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NO PERMIT NUMBER (4)No. TOWN CEN' LANE Lot No. Street APPLICATION•FOR BUILDING PERMIT CITY OF CUPERTINO File No. 51027.7 Sanitary No. 4673 Date March 2 196 6 Application is hereby made for a permit to . Erect a 1 story, Type 5-F-2 to be occupied only ds ]Medical -Dental Building in accordance with plot Plan, Plans and Specification filed herewith„ Estimated Value of Improvements FEES 1.30.50 $ 46, 000.00 Plan Check $ Ownar Chrisman Homes, Inc. Address _ 654 Georgia Ave. P.A. Contr. C.B. Chrisman Address Phone DA 5-g168 State License 206706 Approved W.D. Benevich/h APPLICATION FOR ELECTRICAL PERMIT Date. 3 d 196 V FEES Contr. LO A��=y ="-.h'�J Address -1 Phone '37�— / 6•� — State License a a 77 Approved APPLICATION FOR PLUMBING & GAS PERMI� Dote `3/� 196 �_ GAS FEES' 02 i o PLUMBING FEES $ 0,2'L"— Contr.i��R-Cr'.� / "✓�t�`A_ Address t' •s/�c�- •-t•.-. Phone �7�- '5'_ _ef State License :;1a_ 7 Y� z43 Approved APPLICATION_ FOR APPLIAN E PERMIT Date 196 - FEES Contr. Phone Address State License Approved Applicants agree not to violate any 'of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION API FOUNDATION (FRAME � pQ(2N�i�/1rFOR-f�- / Da tt LAT 8 PLASTER FINAL Dote /Wr amtm VALS BUILDING Inspector Inspector Y NDE O all �Q i�•6�•c SERVICE Da • .%'(O(C, ATERS TEM ,OUTLETS ,3 Inspector SWITCHES �-/y " ° RECEPTACL�7 `3 �O FIXTURES 3 FINISH WIRING H.P. ARGE a :S PERMIT FE r,2 0 Oa TOTAL FEES 24J4 I amtm VALS BUILDING Inspector Inspector Y NDE O all �Q i�•6�•c SERVICE Da • .%'(O(C, ATERS TEM TYPE OF APPLIANCE UNITS Inspector ROUGH WIRING " ' TOTAL FIXTURES Date BLOWER FURNACES Inspector FINISH WIRING FIXTURE FEE I' Df Inspector FIXTURES I GAS RANGE DataFlnspectoEr ri— ROUGH COMPLETE STORM DRAIN FEE Inspector Motors GAS DRYER Inspector MjWN DRAIN e 1 E Inspector I • �� Ina pe <t or GAS PIPING FEE \FINAL _ 1. 7 n wi:Q°f^.� a pL, Inspector STORM DRAIN SIZE T` 2-Z4 ° I .) . 14604k L 754-61.f. !l. l 0 • fo6 . rU 3 7�0 ,�- .,�.o napu •.. w. APPL AMC TYPE OF APPLIANCE UNITS ATERS TEM TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS !!s ' TOTAL FIXTURES BLOWER FURNACES 3' °^ - ND GROUND FIXTURE FEE SUSPENDED UNIT t� PARTIAL ROUGH) MAIN DRAIN FEE I GAS RANGE DataFlnspectoEr ri— ROUGH COMPLETE STORM DRAIN FEE GAS DRYER Inspector MjWN DRAIN WATER SYSTEM F E FLOOR FURNACE �� Ina pe <t or GAS PIPING FEE FINAL I� � Date Inspector i pp�� SV lie a• rr I7r I s actor PERMIT FEE to Inspector TOTAL FEE MISC rU 3 7�0 ,�- .,�.o napu •.. w. APPL AMC TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS "REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PER&T FEE FLOOR FURNACE TOTA EEi INSPECTED�1�ry�UV Date _ Inspector Bldg. Dept Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Sewer Connection Sanitary Permit No._...' 4P -I --------- �umbing Final Plumbing Permit No......0.7_�.v Lot Owner or TenantEi-3e� ................... .q......... ---- (./,'�....-----"------ At.---------..i...Ll..'L,.-1-Z..------- —bra... Tract Date Connected -------------------------/-.C)- ...1....-....... - b Date Final 1-Q ---- --- _ --- -.- . - 1 ! 111 7/63-1M "ELECTRIC'SrERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE GGGy000 CITY OF CUPERTINO Jo- To !? ........................................................ 196. You are her y au ori ed to co nett, I icalZ4ervice for Owner or Tenant .... ...... .... At t7 No. of Wires ........................ Size of Wires ...................... Size of Switch .................... Motor Load .................... Voltage ................ Heating Load _...................... K. W. ................. No. No. of Meters ...... ._ (Light...._... 110 No. of Add. Meters............ Heat......... 220.. Power ............... ................ Phase ............ _........ _........ ................ Voltage ................................ New Setvic ......: Reconnect_....._...._ ... 4W r ................ Move Service............ P MoyR Meter.............. ELECrwCAL � ELECTRIC 'SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY OF CUPERTIN � To .............., 196( You are here y a�r'to con ect rival service for Owner orTenant ..................................................... ..............I...... ............................... At... ... .....C{ Z'.