NO PERMIT NUMBER (4) f V- Let No. (•e
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.cow
Sanitary No. 44%1
Data e 1 196
A li cation is hereby made for a permit to
at 41
star Type � •
Y, Yp
to be nccapie only as
in accordance with Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements § �ndr1 eQY \c
FEES I Z40 Plan Check E
Owner Address
•
Con". • Address`
Phone State license
Approved
a t6' J
APPLICATION FOR ELECTRICAL PERMIT
Dote rp"�, '// 196FEE$ �✓ / /f
Contr.
4 . i:t Address C'
Phone 7 71" 177.$71 State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
a�
Date — � � 196 � GAS FEE b
o, PLUMBING FEE $
Contr. Lr�/`-r/�-ti" T/'r/'/'�"�ce/ (ZO' Address ��X t2L —^
Phone - 1=12—yX '�s`sy`' State License / 7/,!� 3 7 /
WILLIAM
Approved
APPLICATION FOR APPLIANCE PERMIT sO
Date �O2"n,,/p�196 ^ jT� � FEES
Contr. � i""""4.(= i"c""-�ci Address
Phone IA' IF- 0q 3�" State License
WILLIAM D. OENEVICH
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
��T G
(6-wcORD OF INSPECTION AP ROVALS
FOUNDATION BUILDING -
DA}P�
UNDERFLOOR L t_
D to clot
FRAME
`L tYTH" A SER DoCa - .$/ I r
FINAL
J actor
Date Insoector
ELECTRICAL
,OUTLETS / C
SWITCHES . aZe b° SERVICE SIZE
UNDERGROUND
�J for
RECEPTACLEY `� ROUGH WIRING Da _ -rr
°
FIXTURES � FINISH WIRING to Inspector
W727— M Date Inspector
H.P. CHARGE S FIXTURES
PERMIT FEE � Motors Date Inspector
I)uta S_i clot.
TOTAL FEES 3 �0 FINAL (�
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE ' ATERIAL
WATER SYSTEM SIZE ATERIAL
TOTAL FIXTURES ° /V �-° UNDERGROUND
FIXTURE FEE PARTIAL ROUGH 9--:)2,-G4
Dat
MAIN DRAIN FEE U- ROUGH COMPLETE
ns
STORM DRAIN FEE MAIN DRAIN -,72-
Datd �
WATER SYSTEM FEE GAS PIPING -2P
GAS PIPING FEE ��! FINAL 1,2 '���SqAe 7s
p-u - Date ns pactor
PERMIT.FEE ' MISC
Date Inspector
TOTAL FEE � � �' MISC
Date Inspector,
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS /o 02 _
BLOWER FURNACES 0_D COMBUSTION VENT pZ aZ
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE / TOTAL I
INSPECTED
Inspector
ROUTE 1 i.
File No . _--- �
Date Out _
Date In ��-
Ioca�icn 3
subect
Notes _
A?proled �e b` nsPe�or
'Date
I
P.C'jTr SLIP
File No .
Date Out /2.-/7-dy-
Date In
Location
Notes -
Approved
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO ry
Date ....IX-Ag
...................... iq4gf— Building Permit No.%r
The Building Located at .0
...........
.........................................................
V�
Owned by Ze;�-
Has Been Completed
For Use As �� ---------------------- ..........
....................................................................................................................... .........................
.................................................................................................................................................
I ................
.. ............... ........ :.......................................................
.......................... .......... . ... .... ... .
...............
"
B7'1�lt INSPECTOR
102 7/63-500
GAS SERVICE NOTICE OFFICE
(�
BUILDING INSPECTOR'S OFFICE COPY
1l CITY OF CUPERTINO
................................ ................ 196.47
To
You are hereby a thorized to connect GAS servf'c for
Owner or Ter ...._... ._...2A. I.. '---.... .h_,.- --�r . 1 L L....................
At ....._....2 Z.. ..5 ..... _S..I .C1..( _........Y..�..5 (� ..... ..........
New Service .....i ........
No. of Meters .........t........... Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. Move Meter ..........................
................. . ... .. .. ..............................
PLUMBING INSPECTOR
-110 6/63.5OU
bldg. Dept
Officc Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. ....... // ....pp/ -- -
2�Plumbing Final Plumbing Permit No.
Lot No. --- -------------
Owneror Tenant ...... ... ... .. .... ----------------------------------
At ...c�-- ----
..... --------- ---- --- ---------
Tract ....................... /------------------------------- ------------------
DateConnected -------------------------------- ................................................
D;fe Final ------------------------------- .............................................—
...................
-------------------------
PLUMBING INSPECTOR
111 7/63-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
Z BUILDING INSPECTOR'S* OFFICE.
�J� CITY OF CUPERTINO
To
You are hereby aut�orizedto connect el rical service foOwner or Tenant ...............!... ... ........ ... ..�.. r
2 . .�.......... ... �................
.......... Size of Wires .�.. ~. Size of Switch
�.. .�?
No. of Wires ............ —
MotorLoad .......................... Voltage .............. ........ ........ Phase . .................._........__
I'I Heating Load ........................ K./W. .................................. Voltage ...... ........................
_
If 1 -ght.✓........ 110....!�New Service.`.�� Reconnect...............
No. of Meters.................... ✓
Heat................. 220............ Three Wire................ Move Service....---
Power_
.......
No. of Add. Metets............
I Power............... TPh�Move Meter..............
ELECTRICAL INSPECTOR
I