NO PERMIT NUMBER (2) Lot No. //U
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Qr�
Sanitary No. Si f
Do to 196
Application is hereby made for a permit to
fa y story, Type s = v
to be occupied only as
in actor .e with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $e,2/.ep &V-6 O=e
r �
FEES j �n Plan Check b �•
Owner -Awr.C/ Address
Contr. Address
Phone State License
�/\(/ 4-1 7f/ /
Approved
APPLICATION FOR ELECTRICAL PERMIT
S S'
Data y '"u 196--7 � FEES yj
Contr. -- /� Address 9.7s/�-�L_P� � 6�oC �1y
Phone 73 State License
Approved -r...�,G
APPLICATION FOR PLUMBING & GAS PERMIT
Date //S 196/72 GAS FEE $
�y�JQ PLUMBING FEE $
Contr. V-�u"- Address 1-3 �!
Phone oZTS^-2'� '�-3 Stota License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved"--
Applicants
pproved"Applicants agree not to violate any ofthe
Workman's Compensation Laws of the
State of California
2-17
RECORD OF INSPECTION APPROVALS
FOUNDATION p6-412BUILDING
Jn ec r
UNDERFLOOR Dote I�7te 6'—/
FRAME —4Ins pacrar
/ ns pact
LATH PLASTER ate ft-6
FINAL oC
Date -6P
i ota
?^
,"� a — - 31,[ y Insoector
ELECTRICAL
OUTLETS
I*AllZ SWITCHES NDERGROUND
• for
RECEPTACLES ROUGH WIRINGAZFj
_ IVe� / ns pe ctor
FIXTURES FINISH WIRING / /� r0
_ D e O Inspector
H.P. CHARGE FIXTURES
C Data � Inspector
PERMIT FEE � Motors
I _ .Yate ,�Q Inspector
TOTAL FEES FINAL (:::z
Date In actor
-10 >7 IQ GAG & GAS
MAIN DRAIN IZ I MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Dae n
MAIN DRAIN FEE ROUGH COMPLET -/—
pate I or
STORM DRAIN FEE MAIN DRAIN y�e/
WATER SYSTEM FEE GAS PIPING [Y fnr GAS PIPING FEE FINALDate
PERMIT FEE MISC
Date Inspector
TOTAL FEE MISC
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
Data Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
1 /
CITY, OF CUPERTINO
Date .....j ................... 19.k!...
p.. Building Permit No. II� I
The Building Located at ----,f.�.�.3.: ------lNt.!/�1 k.:!'.N�..... U ,,.�-^_"^•---..,,..y
t .r / 1
Ownedby ------ - --- - . n'!P------------------------------------------\.
(Complete ) j ( L)#LrZ_.. -
Has Been For Use As: ...-----`-.....- ----............-.................................... ..--.
_.......-------
- ----- --- .--'--------------------------
.............---......-- -- ----
.... _............_.---------...J.-�-�--�-.......... -
---...._ .f.1d'.�.`......[.'.`-'�.I......................._
BUILDING INSPECTOR
102 12/66-1 M
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
710 CITY OF CUPERTINO
.............
o
You are hereby authorized to connect the GAS service for
Owner or Tenant ......
At .. . .. .. .........
....... ................... ..........
New Service
No. of Meters ...f Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
............
WPLU Bl��CIiP TOR
OEZICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
... ............ ---------
To You are hereby ton el u-conn ct ectrical service for
Owner or Tenant ...... .......... ---- -- -- - ----------
RnAt ..............
No. of Wires ........................ Size of Wires
...... ---- .... Size of Switch(�A--:
I I
Motor Load .......................... Voltage ................................. Phase —...............................
HeatingLoad ........................ K. W.. .. ....... .. ........... Voltage ................................
No. of Meters- ------------------
Lig"� -6
No.of Add.Ae-t-1-11--- He;u ------------ -220..... ---..-.&hree re- ---- Move Service............
Power--------------- phase... . ....... Move Meter....--------..
........ . ...... -#,
ELECTRICAL R
104 7 63-500 (j
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection Sanitary Permit No. -------
PiPlumbinp, Final Plumbing Permit No,
Lot No. -A-0---- ------------
Owner or Tenant ... oe��77
At
Tract ----------------
-------------------*-----------------
Date Connected ✓ 19
Date Final ---------------------------------
--------------------------------------------------- 194�
4
-------------- ---
----------------
PLUMBING INSPECTOR
111 12/66-1M
OFFICE COPY
ELECTRIC 'SERWCE NOTICE
rBUILDING INSPECTOR'S OFFICE
CITY 017 CUPERTINO
-Y
196.1..
TO
You are hereby authoriPeO.tf,!�onnect klectrical service for
Owner or Tenant ...............—
Z.
At .... ........../ I_-, -2 W
............... .... ... ........
No. of Wires ........................ Size of Wires - - - ------------ Size of Switch
Motor Load .................. ..... Voltage ...._..... ......_......... Phase ...
Heating Load ........................ K. W. .......... ........ _........ Voltage ...... .........._........
Light_ 110.... New Services............... Reconnect.__..........-.
No. of Meters.........I.........
Heat
0 .... .hree Mine_;.. ......... Move Service...
No. of Add. 'r jj
Power.._.......... hase-. ......... Move Meter..
ELECTRICAL INSPECTOR
ROUTE SLIP
File No. 7
• Date Out 0 2
Date In 6 i 69 'L
Location
Sub;eat.
w
Notes
Approved' /o 6 �6 ?
Date Inspector
56CJ LOT NO.
NO STREET
CITY OF CUPERTINO
�SNAPPLICATION FOR PLUMBING PERMIT
�976
Sanitary No.
Date ,19 Permit No. 7
pFee b
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino,and all other laws applicable thereto.
Use of /�� �" /Chi a Work rm Be /. l 2/ ` � P
Premises' ���JJJ Performed (/f/bi[-C/L 7 /
aCa„n6 pvS
Owner C� Address
Phone
By Address El 11 1%/N4
Contractor,Agent
Phone
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
�� COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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