`_ ............................ No. of Wires ........................ Size of Wires ...................... Size of Switch .................... Motor Load .......................... Voltage ................................ Phase .................................. Heating Load ........................ K. W . ......................... ...... Volt - ....... ............. .......... Reconnect._ ... ....... .-. No. of Add. Meters............1 Heat ................. 220........ Thr ............. Mo Service........--.. Power ............... ............. v Meter.............. .............. .......... ..-. EL CAL INSPE OR GAS SERVICE NOTICE oldrlCil Coln" BUILDING INSPECTOR'S OFFICE CITY OF CUPERTIN� ...... . . ....... . -- ...... 196�. To You are hereb), (autt or zed to connect the GA � sVvice for Owner or Tenant.... ....... At ... ... C—Q� ... New Service No. of Meters .... I - Reconnect .. ... ................ Move Service ... . ............. No. of Add. Meters ... x I Wk, Meter ..... ................... PLUMBING INSPECVOR D,� To GAS SERVICE. NOTICE orriCr. BUILDING INSPECTOR'S OPPICE COPY CITY CUPERTIAjQ Ot( � ... OP ........ _......._.._.._.................._........ ...., 1`16...... You are herebytho i ed to connect the GAS service for Owner or Tenant ............ ......:......�.�,......�°Ku� At o.'9.z-..... ` New Service ... No. of Meters ..... ........ Reconnect ._........................_. A ove Service _................... No. of Add. Meters .............. ove Mete r........ _........... PLUMBING I PI: TOR UUMMO YO .LNVNgl auo4d 009-£9/l Gll •odgtadn:W ,fall luawmdau dmplmg aqa Sq pasealai s, puc.',Vuzdrwo Jo3 6pvw sr Bulppnq 5�5qga pun 'uoileZ)oj anogc aqa jr a..)j vas svd ay jo3 ilysuodsai aq of saaAds paudhsJapun aqy ..--. .................------ ---.................---- -----..........----...------ ----........:BIOSVRH ----.----- UOI ------- ----.... ---------------------------------- - • HHN/a10 301AUS SV19 A21VbOdMi To You are h Owner or Tenant i. At OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ....... ........... 1964, afit orized to,connect I ctricat service C'!(0e, ..... ...... — -�A � �1 - � . � - . ......... No. of Wires ........ Size of Wires 5;;7 _.U..__. Size of Switch ...... .... Motor Load ----- ------------------ .- Voltage ...... Phase ............... Heating Load ........... --------- - K. W. .. ..... .... --- Voltage ..... ............. — No. of Meters..........Lighl................ ]to ........... New !*Ipce ............. KeConnect ... — ........ Heat 220...... Thr 4i Move Service.......... No. of Add. Meters............Power ......... Th / .1 - a Meter....._....... E FLrcTmcAL u, E a LECTRICAL IN EC OR TO You are hereby OFFICE COPY ELECTRIC SIRVICE NOTICE BUILDING* INSPECTOR'S OFFICE CITY OF . C . U PE R . I I . N 0 196.(0 to connect electrical Owner or Tenant "Z= At ....(Z>2.0. �W4 No. of Wires ........QF-----... Size of Wires Im e for Size of Switch C Motor Load ...................... ... Voltage .............. ........ ..... phase Heating Load -------- - .............. K. W. ..... ...... Voltage . ....... . ...... . Light...../.......110 ... New Reconnect........_.._'... No. of Add. Meters............ 220 Three Wire............... Move Service.......... No. of Meters..............He'. Power... ...... 4h Move Meter.............. ase ,11�11CAL 11 116C I TEMPORARY' EUC,TRICAL nzalr-.-b- SERVICE ce.----------- -------------------- ---------- CITY OF CUP ERTINO --- .. .. ..... LOT: ---------- REASON:.---------.....--..._--- - - - ---------- The undersigned agrees to be responsible for the electric I se ice the above location until the building is ready for occupancy, and is release uilding Department: City of Cupertino. C- -. ?, - -Ea L hone ........... ---------- ----------------------------------- INSPECTOR 1161/63.500 ROUTE SLIP File No. �/� d 7. Date Out 7/-7,, izj Date In 7`— Location 2-o .32 Subiec.t. Notes Approved Date Inspector• 1 _■ Z LL � x LL `9 M � Oo z�_ LL 3 n W BOO 00 U'Z J °�3 � u c N r:� 7 v