NO PERMIT NUMBER (2) Lot No. 7�C
No. Street
APPLICATION FOR BUILDING PERMIT (\ /
CITY OF CUPERTINO
File No.&II" (1 7
Sanitary No, vrz-/ O
f�
Date 196 _0[�
Application is hereby made for a permit to
a story, Type
to be occupied only as
in accordance wi lot Plan, Plans and Specification filed herewith.
GGEstimated Valve of Improvements $ 4, 49 O ��
FEE$ — O" Plan Check $
Owner 2!! +-✓ Address al.) ' S &d::L o`er dt., e
Contr. Address C
Phone ?S-Z—/// O State License/ �IS"11791 Q
Approved
APPLICATION FOR ELECTRICAL PERMIT
i
Date _ n196 O / FEE$
Cont'. -r��-n--d:R-�/ Address
Phone 7'36/ State License /� �'^� 2—
Approved 1PltLLl�+ra n ..
APPLICATION FOR PLUMBING & GAS PERMIT f
Date 196 �7 GAS FEE $
PLUMBING FEE $ c,2 .1 ra
Contr. Address — x..?. 9 f
Phone a 7"'s 02 1 2 State License 7 !F
r
Approved —(&) /
APPLICATION FOR APPLIANCE PERMIT
Date ! b 196 FEES
Coat 10, Address __ /1 � S
Of
Phone 37fi' CJ 9' S State License Z 6' V L
Appreved WILLIAM D. E ZNGVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS _
FOUNDATION ��E BUILDING rG�
I spect
UNDERFLOOR Dy
FRAME la e ia Inspeeto
a g In=put
LATH P L A S T E f� g�
FINAL 3 - �l �e 6 f!a _ - e t
Date Insoector
/7„PtUECTRICAL
,OUTLETS ,
- SERVICE SIZE
SWITCHES UNDERGROUND
f , b / R I
RECEPTACLES ROUGH WIRING r' D bV nspector
�afa Inspector
FIXTURES FINISH WIRING
to I
H.P. CHARGE FIXTURES nspecter
Dat Inspector
PERMIT FEE Motors
3 - t- Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUG
D e for
MAIN DRAIN FEE ROUGH COMP LET - G
/� D to or
STORM DRAIN FEE MAIN DRAI A"
o27-
WATER SYSTEM FEE GAS PIPIN - _6 or
' Date or
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE M_ 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
ate Inspector
i
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OFQCUPERTINO
Date ..........r.}............... .�./.-.. 19.��.?.�.... - uilding Permit No.^:� JK-71
The Building Located at -./.�.C.'_f. ....��" ^^': w`L'ti •'�•-Q..
Ownedby ... (.----------------------------------------------- ............. . ............/.. .(.... 7 . .. ..
(Completed)
Has Been (?1tt8 ) For Use As: ---
..................'-----........... ................................................................
............ ..........................
.....................tnc., Win.
.. ,.r.4.
._ ---........._.......`.......`----
^t 7-4
BUILDING INSPECTOR
102 12/66-1M .
�FFTE COPY
ry rJ ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
4`�( CITY OF CUPERTINOz ? C
._..............._._..,..?.-._�.-c�. ...._........, 196.6..
To
You are hereby th ized to coil ect electrical service for
f Q
Owner or Tenant^`. '_<seal.�r'.' �ZL•r? � ...�,'.....,,ra.... _ ....
No. of Wires .-...,._....... Size of Wires .. .--..�r..:..... Size of Switch ...ICC�}_
Motor Load - ----------------------- Voltage Phase
Heating Load ........ ............... K. W. ._....._..-.....-_....._...._ Voltage
No. of Meters.........'.......... Light-f.... Ittl New Semite.././". Kr connect........
�HeaG._.......-.._. 220....J,i Tlyee ... .. ..n Move Service.........
No. of Add. Meters....-....... / r!
Power..--..._..-... //Three hue........._ Move Meter--..........
It
ELECTRICAL INSPECTOR �
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
GCITY OF CUPERTINO
9 . .:� .. ......—.... . .........
........... � 19e
�/
You are hereby auth ed to connect the GAS service for
o
Owner/or Tenant ....
At
New Service .........
No. of Meters ... ... .. Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
INSPECTOR. ......
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
f-1 Sewer Connection Sanitary Permit No. .'4�zgq
. ..................
[ Plumbing Final Plumbing Permit Nol14711
Lot No. .----7111------------ ------
Owner or Tenant 4!::::�
------- ------ ---------------------------------------
At
------------------------- -----------------
Tract .....
Date Connected ---------
Date Final .....................
------------------------ ------------------------------------
...........�
--------------------
4�'PLUMBING INSPECTOR
111 12166-IM
:ROUTE SLIP
File No
: ,Date Out z—
��// Date In
Locatlon p C� .. 7/
Subject 07�
Notes
Approved A S-- 6 zTIt
Date --TInspector