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3702, 6222, 6067CITY OF CUPERTINO INSPECTION RECORD (OFFICE COPY) MI NO. '. ..ADDRESS LOT NO.— td.OWNER Cd Gl� FINAL INSPECTIONS DATE INSP. Gas G 7- S` , ectri c /2-p s - re ue'pt. h Dem. DATE IINSP. Underfloor S.M. BUILDING ELECTRICAL PLUMBING MECHANICAL MISCELLANEOUS W � t 2A Q _z z ): 2 tY W > 0-0 :)z 00 U_ U OW i a to �-z A qLI A " O HLL. IN INFORMATION fflTHIN RED UNES - USE I ALL PUNT PCNA ONLY OFE)C , COPY I3U1 LLaI"I, PROJECT I DENTI FICATIQN _ a�,,,,D„NG APPLICATION &PERMIT AL7I-- /��,j� BUILDING -ELECTRICAL PLUMBING MECHANICAL PERMIT NUMB 702 'OWMEF""5 ', i ,, " , NAME OT E. Mrgen Devel©pue)(TIE 287-5721 C ) WI O F! €I 11 "/� PLAN CHECK VALIDATION PAID PR 1 1 C� DATE OF,,,µµAPPLICATIDN CONTRACTOR S NAME lyl)o,.L LL'I I?t ✓�1t 4l IIC,NO. OUTLETS - SWITCHES - RECEP 5.00/1.00 LIGHTING FIXTURES 5.00/1.00 ACTOR'S ADDRESS ' ADpRE 625 McG1a.ncy ;, CanpbelL 371-2717 APPLIANCES - RESIDENTIAL 4.00 PANELS 5.00 OR Ins Eng eers 1_11. N., x',18632 SIGNS SIGNS _..._....._.............. 6.00I l0 P.C. NO. SIGNS TRANS. 3.00 ADDRESS ENG "._ 501 S. Bascom, Sari Jose ZIt95128 SPECIAL CIRCUIT 5,QQ PERMIT VALIDATION TEMP. METER OR POLE INS. 15.00 ANT'S DRESE55 ADDRESS 1611 Tile Ala da., .San Jose 95126 MOTORS SEE FEE SCH- SERVICE CHANGE 10.00 LICENSED CONTRACTORS DECLARATION I hereby affirm,that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, 1d Iny lu ense is 111 full for amt ff f License C ass Lie. Number Dates Contractor ISSUANCE DATE BLDG. ELECT. PLG. MECH. ❑ ❑ _ OWNLR-&ISILDER DECLARATION/ I hereby affirm, that 1 tun exempt from the Contractor's License fol Bus reason thee, requires to c and Professions Caw for the city ';, permit Code: Any city 4i county which requires a permiC to instruct alter, or improve, demolish, or repair any 'structure, prior to its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to"the provisions of the Contractor's Licenseµ Law (Chapter 4 (obrnmeneing with Section 7000) of Division 3 of tli Bus nes* and ProQissions Code) or that he is exempt therefrom and the bests fon the sieged exen)ption. Any violation ofSection 7031 by any more than undrtsubjectsthe 0),)ic nttoaeivilpenalty of not more than five hundred dollars (5500) ); MISC. - REFER TO ORD PERMIT ISSUANCE 6.00 VALUATION $/FT. �� � - ELEC CONTR. LIC NO. ELEC, TOTAL PERMIT TO �+ -''" P l) ,';', ,;" "" ` ' STORIES �_. TYPE CONSTR. ALTER -DRAIN VENT -WATER (EA.) 4.00 0 I, as owner,of the Property, or my employees will) wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Corttractor's License Law does not apply to an owner of properly who ijlhtds or improves thereon, and W17P does such Work himself or through his own employees, provided that Such improye meats are not intended oir offered for sale If however, the building BACK FLOW PROTECT. DEVICE 2.00 OCC. GROUP RES. UNITS _ DRAINS- FLOOR, ROOF, AREA,COND- 4.00 FIXTURES PER TRAP 4.00 SO. PT. FLOOR AREA TOTAL ACREAGE GAS EA. SYSTEM - 1 INC.4 OUTLETS 4.00 or Improvement is sold within one year of impletion, the owner- builder will have the burden of proving that he did not build or im pr v for purpose of sale,). � L as owner of the 'property, am exclusively contracting with GAS _ EA. SYSTEM - OVER 4 (EA,) 1.00 BUILDING USE IND CDN PB Other ❑ ❑ � El INDUSTRIAL WASTE INTER. 