NO PERMIT NUMBER (3) Zzlt,tl • - Y � Lot No3I
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. S 1 _
i
Date 196
Appl' alien is here made for a permit to T T
CM 44 story, Type
to be occupied only as.
in accordance with Plot Plan, Plans and filed herewith,
Estimated Valae of Improvements s 4=2
FEES 72L00 Plan Check $
Owner Address
Contr. dress
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 3 196 `' FEES -3 70
Contr. / � t/"`�F.cf-..� Address .7£-d•Y �' C `-- �
Phone r/`377-7State License ) O 0 '
Approved
/K
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE b d -
�� p �,, ,� Q�PLUMBING/FEE $
� �J
Contr. crgii`„�'-'-i" /__ '^ -`."� Address !'ZJ X `-'c-71 ,s--
"7�'`-a't""a
Phone C q - State License / / 1 s'' 7' C/
Approved WILLIAM D. DENEVICH
(� .� APPLICATION FOR APPLIANCE PERMIT �. S�
Date ��/ '2 0 �Jp�1966 �67�/�'� FEES
Contr. t/�"zL t"'/`-c-<-c_ //`���t Address
Phone 'F` o?, State License 11,Z.2 4 2�Z
Approved WILLIAM D. 6EA;rVICH
Applicants agree not to violate any of the
Workmen's Compensation Laws ofthe
Slate of California
REC;k�� /per s
IN5PECTION AP@6f�& S
BUILDING
FOUNDATION
D e /
UNDERFLOOR Inspector'
� -L'�-5—
eu Dol? specter
FRAME
J / nspector
A H L E R
/Dat Inspector
FINAL
Date / Ins oecfor
ELECTRICAL
,OUTLETS / / o
SWITCHES 9/C 2 SERVICE SIZE
c
UNDERGROUND
R E C E PTA CL S/ / ROUGH WIRING
/ '`�
FIXTUREST /� FINISH WIRING D to Inspector
0\ V L
H.P. CHARGE S FIXTURES ate Inspector
/ ✓'[u Date Inspector
PERMIT FEE / °v Motors
7'1
_ are actor
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN I SIZE I 1.4olTERIAL
WATER SYSTEM SIZEATERIAL
a
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date
MAIN DRAIN FEE ROUGH COMPLET - a
Date,
r
STORM DRAIN FEE MAIN DRAIN
WATER SYSTEM FEE GAS PIPING -lz2f"Dat n r
ti Date or
GAS PIPING FEE S FINAL 7—leG
Date Ins patter
PERMIT FEE � MISC
S"D Dote Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS /O
BLOWER FURNACES I COMBUSTION VENT
SUSPENDED UNIT MISC
EEE
MISC
PERMIT FEE/ TOTAL FEE 7
INSPECTED r —(c(o {
Date Inspector
ROUTE SLIP
File No. ,T/D dL_
Date out
77 Date In _
Location 42/0..
Notes
Approved/ QQ �GY
Date ' Inspector
ROUTE SLIP
File No . 1d ,f 7
Date Out
Date In _
Location o��Z, ------
Sub ",
Notes
Approved.
d/__ —
Date Inspector
CERTIFICATE OF COMPLETION
BUUMING WSPBCPOWS OFFICE
CLTY OF CUmnN0
Dete.........Z-..en._........................ 19zZ4. HuldingPemtNo.Zif
Q .
ne Budding Lootedfit ......
_....
.
Ownedv �!, � 1r/..'. 1� ..:;�'G!� ..........._..._
by .�, .:.•• r
Has Been ):::Fa Use Aa: .....,,a .
..........................................................................................._............................._................._
............................._.............................._..................._..........................................._....._...._...
............................_..............................._...._................, .... ..........._ ....._..........._...._.....
002
._...._......................_..
4• BUILDING INSPBCrOR
102 7/63-300 .
GAS SERVICE NOTICE OFFIC:
BUILDING INSPECTOR'S OFFICE C0111' '
CITY OF CUPERTINO
........... .... 196J6
You are hereby'authorized to connect the GAS service for
ONx tier or Tenant ....... . ....... ...............
At ............
New Service'..
No. of Meters ....�.... Reconnect .. ....
Move Service ....... ......
No. of Add. Meters )fo�c Meter ... ...................-
........... .
PLUMBING INSPECTOR
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .......7.
� Plumbing Final Plumbing Permit No. 2206.7-------.
--------
Lot Wo. -Y
--- --------------
Owner or Tenant ... ------- -----------------------
At ....0=�G.. ------------ .. ...................................
Tract ........ .......... . .... ...............I-- 2-
-------------------------------------------------------
Date Connected -------------- ............//71,�----------- ..... --------------------------------
Dateriinal ------------ - -- -------------------- -------------------------------------------------------- 19-4
*"!- -- ----------
----------* --------
PLUMBING INSPECTOR
Ill 7/63-1M
J n ELECTRIC SERVICE NOTICE OFFICE COPY
J� BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
1-7......
V" ........._.._..... . . ........................... 196
To
You are / zed to ft�ct electric rvic
At ...o wxE rut ori........... _.............._._.... ....
Co!�Y
�/ C
a
No. oE.Wires .......................: Size of Wires ...................... Size of Switch �..........".
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
Light............._ 110.x,... New Service................ Reconnect........_........
No. of Meters...................
Heat................. 220............ Three Wire................ Move Service............
No.of Add. Meters............
Power............... hose . Move Meter..
-
ELECTRICAL INSPECTOR