NO PERMIT NUMBER (2) Lot No. oe
No. Stre
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. •���a 7
Sanitary No.... LF"
� Dote � � 196 � '
Application is hereby made for a permit to r
a story, Type si i tom✓
to be occupied only as
in accorda .e with Plot Plan, Plansand Specification filed herewith.
Estimated Value of Improvements $ 44
^pes R0.
FEES e 0 Plan Check $ I
` M v /j
owner Address Z L7 ✓� �+11.
Contr. Address
Phone JA em ss' SIM State License e
�f7
Approved
e�
APPLICATION FOR ELECTRICAL PERMIT
Date ej 196 8 FEES
Contr. 1J/ / Address
Phone 7 State License 2—
Approved
Approved WILLIAM n 2'A1;; feTI—
APPLICATION FOR PLUMBING & GAS PERMIT
p
Date 3 196 a GAS FEE $
PLUMBING FEE $
Contr. Address - 1.)-3 ✓/ �l /ttu"•"r�
Phone ,'3 Z.3 State License
Approved WILLIAM s Ick9
APPLIC TION FOR APPLIANCE PERMIT id )sem
Date 9,QQ� / 196 FEES
Contr. .-�/ / Address
Phone J7 dr, O State License
WILLIAM D. EENEVICH
Approved
Applicants agree not to violate any of he
Workman's Compensation Laws of the
State,of California
t e i
i
RECORD OF INSPECTION APPROVALS '
J- BUILDING
FOUNDATION ,
D to 6 fr Ina petj
UNDERFLOOR — ry
/—Da
FRAME I
oat �-6 ry Ins pe<r
LAT & PLASTER d
^
! 6 ns o
FINAL Da eb
Date Ins Doctor
ELECTRICAL
,OUTLETS
SERVICE SI
SWITCHES UNDERGROUND
Inspector
RECEPTACLES ROUGH WIRING. / ! �
FIXTURES FINISH WIRING
- pactor
Inspector
H.P. CHARGE FIXTURES 1 �o
Date Inspector
PERMIT FEE Motors
Data Ins pactor
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL -
TOTAL FIXTURES UNDERGROUND p
FIXTURE FEE PARTIAL ROUGH
i Dotetp..t.,rr
MAIN DRAIN FEE ROUGH COMP LET -3'
at
STORM DRAIN FEE MAIN DRAIN
WATER SYSTEM FEE GASP NG toGAS PIPING FEE FINALDate
PERMIT FEE MISC
els "Ina pactor
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
d l
INSPECTED
no to Inspector -
CERTIFICATE - OF COMPLETION
BUILDING INSPECTOR'S OFFICE
-CITY OF CUl?ERTiNO
Date ...4r.......1.4....................... 19 Building Permit No:��..//?.z
The Building Located at _.p2 ----- ................................
Ownedby ---- ............................... ......
Has Been (Completed) For Use As: ............................. ........................ ................ .....
....... .
..... 44 ................ ..
............ ..................................
........................................................
........................................................ ...................................................................
....... ...............I ......... ..........:.................
........ .................... ........ ... ....................
........................................................................
BUILDING ' INSPECIrOR
102 12/66-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...... . 1969
TO You are hereby au h r ed c� con(ectelectrical service for
Owner or Tenant ..........=.." % ....................................................
.............. .... . .... ...............
At ..... .......................... ........ . ..... . ..............I............I................7.7
nt eq
No. of Wires ....3............... Size of s Size of Switch
MotorLoad .......................... Voltage ................................ Phase ...................................
HeatingLoad ........................ K. W. .................................. Volt-age ................................
hL...1�....... 11 ... New Service�:�..... Reconnect..................
Light..:.......
No. of Meters.................... Se
Hear................. 220....... T� -W,�,r .. ............ Move ,Service............
No.of Add. Metes............ Powerpw . .
......... Move Meter..............
f..............
•
.......... .......................................A.;........... .............
BLECTRICAL INSP(C:T R
GAS SERVICE NOTICE OFFICI:
COPY",
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO/
3 ..................... ...... 196
.............
k
You are hereby authorized to connect the GAS service for
Owner or Tenant . �7�../ " - -
At .. .....
.........................
New Service .....-
No, of Meters
Reconnect ....:....i.
.............
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. .........
[2,Plumbing Final Plumbing Permit No. ..........
Lot No. ......._ .............
Owner or Tenant .......Ll./. ......................... .......................At
I --Vl ...............................................--- ......
Tract ...... ...... .........I.................... .. .----.....
Date Connected .............
............................7--w;..................................................
Date Final .....................
---------- -------- -------------------------------------------
PLUMBING INSPECTOR
111 7/63-IM
1LVVlli JL1L
File No.
Date
Location o�iY 1/3^ " x137/
.20 —r
Subject �-1101
j Notes
Approved /— 7
Date Ins or
ELECTRIu SERVICE NOTICE
LDING INSPECTOR'S OFFICF.
CITY
OF UYERTINO —.
_`. . ....; _.......... ................_. . , I've... ..
I
ereby au hp zed to nne electrical service for
Owneror Tenant ............ ... . .. ............................................ . ..
n1..1....... .. . . . ...... .. ................. .... .
No. of Wires ......V............ Size of I es ...� ..�.. Size of Swit3o
Motor Load .......................... Voltage ....... ........................ Phase
Heating Load ........................ K. W. ......................'...._..... Voltage .............. ............
.. .
Light...."".......... Illi...... .._ New ervice........... Keeonnect............_....
No. of Meters....................
Heat................. ..........." 1'h Wir ..._. . ..I.. Move Service..........
No.of Add. Meters......... i
Power..... ...... T r �.: ... Move Mete Q............
000
I yX/.................... ....... ........V
ELECTRICAL INSPECTOR