NO PERMIT NUMBER Lot No.
No. 5treet
APPLICATION FOR BUILD G PERMIT
CITY OF C R
1File No.
/ ry No.
Date 196
Appl c i n ' h e mate for a to
a sto Type
to be necupied'only �
in c do ce with Ian, plans and Specification filed herewith,
L
Est' ted V L�q of Improvements $
FEE$ Plan Check $
Owner Address
C ontr. Address
Phone State License
Approved
��N gN ( R ELECTRICAL PERMIT
Date 196 7�a 4 '' FEE$ /
Cant r, ,^€� Address 10(/
Phone �.S State License _
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the -
State of California -
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Ins pe ctor
LATH & PLASTER
Date Inspector
FINAL
Date Ins as c tar
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGR
Date Inspector
RECEPTACLES/ � ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
s pector
H.P. CH RGE 7 FIXTURES
A Date Inspector
PERMIT FEE � Motors
�s �a or
TOTAL FEES FINAL 1100 A�j
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LA,4TERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE - GAS PIPING
Date Inspector
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
INSPECTED
Date Inspector
OFFICE COPY '
I
L,-y ELECTRIC -SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO /
1�
TQ- A "00 I ou are hereby authorized to connect electrical s rvic for
I' .
Owner or Tenant .............,. .` Q.�.S.!?...... . -... 2A-
...
No. of Wires .......---. Size of ii ............ � .... .....
N t es ��....W. .. . �..... Size..............................................
of Switch.....................
�00/'T
.................
MotorLoad .......................... Voltage ................................ Phase
Heating Load ...... K. W. .................................. Voltage ................................
Light............... 110............ New Service....!....... Reconnect..................
No. of Meters.................. _ ,
Heat.. 220..........ATee K"",
. .... Dlove Service............
No.of Add.Meters............ Power....... P ... .. Move Meter..............
..._ . ............................. .. ............ ...
ELECTRICAL INSP OR
104 7/63-500
loj •� / ' • Lot No.
No. Str
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO S'i CIO 41
File No
psi
nitary No.
Date 196 4"0001
Applicata is ereby made for a permit to
a story, Type
to be occupied only as
in accordance with Plot plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEE$ Plan Check $
Owner % �./ Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr, Address
Phone State License
® Approved
PI0VAIIQNfje4 PING a GAS PERMIT
Date 196 GAS FEE E - ,r
1TY AC /�l'QL` 71 PLUMBING FEE $
Cont,. 17� /(L Address 02 1l Q`t
Phone 0 State License '—�� / T�
u�
Approved WLLIAM n r'F'AIEV161�
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Do to Inspector
LATH & PLASTER
Date Inspector
FINAL
Date Insoectar
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Data Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING_
� H.P. CHARGE FIXTURES Date Inspector
Date Inspector
PERMIT FEE Motors
__ Date Inspector
TOTAL FEES FINAL
Data Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN ' SIZE I low4TERIAL 11
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do td Inspector
STORM DRAIN FEE MAIN DRAIN
Dat I or
WATER SYSTEM FEE GAS PIPING — O'
Date Inspector
GAS PIPING FEE .4 a FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
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
INSPECTED
Dote Inspector
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........._..---....��.-.�Q......_..................... 19G..�
To
You are hereby authorized to connect the GAS service for
Owner or Tenant �/C .. .......... .. ...... ....:
At . .......
.....
.. ... ......................................................
..... . ......................................................
New Service ................
No. of Meters ..../.............. Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
.............................................
PLUMBING INSPECTOR
r
t
Lot No.
No. Scree
A LICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File NjFlaO
Sanitary No.
Date 196
Applica n is her b ade f a p it to
a story, Type
to he occupied only as
in ac rda .e with plot Ann, Plans and Specification filed herewith,
Estimate Value of Improvements $
FEES Plan Check $
Owner `�• Address
j Contr- Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dote 196 FEES
Contr. Address
Phone State License
Approved
K cA*i10��8R BING & GAS PERMIT
Date GAS FEE $
CITY OF PLUMBING FEE $
/. r
Cont', p e3�/ �f/•) p�
Phone /CP f 9� 7 State License 01c) 7 9 PO
11APProved /A� • �.
APPLICATION FOR APPLIANCES PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
y.
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Ins pe ctor
LATH.& PLASTER
Date Inspector
FINAL
Date Insoector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Dote Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Data Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE LLATERIAL
WATER SYSTEM SIZE 14ATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do td Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
ata r
GAS PIPING FEE FINAL —�
A6•Go Data Inspector
PERMIT FEE ISC
Date Inspector
TOTAL FEE MISC
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 '�
INSPECTED
Date .Inspector