51,039 OC��O I ( lit1�I/O�� , L. O!//r , • • ♦, Lot No. i?6
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO 1
. � Fila No. ,:[V( �(�d.�
' ® Sanitary No. / /''�•�'
Ila
y' Application is.'hereb m¢de far a permit to "-
GlTY O� iP,ERTi�l� ` a �_ story. Type
to be occupied only as
-'
"in,accordance with plot plan, plans and Specification filed herewith,.
Es timated.Volue 'of Improvements
FEE$ _ Gfiic�t7
- �}/ Plan Check $'/ 'p ,/
Owner �UC C L/o'� •Address ly00 /Y• •.(.!///9C,f PS TP/'
Contr."
/�y Address
Phone �Yd '0S-37 Stata,License
Approved
/,v . W13
VAIIII((;; 92(� 1qq Qa c_;+ .
71pPCICAT�N R'ELECTRICAL PERMIT
Date 9 FEE$
r.
Conrj.� ���nnnil�i A�V ,rj a 6
(JC'Er Address..:/ /)An Y 1�
Phone'_ d-✓��'
_� a2 Stare License 76-Z
Approved„
� �1T71Q1 P U ING & GAS PERMIT
Dare Ile GAS FEE $
-PLUMBING FEE $ nJ.00
Contr:• .. � ' / •AddressIVIV
'
Ph n _ Q State License 5 �
. •_ •® .. i . Approved
'A G.:��P AT OR APPLIANCE ERMIT
Dh4 dro - FEES
Sari Carlos Sheet,Metal .Wori ii9 OLO'COUNTY ROAD
Conrr• ' 1 Address 5AN.CARL05, CALIFORNIA
Phone/ L - IU Srate%License '110828'
A,PPro�d (-t
Applicants agree not to violate any of the r. ;
Workman's Campensotion Laws of the' . .
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATIO
S BU
N' ILDING
Date��
UNDERFLOOR .•�� S pector
Daf> ' ... Inspector
FRAME
Dat I actor
,LATH &PLASTER
Inspector ` i
FINAL '' S
Date Insaector
ELECTRICAL
,OUTLETS 2. r/v
SERVICE 517_E
SWITCHES /% / 0 UNDERGROUND
D e L s actor
•R ECE PTACL Sid ROUGH WIRING
Date- Inspector
FIXTURES � 2 0-0 FINISH WIRING
7 Q 3 7s Date Inspector
H.P. CHARGE FIXTURES
°-D Date Inspector
'PERMIT FEE / o-O Motors
Dat pecfor
TOTAL FEES �� FINAL -07-7"Z
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LOMTERIAL
WATER SYSTEM SIZE TERIAL (y G
TOTAL FIXTURES UNDERGROUND ',/
FIXTURE FEE PARTIAL ROUGH,---T/ 5'
^y D to Spector
MAIN DRAIN FEE IM ROUGH COMPLETF� f
DatA r
STORM DRAIN FEE MAIN DRAIN - /�
DaD to r
Dat spector
WATER SYSTEM FEE r GAS PIPING 1 O ��
�I
GAS PIPING FEE rDV FINAL - 3-
Date nspector
PERMIT--FEE- - MISC
Dore Inspector
MISC
TOTAL FEE '
Date - Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS Z 3
BLOWER FURNACES COMBUSTION VENT Z
SUSPENDED UNIT _ MISC
GAS RANGE MISC
}
GAS DRYER PERMIT FEE
' � �.
- o
FLOOR FURNACE • " : 'y�. " TOTAL F B
INSPECTED
Date td _ Inspector
SERVICE NOTICE - OHIO,'
D
��. COPY BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
..................................... 196.
To
� � \
OwnerooTenant
'r hereby authorized to conned the AS service for
Ac ....... ../ C ..:.....-...................----..................------
v�
New Service ..........................
No. of Meters ............ Reconnect
Move Service ........................
No. of Add. Meters ...:........:. Move Meter.........................:.
.. .. ....................................................
PLUMBING INSPECTOR
110 6/63.500* -
4
Inspection
/1 �1,( 1 2
ILocation
File U�Q
Inspect r
. nid.•. Depi
pii:ro C-py
BUILDING INSPECTOR'S OFFICE
A
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ----`.7/... .5......-....`
[Qi Plumbing Final WA49 PPermit No. ..a57.Q1.Q-------- `
Lot No. ..---
Owner or Tenant ------ ..�9�G [�-G�f.GTS------------------------------------------------------------
At
".-.:.:..:---------------------- ---------------At ...ol=� ��1
Tract ............ :.
DateConnected ---`-----------------..-----------------------------------------------------..._ 19...---------
DateFinal_ ..------------------------A? ..------------.------------------------------------ 19-4 1. .
................. .... . ..........-----
PLUMBING INSPECTOR
III 7/63-IM '
OFFICE COPY
ELECTRIC. SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
V
----------------- /-/
+ - 3. ............... 196-11
To
You are hereby Ruth rized to connectclectrical service for
-2! 10
Owner or Tenant aizet I
;;�................... - ------------------------------------------------------------
At -6-15�W
--- -
-
------------------------------ .................
No. of Wires --- -----............. Size Of
Wires =c5ea---- Size of Switch
Motor Load .......................... voltage -- -------- ------------------ Phase
HeatiAg Load ......................... K. W. ...---........................... Voltage -------- -----------------------
No. of Meter-.-: i.. Ligh 'to--0------ New Service f!r!�-----... Reconnect._.......:__...
:f Heatt.. 220------------
No.of Add. Meters... Three Wire.............- Move Service._.........
• Power............... ce Phase_..........._ Move Meter..............
...... .........
104 1/63-500 A ..............
ELECTRICAL INSPECTOR.
t CERTIFICATE OF COMPLETION
I. BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......... /:'_ -----............-,.19' --.'•.f.. ,@ytildm -Perm t
�' � .
The BuildinLocated at .?�.�t'%` �..:.�....lfJ�-,/. .t'�.; ......_ .--........
Ownedb .... 11-01...... -------_......._<..rr./1-.;'..- ............... .....................-- .... .................
..,.u'--- . .
Has Been �Fleted)j For Use As: .--..... .� ............................. ,t
(Altered ;. ;/r; i,
..... 4
............... ------...... ...............
........ ...-......... 5:........1.......... ..........
...---... .............. ............. ______ _____ _
-.......3. .. .. F. .........
TJICDIN
BG INSPECTOR
102 7/63-500 � - �` ,.