20.00 LAWN SPRINKLERS -I INC5 V.B. 5.00 ASSESSORS PARCEL NO. / �� )iaEcnsed contractors to construct the project )Sec. 7044, Business and Professions pro e The Contractor's License Law dares nal apply to an owner at" property builds or Improves tltcrwn. and who LAWN SPRINKLERS •OVER 5 (EA.) 1.00 contracts for such,pro)euf with a contractors) licensed pursuant to the Contractor„s3 icensa taw. SEWER -SANITARY -STORM EA. 200ft/8,00 TRACT NO, PARCEL NO. 0 IamexemplunderSec -__ ,B.&P.C.for its reason WATER HEATER W/VENT 4.00 Date ._.., .,,.---. Owner WATER SYSTEM 4.00 ACC. DATE ACC. FILE NO. WORKF.RS'COMPFNSATION DECLARATION WATER TREATING EQUIP. 4.00 1 hereby affirm), that I have a certificate of consent to sclf insure. or a certificate t` gkuts' Compensation Insurance or a certified �. copy )bye( LIS, tab C 1 Parc o Company � i7l ) 1i `1 Cettitled %rj7y hereby furnished ❑ Certified filed with the city impaction division. Applicant _ ..... _ .. ...._,,.. - � ZONING ENG. SITE NO. FIRE$PRINK Y N ❑ ❑ ENERGY T-24 v N ❑ ❑ MISC. - REFER TO ORD. CL�,RTIP) A' � FXhMPT10N FROM WORKERS' PERMIT ISSUANCE 6.00 ', FLOOD ZONE A L.u.e. PLG, CONTE. UC.NO, PLG. TOTAL COMPC,NSATIONINSURANCE (This section need not be completed it' the permit is for one Y ❑ N ❑ Y ❑ N ❑ , „ „ Al ", ' '� " ` `ME IAI�►% ,,,,, " „ '� /�Af 1 hundred dollars (S 100) or, less.) certify that i)1 the performances of the work for which this per mit is issued, l Shall not employ any person in any manner so as to become subject tri the Workers' Corn pensat Laws of California."� Date______ -APpheant ..,__..__ _..._.._, __._. _ NOTICE TO APPLIC'AM: If, after making this Certificate of Ex- BUILDING .n✓ ALTER OR ADD TO MECH. 4.00 APPLIANCE 4.00 � PLAN CHECK emption, you should become subject to the Workers' Corn pen sat ion provisions of the, Labor, Code, you must forthwith such provisions or this permit shall be deeimply with u mad revoked, FEE AIR HANDLING UNIT (TO 10,000C.F.M.) 3.00 AIRHANDLINGUNIT(OVER10=C.F:M.) 5.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 2.00 the performance, of the work for which this permit is issued (Sec. _ 309., Civ. C,)».. Lender r�el 14 C Addr Lendr'sAddrsx, p a "and MICROFILM HEATING UNIT (TO 100,000 B,T.U.) 4.00 HEATING UNIT (OVER 100,040 B.T.IL)7.50 ELECTRIC VENTILATION FAN (SINGLE) 3.00 PLUMBING er)) fy t Phave read this� r state the e�bove information is correct. I agree to comply with all city and countyBAILERCLIMP(3 ordinances and state laws relating to building construction, and - H. P, or 100,000 B.T-U,) 4.00 ,.