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NO PERMIT NUMBER (2) a.2 / / I a-4-1 Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. Sanitary No. Date 3 196 pplication is hereby made for a permit to story, Type— to be occupied only as in accordance with plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ a Q dlaz FEES �rq3 Plan Check $ Owner s s _- Contr. .� / !j Address Phone �°�/ State License Approved APPLICATION FOR ELECTRICAL PERMIT p w Date 6 196 FEE$ V Gemtr. Address Phone - =s�' s� `� State Liceese � Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 1% FEE$ Contr. "' - -1 Address ft 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 Data Inspector UNDERFLOOR Date Inspector FRAME Date Inspector LATH 8 PLASTER ' D to Ins ctor FINAL _ Dote Ins oe ctor ELECTRICAL ,OUTLETS A SERVICE SI SWITCHES UNDERGROUND Dot Inspector RECEPTACLES ROUGH WIRIN ' Doto Inspector FIXTURES (RING Date Inspector H.P. CHARGE FI Date Inspector PERMIT FEE Motors Date Inspector TOTAL FEES Q FINAL Data Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL 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 Data Inspector 21691 COLUMBUS AVE. Lot No. 20 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. ql 1 67 Sanitary No. 481 Date AUg• 24 196 6 Application is hereby made for a permit to Cnnct.r t01-, a P story, Type T .T to be occupied only as Single Family Dwelling in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ 28,000.00 FEE$ R5 5^ Plan Check $ D,•r,•er Ditz-CraneAddress Box 509, S• J• Cont,. Address Phone 297-9544 151791 State License 257-1110 Approved W.D. Benevich/h APPLICATION FOR ELECTRICAL PERMIT Dote Vaz,2 .1966 FEE$ contr. t �4"`-�-�� Address Phone 7-366 State License Approved �� APPLICATION/FOR PLUMBING & GAS PERMIT Date �`� 196 b GAS FEE $ �7 Q PLUMBING FEE $ to Cantr. /Y-�✓" Address Z Y Phone �.$ ^� 3 State License Approved a APP (CATION FOR APPLIANCE P MIT S� Date A •'?� 1% FEE$ -�• Contr: ��i "`^moi• - Address T<. / Phone ��- 0 9,3�0�`33 State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSP TION AAAPPROVALS FOUNDATION " — e / pettor UNDERFLOOR D p spe ctor FRAME it Clar ns pector LATH PLASTER p Spector FINAL Date Insoector ELECTRICAL ,OUTLETS G SERVICE SI SWITCHES UNDERGROUND I e OP /_ Inspector RECEPTACLES ! ROUGH WIRING 1� ' 1 Gate Inspector FIXTURES / FINISH WIRING ' V G S ate Inspector H.P. CHARGE FIXTURES % D3SL10 Inspector PERMIT FEE Motors � 7 /Dote Inspector TOTAL FEES FINAL V Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date r MAIN DRAIN FEE 62-a— ROUGH COMPLET O• Dat¢ I STORM DRAIN FEE MAIN DRAIN pyte or WATER SYSTEM FEE �� GAS PIPING Date for GAS PIPING FEE FINAL Date Inspector PERMIT FEE a' MISC Date Inspector TOTAL FEE (o°= MISC Date Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES / COMBUSTION VENT d 2-0-0 SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE '2 d� FLOOR FURNACE / TOTAL FEE - 7 INSPECTED "VBG _ Data Inspector -A ROUTE SLIP �- File No, Date Out Date In LocaDion Notes Approved Date Inspector CERTIFICATE OF ' COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Date ...... ................... .... 19... Building Permit No. ._................... The Building Located at '`C, �,-;..;.p .......................... Ownedby ......... S— ........................ ........................... (Conapleted5 Has B For Use As: ........z4t Been (Altered) ................................................................................................................................................. ............................................................................................................................................... ............................................................................................. ............................................... .......... P��elle........................................... BUILDING INSPECTOR 1102 1/63-500 --Bldg. Dept Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO F� Sewer Connection Sanitary Permit No. ................ Plumbing Final Plumbing Permit Noj*_//4a............ Lot No. ..6;2ek.................... Owner or Tenant ... ..Z� . ...... At _4�.............................................. Tract .............. . . . ...... . .. ... --------------------------------------------------- .......................... Date Connected ........................../-/-....---------------51 - - Date Final ........................1/=,nig? Fes'...................... Ill 7/63.1M 4�� PLUMBING INSPECTOR ROUTE, SLIP File No . S// �r 7 Date Outer a y Date In Location DLa �O Sub,jeot Notes /approved / Z. /Dat6 Insp;c _or L WORARY. GAS SERVICE ::71 . .�.... .. ...... ......... . ,t. =�....... .... .. OWNER: .. e- ....................................................... CITY 0FAq'U.PQ ...1. .... .. : .. ..... . LOT: ................ REASON: The undersigned agrees to be responsible for the gas service at the above location, until the building is ready for occupancy, and is released by the Building Department, City of Cupertino. Phone .... 1171/63-500 TENANT��4 OWNER T`E PORA�RY ��ELE-C'TRICAL S RVICE —� .... ..... �......... ... ----.-.. . ........... .. G1566 ' OWNER ... .. .. .... (_ cY.. ....... ............. .... .. .... 6 CITY OF WPHC �W.-1/-...... ........... r LOT .............. 1^• a 'RhAS©N ...........................:................................................................... The undersigned•agrees to be responsible.for the electrical service at the above location, unti tl e�'building is ready foc'oEcupancy, and is released by the Building Department, Cif .. t "of Gupertiho.` . Phone ... .�?....L.. -��/..V ........ OR TENANT O OWNER q'!«1116 1/63"500 Y. GAS SERVICE NOTICE OFFIY CE COP BUILDNG INSPECTOR'S OFFICE CITY OF CUPERTINO �v -.....-...... ...... ....... .......... 1964�. To You are hereby authorized to connect the GAS service for Owneror Tenant ... ;.. ...-.................................... ......... At .. .. ...... . ....... New Service ........ No. of Meters ..... Reconnect ............. ......... Move Service No. of Add. Meters ..... Move Meter ......... ........ PLUMBING INSPECTOR OFFICE COPY ELECTRIC SERVICE NOTICE 'Z.O BUILDI'N' G INSPECTOR'S OFFICE CITY OF CUPERTINO it............................................... . . 196...... TO You are hereby a i ed' o n electrical service for Owner or Tenant .................;. .... ..... . ..... At -C>?..t..69......I... .......... .. .. ...... ZC ......Z...................... No. of Wires ........................ Size of Wires ......... ....... Size of Swirl ....... Motor Load .......................... Voltage .............. ................. Phase ....................--........... Heating Load .... .................. K. W. ..".............................. Voltage .............................. No. of Meters..........!......... Light............... 110........ ew mi .... .......... Reconnect.................. Heat..... .. 220........... hWire. . ........... Move Service............ No. ........... Powe Move Meters............� Powe . ........... ........ Move eter.............. ............... ................:. . ..... ........... ................... HLECrMCAL IN zz � AGREE % &S'3T; THE OF N / �a n } \ / \ \ \ \ \ ��. 0 7 !§ \ {\| 7 �2 E3 to y \ {} \ ƒ } \ ) 0 m > § § /\ } [° § ; 2 / � ; » ° ° § _ � ? 50 \ k / = G �� t