NO PERMIT NUMBER (2) LQ 9-.-1r
Lot No.
No. Street Irl �Q
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO Q
File No. /i All
Sanitary No.—
Do te
o.Date -�196 df
Application is hereby made for a permit to
a / tory, Type Z J
to be occupied only as
in accordance w' Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ C-2- 04 Of
FEE$ �7_ Plan Check $
Owner 11 Address > e
Contr. p // Address
Phone 2a �l`! (O State License c2,S-1 ig ap.r-
Approved A �
APPLICATION FOR ELECTRICAL PERMIT
Date 196 0 FEE$ o25�.y�a 3
Contr. _ W G,._.Q_� J Address -. 9o2".S�/�-�.:�FSC f
Phone - 7j 6 -S5c�l/ State License
Approved ` - �=h-�-•D--""�/sem
APPLICATION FOR PLUMBING & GAS PERMIT
Date / 196 (f GAS FEE $
p _ n PLUMBING FEE $
Contr, _ �C. K�-� Address
Phone — �- `1 C�/- G 3 .( State License7/5,3 7 `
Approved CJS �J
APPLICATION FOR APPLIANCE PERMIT
Date � 196,, FEE$ ��• 3--V
Contr, """^Adgress 7 7 1p c `1
Phone ��� /"-GO k State License
Approved
Applicants agree not to violate any of the /�6G
Workman's Compensation Latvs,of the
State of California .
RECORD OF INSPECTION APPROVALS '
` BUILDING
yam- y�Z-6 Y'- �.A-Q
FOUNDATION _ 2-2 -60 ce�_
DATE INSP CTOR
UNDERFLOOR 'S ^6 \
/ DATE I OR
FRAME
,(%o DAT
LAT & PLASTER —V �Q
DATE
FINAL
INSP C R
FINAL I I -7 b a
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
D E INSPECTOR
ROUGH WIRING
DAINSPECTOR
FINISH WIRING f O l -CE
++ AT INSPECTOR
FIXTURES l b I 1 -
DATE INSPECTOR
MOTORS
Q/ 1 'qp Ems/ INSPECTOR
FINAL ISO SIJ(
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
_DAIS - PECTOR y `
PARTIAL ROUGH IJf�
DNT? INSPECTOR
ROUGH COMPLETE ((��.•//
DATE
RECTOR
MAIN DRAIN
� ' - DAT.E, INSPECTOR
GAS PIPING f�0G/
> / ATE INSPECTOR
FINAL b
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE - INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE � ECTOR
MISC
GATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
pp
Date .......
. ....... .....7.................. Building Permit
T.............
The Building Located at .. ..... ...
&—kp-4
Owned by ---- ---- - ............................................................. L..-...1.-----------
(Completed)Been (Completed)
(Alterod.) For Use As: .......:._----_....---........................................................
........................................................... ...............................................
............................................................................................................... -------- -----
......................................................................... ------
- A..........................
------------------------------------------------------------------------
BUILDING INSPECTOR
102 12/66-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
....... 196... ..
TO
You are hereby authiz o connect qeqrical service for
Owner or Ten .............tt
At _.......
................
No. of Wires .
................... Size of Wires 4�J-J
-------- ....."-
.... Size of Switch (300-
Motor Load ------------------------.- Voltage ...................__.... .. . Phase .... ..
ato(NIvfeers-.
%ing Lad ........................ K. W. ............ .. .... Voltage .........No .......��,w S: L220...........
erv,ct__ __ Reconnect_.........
I
ea
'No.of Md. H 220�.... Thryt Wit ..... . .. Move service___..
Power............ P ..... Move Meter
Telm
........... .................. . ---- - L�
AV_---- ---
ELECTIUCAL INSPECTOR
Bldg. I>ept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. .�..1...7J...._..
❑/Plumbing Final Plumbing Permit No..,.' .�,lf�..�......
Lot`No. -------- ......................
Owner or Tenant ...i%.!��-.-.�?��•Q�.. -�
At
�y-- ------------------------------
Tract
---------- ------
Tract ..------...4- - --
/ ----------------
Date Connected ..................... `'t1..... - 19.6- .
Date Final -----------------....-.....--- ------'_�'-'---- --- ............-- 19.
9 / .
------------------o--------
PLUMBING INSPECTOR
111 12/664M
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COM,
CITY OF CUPERTIV .
To
You are hereby authorized to connect the GAS service for
Owner or Tenant U
At .........
....................................
New Service
No. of Meters ... Reconnect ... ...... . ................
Move Service .. ........ ..
No. of Add. Meters ..... ........ "e r Mete ....................
4PLUMBING INSP , TOR
ROUTE SLIP
File No. S// 9 3-
Date
Location
!yam ��RJ
Subject ( 7�---A-
Notes
Approved L
Date Ins eco