51181 (2)z /-K%;I;e I A Lot No. as;
No. Street - / /.I/
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date Z 196 7
Application is hereby made for a permit to
to be occupied only as
in ac
Estimated Vole, of Improvements
FEE$ - G /, O O
Owner z
Contr.
Phone e2,"—/.i3Y
a
File No. 15
Sanitary No.
story, Type - `r Z J
Plan, Plans and Specification filed herewith,
s ,2.L, O 0 0
Plan Check $
Address e419 J rAaL
Address
State License/,S-/7
Approved �i(Ji('L'-►yay�i�/
APPLICATION FOR ELECTRICAL PERMIT
Data 79611
1
Contr. �� - ���✓
FEES al• -1�
Address �� % .S 7L% ��''�' S'''
Phone c2gj-' e27D d State License—11f),.,�� �,,r/%J•
Approved
J
APPLICATION FOR PLUMBING IS, GAS PERMIT )
Date / - 6 `/ 196 -7 GAS FEE $ s/em
Contr.
Phone '�7S—�Yc1•.
PLUMBING FEE $ c,2 3, 5-0
Address / u c' —
State License) pZ 33 O $y Ji
Approved ti"f/IUr--r
APP ICATION FOR APPLIANCE PERMIT
Data y /�" 196 FEES �f
Contr. �/""'z`✓ P`��-r-�'!/^cX�-I/ Address L34 �. /s�'�+•�--.�
Phone �70 ` 0 9 35- State License /�'Z �✓'�'z�
Approved WILLIAM D. RRF'nrWtl6lf
Applicants agree not to violate any of the
Workman's Compensation Laws of the.
State of California
RECORD OF INSPECTION APPROVALS
Q -I L—It L 6� Zx
BUILDING
FOUNDATION
" 5_i
'
NAL ROUGH
DATE
DATE
6 y
;H COMPLETE
INSPEC OR
UNDERFLOOR
'
DATE
—�
INSPECTOR
PIPING
JNS PEC TOR_
DATE p�
— (L—(O4
FRAME
DATESPECTOR
./'
DATE
INSPECTOR
INSPECTOR
LATH PLASTER
INSPE T
3- /P
FINAL
Ot/
DATE
INSPECTOR
ELECTRICAL
ELECT. SERVICE
of
DATE
INSPECTOR
UNDERGROUND
INSPECTOR
I CT�
ROUGH WIRING
DATF
INSPECTOR
FINISH WIRING
D4TE
INSPECTOR
FIXTURES
INSPECTOR
MOTORS
INSPECTOR
FINAL
'
DATE
INSPECTOR
■
PLUMBING & GAS
RGROUND
'
NAL ROUGH
DATE
NSPECTOR
;H COMPLETE
/�_DAyE
66✓/%
INSPECTOR
DRAIN
DATE
—�
INSPECTOR
PIPING
/7 TE
7—�
NSPECTOR
L
DATESPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
VFIE INSPECTOR
MISC
MISC
.%F.OIIT_�P
File No
Date Out^—�—
Date In 3-y_6 P
Location
Subject.
Notes
Approved 3- Y 6 `�" "w`-�
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECT'OR'S OFFICE
CITY OF CUPERTINO
Date -------- :r..............`�..................... 19-/1k... Building Permit No:
— r r
The Building Located at
......... 1 q4t/. i i�
............................................... t
/}
Owned by .....16'. :<-: — C.r v, .....................................-----.......1 k�
_... .....A!. ...�.
ry"-----------
(Completed)
Has Been For Use As:
( ....... S.--'— ...................--------.........-----
............... n ?r: .. 4........... --------
BUILDING INSPECTOR
102 12/66 -IM
GAS SERVICE NOTICE OFFICE
COPY
BUILDINGINSPECTOR'S OFFICE
CITY OF CUPERTINO
...........................
19
You are hereby autho 'zed to connect the GAS service for
Owner or Ten t ... ... . .......
At
New Service
No. of Meters../........Reconnect ........ ........ ...........
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
.......................................
,V PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No..........
gK'Flumbing Final Plumbing Permit No. ,��/J?� .......
Owr
At
Trac
Date Connected .........................1--,
Date Final
111 12/66-1M
PLUMBING INSPECTOR
O FICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
P CITY OF CUPERTINO
......._............ _.>J. r../._ ...__......, 196. X..
To' Octou are hereby aut ize t nOe ettrical service for
���
Owner or Tenant ...-.....r%`:�.-.
At�..-�..-.,.
No. of Wires -
-------- Size of Wires-..::.L.. Size of Switch ..�..(;U. .
Motor Load .......................... Voltage ................... Phase ............. _...... ....... ...
Heating Load ................... ... K.W. ........... Voltage
tLight... .-.�i i0---- New Service.. ........... e5-Reconnect— _..........
...
No. of Meters...........:........
Heat................. 220...._...... Thr Wire-
Power
ire...-... .. Move Service....-......
No. of Add. Meters--.........- -
p. Power...........__ Tht hale-... ..._.. .. Move Meter..............
ROUTE SLIP
File No. $//�/•
Date Out /i- az-6 7
Date DIn ,r az-6 �
Location