NO PERMIT NUMBER (2) .2 /.2 3 �'
.st/2 *//1 . a/t.tsw..<i Lot No.
No. Street I
(A.
V'
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. Sri>J
Sanitary No. f� a L
Date �1 196 7
Application is hereby made for a permit to T
a 02— story, Type 1 Zy
to be occupied only as
in accordance with Mot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ J/ 000 40—"
FEE$ -// 119j VV Plan Check $
Owner (.t./s1/'r..I[ Address 40-ye b .i ms's
Contr. Address p
Phone �`r3'�O �"V State License 1�IJ�((�l�a(��- 0; 0 //��
Approved Ct.SA./C:J zlw6 ia.�/GJ/
APPLICATION FOR ELECTRICAL PERMIT
2-/2-//_3Date �� 1960 FEE$ - �� ' S_`i
Conti. /Z' a 7 ") Address a'/ 7S—e/�-r-� 0�-- �Lu-✓'
Phone - a-y G 7 State License C254'12/
Approved
APPLICATION FOR PLUMBING & GAS PERMIT �/ C
DaraZ 196 GAS FEE f
PLUMBING FEE $
Contr. a "—`7^'� p Address
Phone `g �L� ��( State License 2 3o Ka 2
Approved Vtgi.A.<AM D.
APPLICATION FOR APPLIANCE PERMIT z
Dore Y� 196 FEE$
Contr.�- A'8dress
Phone ��'zG d S' State License 0'F'L
1
Approved ' L)L)X& v
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
17 BUILDING
FOUNDATION d - Z6
/�
DATE/ NSPECTOR
UNDERFLOOR -�� '-o
DATEy INSPECTOR
FRAME
DATE p
LAT PLASTER 3� "-6 0
DATE 1N CT OR
FINAL 0 ^6 t!
L.SVj INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
Q -D
TE INSPECTOR
ROUGH WIRING 3 z8
DATE INSPECTOR
FINISH WIRING
DAT INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
r DA� E INSPECTOR
FINAL � � �
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
D TE SPECTOR
PARTIAL ROUGH
D TE SPECTOR
ROUGH COMPLET
ATE NSPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATE NSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
DATEI PECTOR
MISC
DATE INSPECTORS
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........-......1........................ 19.. -' ... Building Permit N��;;o--.s�.��
J.---
The Building Located at ..2I eZ. L:-.. +.(.i��.................................�.cv. C'` es:....................
��aa f
Owned by ..... ci . l• ('.... .. .` tlr.: .-. 1
....... .. .. /
Has Been (Coad) For Use As: ----_a. -
F-
........................................... . .......... ..... ................. .................
.......... ............ ....................... .......................................... ............ .......................
. .. .... ............ ......... ...... .............. .......'i.......................
BUILDING INSPECTOR
102 12/66-1M
1
I GAS SERVICE NOTICE OFFICE
j q BUILDING INSPECTOR'S OFFICE cep}
{ a3 CITY OF CUPERTINNO/
• ,(y
......_.............. .. _...., 196120
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ... . .... . ............
At
New Service .._ '..........
No. of Meters ...C:?I ............ Reconnect .............. ...........
Move Service ....._. ._. .......
No. of Add. Meters ............ . Move Meter ........
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No.
E�umbing Final Plumbing Permit NoJ—///.w7...-.-_--
Lot No. ------------------
Owner or Tenant9'=.1 -----------------------------------
At q917W. 1 . ........ ---------
..... ..........I..........
Tract ..............AZM---s-- at . ......... .....................................................
Date Connected ..................
Date Final .-----------------------------J
*,!� --------
LUMBING INSPECTOR
111 12/66-IM
^Fja COPY
C (1Z� ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
......................... ...................-.... t9 ...
TO
You areercby t orized for
---
Owner or Tenant .........
......................
At .....Z.0....9.....--
..............
No. of Wires ........................ Size of Wires ...........Y....... Size of Switch4..'f............
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. ..... ............................ Volt age ..............................
No. of Meters.... ht..::::�:*� .... New Servicc—,.,.,. Reconnect..................
Lig Service.../.......
I IC
14,.of Add. Meters............ He, 220.., m Wire.................... Move Service............
Power.............. cue..:... ..... Move Mete ............
AX�
. ............. ........ ............... .. ............. .
ELECTRICAL INSPECTOR
ROUTE SLIP
File No. 5-1176
Date Out Z
Date In 2— --6
• Location A� 2�' _ --
Subjeat. 'T �
Notes
Approved'' —6
Date Inspector