51043.1-BLDG 92
1 No.
VALLEY GREEN DRIVE
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
DateAnri l 20 196 fi_
li •
File No. 51043.1
Sanitary
Application is hereby made for a permit to' '
a story, Type
to be occupied only as
FEE$
Owner
Contr.
Phone
in accordance with plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements ' $
Plan Check $
I
Address
Address
State License
Approved _
APPLICATION FOR ELECTRICAL PERMIT
Data196 4 FEE$ /d p
/
Contr. ���-/ (iCt-�
Address.,,/
Phone_�2— — e'�d /�
State License .2-V
..
Approved
APPLICATION -FOR PLUMBING
& GAS PERMIT
Dote � 196
GAS FEE $
PLUMBING FEE$
J y� y
Contr. ?t/oLl/ '""��
Address
//��
Phone. 7.3 -�` T % i f'
State License
Approved
APPLICATION FOR
APPLIANCE WRMIT
Date 196
FEE$
C ontr.
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
0Ade
ata
UNDERFLOOR
t�
FRAME
Da j7
LATH &PLASTER �Q
FINAL
Date
Inspector
r Inspector
Inspector
7 \O Inspector
Ins Dector
d,;���
F"-�s
ICAO
IIRWATER TERIAL
OUTLETS 0(a to
2h/b6
�
a
SERVICE SIZE
SWITCHES /7 �a UNDERGROU D
0 36 'f0
ei c
MAIN DRAIN FEE
RECEPTACLES ROUGH WIRING
ROUGH OMPLETE-''�
/ 3
�O DVy
Inspector
FIXTU ES FINISH WIRING
MAIN DRAI
WATER SYSTEM FEE
o'-/ a/ w
Date
Inspector
H.P. MARGE FI%TURES
O
GAS PIPING FEE
/7-/f
Date
Inspector
PER FEE J -U Motors
Date Inspector
PERMIT FEE
20
a
r0� -DAt�I _r^
Inspector
TOTAL FEES FINAL
✓ t l9v
TOTAL FEE -
Date
Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
MATERIAL
STORM DRAIN
SIZE
MATERIAL
SYSTEM
SIZE
IIRWATER TERIAL
TYPE OF APPLIANCE
TOTAL FIXTURES
�
/
,UNDERGROUND,15- to
FIXTURE FEE
PARTIAL ROUGH
ei c
MAIN DRAIN FEE
ROUGH OMPLETE-''�
¢t6 for
G
STORM DRAIN FEE
MAIN DRAI
WATER SYSTEM FEE
��
GAS PI INGA- e s
to t
GAS PIPING FEE
FINAL
Date Inspector
PERMIT FEE
��
MISC
_
Date Inspector
MISC
TOTAL FEE -
APPLIANCE
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
PERMIT FEE 'fir
FLOOR FURNACE
IQ
TOTAL FEE 'gi
INSPECTED _
Date
I
m
ctor
�«
AWL
C SERVICE klnTlCr- OFFICE.
ILDING INSPECTOR'S OFFICE /r,/COPY
CITY OF CUPERTINO
........ ...... . .. ..... ....... 196.1�
To
on 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 .. —: ..............
PLUMBING INSPECTOR
ROUTE SLIP
File No. &—,16
Date Out
Date In 7 7
Locatio
M
Subjeot
Notes
Approved
Date In sn.ctor
Bldg. Dept
Office Copy
,,,.BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F�' Sewer Connection Sanitary Permit No...'�17(O ------ : ......
[Plumbing Final Plumbing Permit No-�1006p'
-IL4 ot1 .
------------------
N
oR—---
Owner or Tenant ---- ------ .....
Tract............ ZI-4 .. q� --------------------------------------
Date Connocr7_
e.
....
. ------------------------------------------
pateF!'jqa1 ................................ ,1.0 ................................................
..................
70' ,-PLUMBING INSPECTOR
111 7/63 -IM,
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
................
r OFFtCt[
COPY
................. 19&4
To
You are hereby authorized to conned the GAS service for
Owner or Tenant ..(7� �`' `;.... ......
At..........
New
New Service .......... ._............
No. of Meters ./........... _. Reconnect ..............................
Move Service ......
Move Meter ...... .......
PLUMBING INSPECTOR
I
BUILDING
DEPARTMENT
CITY OF (UPERTINO
o e-ct' Notice
rr ton
Job Loca ....... - --- ---
ure the
s" S*t,�-
at
I have this day ;-�-ed Z
and have found theirolpiowing violations of,71ty, and/or Sta'te
L governi same.
.......... ................... - ------------------ ................ ......................................
You are hereby notified that no more work shall be done
upon these premises until the above violations are corrected.
When corrections have been made call the inspector.
Date Zv--,ye—er Az..............._......... -----
Inspector
............ . ---- ------
Inspector fd�rBuilding Dept.
DO NOT REMOVE THIS TAG
101 12/63 -IM
TO
You are hereby
Owner or Tenant ...
At.........
• ;OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...... ......... 10 .... . ... Oji I.................1 19AP..
. ... .. .... .
No. of Wires ... �............... Size of Wires-PACYNIL�*e of Switch%'qp
Motor Load ...... : ............ ...... Voltage ...............................
Phase....
Heating Load ........................ K. W . ......... ... .... ........ Voltage ................................
.. New Service..... lrr�Reconnect ...........
Light
No. of Meters.... 2,2,00 ......... . Thr it ------- Move Service............
No. of Add. P hr . ............. Move Meter......
9 MUME 11 V.A--�
...... .. ..... .... ... .... ... .......... I ..... ......
4 4ELECTMUC L I . NS R
4^
Aa
BUILDING DEPARTMENT
CITY OF CUPERTINO
Correction Notice
Job Located .....11a�--,-6&4w'
I have this d enspected this structu d these premises
and have found t e following violation of City and/or State
Law vetoing same.
---------------------
..... ...._. ..-------
.........----
_. _o . --- *_ ---- ..
....................................
Ing 'ding Dept ,
f/Ot�SO N VE THIS TAG
77 12/63-1M
r,
BUILDING DEPARTMENT
CITY OF CUPERTINO
Correction Notice'
Job Located aJr/�.f'.L!------ ------ �.------ --- - %--
I have this dayG(nspected this structur d these premises
and have found the following violations of City and/or State
L-Awz QoverninQ same. ,7,L
'................_.....--.--......._ _--------............... ...... ...........................
You are hereby notified that no more work shall be done
upon these premises until the above violations are corrected.
When corrections have been made call the inspector.
Date------ - ------------- ----
Inspe or Building Dept.
DO NOT REMOVE THIS TAG
101 12/63 -IM