NO PERMIT NUMBER (4)/D
No. Street ell
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. 800
Do to .�,L�196
Application is hereby made for a permit to
/ story. Typel� .Z
to be occupied only a.c
in accordance with plot Plan, Plans and Specification filed herewith,
9 O O U
pf
Estimated Value o4 Improvements $ 02
Cry
FEE$ /1o�t/ y plan Check $ T'7Z0a
Owner ¢,0" Address
�ddress -X.P9
Phone ��9 L O 9' State Lica ns./—TSO
2,,'/ .�
Approved
APPLICATIONFOR ELECTRICAL PERMIT
Date 7����s� 19//6JJ 7�+ FEE$ 2:12�41' p_
Conry. -e�5= 7��C .-e/ Address 1371 76
Phone — —2 — 7.'3 j `J State License
Approved
/Z
APPLICATION FOR PLUMBING &'GAS PERMIT
Date % u 196 ,-7 GAS FEE $
PLUMBING FEE $ )—+ 2 S
Contr. Address /-� t/ 'y`�1'C— --•-J
y �a
Phone —_ —� 2�' 2 2
State License S
Approved
i�
APPLICATION FOR APPLIANCE P MIT
Data 196 FEES
Contr, Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
REgT� OFJJS PEC TI N APPROVA
Bt�NlMa -L s
FOUNDATION
UNDERFLOOR tg 8'Z.'�'�� ",YBctar
Date Inspector
FRAME
Date In. or
LAT PLASTER — L—62
FINAL /� ZQate` n o
Date IIns.DDe—ctor
�`
,OUTLETS
Ef
SWITCHES RGRp
Qrti�� 1 D9fe� - / Ins ector
RECEPTACLES OUGH WIRING 1 1 t0
Dat Inspector
FIXTURES FINISH WIRING r�
,� `Dat ( Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Dat Inspector
TOTAL FEES FINAL
(, G — MA, a S.1 Da Inspector
P
MAIN D N SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH 911J11C,2 ,
or
MAIN DRAIN FEE ROUGH COMPLETE G
^ " for
STORM DRAIN FEE MAIN DRAIN C�
ti r
WATER SYSTEM FEE IN
/ for
GAS PIPING FEE FINAL
Date Inspec or
PERMIT FEE MISC
Date Inspector
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 I MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED G
Date Inspector
/ 6? V �Ar�iL4/LVGI�4�i'' /�[ No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Date 96
Sanitary No. �
a
� � 1
Appl' anon is hereby mad r a permit to
I=
story, Type
to be occup' d only ns
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements S
FEE$ Plan Check $
n
Ower 10 VO tri Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
p.APPLICATION FOR PLUMBING & GAS PERMIT
Date ` 196 GAS FEE $
PLUMBING FEE $
Contr. Address Al s CA.44 L4�
State License ./6/0
�ys�l3 ,
Approved — ZOL/•/ ="--�--LJ/
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the —
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS r
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Date Inspector
FINAL
Date Ins oe ctor
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Dote Inspector
FIXTURES FINISH WIRING
Date Inspector
M.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
oma.
za 66
ATE SYSTEM SIZE TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE Y� ROUGH COMPLETE
Data Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Data Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
t, Date Inspector
TOTAL FEE 7 O� MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACESCOMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE(
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date -NAv.........a1................ 19-40-T. Building Permit No:-S117-t
The Building Located at 110..
- --------------- -------
Owned by
....W-;----------------- -------------------------------------I-------- -----------------
Has
--------------------------------I----------------------------
Has Been (Completed) For Use As: ----^' A.,4
(A"coo- ----- ------------------*,-................................................
*---***..... . . -------------------
--- -------------------- --------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------- ......... ...........................................
--------------------------------- .................. ..................---------------------- ----------------- ....................
---------------- -C �..............----------------
BUILDING INSPECTOR
102 12/66-1M
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
To r�
....................� ..........................., 196./.
You are hereby authorized to conned the GAS service or
Owner or Tenant . ._ . . .. .. ...�
At �.... .f-1. .......
New Service ...c .......
No. of Meters ../............... Reconnect
.............................
Move Service .........._...........
No. of Add. Meters .............. Move Meter
........................
PL MBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No- ---- ---- --
L4/Plurnbing Final Plumbing Permit No, 01171
L No. --------
Owner or Tenant a4gwe'e�
----- -------------
At
.......... -- -------- ..............
Tract ..............
--- ----
-----------------------------------------------------------------
DateConnected ------------------------------- -------------------- ------------------------------ 19...C2
I
Date Final
--- --------
-
----------*------
111 12166:IM 4-� PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
G� CITY OF CUPERTINO
..... .. ... 196
To 7
You are her y t orized to connect C rica ice to
�'ce
Owner or Tenantf=I—C—Q..... ..... .... .
At .......I..t) � , i 5
/L�'.:7 ...... ....
.. . ......: . I I -
.. ........... ....................1;0..� —i . .4 .... ...
No. of Wires -2.... ......... Size of S
.. ....0.......... Size of Switch
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .. .. .. ......................... Voltage ................................
No. of Meters..... (Light...._. 11 O.:!<.. New ... Reconnect..................
No.of Add. H 220..---- Three W1Service.....
Power............... Mm:vv:
Meter..............
.4
........................................................ .. . ... ........ ...
ELECTRICAL INSPECT
�I OFFICE COPY
` ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
� CITY OF CUPERT'INO
196-7
You are hereby utho 1 d to connect ele t cal serNice for
Owner or Tenant
No. of Wires .....�............. Size of Wires :;4-.., .�.�.-.._ Siz�Sh
�-_.-
Motor Load ......................... Voltage .__........._. ............. Phase ......
Heating Load ------------ --------- K. W. ..__-_...._--------- ........ Voltage
(Light.........._... 110............ New Semce....... Reconnect.__. _
....... ...
No. of Meters...................1
<Il Heat................. 220....... ._ T W re.__._...._. Move Service.__.....
No.of Add. Meters....-.......
Power.... Tree Pae.._,.__...... Move Meter
ELECTRICAL 1 SP TOR
'Bldq. Dept
Office Copy
%ILDING INSPECTOR'S OFFICE
uta Q, Cln' OF CUPERTINO
W^ -
;/Sewer Connection Sanitary Permit No. .................
❑ Plumbing Final Plumbing Permit No. .............
LotNo. ..._-----....-------.........
Owner or Tenant ........ .... ..
At ----------- --- -----------------------------------
Tract Ig
Date Conneded ...........................................
- ---- .... .. ............
Date Final ..........
--------------
C',
.. . .... ......... ... ........................
PLUM G INSPECT
III 7/63-IM 4B