-.,, BOILER -COMP (Over 100,000 BTU) SEE EEE SCH. MECHANICAL hereby authorize, representatives of this city to enter upon the above-mentioned property for inspection purposes. MISC. - REFER TO ORI?. (We) agree to,save, [ndemnify and keep harmless the City of Cupertino against, liabilities, judgments, costs and expenses which may in way accrue,agains s d City in consequence of the gran ' c ++ I 7& it . _. roof Ap sc %C "r ctor CONST- TAX PERMIT ISSUANCE 3.00 MECH. CONT. LIC. NO. .._ MECH. OFE)C , COPY 0 cr z '09 cr < Z In J z Oz -0 cc < 0 Cc 0 0 FL M w aw 1- 0 0 Z z �, 0 Cr T W > CL a 0 z 0 0 LL Ow CL 0) Z ILE APPLICANTTO FILL IN INFORMATION WITHIN RED LINES —USE BALL POINT PEN ONLY BUI LD144G PROJECT I DENTI FICATION APPLICATION & PERMIT BUILDING —ELECTRICAL— PLUMBING — MECHANICAL PERMIT NUMBER 6222 OUiLDING A DDRESS ANER'S NAME 10 PHONEJ17—% P �,/��11001) 'Will DUTLETS -SWITCHES - RECEP 5.00/1.00 PLAN CHECK VALIDATION CONTH LIGHTING FIXTURES 5.00/1-00 LIC NJ�3 DATE OF APPLICATION CONTRACTORS Ife, PHONSI APPLIANCES - RESIDENTIAL 4.00 PANELS 5.00 ARCHITECT OR ENGINEER LIC. No. ISIGNS 6,00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 ARCH. 08 ENG. ADDRESS SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS. 15.00 ZIP J., � ,/ APPLICANT'S ADDRESS MOTORS SEE FEE SCR. SERVICE CHANGE 10.00 LICENSED CQN FRACTORS DECLARATION I hereby affiraf Chat I am licensed under provisions of Chapter 9 (commencing with Section 7000) or Division 3 of the Business and Professions Co rid n ylicense is in full ��' 1, cense CkNs,. Lic. NumbeContractor ISSUANCE DATE BLDG. ELECT, PLG. MECH. RI OWNER -BUILDER DECLARATION I hereby affirro that I Am exempt from the Contractor's License Law for the following reason. (Sec. 7031.5, Business and Professions Code: Any city orcounty which requires a permit to construct, alter, improver demolish, or repair any structure, prior to its issuance, also requires the applkant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Business and Professions Code) or that he is exempt therefrom Law (Chapter 9 (commernnng with Section 7000)ofl)ivision3ofthe orn and the basis for the alleged ekemption. Any violation ofSection 7031.5 by any applicant fair a permit subjects the applicant to a civil penalty ty ofnot mor c ` than five hundred dollars ($500).): MISC. — REFER TO ORD PERMIT ISSUANCE 6.00 j VALUATION $/FT. ELEC. CONTR, LIC. NO. ELEC. TOTAL I � V%, NNE ALTER -DRAIN & VENT -WATER (EA.) 4.00 PERMIT TO ✓ 6 STORIES TYPE CONSTR. I , as, owner of the property, or my employees with wages as tfivir sole compeosation, will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 2.00 m OCC. GROUP RES. UNITS ROOF, AREA, COND. 4�00 intended Or offered for sale (Sec. 7044, Business and ProfessionsDRAINS-FLOOR, Code: The Contractor's License Law does not apply to an owner ofaw property who builds or improves 01=011, and who does such work himself or through his own criplovecs, provided that such improve- 1 merits are not intended or offered for saleIf, however, the building I FIXTURES - PER TRAP 4.00 I _�O. FT. FLOOR AREA TOTAL ACREAGE GAS - EA. SYSTEM -1INC. 4OU .00 or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or im- prove for purposclof sale,). E! 1, as owner of the property, exclusively contracting with licensed contra0�rs to caonstruct the project (Sec. 7044, Business and Professions Cr)dc: Thie Contractor's License Law do" not apply to an owner of property who builds or improves thereon. and who BUILDING USE RES IND CON PB Ome, ❑am 0 0 GAS - EA. SYSTEM - OVER 4 (EA.) 1.00 INDUSTRIAL WASTE IN T 1 2 ;db LAWN SPRINKLERS - 1 INC 5 V.8. 