NO PERMIT NUMBER (2) Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Date 196 7
Application is hereby made for a permit to �} T
a / .story. Type C .
to be occupied only as
in actor unr ith plot plan, plans and Specification filed herewith„
Estimated Value of Improvements $ - O"y-D 0t.1
FEE$ � 9�r+ Plan Check $
Owner /�T�L �.^r1..w.✓ Address
Contr. Address Se.
Phone Iry State License
Approved �f�/K• _ _ _
APPLICATION FOR ELECTRICAL PERMIT
Dara 1/7 196 s FEE$ _ 02-/ S�
Contr. Address �l/`S �" s- '—Z CP7
Phone 11) 7e' O State License Iq 7 3 &I
Approved - L
APPLICATION If
PLUMBING & GAS PERMIT
Date 196 a GAS FEE $
PLUMBING FEE $ • Q V ��++
Contr. Address / L G o — /ZLign? s�t�,
Phone - 7�� rQ Yd-o $tate License -2A 6 9.r 3--
Approved
APP CATION FOR APPLIANCE PERMIT
Date ,��^/ 1196 FEE$ 149' 4
Contr, JJ � �`�-�-c-/ /ham Address 1&O s `
Phone - �� 72-- 9 SL State License
T WILLIAM D. EfENEVIDH
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS S
�...� BUILDING
7
FOUNDATION �aC 6 'b / w
INSPE T
UNDERFLOOR DATE
` D TEo' IN SPEC OR
FRAME '— / - o
DATE 'INSPECT
3_ DATE (^ IN SPECTOft�
FINAL ^
ATE /� ^ INSPECTOR
7
tl/
ELECTRICAL
ELECT.
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
�DI�TE _ INSPECTOR
ROUGH WIRING � - � (bS
DAE INSPECTOR
FINISH WIRING - el
D TE I INSPECTOR
FIXTURES
--SATE INSPECTOR
MOTORS
_ DA INSPECTOR
FINAL
GATE INSPECTOR
PLUMBING & GAS,
UNDERGROUND
DATE CTOR
PARTIAL ROUGH
DA TE CTOR
ROUGH COMPLETE
DATE SPECTOR
MAIN DRAIN
G�DATE SPECTOR
GAS PIPING
_ DATE SPECTOR
FINALC=f
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE l INSPECTOR
MISC
pq I' SPECTOR .
� 9G
MISC � _
INSPECTOR-
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..........�j.::...... .. .............. 19.4:1".... Building Permit No.-�i.tV-�---
The Building Located at . L I. _...-J-lt_cGf:Y•1,,, .(l.�--------------------
Owned by .... t11 = `....':...��� wF'.----- /�4 -! �O 1
J - - -- - ..-.. .....4... ..................-.-
(Completed)
Has Been (-Uteredt For Use As: ..... ..:..................
F...:...-------------------------
---------.- -
.a ------*-------------------------
� ..
BUILDING INSPECTOR
102 12/6671M
'Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. .......
re�Plumbing Final Plumbing Permit No. 12P-/
--n.........
Lot No. ..2 ---------------------
Owner or Tenant .......t._.;._.;
-------------------------------------- ........
At ---
---------------------------------------------------
Tract ...
--- ----------------------------------------------------------------
Date Connected -------------------------
DateFinal ........................ .---------------------------------------------------------- 19.10 ------
-------------------------
PLUMBING INSPECTOR
111 12/66-1M
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
Qiy CITY OF CUPERTINO
.................... ........ 196AF.l�
To
You are hereby,authorized to connect the.GAS service for
Owner or Tenant ......
.............. ................................
At
New*Service ................... ......
No.. of Meters .... ....... Reconnect ...................... ......
Move Service .......................
No. of Add. Meters ....... Move Meter .......;.......I.........
G .............
0'0� PLUMBINGING INSPECTOR
ICE COPY -
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
I .ice ..............._._��_—...L...-ter............., IIG.. ..
To
You are hereby aurlioNzed to conn ' electrical service for
,.Ovvncr or Tenant ..._. .. --. - _. .
........ .......
No. of Wires ........... Size of Wires .. --yam_.. Size of Switch loot)..
Motor Load ....-`--.....---- Voltage ......__........_._......... Phase ......................_...... ...
Heating Load ------------------------ K. W. ...................... Voltage ....._. .......................
Light........ 110.._'<. New Service.. 1<econntLt_... _....__.
No. of Meters....................
Heat............_._ 220....._.., -Three Wire _. . Move Service....-.....
No. of Add. Meters............ �^\
Power.._...._..._ Th PhaS�.......'. ._ Move Meter..............
ELECTRICAL INSPECTOR
ROUTE SLIP
File No. 5—/o3d''
Date Out �6- 7
Date In 12-U
Location
Sub'jec't
Notes
Approved C2 26 l7
Date Inspector