NO PERMIT NUMBER (2) 20366 I TOWN ',CENTER LANE Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. �)l QP7_ 7
��/�O /G Sanitary No. ���
Date Sept ' 27, 1961 �'"T`�'�")
Application is hereby made for a permit to
Install a story, Type
to be occupied only as Foundation 91af+V
in accordance with Plot Plan, Plans and Specification filed herew .
Estimated Value of Improvements § 500. 00 (P"x"61 0 ci
FEE§ - 5 . 00 / l�0 6' ) Plan Check § —ya 5-
eZ cS�
owner C.B. Chrisman Address 654 Georgia Ave . P.A.
Contr. Address
Phone 325-9168 State License 2o67o6
Approved W.D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
Date 2 'Y3' 196 5 FEES T�s c
Contr.;.. ?�� L Cf p Ler—e-� Oddrass 16,-So� .
Phone mea / / "2-' State 'License a`Z 7 7,5--L
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �/ 7t� 196 (. GAS FEE § a-o
p/� - PLUMBING FEE t.
Contr. Address 02
`/
Phone •37 d —/Q "-I LSState License 2-0 5? Z`X�
Approved
2/ APPLICATION FOR APPLIANCE-PERMIT7 7J-
Date 196 � FEES
Contr. Address oZ/S
Phone 7- IG IiState License
C �
Approved r•'� U1
Applicants agree not to violate any of the
Workman's Compensation Laws of the '
State of California
N.
RECORD'OF INSPECTION APPROVALS
FOUNDATION –' D " BUILDING
to ns pector
UNDERFLOOR
a I57
nspector
FRAME
i
../ pector '
LATH PLASTER „ata L
Date Inspector -
FINAL
Date Insoector
ELECTRICAL
OUTLETS
SERVICE SI
SWITCHES ,3 UNDERGROUND ZV
TI,S'D ta I specter
RECE PTACLEF — ROUGH WaRING Z' L
FIXTURES9 IF N SH WIRING � ' y t' Inspector
FIXTURES— Qpt- Inspector
777FFE7—--7H. CHARGE � L /�/((
Date t7 Inspector
PERMIT FEE
�yyMotors
TOTAL FEES —^ FINAL
y
nspector
DW. Inspector
3 kit',
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
n
*17
WATER SYSTEM SIZE 'MATERIAL
TOTAL FIXTURES 7'� UNDERGROUND, -
FIXTURE FEE PARTIAL ROUGH
e/ s or
MAIN DRAIN FEE ROUGH COMPLETE
pare' or
STORM DRAIN FEE MAIN DRAIN –(o
ata I or
WATER SYSTEM FEE �� GAS PIPING z�
Date Inspector
GAS PIPING FEE `� � FINAL `
Q-y Date Inspector
PERMIT FEE � `— MISC
Date Inspector
TOTAL FEE � MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE'
CIRCULATING HEATERS REGISTERS Z S 7J
0 v
BLOWER FURNACES � COMBUaTION V NT � —
SUSPENDED UNIT MISC 3 � 3 /-//'o v"✓
GAS RANGE MISC
GAS DRYER PERMIT FEE o2
FLOOR FURNACE TOTAL FEE 7 S
INSPECTED
• Date Inspector
GAS SERVICE NOTICE °OPS''
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
....... �........................._._., t)6../
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .__ .. /(/� �i� .......
At
New Service .... ..................
No. of Meters ...... Reconnect ..............................
Move Service ........._..........
_.
No, of Add. Meters .............. Move Meter .........._..........
_..
W�uG INSPECTOR
• OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To
.................................. ................ 1967..
' (�
You are herel�a thorix to co nett el rical service for
Owneror Tenant ................. . .......... .... ....... ... ....... .. ................ ................
IAtO�J... Co ..... ........ ...........................
��..cy.g,,...
No. of Wires ... ............... Size of Wires ....� ....... Size of Switch ... 9. ...
Motor Load .......................... Voltage ......._. ......_. Phase
..................................
HeatingLoad ........................ K. W. .................................. Voltage ................................
No. of Meters... ..... Light............... 110............ New Service................ rieconnect..................
:..!....
No. of Add. Meters............
Heat..... 220... ' Wi ............... Move Service............
Power............... Ph ................ ve Meter..............
............. .. .......... ..............
aLECTPICAL sre roa
ROUTE SLIP
File No. /d o1
Date Out � p
Date In
Lc c a t i o n 62-0�3
Suby J.ecty _
Notes X, A;2-9,
Approved g Z ( /, G
D e anspector
, . OF THE .., , ,
� ' 6 { /2%Jr d F%A
/
—
_ ( - \ ��. % \
/ \ \ )
'
,! ! �
\} $} } / 3 0
. $ o qP
/ 2
_ { ; e
2 \ m
§ « } §
9 \}
1(4 + -4
5
±
AGREE I WILL NOT VIOLATE ANY OF THE N'ORI MEN
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. V�
c/) 0 1
v —
v syr
w M
c ° T
° n 3 I Q
Fn , A ;o
= O S o w
9 9 3 a 10 '^ C
> > r
� N zv_
NJ N m ro O Z -
° n Q y
S p1 n m IO O
0.
a c
Z w o
n �
A w
6 1 A
R W w