5.00 ASSESSORS PARCEL NO. LAWN SPRINKLERS - OVEDit/I[q�fiPtAd— 0 C'on tracts for such projects with a Qontractor(s) licensed pursuant to the Contractor's License Law. SEWER -SANITARY -STORM EA. 200ft/8.00 TRACT NO. PARCEL NO. I_] I am exempt under Sec. BAP.C. for this reason....... . . .. ACC. DATE ACC. FILE NO. WATER HEATER W/VENT 4.00 . ....... _ ----- - Owner . ....... Date WATER SYSTEM 4.00 414- WATER TREATING EQUIP, 4.00 WORK F,,RS'CO3MPFNSATION DECLARATION I hereby affiruvifiat I have a certificate of e nsent to self -insure, or a certificate of Workers' Compensati I in rune,, or a certified copy thereof (Sec, 3800, Labk%) �3 ZONING ENG. SITE NO, Policy No. .. ..... ... -Company 49 FIRE SPRINK Y 0 N r ENERGY T-24 y ❑ N Fl Certified co; y is horeby furnished- 0 Certifie ed *i e city nspection division. Applicant. MISCREFER TO ORD. CLRTIFIC'AfFOF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 6.00 I� FLOOD ZONE A.L.U.C. PLG. CONTR. LIC. NO. PLG I TOTAL 16 COMPf-,NSATION INSURANCE (This section, need not be completed if the perinit is for one Hundred dollars or less) I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in a ny manner so as to become subject to the Workeni'Conapensation Laws ofCalifornia. Date._. ........ . Applicant - ____ . . . ............... .. .. P4g tiefxALTER Y ❑ N ❑ Y ❑ N ❑ I IN IM//%t/11111 goigms 11111, I OR ADD TO MECH, 14.UUption, BUILDING APPLIANCE 4.00 "E'll 3.00 AIR HANDLING UNIT Re' CF.M.) PLAN C14ECK FEE you should become subject to the Workers' Com pensation prLabor Code, you must forthwith comply with visions of the sucoli provisions or this permit shall be (teemed revoked. WO AIR HANDLING UN:IT(,OVFR 10C.F.M' 1 5.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY EXHAUST HOOD W4 -Th DUCT) 2.00 I hereby affinn, that there is a construction lending agency for (tic performance of the work for which this permit is issued (Sec. 30(,)7, Civ.C.). 1,rider ;,s Name...._-_ I.,ender's Address . . ..... ---------- MICROFILM ELECTRIC _L HEATING UNIT (TO 100,9Pqq,-,FqtJ,�JJ�)4.00 't HEATING UNIT (o\&*h6b,6dd B.T.U.)7,50 I certify that I have read this application and state that the aboveVENTILATION information is correct. I agree to comply with all city and County dillarices and ,late laws relating to building construction, and FAN (SINGLE) 3.00 I PLUMBING ", BOILER - COW (3 H.P. or 100,000 B.T.U.) 4.00 " BOILER -COMP (0,., 100,OOOBTU) SEE FEE SCHJ MECHANICAL aereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. MISC. - REFER TO ORD. (We) agree to save, indemnify and keep harmless the City of Cupertino , Wxfsf liabilities, judgments, costs and expenses w )tell may it any facer agig5rist ity in cons q1 let the grant o PP trador ate I ft /x e 0 CONST. TAX PERMIT ISSUANCE 3.00ij MECH. CONT. LIC_ NO, MECH. TOTAL OFFICE COPY 6041 SIT FILL IN INFORMATION WITHIN RED LINES USE BALL POINT PEN ONLY uBUI LU;TG PROJECT I DENTI FICATION APPLICATION ...