NO PERMIT NUMBER (4) Lot No. /
No. Street
APPLICATION FOR BUILDING PERMIT G7
CITY OF CUPERTINO
File No.
/ ( Sanitary No.
Data T y 196 d.
Application is hereby made for a permit to
a story, Type - `r
to be occupied only as
in accordancS wi Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements
FEES d Plan Check $
Owner Address %.7' 0 7 A,
Contr. / Address
Phone y ��I State License 0Lj—r• ` 4C
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 3 S 196 a FEE$ `2 Z_ J �• ^
Contr. Address
Phone State License iz '4'L ?�
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
p sa
Dare 196 a GAS FEE $ ��
p �J PLUMBING FEE $ ��/"Jd" ✓L
Contr. y-�--�n..�Xi �•rc'L^-"'-�-v Address o� S' c4'e'—
Phone a J - O S-'SState License/- /7/3 3 -7
Approved "/( i
,ems
APR4-g1CATION FOR APPLIANCE PERMIT/"2" .S
Date 196 '` /'e FE"E$
Contr. �e�-Q.� N �,-c""Q. dress 77 `J7
Phone .5-571 -.2-(, o S� State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the '
State of California S:1 ,
RECORD OF INSPECTIONp APPROVALS
L� ZZ _6p-. G�.��l BUILDING
�j -
FOUNDATION C-
ATION L2 -o 0 f vr-K-�
DATE i CTOR
UNDERFLOOR S- 3 -6� `�v�-1
DA Tq€ INS CTOR
FRAME - �� 6
DAT NSP OR
LATH LASTER
-gA E
FINAL I ECTOR--�0 O
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
AT INSPECTOR
ROUGH WIRING
OAJE INSPECTOR
FINISH WIRING
�("`l-p iTE INSPECTOR
FIXTURES 1v1•`
DATE INSPECTOR
MOTORS �
AINSPECTOR
FINAL 1V�
DATE INSPECTOR
i� °PLUMBING& GAS
UNDERGROUND
D� PECTOR
PARTIAL ROUGH {60
DAT NSPECTOR
ROUGH COMPLETE
ATE SPECTOR
MAIN DRAIN -
DATE I SPECTOR
GAS PIPING
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC i
DATE SPECTOR
I; MISC A... J
' DATE INSPECTOR
ROUTE SLIP
File No J / Q Z
Date 9- -6 �
Location Q/7 /
Subject
Notes
Approved 2e
Date Inspector __
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ......Z...... c......... r�.e... Jt 1 1 Z-'
............... 19..... Building Permit No.5-1117L-
'?
f.... ......
G
The Building Located at ../t �N,�-(!4/ � y.Y -
Owned by .......z .....hi o ..........................- : r :.._'- IN
—P----------:.. ...N---'--.... .------r-----
(Completed)
HasBeen For Use As: --------------------------...._-----..........--- --------- ---......
------ - ------ , . w
------- �_----- --------------...... .........
.... -- ..... ........... ......_...... ------
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
9 CITY 017 C U P 1:R T I NO
To I ...I......... 196f
You are hereby autho
Owner or Tenant
At
No. of Wires ..... ............. Size of Wires Size of Switchl 00A-
Motor Load .......................... Voltage ...... ........... Phase ... .........
Heating Load ........................ K. W. ._..................._......---. voltage ......... ......
No. of Meters....................
Light....... New Service.._....e�cconnect............
Heat
No. of Add. Mcte. H 220......_/ Wi Service..
PIR
I e: I
Power....._........ ... ro meter
................._..._.FL..
'��ECTMC.�� J111CI01
GAS SERVICE NOTICE OFFIC!:
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
...........-...... /. ._................_...._..
>-TO
You are hereby authorized to connect the GAS service for
Owner or Tenant ...........
A ........ .........
..........—
O
New Service
No. of Meters
Reconnect ........... ... ...........
Move Service ...... .......
No. of Add. Meters .............. Move Meter ..........................
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
n Sewer Connection Sanitary Permit No. .....:5351—?------
Plumbing Final Plumbing Permit --------
Lot No. ------
Owner or Tenant ....
�A;v-----------------------.....---------------------------
At
------ ---------
------------------------------
At
---------------------------------------------------------
Tract ........... .... .
...e
.......... ---- ---
...... ---4
Date Connected --- ---- O.,
. ........... ..-.-.-.---.-..... ......
Date Final ... ................................. ............W- ---
PLUMBING INSPECTOR
-------------
111 12/66-IM