NO PERMIT NUMBER �0 4-'D Lot Nos_&
No. Street V
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No. S�/ 7 7•�
Date . .196 7
Application is hereby made for a permit to
a story,. Type
to be occupied only as _
7
in accordance tth Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements S aS
DUO
FEES 7JI Plan Check $ y� n
-42-COvir.er Address d"�9 S-42-
Contr.
ontr. Address
Phone S ss1• meiG %C4 State License
- Approved
APPLICATION FOR ELECTRICAL PERMIT S
Date / 196 -7y FEES o202. �
Conir.,�(f�C.-.--sLrh.r-�tJ Address �'l'"� Imo", �Y
L.Phone: :23 6 State License /a�'� Z
v
n _.... . .Approved � 7�
APPLICATION FOR PLUMBING & GAS PERMIT
ti
Dote `3 / 6 196 2 V GAS FEES . C3
PLUMBING FEE $ a 3. 1 V
Contr. e- v61/"+C-..-.�-C �.�c-�/T_ Address 7 d
Phone ��"o7 `c6 'd3 -Z.q State License le 44-79
r
Approved
APPLICATION FOR APPLIANCE PERMIT
-7 1-
Date {� . 196 � ° FEES '; p Z --
Contr. '/ Address
Phone �?� ' G 93 1"' State License —2 Xlei
Approved
Applicants agree not to violate any of the'
Workman's Compensation Laws of the y
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG. .. Z -170
ELECTRICAL
1442 INSPECTOR MISC.
U ERG OUNO ROUGH
ROUGH WIRING
FINISHED WIRING 'lit 40
FIXTURES 0
MOTORS-
FINAL-
PLUMBING,
OTORSFINALPLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH-1v v ' '
ROUGH COMPLLEETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE Q
DATE' INSPECTOR MISC.
MISClt-irrr /i��0 - —�j - 7o
MIS , IGS• eW' 5�1 d
MISC
i
ROUTE SLIP
File No.
D t
IZI
Location Qr�ie c
Subject
Notes
Approved
Date I pector
ROUTE' SLIP
File No.
Date 3-eo—
Location
L� 33
Subject "OqJ
Notes
Approved
Date: Ins ctor
CITY 00 C'UPtRTINO
10300 Torre Ave.
CORR• CTION NOTICE
....................... . .---......------.--.---
Depart ant
Job L ated at
. ...........
L/z ze"
----- ..... ------ ---1 -,
-ae-0..... -----..Tv.,...--------------- f -
------- --
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------------- --- ---- L ----
............. .......------ -- ...............................
-------------------------------------- ............. --------------- ---------
............................................................ . ---------------------
.............................. --------------*-----------------------
..................-..........I.......................... ....I.. ... ...............
-
------------------------------------------------------ ----------- ---- ----------------
....................... --------7................................I------
................ ------------ ......... ---------------------------------------
.............I......... ..........................
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been mad
252.4505 Date
City Telephone Jnspec
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
-------------------
Department
Job Located at 5 M-k- .........
..... ....................................................
-W---oc------------------------
........... ........ ------ --.4A---------- ......
V
............................ fg ----------
........................................................&- --------0.............
.......................................... ......................-----------------------
----- --
----------------------
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............I..............................:--------------------------------------------
".................... ..............--------------------- .......................
.................... ........................................... ----
....... - -----------
. ............;..............................................7-w..........................
You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
''Date: -tr I?— P
252-4505 ---.7------4--------------------
City Telephone Inspector: --- -- ----------------
GM SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERT
To
You are hereby authorized to connec the GAS service for
Owner or Tenant .............2. .......V
..........�7........ .........-
At ...... .......
New Service ..... .......... .......
No. of Meters ..................I... Reconnect ..............................
Move Service .....................
No. of Add. Meters............... Move Meter .......................
..........
EUMBf INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
................. 19--..------.. Building Permit No.
rnpsi��2 nur .
The Building Located at ......./v 9 O1
..............................................................................................
Ownedby ........1�./...(:..z....... ..................:...............................................
Has Been (Completed) ForUseAs: ....:5.� .N....�i.�:. ...... f/M: /�.tl.
lettered')" ...............................
..............................................................................................................................................
.................................................:................................................................................................
.:..........................................................................
.............. ...........
.... ... . . . ........................ .. ..................
BUILDING INSPECTOR
� CITY OF CUPERTINO OFFICE COPY
ELECTRIC SERVICE- NOTICE
I� ......
You are hereby autho�riz ^d to cAon�ned electrical service for
Ate / ✓...-�--�.�
Owneror Tenant ............_........". ............................................. ...... .........................
GvY
At .......:... ................... ................... . ................. .. ........... .. .....:......... ....
No. of Wires ........................ Size of Wires .....:................ Size of S ,itch .t.... ..........
Motor Load .......................... Voltage ................................ Phase ............ ...........
HeatingLoad ........................ K. W. .................................. Voltage ...............................
/.......
Light..........✓ 110...... ..._......... New Sen'ice...._..... Reconnect.
No. of Meters......../
No. of Add. Meters............
Heat................. 220.............Three Wire.vr._... Moce Service............
,
Power............... Three Phasc.. ya�c�e Meter........
........................ ....... .. ........ ..... ..._..
ELECTRICAL INSPECTOR .., - _
Bldg. Dept.
CITY OF I CUPE*RTINO Office Copy
dv%j'
SEWER-PLUMBING NOTICE
Sewer Connection Sanitary Permit No. ........
Q/Plumbing Final Plumbing Permit No.�P4?"Xj...
Lot No. ....... ..........
Owner or Tenant ------ .... ....... .............................
At ........
Tract ......e7.1-
.77 ------
.. ......... ...... .........
0
............................ .... 19
Date Connected .... . .................
DateFinal ........................... _--......17-............................... ig...7a
.................�;
B NG 11
ING INTPIff(511—
LOT NO. S
NO. STREET I46I-1
APPLICATION FOR APPLIANCE PERMIT
m rc ®S OF CUPERTINO
o Date 196— Permit No. ���7 7,
3:< MAY '1. 5 1970 Fee $
w � ,
, 0 Application is hereby made to the City of Cupertino for a permit to
o r ins A 1rys fflia, n f�f� the reverse side hereof, and agrees to
im install said applianMeininla`�tfrtt�nce with the provisions of the Plumbing
n = Code of the City f Cupertino, and all other laws applicable thereto. i
Use of Premises
00 , p
F 3: Owners W,, Address
Z J ((��
JZ By n �l zr Doz Address
'0
CTOR, AGENT
3f
— m Phone
w•w PLOG SHEET ivlc I AL Co.
o 1 State License CAMPREt I r^el IF. Approved
a0
-U LICENSE #252s,23 PLUMBINGNSPECfOR /
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