& PERMIT.... BUILDING --ELECTRICAL- PLUMBINGMECHANICAL PERMIT NUMBER 6067 BUILDING �r At' y r CSWNER 3PLAN NAME PH UNE CONTRACTOR CW II Lc N' m„y� 10 L6 m LIGHTING FIXTTCHES URES V RfCEP 5.00/1-00 5.00/1-00 CHECK VALIDATION ACTOR'S PHONE(,APPLIANCES rOj r, . uSIGNS RESIDENTIAL 4.00 DATE OF APPLICATION PANELS 5.00 0. p ARCHITECT• ENGINEER _....._.__ LIC. NO 6.00 PLAN CHECK FEE P,C NO.. SIGNS TRANS. 3.00 ARCH. OR ENG. AOOREss "Sl ` �is�. zry SPECIAL CIRCUIT 5.00 ° EMP. METER OR POLE INS. 15.00 PERMIT VALIDATION 4 ". t � APPLICANTS L Lll.E ORS DECLARATION , 'MOTORS SEE FEE SCH_ SERVICE CHANGE 10.00 I hereby affirm( that I �arn licensed under provisions of Chapter 9 (conrmenern, ewntGr wtnr❑ 7000) of Drvr�ton 3 of the Business a y nd Dateenscprofe-i(�ir nc�cnContractorH f q�Cd°se ise�t -f„ OWNER-BUILDERDECLARATION ISSUANCE DATE 1 n s v s , C BLDG, ELECT- PLG. MECH .. f i I a 1 Y I I r I i I p MISC. -- REFER TO ORD I hereby sftlrrrt that lain exempt from the Contractor's License Lawfor teolowing reasotee0 31S, Business and Professions r. ode: yoiy which a permit to construct, alter, vdemolish, orrepair y Structure, pits also requiresthe applicant for such permit to tiltasigned statement that he is Creased anto the previsions ofthe Contractors License- icens Law((hap[er9(dummes9ctngwtthSecCicn7000)ofDivtsion3oftte Law Businc^ss and Prtil •cions (.ode) or that Ire Is exempt therefrom and. t,...a.. ! h,..,alleged �. ;, v n r e.,al 7 l tl e basis ort e cxe rnptron. Any violation cfS c on 03 .5 byany applicant for a permit arbjectcfile applicanttoacivil penalty or not more than rive hundred dollars ($500).): 6.00 - ELEC. LIC Nntpo I oo /�r �f � /�/i /%//r/iii/ /i�� %� /,i/,� / �>i��/��//� � . i ,r� %i,.,/„/,i/,�/i,,,,, �/�;//�%%�/�/i�l//i/�/,%� //�;> �/, ALTER -Df A1N&VENT-WATER (EA.) 4.00 VALUATION/FT ��� .i PERMITTO STORIES TYPE CONSTR..... CI I as owns of tire property, or my employees with wages as their sok aornperrlsation, will do the work, and the structure is not intended or offend for yule (See. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of propeirty who builds or improves thereon, and who does such work lumsetf or throulI his own employees, provided that such improve - menu are not int nded or offered for sale. If, however, the: building '... BACK FLOW PROTECT. DEVICE 2.00 DRAINS FLOOR, ROOF, AREA, COND. 4.00 OCC, GROUP RES, UNITS F IXTUR ES - PER TRAP 4.00 sty. FT. FLOOR AREA TOTAL ACREAGE GAS - EA. SYSTEM - 1 I NC. 4 OUTLETS 4.00 or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or un prove for purptn of Sale.). I,) 11 as owner;ot the property, am exclusively contracting with0 licensed contract rs to construct the project (See. 7044, Business toe Professions C contracts The Contractor's License Law does not apply an owner of property, who builds or improves thereon, and who contracts for seaff Projects with a contractors) licensed pursuant to the Contractor's License Law. _ _ f::a 1 am e xcmpt undLr�Sec _ . -_..31 dP.C. for this Owner f GAS - EA. SYSTEM -OVER 4 (EA.) 1.00 BUILDING USE RES IND CON PB Other 171 INDUSTRIAL WASTE INTER. 