51043.1, Bldg 10No.
5 I VALLEY'. GREEN DRIVE " BLld�o 10
at
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.. --51043.1
Sanitary No. 2/2
Data Atari l 20 196 6
Applit•ation is hereby made for a permit to
ti story, Type
to be occupied only as
FEES
Ow r.e r
Contr.
Phone
in accordance with plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
Plan Check $
Address
Address
State License
I =-- _I
• APPLICATION FOR ELECTRICAL PERMIT
Date ,6A�196 FEES
Contr. ai 6
c/ � J,,
Address o2i7� �. "-t/ �llf4i
-22!9
Phone —� N
State Li<ansa dX� �� 6 �e-+
.
'Approved - C /
• APPLICATION FOR PLUMBING
& GAS PERMIT
Date �/r 196
�-) , ,/-, // n
Cont'. e 0( /`�4r+� 4Lw.�
GAS FEE $
PLUMBING FEE S `71 dv
Address /%.0 �v
Address
Phone —7.3.6 _ -,-P 2-z'
State License ��5 �� zu
APPLICATION FOR
Approved
APPLIANCE PERMIT—
Date 196
FEES
Contr.
Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Ltaws of the
$
Tate of California
UNDERFLOOR
Q
FRAME V
LATH& PLASTER
FINAL
Dote.
71
Data
Date
!1s.
2k�-
Inspector.
Inspector
`J
Inspector
Inspector
I ns De ctor
SERVICE
UNDERGROUND
UNITS
FEE
,OUTLETS XO
UNITS
0-0
SWITCHES /.SO
IS-*"
ROUGH WIRING
RECEPTACLES/
R
0
FIXTUR
9
�S
O9
c-
H.P. C ARGE
ifr
PERMIT FEE
/
TOTAL FEES
0/
x7
2k�-
Inspector.
Inspector
`J
Inspector
Inspector
I ns De ctor
SERVICE
UNDERGROUND
UNITS
FEE
TYPE OF APPLIANCE
UNITS
Data
CIRCULATING HEATERS
Inspector
ROUGH WIRING
a i(66
R
BLOWER FURNACES
D /
Inspector
��
FINISH WIRING 0' 1�V
SUSPENDEDUNITMISC
TOTAL FIXTURES
N6
Inspector
FIXTURES
FIXTURES
GAS RANGE
FIXTURE FEE
MISC
— nut.
Inspector'
Motors
PERMIT FEE
ru
MAIN DRAIN FEE
Inspector
FINAL
V
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
or.
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
WATER SYSTEM
SIZE
REGISTERS
R
BLOWER FURNACES
�Od
SUSPENDEDUNITMISC
TOTAL FIXTURES
N6
ND RGROUND
GAS RANGE
FIXTURE FEE
MISC
PARTIAL ROUGH
GAS DRYER
PERMIT FEE
ru
MAIN DRAIN FEE
TOTAL FEE
ROUGH COMPLET
t
for
STORM DRAIN FEE
MAIN DRAIN
—
'
-
a a
or
WATER SYSTEM FEE
GAS PIPING
•
Date
Inspector
GAS PIPING FEE
- FINAL
Date
Inspector
PERMIT FEE
°Z'�
MISC
'
-
Date
Inspector
TOTAL FEE
MISC
or.
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
SUSPENDEDUNITMISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR.FURNACE
TOTAL FEE
INSPECTED
Data Inspect
W6
0
- - ---- "Bldg. Dept
- Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection
CR"Plumbing Final
Owner
/o�r�Tenant .._�
At -.-
Tract
,
Sanitary Permit No- ----- .-rf.�/.�..........
Plumbing Permit Nol�q2�4?1.� ......
Lot No - -& ---
' /
Date Connected .:.. .. ..... ...._. .... .............. - ...... -- - �- 1%� .....
DateFinal..............................�..:_..................--- -..--
�c ) ..--.........------.....
ISI \�����/
—e PLUMBING INSPECTOR
7/63-1
111,
r._
ROUTE SLIP
File No. 0 1Z4
Date Out—
Date In
Location e5 �/ # Go
v
Subjeat--
Notes
Approved
nspssc1;or
GAS SERVICE NOTICE 0 ITICI:
BUILDING INSPECT6R'S OFFICE COPY
CITY OF CUPERTINO
.............. ///............._..........._.., .196-(:�
To
You are hereby authorized to connect the GAS service for
Owner or Tenant...
At
417 New Scrvice..�.. .....
No. of Meters Reconnect ... -.........................
Move Service ................ — ....
No. of Add. Meters .... Move Meter ...... .. ...... -- ......
x��" PLUMBING INSPECTOR
•
'OfFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECLOR'S OFFICE
CITY OF CUPERTINO
........................................ .................. 19�...
T9-
You are hereby a h ' e o nett electric I sc7,icT fon
Owner or TtSant .......................
At .... .;�...77
No. of'Wires ........ Z ........ Size of Wires . %3 a....:....... ... Switch
....
Motor Load .......................... Voltage . ............................ Phase ...........
HeatingLoad ........................ K. W. . ............................... Voltage ................................
No. of Add. Mete!-L4hL ............... I N rvi ... ... ..... . Reconnect...._....._.....
No. of Metem .... .. Heat. ................ 22 T ce . ................ Move Service............
--
Nit- POC .............. ................ ove Meter..............
C
'E"L, I'N"',' ....*''
SPE TOR