NO PERMIT NUMBER � I
Lot No.
No. StreetI
APPLICATION FOR BUILDING PERMIT
CITY OF COPERTINO
Sanitary No.--v`"��`j �F
File No,��/27/
Do to 19676
Application is hereby made for a permit to
a � story, Type
S' L LT
to be occupied only as
in accordance ith Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements - s .2-1. r"
FEE$ (a 7 ~ Plan Check $
Owner — � Address
C ontr. Address
Phone ets -j- - 24t State License
Approved `! • �_ (, �1 /
APPLICATION FOR ELECTRICAL PERMIT
3
Data � 196 7 0 FEE$ -2-/
Contr.' Address
Phone r� .3-' S7`�� State License
Approved L/ _ oVv�k'
APPLICATION FOR PLUMBING & GAS PERMIT
Data 1/—/J- 196 70 GAS FEE $ af3o)
,Q Q/ PLUMBING FEE $ -
Contr. � e (/," Address A 7
Phone c2 4,S -23 State License`^}���'63"79
Approved
APPLICATION FOR APPLIANCE PERMIT
Date '3 196 70 FEES �pL'-
Contr. i Address >/ Z v
Phone - ` ;1 f 'U /n l sz State License
Approved .-`Qi_�..,
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOU DATI N ,
UNDERFLOOR
Ajdt
FRAME
ATH PLASTER 70
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSWrTOR MISC.
UNDERGROUND ROUGH p
ROUGH WIRING 6
FINISHED WIRING
FIXTURES V _7
MOT ORS
-To
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH Cl�'
ROUGH COMPLETE 6- 70
MAIN DRAIN 70
FINAL PLBG.
FINAL GAS D
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
CERTIFICATE ' OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OFFCUPERTINO
Date .... 2 .......
.2_�..... 97e- Building Permit No.��??,/
The Building Located at ......./Q23/�5l.....A4(.kyd-,624 .............
Ownedby ............... ..........................................................
Has Been (Completed) For Use As: .................................................... .
.................. ......` ............................................................................a.../..................
..................................................................................................................................................
.............. .......................................................:.... .......... .......................................................
BUILDING INSPECTOR
102 12166-IM
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
S \ CITY OF CUPERTINO
,
t96" Z zO
To � .
You are hereby authoo(riizeedCoto connect the GAS service for
Owner or Tenant ........./OL-!l'.. ...... ....... tel'` ...._.................._....._.
y.
At '....../�f� .... ....-.•.°'..w.`.��.... •.��........-.... j"........ _...........................
New Service'_.............
No. of Meters ........�............ Reconnect ..............................
Move Service ........................
i
No. of Add. Meters .............. Move Meter ........
LUMP}N SPECTOR
Gy/ }• Bldg. Dept.
Office Copy
(�tf CITY OF CUPERTINO
�]J SEWER-PLUMBING NOTICE
0 Sewer Connection Sanitary Permit No. ll..3..............
Plumbing Final Plumbing Permit No. .
X la.ni� uv✓- drnr �c ,r
-. Lot No. ........ ....�................
Owner or"Tenant .............:: ...................................................
At ...........fit f............j...., e.atrt- a..-...-.�f'iLr 4 _,
........ .......................
Tract .................... /.... ./- .'....-.....-..---'-----..-............-.................---.................:..----......
DateConnected ..... //7� !................................................................. 19............
Date Final >� Z ...........
r
PLUMBTN
CITY OF CUPERTINO OFFICE COPY
ELECTRIC SERVICE NOTICE
... 1970
You are hereby authorized to connect electrical service for
Owner or Tenant
At ........e... clew
.................. ...........
No. of Wires .... i ................... .res ........... .......... Size of Switch ....?*...... ..
Motor Load .......................... Voltage ......... ..................I.— Phase
HeatingLoad ........................ K. W. .................................. Voltage ......................
Light................ ]t0...v. New Service.....!!T:..
No. of Meters.......
No. of Add. Meters............ Heat................. 220----- Three Wire.........._.... .M;oe Scr,ic,..........
Power............... Three Phase—............ Move Meter........
rCdi
..............................
Ii LECTRlGL INSPECTOR
ROUTE SLIP
File No .
Date
Location S--rsctf 0 ^rte _
Subject
Notes
Approved
Date Inspector
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
L.U-M.94 .&--------------------
Department
Job Located_.at Zo-r..4?--------------- .................-
......................... ........
. ...... . . ...... ....................
....... .................
------- ----
. .... .........
....................................... -------------op.
/� ..Z6C ------- ---- ,11V5T
------------------ -------- -----------------(--------------------
...........
.................................................. --------------------------------
................. -------------------------------------------------------------- -------
".................................................. --------------:.....................
....................--------- ... ..
. ............. ........ ..
. ................ .........
L I
.............. ......................--................... .. ........................
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.
252-4505 ...
bate: :Pr 7-6
......
City Telephone Inspector:
ROUTE SLIP
Filo: No.
TT'T
Date - V-
Location_�E��Y f
Subject
Notes
Approved /S�'I