NO PERMIT NUMBER (2)/ 2 I `^'T . Lot No. O
No. Street 1131-.119
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. %fl 0
Sanitary No. `r G
Dote ,�� 196
to be occupied only as
is hereby made for a permit to
a A--2- story, Type. S Z \/
in accor6Kce with plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ CSO.
FEES X53=
Owner
Cont'.
Phone e2.S %'/// O
/0/7/7 ltf
Plan Check $
Address P?d-94- s^'ct 4 l-LA� Af
Address
State License '-17 9/
Approved &Z�-7L �
APPLICATION FOR ELECTRICAL PERMIT
Date 196-7
Contr.
Phone t73b
FEES
Address
State License , %�(�a���
Approved /Nl �p`�' [
APPLICATION FOR PLUMBING & GAS PERMIT
Date� 1967
GAS FEE $
PLUMBING FEE
$o�G.
�/✓��/
Contr. ���� �/`
l
Address,'5 y
Phone .2 �� 13 L-3
State License I
L�a- :s 79
/I
Approved
APPLICATION FOR
L///
APPLIANCE PERMIT t
/L r S
Date 196 7
FEES
Contr,
Address
Phone _9,7k_9,7kL�a - G) 3^'
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 —2 -( 6 % BUILDING
Do e
UNDERFLOOR
Dote 6t7 7
FRA E ^
Dat
ATH PLASTER
� FINAL
—27 Lao
Date
ELECTRICAL
Ins nectar
UNDERGROUNDf V ' rE-
Da rr
Inspector
OUTLETS
TOTAL FIXTURES
FEE
SWITCHES
_ P� K
Ins czar
RECEPTACLES
c e
Inspector
FIXTURES
-
H.P. CHARGE
�-
Inspector
PERMIT FEE
STORM DRAIN FEE
TOTAL FEES
— 4 •'TI
Inspector
ELECTRICAL
Ins nectar
UNDERGROUNDf V ' rE-
I o - v1 - L-7 Qc ELUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
Da rr
Inspector
ROUGH WIRING
TOTAL FIXTURES
FEE
FINISH WIRING
_ P� K
Ins czar
PARTIAL ROUG -rl-
c e
Inspector
FIXTURES
-
ROUGH COMPLET - /-L
�-
Inspector
Motors
STORM DRAIN FEE
MAIN DRAIN --,�-a
— 4 •'TI
Inspector
FINAL
_C,,
GAS PIPING
Date I-
Inspector
I o - v1 - L-7 Qc ELUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM
SIZE
TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
FEE
UNDERGROUND
FIXTURE FEE
PARTIAL ROUG -rl-
Date n
MAIN DRAIN FEE
ROUGH COMPLET - /-L
Data
STORM DRAIN FEE
MAIN DRAIN --,�-a
D t r
WATER SYSTEM FEE
GAS PIPING
Data r
GAS PIPING FEE
FINAL _a
FLOOR FURNACE
Date Inspector
PERMIT FEE
TOTAL FEE
MISC
' Date Inspector
TOTAL FEE
MISC
uare 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
GASTDRYER
PERMIT -:FEE
FLOOR FURNACE
TOTAL FEE
INSPECTED - i C 499. _
Date Inspector
ROUTE SLIP
Fi19 No U-11 •
Date Out-q-2 _
Date In,. 7 -,e
Location ky..
2/7/2- r /vmLs Au-(�
Subject. �I10� 1�a)2'.
Notes
Approved
Date Inspector
CERTIFICATE- OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date J ....... 67A ..................... 1 9.4 ... Building Permit Noslk.71.
The Building Located at ----- t.....
. ....................
Owned by --fik .. 4 ........ Cev,�.�. . .................................................. (ti 4,
Has Been (Completed) For Use As: z,—r.j>W4 ...........................................
......................................................................... I .................................. a .....................................
.......................................... I .................... A. .............................
.... ......................................................
...BUILDING INSPECTOR
102 12/66 -IM
OFFICE COP
To
You are h
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.................... ------- ................
Owner or Tenant -------
...................... * ------------------ .................... ** ..........
i1 I
At
............
. ............. .. .......
'. ........
No. of Wires .... Z .............. Size of Wire's .......-y
..... Size of Switch /'qpJq ..
Motor Load .......................... Voltage ............. ................... Phase ................_........I......
HeatingLoad ........................ K. W . .................................. Voltage ................................
No. of Meters Light...... 11�iio ...... io� Reconnect ..................
Heat::-:* 220....... Power .......... Ph
�Three lService............
Meter..............
\i-
ELECTRICAL
INSPFtO
GAS SERVICE NOTICE OFFICE,
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
.-v1 .............................. 196.k
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ... 77....
.............. .................... .............. ..... ....
At -04�111,zllq� . ..... % .4
New Service ... ..............
No. of Meters ... / ........ Reconnect ............................
Move Service .......................
No. of Add. Meters .............. Move Meter .............. ......
�;..............! .....................
....... : ............
PLUMiDI&T INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No.
"Plumbing Final
Plumbing Permit
Lot No . ....... .............
Owner or Tenant ....�
At
.......... ................................
Tract ...............
Date Connected ..... ...................
Date Final ..................... ........
;.;�-4 ........................
Mr, XZvr
4
PLUMBING INSPECTOR
111 12/66-1M
n .. OFFICE COPY
ELECTRIC SERVICE NOTICE
BULLPING INSPECTOR'S OFFICE
CITY OF CUPERTINO
....... I ...... ............ ......�.. y -.� . 196_%:
You are hereby authorized -oto conct el.ectrical service for
Owner or Tenant ` ,a .... .. ... ..
r.rc^
No. of Wires ....` ........... Size of Wires ....{ ..:%.... Size of Switch U!..I�..
Motor Load .......................... Voltage ........ _........ ........ ...,. Phase ...
HeatingLoad ........................ K.W. ................... .............. Voltage ....... _.............. .......
No. of Meters ......... ........... I 1 Is t .......... ..... IM........... New Service.... ........ Keconnect ........
'
Heat ................. X20.......... Three W e.... ........ Move Service......... .
No. of Add. Meters............
Power ... .......... Threes `ase ... ::':.... . Move Meter............
1
ELECTRICAL INSPECTOR
I
0
I AGREE I WILL NOT VIOLATE ANY OF THE N'ORflM ENS Q
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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