NO PERMIT NUMBER All 99,1 I Did o9011 6601- Lot No.17
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. �S lU3.t,.,
L%,.( JUL 7 1964 Sanitary Na.
Date �1�9�6�]�jj]]��� -.
CITY '0FPl y1lT'CY\` :V' made for a permit to
//revs T
o-ee7T a story, Type =J
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements
FEE$ "Y'0 3.0Q Plan Check $$
W/
Ow,..r �r .( O� Address _hkge Id-- /9� /
Contr, Ad
q ,r �A� Jc'S G
�, /moi dress
'Phone �Y'd 0-5.37 - State License 7-y
Approved
�jdid o �33 ,
1AUG 20-1964
APPLICATIO ELECTRICAL PERMIT
Date CITY 0F79UPEi ,i FEE$
Contr. ell Address Z�j P!71 ^e '£tr� G
Pho e - •S C ` 7� 1_ L State License
Approved�
sJ mv,rs�
APPLICATION FO PLUMBING & GAS PERMIT
Date 1 JUL 16964 3°
lip GAS FEE $ - 7
PLUMBING FEE $
Co .� Addres�-� �
Phone _ State License • Vl..
'a • '
'.(AUG 6 1964 Approved
G APP ICATION FOR APPLIANC PERMIT �f 2 J
0La *
Dara 196 FEES ✓�/ -�
Contr." / 7 ,Address 4.,., ��'� a J
Phone >,-1 `2 60s- State License _//I- e9 4?-?- 4
� Approved
Appli2ants agree not to violate any of the . q
Workman!stCompensation Laws of the
State of California
~ t ,I
RECORD OF INSPECTION APPROVALS '
FOUNDATION — - BUILDING
D e actor
UNDERFLOOR
Daiq , - / or
FRAME � � L �,j act
Date Inspector
LATH & PLASTER.
to ` Inspector
FINAL
Do to I ns oe ctor
ELECTRICAL
,OUTLETS da S�
SERVICE SIZE
_ SWITCHES / fO UNDERGROUND
3,2 5 zoter In pectar
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES °Z 0-0FINISHWIRING
IV,O _ 7 Date Inspector
H . CHARGE `3 FIXTURES
Date Inspector
PERMIT FEE - o✓d Motors
De itacror
TOTAL FEES f� FINAL O -
Date nspector
PLUMBING & GAS }
MAIN DRAIN: SIZE MATERIAL i
STORM DRAIN I SIZE I L.JILATERIAL
a
WATER SYSTEM SIZE ITERIAL GKs L
TOTAL FIXTURES yD UNDERGROUND
eb
FIXTURE FEE O PARTIAL ROUGH
p0 Date Spector
MAIN DRAIN FEE Z ROUGH COMPLETE 77-Sk
Dato If
STORM DRAIN FEE MAIN DRAIN - 3-
O Data actor
WATER SYSTEM FEE GAS PIPING /O- Y7 -' -
D to for
GAS PIPING FEE FINAL ID
. Op Data V Inspector
PERMIT FEE Z - MISC
Date Inspector
TOTA L.F EE_........ - 6 MISC
• Date Inspector
APPLIANCE
.TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS 'FEE
z �
CIRCULATING HEATERS REGISTERS '
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC h
GAS DRYER PERMIT FEE
s� TOTAL FEE
FLOOR FURNACE -
1
INSPECTED Date'
' Da + Ins pactor
— F
GAS SERVICE NOTICE OFFICE
copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
..... . ...... ........................ 196:
To
You are hereby authorized to connect the GAS service for
Owneror Tenant av"�e -
At
New Service ---------
No. of.Meters ._.1......._..... Reconnect ..........
....................
Move Service .........................
No. of Add. Meters ..............
Move Meter ..........................
.... . ......
4 - . ..........................................
PL6MBING INSPECTOR
110 6/63-500
Date10-;; O
Inspection Ixi7r 1
Location f� Ql�f 'tLL
File
Inspectorl
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary L)ermit No. -------17.11 ...........
D/Plumbing Final PlZi6ingtmit No. --swr/O.W.
Lot No. ------l.1..._..---------
Owner or Tenant .-.....fes ---.C /" .,64-a
At ......:>7
Tract ------------- - - --- ----
---- -- -----
------------------ ------------------------------------------
Date Connected --------------------................n .__.-------- 19.............
Date Final .............................
...............
---- - -------------
PLUMBING INSPECTOR
Ill 7/63-1M
j OFFICE COPY .
q ELECTRIC -SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE- - "
CITY OF CUPERTI/NO
- , ------- ---------- ----- 196-
TO .. -
You are hereby 'authori d to connect a ectrical,smice for 4
Owner or Tenant :------. .. .... -C?? -............................--
At -------------------------------------- .....
No. of Wires ...... .:......... Size of Wires . .......... Size of Switch�J�.a..A::.
Motor.Load .......................... Voltage ................................ Phase -
............
Heating Load ........ K. W. ."..................... ....---,Voltage ...
No. of Meters.........:-(Lig ht............... i10.e%. New Service.- ... Reconnect................
No.of Add. MetersHeal................ 220.. ..... Three Wire._:.......---. Move Service............ !
......-.....
Power.............. hree hale................ Move Meter.............
........ ........................ .
104 1/63-500 ELECTRICAL INSPECTOR
CERTIFICATE " -OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO :
.....--.._-...--...-, Building Permit No::.1,o a_,__
The Building Located at .;� I ..��r. /r --. .r^'rv.P.'u�.-y.+3-`'.... ! ....-..-
Owned by -::�. lw•>- ---r_-.Y 6' .� . .................... ....1.:,.: ::• .,
mplete f '
i
Has Been Por Use As: --------- s -
i: -- ------------_ . ........
-. .: : = .
. ...... . ........ ......
. ....... . ........ ......... ......_....I.,...
,/ '
�
102 7/63-500 � V,. INSPECTOR BUILDING
i