51175 (2) 51/ �� R�41—/ Lot No.
No. Street t-• • eQ f-'O 3)
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Date 'Yd 196
Application is hereby made for a permit to / ,T
a story, Type u 2 `'
to be occupied only as
in accordance Mah Plot plan, Plans and Specification filed herewith„
Estimated Value of Improvements $ 3G�0 Oa
FEES �/
10 IS- Plan Check $ `�/ 01 -7—r
Owner J6lR/�•dC Address
Contr. p Address p
phone 0 State License
Approved
Vsr
APPLICATION FOR ELECTRICAL PERMIT
Date L196- 7 FEE$ 39, f�
Contr. tiff-P� / Address d�7� �+�-i// ��
Phan a'/ O -`�U� b State License a��/��
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
a—a
Date7 /196 GAS FEES S3�
� /Jq
PLUMBING FEE $
Contr. _ aa n•�7 rr(7C�.Y/iZt/ Address /2 S-0
Phone -V 7,•/�^' t1State License 2-`3
Approved
.7 APPLICATION FOR APPLIANCEERMIT /� a
Date 196 7 FEES ,Q
Contr.�c �-� �^<--c�-�' Address 77 '7'62'51—
Phone 26,6 Sr State License / / dE LX
Approved ( /'it/SSI ='- , =•-�� �-/
Applicants agree not to violate any of the.
Workmen's Compensation Laws of the j
State of California ,
i
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION '
Dare actor
UNDERFLOOR
_�LLDate6
FRAME
LAT
PLASTER/"-
FINAL
Do to Inspector
,OUTLETS O QS VIC I (,
SWITCHES UNDE
'Dp , pect°r
RECEPTACLES ROUGH WIRING
FIXTURES FINISH
�e-y° � b 1 specter
WIRING
- 11a Inspector
H.P. CHARGE FIXTURES � O
Inspector
PERMIT FEE Motors
1� Inspector
TOTAL FEES FINAL l b 0/, w r
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
i
WATER SYSTEM SIZE ITERIAL �7
TOTAL FIXTURES UNDERGROUND ?- 7'6it
FIXTURE FEE PARTIAL ROUGH
Dat . ctor
MAIN DRAIN FEE ROUGH COMPLETE PI2. E
�'ZDaC Spector
STORM DRAIN FEE MAIN DRAIN �
D e or
WATER SYSTEM FEE GAS PI NG
Dote for
GAS PIPING FEE FINAL i
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
Do to Inspector
AGREE I WILL NOT VIOLATE ANY OF THE WORKMENS\
Tom' COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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CERTIFICATE OF COMPLETION'
BUILDING.'INSPECTOR'S OFFICE
CITY OF CUPERTINO //ry
I' Date ...� D 196.7..: Building Permit No.4117
/�
The Building Locate/d/ at ' f� .^1......-. .. . ...._ 7..............
Ownedb ........_I!.. tom........... ...--- -------------------- _......
Has Been (Completed) For Use As: .......... u �'�" -------------
........---...----....................----........................................---...................---...................................
i
.... ........ ..: ..... ... ... -... .....
BUILDING INSPECTOR , '
102 12/66-1M
- f�
J
OFFICE COPY
i
ELECTRIC SER CE NOTICE
cak, BUILDING INSPECTOR'S OFFICE
CITY Oh CUPERTINO `y
......0- Y�. 196../.
To '
You are hereby authorized m n ct electrical servicex
Owner or Tenant ...� : .. ,.. �. ___.:........_..... . ..
At .G..J.!. �L...-...?...LA.L.....r."....
No. of Wires ............. Size of Wires .......1........... Size of Switch7..'
Motor Load ......:................... Voltage .......................,........ Phase ...... _.
Heating Load ........................ K. \Y!�.._.............................. Voltage __._..........._.......... .
No. of Meters..........
`Z,-(Light _
......,... II0... //.. New Service.....`/. Reconnect..................
............
<Il Heat................. 220...._ ree "e.. ......_.. Move Service......... .
No. of Add. Meters............
Power............... ee has .4....__.- Move Meter..............
i% : e.
ELECTRICAL INS Ep E2O �'
OFFICE
GAS SERVICE NOTICE COPY,
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
....... 1967
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At New Service
No. of Meters ....... ... Reconnect
Move Service
No. of Add. Meters ........ Move Meter .....
PL MBING INSPECTOR
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
�j'� yrY
ewer Connection . Sanitary Permit No. ----.:-.!.i�J.ne'�4.''r........
umbing Final Plumbing Permit No. ���. -..........
Lot .:............
Owner or Tenant ......�.
At
Tract ..Az �%Cr" . ...`.�. .<.r .. .. ......��........:............--...........----...._--....
.. Date Connected ......-Ggr. ?',%
- ......_...... - ...- ......... -
Date Final ............................ v........— ..�
......... ...... ... .. .......... ................ t
PLUMBING INSPECTOR
Ill 7/63-1M
R
ROUTE SLIP
File No. 5gL-4z 7 S _
Date Out tom_
Date In
Iocatic
i
Sub,jec.t.
Notes
Approved''/ /`��
Date Inspector