NO PERMIT NUMBER (2) Lot No. Q
No. Street t
APPLICATION FOR BUILDINePERMIT
CITY OF CUPERTINO r
File No.
Sanitary No.
Do to '; / 196
Application is hereby made for a permit to
a story, Type
to be occupied only as '
in accordance with Piot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEE$ Plan Check $
Owner Address
Cont,. Address
Phone J State License
O �r Approved
S
&&zj .-cA. Q...
APPLICATION FOR ELECTRICAL PERMIT
Date - 196 FEES
Contr. Addresg
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PAD FlNAL
GRADING FINAL
RECORD OF INSPECTION.APPROVALS"
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Date Inspector
FINAL
Date Insoactor
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
i Date Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I L&ATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Dots Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
' GAS PIPING FEE FINAL
Date Ina pe ctor
PERMIT FEE MISC
Date napector
TOTAL FEE 1(ISC
� Date Inspector
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
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector
t
I DJ O I Lot No. O
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. ��
Dote 196
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordane ith Plot Plan, Plans anigpecification filed herew'
Estimated Value of Improvements $ Jdi 00 0 C
FEES SO
"'� Plan Check b
Owner Address
i
Contr. Address O p
Phone 0 IF/ 4; _ State License
Approved
I
APPLICATION FOR ELECTRICAL PERMIT
0
Data 4�,/ x.. 196 7 FEES
�� /i �� 3 4!21Conir. Address
.Phone State License 16 7 919 /
Approved WILLIAM D. EIEN12—VIC14
APPLICATION FOR PLUMBING & GAS PERMIT
,Date. :SZ/ 6 196 GAS FEE $ - S
PLUMBING FEE $ .3 Z=d d
Contr. Address
Phone - 2,1-& k0 7 7 State License`^.
Approved - �xr' �
APPLICATION FOR APPLIANCE PERMIT
Date `S 196� FEJJE�'S� ��q/
Contr. wt_c-C.I -�`t�$aMss >7 9 ll`Cti �, �l
Phone �'��/'--Z�O O,Q"� State License
Approved ' f
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California -
RECORD OF INSPECTION APPROVALS v
BUILDING
FOUNDATION
D
UNDERFLOOR 14 a7
I ctor
Ins pactor
FRAME -6
Dote Inspector
LATH & PLASTER
0. ct
FINAL DatC- �
Date Ins oe ctor
ELECTRICAL
,OUTLETS CE SI
'SWITCHES UNDERGROUN fir"
Inspector
RECEPTACLES ROUGH WIRING
// // - Dpta Inspector
FIXTURES FINISH WIRING Y11
.�ato Inspector
H.P. CHARGE FIXTURES
Uoie_7 Inspector
PERMIT FEE Motors
mate Inspector
TOTAL FEES FINAL
Data Ins pactor
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES /S A34J UNDERGROUND
FIXTURE FEE PARTIAL ROUGH - ��� .i
r
MAIN DRAIN FEE ��'� ROUGH COMPLETE
Da to n pactor
STORM DRAIN FEE MAIN DRAIN
ate
-
WATER SYSTEM FEE S v GAS PIPING �- 7
Dater
GAS PIPING FEE Asa FINAL _
Date 7-p-c-to,
PERMIT FEE vv MISC
Date Inspector
TOTAL FEE .3,1.3' MISC -
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS ' 3 7S
BLOWER FURNACES / a"'ru� COMBUSTION VENT p,
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER .� PERMIT FEE
FLOOR FURNACE ` TOTAL FEE
INSPECTED - 7 `
^Date - Inspector
OFFICE COPY
-"CTRCSERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPE RTINO
........................Z........ 196.7.
TO
You are hereby ut or ed fo copnect elect se ice for
Owneror Tenant ...................... .......*.......... . .... ............ .... ....
At ........... .... .... .........
.......
No. of Wires ........................ Size of Wires ... Y.. Size of Switch 1.006.......
Motor Load .......................... Voltage .........................:...... Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage ..............................
No. of Meters.........1......... Lig 0
11 ...... ew Se -Ce. R=nnect..................
No.of Add. Meters............ 220...... hrm Wffe. . ........... Move Service............
Power....r..... Phi e. . ....- Mov Meter..............
.......................... ......... . . ............ ....
ELECTRICAL 1NEPE R
CERTIFICATE ` "OFCOMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ----//T7:i......
................... 19-47 Building Permit No.
The Building Located at ..... .....Vish......ki!.A#.-.4.:�3_fv 4'
Ownedby ------- ......rna./I....... .......................................
Has Been (Completed) For Use As: ------
----------*-------------------- ---------------------------*------ -- ------ -*--- ----*------------------------*---- -------------
.........................................................................I------------------------------------------------------------------------
----------------------- ------ ---- --------- -- .... ....... ------------------- -- ---------------
------------ ---------*---- ---
BUILDING INSPECTOR
102 12/66-1M
OFF PY
ELECTRIC SERVICE NOTICE
j BUILDING INSPECTOR'S OFFICE
�. CITY OF ERTINO�
II y.................. 1967
I
To
You are here tho iz t co ect electrical service r
Owner or Tenant ......... . . ..
�^ .....
. . .. .... .
I1 At ....... V. .1............... _. ......`.../.......... y 4.-.K.
-
No. of Wires ........................ Size of Wires .........Y---...... Size of Switch ....` -. .Cl...
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage -
Light..._ 110.. New Service._.. Reconnect..................
No. of Meters....................
� Hat................ 220.......... Three i e.. . ......... Move Service.._........
No.of Add. Meters............
I. Power............... a .......... Move M ter..............
'I
HLHCTRICAL�INSPHCT R .
` GAS SERVICE NOTICE COM"
COPT
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
.................... .....Z..-'000�................................. 196,7.
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ...CrY�' "'"'''';; �/r-,v '... . ... . .._........_........
` At .
/�.. -...ill ... ...�'PQ ....... ...........
` New Service �..'.'. ............
No. of Meters .../_........... Reconnect ....... ......................
Move Service........................ ..
II
No, of Add, Meters ....... Move Meter ....................
_...
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Qag//
` ❑ Sewer Connection Sanitary Permit No. ..r�(J.(p..-.....
Plumbing Final Plumbing Permit Nols�Q04_2.
Lot No.'...... .......................
Owner or T�en/antp_. 40.
At _...
�Y/
------ -------
/ w _ ... .. ---------------- ----------
... ..
Tract .............
Date Connected ..... ... - .._. -------------------------_ ------
/ .....................
Date Final ✓'........ . 196-/
sC% --`--------------
PLUMBING INSPECTOR
111 12/66-1M ',
I AGREE WILL NOT VIOLATE ANY OF THE N'ORHGIEN*S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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ROUTE SLIP
File No. 500 2-
Date Out
Date In jo-3i-6
Location l� yS� (Lis7�a ko [1 �l�d
Sub;j6ct
Notes
Approved --
Date Inspector