NO PERMIT NUMBER (2) 0 Lot No.//�
No. Street 1 //sZO
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Fila No. !!r//(o 7
" BF/
Sanitary No. f� G.v
Da re .40 J 196
rAAp'�ppllicattiion'is hereby made for a permit to
.x a story, Type - 7 LT
to be occupied only as
In accordan ith Plat Plan, Plans and Specification filed herewith„
Estimated Value of Improvements s �'Z� . d0 d
t
FEES __gi�ro• 4-110 Pion Check $ //�t ( � /�� /�
Owr,er fit! Address d29s ICV• L gn!5!j , /S__
Contr. Address - - Sc,.
Phone - 2-4"2 V�� State License
•./ V Approved
APPLICATION FOR ELECTRICAL PERMIT
f o
Dara � 196 7 FEES
Canty. '�.�? J Address - 9aS^/n-+���K-al' ✓
Phone _ ��-L-S�o1-/ Stare License
Approved . /
l.�
APPLICATION FOR PLUMBING & GAS PERMIT /
Dote l d216 7/ 196 7 GAS FEE $ r
PLUMBING FEE $ /'13. clo /
Conry. Address /I3 a A-
i
Phone -c>� V'S---I 'i Y 2 State License IJ6 S �7 r7 /
Approved
APPL CATION FOR APPLIANCE PERMIT
Date ( I _' 1196 � FEE$
Address / -.-
Phone Stare License �--
Approved WILLIAM n nn.nl-Z JICN
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
-
12 -L(47 `h BUILDING
FOUNDATION 0 _6
DATE INS^EC R
UNDERFLOOR -4 Z `-U
DTE / p- INS PL-t TOR
FRAME _l '0 0
DATE IN SPEC R
LAT PLASTER G
D T INSP OR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DA E INSPECTOR
ROUGH WIRING
D U INSPECTOR
FINISH WIRING y
DA E INSPECTOR
FIXTURES Z ,
Tr
DATE INSPECTOR
MOTORS �
Y�I) AT� NSPECTOR
FINAL 2-
DATE INSPECTOR
/3f PLUMBING & GAS,
UNDERGROUND
DATE SPECTOR
PARTIAL ROUGH zl y
DATE NSPECTOR
ROUGH COMPLETE
GATE SPECTOR
MAIN DRAIN
DATE INSPECTOR
GAS PIPING
DATEINSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
c
DATE INSPECTOR
Q�
APPLIANCE
INSPECTED
]DATE INSPECTOR
MISCAT& INSPECTOR
MISC `
• DX�yE ECTOR
MISC '/ `
DATE INSPECTOR
ROUTE 'SLIP
File No.J�/��7
Date 9- 6 d'
Location Irr
Subject
Notes
Approved
Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... .. I/.................................. - ... Building Permit
The Building Located at
Owned by ----X—)---t-4- C
------ I.j......... ............... - _.. ------
Has Been (Completed)
(A4tepedj For Use As: ......
-------- ----
----------------------------------- ------------
...... ............
----------------------- --------------------------- ---- ----------------------...................
.... .. / ..............
-------------------------------------------......... .........................:.*..6-- -------- . ... ...
k.cA-
-------------
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY '
ELECTRIC SERVICE NOTICE
\J BUILDING INSPECTOR'S OFFICE
CITY Oh CUPERTINO
IIS �.:d-�7.. .. . . ., 196
To
You are hereby aut orliied to conn ct�electrical service for
Owner or Tenant ........(^: ... I
i
At .... ,...... .. ... .. .... ...
No, of Wires ...._ .. ........... Size of Wires Size of Switch(.�.�
Motor Load .......................... Voltage ................................ Phase ---_...............
........ ...
Heating Load ..................... K. W. ................ ......._........ Voltage
h Light....... ./._ I tU....f New service..._.../... Kecunnect..........
No. of Meters..._._.........
Heat................ 220....., T ree W- e.__. ._J..., Move Service..........
No.of Add. Meters............ - I '
Power--:......... T Ph e._........... Move Meter..............
._............... ...._ .....IFJC.....IN .._._.......__- '�
- P.LECT0.ICAL INSPECTOR �
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OFCUPERTINO/
. ....... 1964PY
TO 41
You 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
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. C3
--------------
Plumbing F3'nal Plumbing Permit No.
Lot No.
Owner=orTenant ... -y7........ -------------------------------------------------
At
-- -- ------------------ .....W11-Al-�-. --------------------------------------------
Tract ....
Date Connected
----------------------------------
Date Final --------------------------------
---------
------------------
---------------- 19
---------- -------------------------
UMBING INSPECTOR
111 12/66-IM
` OFFICE COPY
(� ELECTRIC SERVICE NOTICE
B DINGINSPECTOR'S OFFICE,
V� CITY OF CUPERT'INO
��� �..-..�........ ..... .... 192
--�1'ou a e herr ebyrta tthh .iized toin Z,le ctrical service for
Owner or Tenant ..........
At .......�.
No. of Wires ....Z............ Size of Wires :. ...1L------ Size of Switch �.�pa....
Motor Load .......................... Voltage .........._._..:.... ......... Phase
.Heating Load ........................ K. W. ......... ........._.._......... Voltage
Light......_...._.. I Ill.... .._. New Servi .............. Heconnea_._...........
No. of Meters-.....:�........... .,
' Heat......_......... 2?0. ......... T ree it ............... Move Service....... .
No.of Add. Meters............
Power............... ree e............... Move Meter.........
_.
P.LECTMCAL INS C R
ROUTE SLIP
File No.
Date Out
Date Ind
Location
PIAI-2—
Subject
Notes ---
Approved o 6
at Inspector