLASTER 1— —O a w
OA Ep INSPECT R
FINAL ��U
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE
INSPECTOR
ROUGH WIRING J
DATE INSPECTOR
FINISH WIRING
DAT INSPECTOR
FIXTURES 4
DATE_ INSPECTOR
-�
MOTORS ��"
Z ' I %7ATE/ INSPECTOR
FINAL (/ /V�-
i�
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE ECTOR
PARTIAL ROUGH
DATE I PECTOR
ROUGH COMPLETE
p� DATE PECTOR
MAIN DRAIN —�O —
/D E INSPECTOR
GAS PIPING _
ATE NSPECTOR
FINAL L
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED t
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE PECTOR
p � 1
MI / - O I
GATE !, INSPECTOR
ROUTE SLIP
File No. 15-W 7-
Location Location G
Subject ,;--�
Notes
Approved-3-7 6
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......................... 19 Building Permit No,5-11971
The Building Located at // 3--------------
5o.-
----------
Owned by ..
(Completed)
--------------------------------------------- ......... X
-
Has Been ed
) For Use As: ..---.......--
------------------ ------------------------------------------
---------------------------------- --------- ---f
----------------- ------------------------------------------------------
------------------------------------------1� ------
-3—7-4 ---------------------- --------------
.................................... -----------------------------------I------- -------------------------------
------------------:----------------------------------------------
BUILDING INSPECTOR
102 12/66-IM
FFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
1 CITY OF CUPE•RTINO
_C:Z 'a. - 196 .
To
You are hereby a th rized to connect electrical service for
Owner or Tenant .... _
At ..._...�.�.�.. -�.._. .4.. . n
No. of Wires ......�........... Size of Wires ." ..:.�%.... Size of Switch
Motor Load .......................... Voltage ... ......... ................-. Phase
Heating Load --........ ........... K. W. ..__.............. ........._.. Voltage ............ ...... ......
_. .
Light....... I LU.. '.'. New Servicr..., A
_._......._._.
No. of Meters...................
Heat................ 220....._..._-Th�Wire ... ice..._._..
No.of Add. Meters............ ,�__
Power.._........._ Three hose. ter..._.,......
.
................... .... ...
.... ... ',.ELECTRICAL
i
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE copy
CITY OF CUPEERTINOry �y
.........................
....._..., 19C d:
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .....1 � ... _....':...G / fi° _....._........_.............................
C At /� 3.....GC. ...._ . . .:
New Service ..0 ...............
No. of Meters ../....._....... Reconnect .... .......................
fMove Service .......................
No. of Add. Meters ....._....... Move Meter ........................
it
PLUMBING INSPECTOR
Bldg. Dept,
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No. ....4�� .......
[g lumbmg Final Plumbing Permit No.——//01`/-
Lot No.
401-------- --------
Owner or Tenant .....02,
At
Tract ------
-------- -------------------------------
Date Connected ........................
Date Final -,-2
........ --------------------------------------- --
-- -------
------------- -- ----- ----
GVLUMB ING INSPECTOR
111 12/664M
ROUTE SLIP
I
File No. �,i/6 7,
Date Out
Date In
Location
2--
Subject.
n
Notes qnq -7i
Approved /6 /2d-/7
Vw
Da . Inspector