NO PERMIT NUMBER Lot Na..?3
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
® 0 r �1 File No. S 0 7�
(�JUL 7 1964. Sanitary No.
,Date19j6 -
CITY Ofli-C&LRf'A;made for a permit to
e%ee n -L story, Type
to be occupied only as
in accordance with Plat P. Plans ¢ h,
JJud Specification filed herewit
�JE�rs timated Value of Improvements $ �J, t7Od
i; :7�r00 . . .
FEE$ / / Plan Check
'E/ p y /
Owner rye J �n�(�O /� ' Address /`+`'0O //�• �ryeT PJ/te/�i•
Contr.
C ¢' CLOT Address
Phone `���'S3� Stara Licens s.�7s
Approved
201964 DMV),
APPLICATIONFOR ELECTRICAL PERMIT.
Date CITY 0f96 CUPERTi1ICi FEE$, is =
Cant. 67_✓,__� 'L&S--4 / .Address
PhState License 7L'S_�
i 1 Approved,`
yyU
� IICHIWTR �UMBING & GAS.P.ERMIT
Date 196 GAS FEE $
C TYP � '1' PLUMBING FEE $ _r
Contr, _ / Address �c5
Phone State Licens
wlvr „ -
IAUG 6 1964 Approved
2
d, APPLICATION FOR APPLIANCE PERMIT
Data _�G 196 FEE$
T`,yam_ I/,
Contr. a' /
/Address
Phone ' G' �� O it-t. License
Approved
Appli nts agree not to violate any of the -
Workman's Compensation laius of the
State of California ' - '
RECORD OF INSPECTION .APPROVALS
FOUNDATION — ,444/ BUILDING `
Dat - nspector .
UNDERFLOOR
' /o
FRAME „ ,Inspector
Dafe Ins actor
LATH &-PLASTER
O n !,e/� Inspector
FINAL rX f0
Date t Ins oactor
ELECTRICAL
,OUTLETS.. „9.Z Z ;F0 4"fi 1
SERVICE SIZEk, �
SWITCHES / 21-0L' UNDERGROUND
P 3 (a D e ns attar ,.
RECE PTACL S ROUGH WIRING f -
2 2 ?y Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
L'-u °-O Date Inspector
PERMIT FEE U'0 Motors
Dot ctor
TOTAL FEES S 71 FINAL _�`a ��
Date Inspector, . '
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN I SIZE TERIAL
WATER SYSTEM SIZE ITERIAL QfJL
TOTAL FIXTURES A&VUNDERGROUND
FIXTURE FEE PARTIAL ROUGH
toF6kwlpe tar
MAIN DRAIN FEE ROUGH COMPLE i
t6P':Jlnspe�ctor.
STORM DRAIN FEE ”"` ` MAIN DRAIN" _`
Date
WATER SYSTEM FEE GAS PIPINGIla FINAL
'D to -
GAS PIPING FEE a FINAL O .`(o
Date
PERMIT FEE � � MISC
Date Inspector
TOTAL FEE ... -• "" MISC
Date Inspector
APPLIANCE
TYPE,OF APPLIANCE UNITS FEE TYPE OF-APPLIANCE UNITS FEE
2 S U'
CIRCULATING HEATERS •s REGISTERS
BLOWER FURNACES COMBUSTION VENT a .p
SUSPENDED UNIT'-:'-,., MISC
GAS RANGE - MISC
GAS DRYER • PERMIT FEE 0^0
. FLOOR FURNACE
\'t•. TOTAL F 15>
S o
INSPECTED d-
_ Data Inspector .
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
_ CITY OF CUPERTINO
Datefv, yY; ................ , 19,!�C .. Buildlir • mtNo�;f(y�,�.i.:.:
The Building Located at --S -
Owned by if!
...:._. . .................. ..:.......................................
Has Been epFor Use As: s'�'' .. ,/' Lam• '
ed
Ilf - .'r'•�DU DING INSPECTOR
..............
• 102 7/63-500, s°, ,
GAS "SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF ,CUPERTINO
I ... t... ...:. Q..—o7gZ..................... 196�z
To
You are hereby authorized to connect the GAS service for .
Owner or Tenant ...DL% . .. ...........
At 7.At ...x/.930...-. .... -
1
New Service ....... .............
No. of Meters .. ............. !. Reconnect. .:...........................
Move Service
No. of Add. Meters .............. Move Meier,
....................... ...............
PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
_....... s 5:--oL.;Z.........._.. ....• 196X
To
You are hereby autho 'zed to Connect electrical service for
Owner or Tenant
n
No. of Wires...... ........... Size of Wires ' . . Size of Switch ./,
Motor Load .......................... Voltage Phase
Heating Load ........................ K. W. _ Voltage ...............- ............
Light.......:....... 110_x... New Service------.'....... Reconnect..............._.
No. of Meters.:............ -, ,,
Heat.:............... 220...7.. Three Wire............... Move Service...........
No.of Add. Meters............ -
Power............... •Three P e...._.......... Move Meter..............
104 1/63-$00 ELECTRICAL INSPECTOR
Bldg. Dept
Offi-,- Ccpy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Pprmit No. .... - -----------
[Plumbing Final Pfum ,IiPermit No.
Lot No. -- ------------------
Owner or Te
nant
------------------------------------------------------ ---
----------------I................
At ......c:213U0
Tract ---------
%atf f -- ---------------- -----------------------
Date-Connected --------------------------------------------------------------- 19----.........
Date Final --- -------------------------
19...
- -------------::p ------------- --- ----------
PLUMBING. INSPECTOR
111 7/63-1M
Inspection
Location
ile# 1
4spec r