NO PERMIT NUMBER Lot No. 020
No. Street „I - lot Seal:?
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. %r/l-IJ
Sanitary No.
Date '" ' 6 196 '7
Application is hereby made for a permit to T T
a story, Type Ly
to be occupied only as
in accordance Oth Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements s J4 GC O
FEES 93 1' Plan Check $ ,
Owner �� �lev 01111ti., Address •3'.'/ )n` 3
Contr. Address
Phone Q F d 0 State License �g�-G o 9
Approved cs//V/ /•7�--+moi �/
APPLICATION FOR ELECTRICAL PERMIT
Data 196 _ FEES 3
Contr, C./ Address,? , 75- �. f2,, �
�G
Phone - aC.clG ' 4-Z$7 State License a V/ q�_�/
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date Tf� 196 O GAS FEE $
PLUMBING FEE $ "d
Contr. Address e y KU 7)-
Phone
Phone 3State License o? 3
Approved - WILLIAM D, EtE1119"fer!
APPLICATION FOR APPLIANCE PERMIT
i-2`/Z.
Date / /n7 196 '7 FEES �ry�
Contr. a, `izx�r �vti[Ailtlrass 779 heti-...-E':� �
Phone - ^�-I�"--�G O.C� State4License i/d
Approved
Applicants agree not to violate any of the /;r-C
Workman's Compensation Laws of the
State of California -
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION 12 - "Lq-6 7
DATE p� IN SR OR
UNDERFLOOR-
INS
DATE INS TOR
FRAME 3- 7 -W
DATy�'" IN SP OR
LATH PLASTER '3 �7�6•
DATE INSPECTOR
FINAL
FSP 23 &p.2_
ATE p � INSPECTOR
v �"+ELLEECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND I
=q� INSPECTOR
ROUGH WIRING 3'
_ DAT jr INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES +^� y � lAA
INSPECTOR
MOTORS
INSPECTOR
FINAL
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE SPECTOR
PARTIAL ROUGH
D E SPECTOR
ROUGH COMPLETE
DATE SPECTOR
MAIN DRAIN
tkiv TE INSPECTOR
GAS PIPING
!-' ATE INSPECTOR
FINAL J 3 -
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
GATE 7 ECTOR
MISC
DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING rNSPECI'OR'S OFFICr
CITY OF CUPERTINO
r
Date ....I.... ................................... 19.X?.. Building Permit No.�//X
................
The Building Located at
... ....................
Ownedby ........ .... ......................... .......4A..)........
Has Been (Completed) For Use As: ........D"-
—------ -----i........................
......................................................................... ...................................................................
.............................................................................................................-........................ ........
------------------------------------------------------------------------------ ....................
------------------------------------------------------------------------
BUILDING INSPECTOR
102 12/66-1M
OFIE COPY ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...................... .... 19S.
TO
You are hereb hoiize t nett electrical serv, e or
Owner or Tenant ta ................. ........ ......_4.....................
... ....... ....;;............. —AO�4.................. ........
No. of Wires ...*d................ Size of Wires .�. ................. Size of S13&p—k04-
MotorLoad .......................... Voltage ............................... Phase ......................... . . ....
HeatingLoad ...................... K. W. ......................... ........ Voltage ..............................-
No. of Meters....... h !!!!7 .'New Service........ ... Reconnect...................
Light....:
No. of Add. Hat..................220..../. hree ir .1... .. ..... Move Service............
Power.............. ?I, ase... .-........ Move ter..............
............ . ....... ... ........
ELECTRICAL 1NSPa OR
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF C. NO
.....
f You are hereby authorized
,w toconnectconnect the GAS service for
Owner or Tenant
."61 ... .. . . . . .. .....� ..... .......... ..........
E At ................
New Service ... ..........
No. of Meters ............. Reconnect ..............................
Move Service .............
...........
No. of Add. Meters .... _....... Move Meter ............... .._..._.
f PL MBING INSPECTOR
I .
Bldg. f5ept.
_Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ..........
L3,'1'lumbing Final Plumbing Permit No. :�'f2.�.eff 'r......
Lot No. ...::.................
Owner or Tenant � , - - -- ----------
At
Tract
Date Connected ........`... ... // -- -------------------------------------------... -'------- 1
-r C ........... . .....__--p-- �
—'- 9-4�...
DateFinal ---------------------------------'. ..+./.......:........-'--'--"---- 0-.--
------- .................... 196
P ! � ......................
PLUMBING INSPECTOR
111 12/66-1M
r
ROUTE SLIP
File No.
Date Out JZ^ —
Date In 12-V 4 2
Locatio -
Sub ieat.
F
' Notes .. r. -2-�-7
Approved"/ 7
Date Inspector