NO PERMIT NUMBER (3) a 3 I ajz/E C�u/L.; Lot No.
No. Street
(CATION FOR BUILDING PERMIT
Vf�e� TY OF CUPERTINO
b�r����VVV File No..S/o7-3
JUL 9 1964
Sanitary No. 165
Date e uAmN. o .
' Application ishereby made for a permit to •�
E2EG% a story. Type
to 6e occupied only as SF' DuiL.
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Va luw of Improvements $ �000
Oo
FEES 2ay- Plan Check S
Dwr.er I ES�F� 'Oe ✓. �• Address S/0 /L
p� �fe
Contr. a�119/!FE Address
Phone / d S� State Licensed
Approved
/9
0
fd. D ` APPLuIFOR ELECTRICAL PERMIT
� t ppAr
Date 161 r FEES �O.
Contrrs - Address
.Phone 7 HN State
Llce
Vp�(iin Approved
JUL `�I�yl)9 R U
n� . BING b GAS PERMIT So
Date '-' `'-'7196 GAS FEE $ /
' � PLUMBING FEF s -/
CITY 0f@ fC�.lp��[h1"�f1
Contr. 390 The Alameda:.SantaClara Addre„
Phone 29 /i. State Licens
nn':: Approved'
'DEC UALUFOR APPLIANCE PERlij
Date `'_ 196 FEES
^
Contr. 'T�iIIjFI Address •r/ �r�^+-v✓
Phone �/ �r/ 21 State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
r
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
to actor
FRAME
Daley a for
LAT PLASTER d
_ DXj pecfor
FINAL
Data In•Dactar
ELECTRICAL
,OUTLETS p0 f}w
SERVICE SIZE
SWITCHES 3 3 Zo UNDERGROUND
Z ote Inspector
RECEPTACLES ZD ROUGH WIRING
Date Inspector
FIXTURES Z� 7o FINISH WIRING
a Q 2 Date Inspector
H.P. CHARG — FIXTURES
Se 62 v I C F Date Inspector
PERMIT FEE I. Motors
TOTAL FEES g CO)6 FINAL ..
D to for
Date Inspector
PLUMBING & GAS.
MAIN DRAIN SIZE MATERIAL T
STORM DRAIN SIZE tTEERR'llAA
L
ttl..
WATER SYSTEM SIZE � L
TOTALFIXTURES UNDERGROUND
eo
FIXTURE FEE PARTIAL ROUGH
00 Oatp4 pector
MAIN DRAIN FEE ROUGH COMPLETig" a
Dee /
STORM DRAIN FEE MAIN DRAIN 0
o a a
WATER SYSTEM FEE GAS PIPING
�� S
TO Date
GAS PIPING FEE ,� FINAL -I'' ' S
00 Data •pecfor.
PERMIT FEE MISC
ate
TOTAL
n•pec for
TOTAL FEE 7 MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS 10 -�
BLOWER FURNACES:'' COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE � �--
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector
_Date /— 7 19 �S I
inspection
Location .Lo/ 62
File #
i
Inspey;tor
Z,%d �Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ....41. ......
a4innabing Final Plumbing Permit No. ........
t0. ........C
............
Owner or Tenant .......... . . .......... .... .... .... ... ..... .......(.Q. .......�.........
Ir
At ....... ......... % ....... .................
Tract .........................................M ........ ... ... ....4................................
Date Connected ............................42-n.l... .... ..................... .. .... ................. 19.(C:Itk ..
Date Final .....................................L—.1.... ..... ..... . ..... . .................. lAev
.. .. ............. . ... .... ........
PLUMBING INSPECTOR
III 7/63-IM
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... ....................................... 19.0 r......// B'allding Permit N�lo✓1"e)7-2
The Building Located at ��� '...( %f/feC} 'G .... T..........................
Owned by .....11.::!�w A�....fi�!*�fc„_ .: f?f.!l. .."a. ..
(CAmp ')>
Has BeenC leted, U : :/ r l+�J/...................... ......................
(Altered) For Use As: ......
.................................................................................................................................................
.................................................................................................................................................
......................................................................................
..........
.............................
........~ .... /r���
102 1/63.300
ft BUILDING'INSPECI'OR
-!
OFFICE C6PY "
(0-;,o
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
I
CITY OF CUPERTINO Q
...-.....-....... ....... /T- ..........--- ------- 196.....7
To
;.You are hereby author' ed to conned electrical se ' e for /�
Owner or Tenant ......0�' .... ... ..... 40.........................
At ..E,?e�3.9. .-... . .... ......:.................................
No. of Wires ..V............. Size of Wires . ........... Size of Switch AWA'
Motor Load .......................... Voltage ................................. Phase ................................--
HeatingLoad ........................ K. W. .................................. Voltage ................................
i Light............... 110.....r<lNew Service..'....... Reconnect..................
No. of Meters...............
Heat................. 220... Three Wire............--.. Move Service............
No. of Add. Meters............
Power............... ree P se................ Move Meter..............
I� ......... -. ... .....:...............................
TR .
ELE ICAL INSPECTOR.
104 7/63-500
GAS SERVICE NOTICE OFFICE
w �?
BUILDING INSPECTOR'S OFFICE COPY
� CITY OF CUPERTINO
To O
....................../. .........................., 19
You are hereby authorized to conned the GAS service for
Owner or Tenant ...sCSG(G .... .�
At .. ....... .... . . . . . ..... ........................�................
/ New Service ..........................
No. of Meters ...r................ Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
......... ;iVTLumRTm
G INSPECTOR