51216 Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. /
File No.&
Da to / 196
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordancePith Plot Plan, Plans and Specification filed,herewith,
Estimated Value of Improvements $
FEE$ . Plan Check $
Owner // . .Address
Contr. J C..AT�ty Address
Phone X7J ' /FV/ State Licens e)O L
Approved /f
J
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Conir. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 ,GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% 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
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. I~
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING �
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ. i
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE -/
i
MAIN DRAIN
FINAL PLBG. _ /l
FINAL GAS /
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
C—f\rzpoo--r. — 6-5
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .....5.....I-------7.0......... 19............ Building Permit No.
..................
The Building Located at ...../Q�.(3......M.0......
Owned by ------A)nR..-u.4.Fg1✓--------CpN,r
T...--.GO:
.. .
Has Been (Completed) For Use As: .....A..........C.A-9:RO-9-7. ..
(W ......... .................
0=
..................................................................................................................................................
.........................................................................--------------- ...................................... .............
------------------------------------------------------------- ...... .....................
- ----- -- -----4 (-
............ ----- .......... ----...----
l/ BUILDING INSPECTOR
loe7G I Lot No
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. /
File No. `s��a'�p
' Dote 196
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance with Plot Oan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES Plan Check $
Owner Address
Contr. /__l.✓WR+.Nnp. C.!'1..a.V tlJt Address CPO" `i^p",c"t'a'�'sLw✓ �y '�C
Phone State License SO/ ,(A."'�e A
Approved GC//��• ��+-�_�
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING .& GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
�t Approved
Applicants agree not t�,violate any of the "
Workman's Cnmpen��tioin Laws of the
State of California � ,
Y
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL J
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH C
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
Ild T !✓A 7 E, 0 dr O r4e,
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE 7
MAIN DRAIN 3i
FINAL PLBG. �� 7Q
FINAL GAS �� �� 7c• •�
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
p CITY OF CUPERTINO
p�016. L- 3 GAS VIuA SE'RRA
RELEASE Q
_• / oS7AIRC OHS-telaw6a
F0
10
S_ L_70 �.
DATE INSPECTOR
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
3..: 6.. 70
I... . ...
To
You are hereby authorized to conned the GAS service for
Owner or Tenant ...NeoATH.ER../J...... oNJTt.......................................................
AtJ.C>.3.�9...._.._1N.O. ...... LtZc N.t.......................... .....................�../.................
New Service ...............
No. of Meters ....... ............ Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move
nMeter ,........................
PLUMBING INSPECTOR
6LD(,. 3
GAS SERVICE NOTICE P G & F
COPY
BUILDING INSPECT'OR'S OFFICE
CITY.OF CUPERTINO
.. ........3.. ...-...70............. .. .........1 496--- --
TO
You are hereby authorized to connect the GAS service for
Owner or Tenant ...M."-f-H.F-A C a .......................................................
At ...i.0.2.70.........N.o........Y:7.761.(a r
(p...........................................................A.......
No. of Meters ........F............ New Service ..,--.-,< .............
....... Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. Move Meter ..........................
J.�i - MBAlNtPG..A&LNSPE INSPECTOR 0...R...... .........
PLUMBING