20.00 LAWN SPRINKLERS' 1 INC 5 V.B. 5.00 LAWN SPRINKLERS OVER 5 (EA,) 1,00 ASSESSORS PARCEL NO. TRACT NO, PARCEL NO, ACC. DATE ACC. FILE NO. SEWER -SANITARY -STORM EA, 200ft/$.00 ✓" WATER HEATER W/VENT 4,00 WATER SYSTEM 4-00 WORKIRS'CUMPFNSATION DECLARATION WATER TREATING EQUIP, 4.00 1 hereby aff,rrJ( that I have a certificate of consent to self -insure, ora certificate. of! Workers' Compensation Insurance, Or a cgrtified co tic 0, 1Lah C )I, ' !'o(cyN) omPany % r"@.o,,.� _ D C,ertifiedcopy ishereby furnished. r Y A �..ili atilt ^ `uo ._;ud w�,tttre. sly i~nhpeef,r>n -division. Pp ._ _haw _."�., ,.,, ZONING FIRE SPRINK Y E] NEI ENG. SITE NO. ENERGY T-24 Y N�. MISC: - REFER TO ORD. � PERMIT ISSUANCE 6.00 C I:RT'IFIC'AT�I.OF EXEMPTION FROM WORKERS, FLOOD ZONE A,L,U.C. PLG, CONTR. LIC. NO. PLG. TOTAL NZ, ALTER OR ADD TO MECH. 4.00 APPLIANCE 4.00 COMPENSATION INSURANCE ('This section need not he completed it' the permit is for one. hundred dollars ($ 100) or less.) ce, fify that in the artonnance of the work for which this per- mit is issued, I shaif not employ any person in any numnerso as to becomesubjcettahthe Wcirkers`C'ompensationLaws ofCahlerrnia.�UI/INGl Date . _... Applicant ___--- NOTTC F TO APPLICANET if, after making, this Certificate of Ex- emption, you sk cadId become subject to the Workers' Compensation Y © NFJ �} Y © NF] ' S PLAN CHECK provision, of the Labor Code, you must forthwith comply with such provisiony c this permit shall be deemed revoked. FEE AIR HANDLING UNIT (TO 10,(WC,F.M.) 3.00 AIR HANDLING UNIT (OVER I0XMCF.M.) 5.00 CONSTRUCTION LENDING AGENCY SEISMIC FEE EXHAUST HOOD (WITH DUCT) 2.00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (See. 3097,Civ.CJ, __ HEATING UNIT (TO 100,000 B.T.U.) 4,00 MICROFILM ELECTRIC O d .�- Lenders Name Lender 'sAddrr;is.-.4r__. �----.____ _- ..,,,.,. _..w__� HEATING _ VENTILATION FAN (SINGLE) 3.00 DOW (3 H.P. or 100,0008.7.0.) 4,00 PLUMBING I Certify that ( have read this application and state that the above information is correct. I agree to eomply with all city and county�IL�_ ordinances and Mate Taws relating to building construction, and _ BOILER -COMP (Over 100,000 BTU) SEE FEE5CH. hereby authorize; reprexG,ntahves of this city to enter upon the above-mentioned property for inspection purposes. MECHANICAL MISC, - REFER TO ORD. (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which ma in anywa Rai to y_ a 1 said rt I neo ¢ranting caT this tYi^ rt y ate° CONST. TAX PERMIT ISSUANCE 3.00 MECH. CONT. LIC. NO. -....... MECH TOTAL m 94ioEre of Applicant/Cox&tractor OFFICE COPS" ELECTRIC SERVICE NOTICE OFFICE COPY BUILDING IN$PECTOR-S NOTICE CITY OF CUPERTINO 19 To You are hereby authorized to Connect electrical 5trvice for Owner or Tenant No. of Wires Size of Wires Size of Switch Motor Load Voltage Phase Heating Load K. W. Voltage � Light --_—__—_/m—New .� ser°m-- oec°nn*r_—_—___ No. mMeters { x.o,----__--/rv—r^~"m^,"_---_—__ More a,..ce_____� No. of Add. Meters / p" on° ELECTRICAL INSPECTOR| `` BI Sewer Car Q Plumbing P U � U U 4! G 4r i (17 •.n ,,, ., V, bi N w., .G — � r c FO S 0 sseuisng ejouyr Ies!peedS CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO DATE L lq�� BLDG. PERMIT No, THE BLDG, LOCATED AT 77 U OWNED BY 'COMPLETED) HAS BE EN ---- - ------ F -OR USE AS (AMM ��Btlll DING INSPECTOR-