NO PERMIT NUMBER /� • /J fj
O • i ��I`i •4 Lot Hold
r�s�
No. Street
APPLICATION FOR BUILDING PERMIT (*
CITYi OF CUPERTINO p
File No.
5s�1�
Q � i Sanitary No. �
Dare '�4 196
Application is hereby made for a permit to
a ,story, Type �✓
to be occupied only as
V-
in ac rdanc ith Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements $ OL d d d'4
FEE$ Plan Check S
Owner Address
Contr. Address
Phone f�� '��G1�` State License f
Approved
/Q [�Q.�yJ�G(y,/ •S`a�
�J OIf
. t-� a
APPLICATION FOR ELECTRICAL PERMIT
Date G 1961 FEE$
Contr. L� Address 9.-2--1
Phone '7.3�/ State License
Approved
J
APPLICATION FOR PLUMBING & GAS PERMIT
Data S 196 GAS FEE $ d-b )
q� �/ PLUMBING FEE $ '-'d
j'W
Contr. _ -c-+�- -Ci/`r-4� Address
Phone 0' tY--S7- State License 7i',5- 37
Approved
APPLICATION FOR APPLIANCE PERMIT
Date S' 196 . Y, FEES
/7
Conor. � t:�+--i 1�-�-c/ Address -7 7 �9
Phone I I; -;1-6. 0S State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
Y/
RECORD OF INSPECTION APPROVALS
�Z_6a lU1LDING
FOUNDATION /"-.Z Z -ZS
DATE INiP OR
UNDERFLOOR 6
/� TE ECTOR
FRAME O � dJ �V`
GATE y I�I9"PE TOR
LATH PLASTER 6 '2.5 0
D6 q T� EC TOR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
"
DA=E INSPECTOR '
ROUGH WIRING t�(_J
0 INSPECTOR
FINISH WIRING 1�FJ
INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
I D lJT INSPECTOR
FINAL tcpA
DATE INSPECTOR
O
PLUMBING & GAS
UNDERGROUND
' DAIE I;iqwINSPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
DATE NSPECTOR
MAIN DRAIN 7
n D(@TN INSPECTOR
GAS PIPING
(1 DATE INSPECTOR
FINAL �U(
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED I"
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE L INSPECTOR
MISC
DATE 1 INSPECTOR
- � ROt?iE Sl,,)Ip '
ii File No.
Da't e C--
Location
Location o� / ° ' % 5 9 tet
V
t -
Subject
Notes
Approved —�_
Date -Insp
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ------ ..-7. -------14................... 144... Building Permit No. .FY'..��.L Z--
/�p f.
The Building Located at -.�..(....C./---- ----l-� ±? -.---.....--------------- ----......--
Owned by ......_"`- =-' •-...... --
Owned
-/�,0-/........./-
Has Been (Completed
) For Use As: .......... � W h
-----------`-------------------
....---------------------------- -----------.._..-...........-`-----......-------------------..........
BUILDING INSPECTOR
102 12166-IM
` OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPF.RTINO GG l/�('l/
To
You are hereby authized t Connect a service for
Owner or Tenant ...... _. ............._...._......._....�... .._. _.....
No. of Wires ._ ............. Size of Wires ........... . -'Size of Switchtw.
Motor Load .......................... Voltage ... ..........._............... Phzse ......___....
...
Heating Load ...._ . ..._-...._ K. \\ .._....._..... - Voltage.
. . ._..... . g ....__...................... .
I /!
Light................ IIU.../...... New Service. -Rrcunne<1....._......._..
No. of Meters....................
Heat................. 220... Wi .__ ...... Move Service..........
No. of Add. Meters............
Power.........._._ P e.... ........ Move Meter.........
ELECTRICAL INSPECTOR
' Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
I qq
Sewer Connection Sanitary Permit No. .... ....L.. --------
❑ Plumbing Final Plumbing Permit No- ---- ----V.
Lot No. 5.?......... .
Owner or Tenant ------.-.... .._. . '....1._ ..
At --------------------- ..ON� - - - C ....
Tract ------------------------------------- -- /- ---..._-- ...�9.'_'f3c'GSA.- .:---------------........(---.......---
Date Connected --------------------------------G--n....1...1-----------------------------------------
Date Final .............--- ------- ------- ...'_�e. #---- --- - - 19-v..Q..
PLUMBING INSPECT R
III 7/63-IM
GAS SERVICE NOTICE orrla:
l,D BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO Q 7
To
You are hereby authorized to connect the GAS service for
i
i
Owner or Tenant ............
i
At ......._........�... .al�n
.....................
New Service ......
No. of Meters ........�...._.....- Reconnect
Move Service ...........__...._...
No. of Add. Meters .............. 4o e Meter
........ .................. .............................
PLUMBING INSPI: O
F�F}GE COPY
1 ELECTRIC SERVICE NOTICE
[� BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
To _.... -..._.5.. ... .............. 1965?...
You are hereby au rize to nett//�el rical service for
Owner or Tenant ....... .. ......L....[ -.... . .
At ...... ......... ... ....... . .. .. .0�'...... ........... ................
No. of Wires ----- ............. Size .......y ....: Size of Switrh`..... ..............
Motor Load .......................... Voltage .......................:........ Phase ................... ......... ....
Heating..I.,oad ........................ K. W. ..........................------- Voltage .............
ILight............... llo......... . New ice.... ......... Reconnect..................
No. of Meters....................
Heat................ 220........ T Wi .. .......... Move service............
No,of Add. Meters............ JJ
Power......?.... P as ............. Move Meter..............
I ;
........ ...........`..........................r... ... ......... .............
ELECTRICAL INS CT