NO PERMIT NUMBER (2) V ��/�\
_1 *740 /LL • Qw Lot No.
No. •Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Fiie No. S/O
QSanitary No.�
Date v 1 196
Ar,0Qtioa is hereby made for a permit to
a story, Type
to he occupied only as UA
in accordance with Plot Plan, Plans and Specification filed herewith„
E imated olue of Im rovements $ I OC) O4*
FEE$ � n Check $
r.
Owner ress
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 19
�rJ s y=
/6�/� � FEE$
""c.icic/.�t.0 Address � t
Contr, S" `r' 'L=
Phone `� / 7 — 7, J-0 State License �9f0/0 0 /
y
Approved LC ;yU. i..KI'-'r.�
qq APPLICATION FOR PLUMBING & GAS PERMIT 7
Date 196 GAS FEE $ /d -
,. ma y, //
PLUMBING FEE $
Cont'. S,—
q
/�_�/veil'+ , Lh_n/ (d Address 4y 12 � 2 (1)
ry �/
Phone a `r� State License Z 7/s '3 / `�
Approved WILLIAM D. EIENIMCH
APPLICATION FOR APPLIANCE PERMIT
Data 196 -�—`/ ,FEE$ Q '
Contr. 1 Address
Phone ��N State License
WILLIAM D. GERIEVICH.
Approved
Applicants agree�t to violate any of the
Workman's Compensi tion Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
� or
UNDERFLOOR ME DPt_
p(
RA
S, pector
Dat spe ctor
L TH 8 PLASTER - S
_ te �-� nspector
FINAL
Date Insoector
ELECTRICAL
,OUTLETS / o
SWITCHES f"O SERVICE SIZE
UNDERGROUND
R ECE PTA ES 3 yP ROUGH WIRING '
D to Inspector
FIXTURES T / FINISH WIRING
O y - Date Inspector
H.P. CHAR 7,5'-FIXTURES
Date Inspector
P MIT FEE Motors
.]?ate for
TOTAL FEES l FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I L1,66TERIAL
_ _,.�.�,._--•._—___rte—�._ __a.: ,� _.. _
WATER SYSTEM SIZE tTERIAL
TOTAL FIXTURES O 0 Ow UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
J y Date s
MAIN DRAIN FEE ROUGH COMPLET O -CJ
Date for
STORM DRAIN FEE MAIN DRAIN J-
(— D9yte
WATER SYSTEM FEE / p` GAS PIPING o�- J 'FJaS
/ Date (n
GAS PIPING FEE �� FINAL o?-c?.�-er
ry Date nspector
PERMIT FEE C,- MISC
Inspector
,TOTAL FEE � MISC Data
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS 9P f
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER - PERMIT FEE oL�"
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspe for
• l
ROUTE SLIP
File No. S iY
Date Out
Date In
Locatio � �Z jcp
Subjeat
Notes
Approved /ZfL3
' Date Inspector
ROUTE SLIP
File No.
Date Out _S--
Date In
Location
Subject
Notes
Approved ---
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
J /
Date... - Building Permit No._
. �.'
!'.I: �
The Building Located at ./ .„I"a':....
......
f ' ter` .............................
Owned b • --n i'_,• ,.'y''�i"6!�/ ..., ...,
Has Been (Completed):For Use As: .......,..?t_ ;:: ........ .................(Altered)"-
l .... . ........
............... .....
....... .............................`..._...... ....... .. ...................,...........
.......................
..... .................. —� -
-/ ? .�-Jrs...............................
BUILDING INSPECTOR
102 7/63-500
bldg. Dept
6ffice Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO //����-//
Sewer Connection Sanitary Permit No. ....T��"�,'�!pp/��.:yy..........
/Plumbing Final Plumbing Permit No..2.O_U—P7........
Loto ._�G
..... ......
Owner or Tenant _. .... ... ...............................
<44017
a
At 'Q�.. .1..... ..................................
Tract . ... . . ..---------- ......................................................
DateConnected -----------------------.. �-:.':n�w: -.--- ----------------- ----------------------
DateFinal ........---................. ............................................
... ....
----- -----------
_R........
.........
PLUM61NG INSPECTOR
]]t 7/63-IM -,�'•�,.. ,��,
GAS SERVICE NOTICE OFFIC:
BUILDING INSPECTOR'S OPhICL Cot>s'
CITY OF CUPLR`TINO
.............._._/ .. ��... ._........... .........
To
You are hereby authorized to connect the GAS service for
Owner or Tenant*,—;;. /12v...� .. .......... .......
At /a7G.-......��i`�cU. yah.. _ ti.. .......... ................. ..........
...
New Service `/..................
No. of Meters .. ...... Reconnect ..... -...................
Move Service .............—........
No. of Add. Meters .............. Mode Meter ..........................
I
PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC' SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINnO
To
You are hereby auth�ized to �nn electrical rice
tT/f� ! ................
Owner or Tenant .................... v .. c
.............
At ./ T..�w..' �t/......- . .. . ............................. -..............
No. of Wires ... ...........:....... Size of Wires??��.......... Size of Switch/W'40
MotorLoad .......................... Voltage ......... ............. ....._. Phase ..........................._.....
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light............... 110. New Service................ Reconnect..................
No. of Meters.................... !
Heat................. 220............ Three Wire................ Move Service............
No.of Add. Meters............
Power............... aze................ Move Meter.............
ELECTRICAL INSPECTOR