51025 Permitil'
Address. I"OSI 5 +Ici/'lcv� +4YL .
l
Desulotion
wnerS �.. . mQgg.�O
Lot Pilo.
No. Streat
APPLICATION F.OWBUILDING PERMIT
C.�V ITY OF'�CUPERTINO
File No.
l AUG 4 1964
Sanitary No. �X
Dote q6 ^
Application is'hereby�made for o permit to 7-
( _
a stay,, Type.
to be occupied aaly,os
in'.accordanc:00th Plo4PIan, Plans and Specificationfiled herewith.:
Estimated Valuerof Improvements $ C;y/"o >'
FEES - // 3i / jJ' Plan Check.,$. , ,/'
Ow'nar /�' / k!� A //w6w_ Address - a4oeAn�. /m/�
Contr. - Address Ll,�—V ,. 0, Y ,(0,
Phone '— State License 2 0(p./ +�
'Approved
SEFIRLICA'Tgg66tt��
IO OR ELECTRICAL PERMIT �
Data I\f .; FEES - A; /
Address
Ph
Conir. ,q p 9
State License'
'
LING
APProtied;
PL17CT1ON M4PL & GAS PERMIT
Dote, {q� GAS'FEE $'-' / -
..
PLUMBING FEE tt
191
Contri OS 1 b u 1 Address /9 C. ,
Phone State Lice s
"AUG 2 8 1964 1 Approvea " i.
APPLICATION,FOR;APPLIANCE PERMIT'-�-v
Dote c'. tlt1 FEE$
Contr.; .�,•t� - e �Jl,' �ZC z.� Address
Phone State.Licen
Approved
A licnnts agreenot to violate any of the
Porkmon's.Compensation Laws of the. -
itate of California
L
RECORD OF INSPECif
T 0 A .ROVALS
FOUNDATION I1 BUILDING
� pastor ..
UNDERFLOOR
_ Dae nspector
FRAME'
`of - -spector
'LAT � PLASTER
,. Data paeter
FINAL
Data 'Iris Dectai
ELECTRICAL
;OUTLETS 1 SERVICE SIZE
SWITCHES '�'7— Y!'�'0 UNDERGROUND
�� O Dat Inspector
RECEPTACLES" /0 ROUGH WIRING {�
r� Date Inspectw
FIXTURES ` Z FINISH WIRING
'Data Inspector. `
I' H.P. CHARGE / FIXTURES
Date Inspector
PERMIT FEE13 1
" I Motors,
'Doty. 43ector
I TOTAL FEES � I D FINAL "' ^ b
f' Date Inspector
i
PLUMBING & GAS
MAIN DRAINSIZE �str MATERIAL C •-_•
STORM DRAIN I SIZE I LAJATERIAL
WATT R,SYSTEM SIZE �r11ERIAL-
TOTAL FIXTURES OD UNDERGROUND
FIXTUREIFEE PARTIAL ROUGH
napeetor
MAIN DRAIN FEE 12 00 R ��O PLET
f or, •
STORM DRAIN"FEE �MAIN DRAIN
D f tor.
WATERSYSTEM:FEE' Ir �� GASPI G
Date r.
'GAS PIPING FEE 1n. 3 SO FINAL'' J —
jr Date nspector
PERMIT FEE' .Z• DO _ MISC "
ate nspector
TOTAL FEE � .so ;MISC
- - Date. Inspector
APPLIANCE'
TYPE OF APPLIANCE UNITS FEE TYPE'OF APPLIANCE UNITS ,FEE
CIRCULATING HEATERS '"REGISTERS
BLOWER FURNACES / COMBUSTIONNENT
SUSPENDED UNIT MISC
,GAS RANGE' MISC
'GAS:'DRVER `PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
Dote . :Ins pector
Date
,. Inspection cry.
Location
rile#. o
I
Inspector
-
CERTIFICATE OF. COMPLETION
BUILDING INSPECTOR'S OFFICE
j CITY OF. CUPERTINO.,
Date_----�T f'C�� ......, 19 .t/_ . But ing ermit No. r�/✓��:.,
jThe Building Located atiC._
Owned 6y :1
Has Been _ Come or Use As: .... *'�'r�t. r..- ......... -. ..... !
... ............................................. 1
I .. ......
..
�a r G� �fr ..:.
rw;+w 4gi+y� -KBUILDING dNSPEC170111
102'-7/63.500 r^"" - -
I
1 - • Bldg. Drpt
uli::e Copy
BUILDING INSPECTOR'S OFFICE
I CITY OF CUPERTINO
I
Sewer Connection Sanita Permit:No. :.y�o '-.:....:
[g✓Plumbing Final Plumbing Permit.No. lr�J 3 ........
I - i
Lot No. .......:...........:..
Owner of Tenant .Gb�'v'' �✓ - ••-
I
I I
Tract' ...:....................................:.....................:..:.:................................
DateConnected .............................� - ....e.................................................
...... I
Date Final ............................. ......... 19 6
.........
%PLUMBING INSPECTOR {I
1 III 7/63-1M
f OFFICE COPY _
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINQ
TO ,,
You are here kty authorized to co&cct,electri service for
I 1, � �
Owner or Tenant y�'� ' ..` .... f `�
I At 71ze
No. of Wires . ? .... of ub6�, i
Size:of Switch/ --_
Motor Load ............... . Voltage .. ...........
Phase ....
Heating Load ..... .... ..... K. W: ..................... . Voltage,...,.
Light ..
No. of Meters..f B 110 ... New Service ... Reranoect. ..........._.
1Heat
I• No. of Add.Metes 1 -:. 220 .... Three Wire ...... Move Service............
I. ......`Power Three.
... p�
�✓a 'Move Meter..............
104 7/63.500 ELECTRICAL INSPECTOR
GAS SERVICE NOTICE OFFICE;
BUILDING;.INSPECT'OR'S OFFICE COPY
CITY OF CUPERTINO
j ........./a a3
To 196,/
You are hereby authorised to connect the GAS service for
Owner or Tenant/ c
N ✓._,._
"No. of Meters New Service
I
Reconnect
yMove Service ..:.....................
No:of Add..Meters ........:.....
Move Meter
l .... ....
PLUMBING INSPECTOR
i