NO PERMIT NUMBER (2) 6X.,-,,/, 'j=r Lj( r Lot No/44�
No. Street a Al
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No: 3711—� -7
Date 196
Sanitary No. _/___ � d '
/ Application is hereby made for a permit to
Aira / story, Type -- ' •Z �/
to be occupied only as
in ac cord: with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 094 aaa 99-
FEES Q` x-6 a Plan Check $
Owner 7.6.G". J u.o~ t� Address T—j 7 44
Contr. / Address p
Phone '-'1 f �� de Y State License a �� G O S_r
Approved
APPLICATION FOR ELECTRICAL PERMIT
Dote / 196 t� FEE$ --C93r7 L
Contr. Address - 9-2-1�
Phone 7c3 State License L ,ao'
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Dote J--// 196 GAS FEE $
PLUMBING FEE .$ %2-j 'b
Cont,. _ �e O^- -� /�-t- —e..�I Address 6 _ �...�
Phone — 02 U. State License -X7/.5 ,3 7
� s
-,
Approved
—���
APPLICATION FOR APPLIANCE PERMIT
Data S/6 1% p� FEE$ /. - 25
Contr. ���-e-^-�./'cJ Address -7 dQe-lee
Phone `5��- "�"6 U S� State License ,-
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the .
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE INSP C OR
UNDERFLOOR
CTOR
FRAME 6 OTE
DATE IN R
LATH PLASTER
DAF INS E TOR
FINAL /� — 0
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
PATE INSPECTOR
UNDERGROUND
�DAT�n INSPECTOR
ROUGH WIRING aavv
DA TE INSPECTOR
FINISH WIRING l _
_AL' �rO
`6 —pATZ\ INSPECT OR
FIXTURES (\����/
INSPECTOR
MOTORS
r�o_A INSPECTOR
FINAL _ �—`�
DATE INSPECTOR
�MBING & GAS
UNDER ROUND
p TE SPECTOR
PARTIAL ROUGH
S TE i SPECTOR
ROUGH COMPLETE CY
SPECTOR
MAIN DRAIN
_ TE SPECTOR
GAS PIPING
DATE INSPECTOR
FINAL �v —�?
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE IMSPECTOft
MISC
DATE INSPECTOR
File No .
v Date1,-2
Locationt
Subject
Notes
Approved -11—' Le -
Date L InJ`s c or
�. CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
f L r n,
Date .......G�1..............I!......._....._., 19.."....... Building Permit No.
The Building Locat / / % /--- �---
.................._...f...................... . ........... ------
Owned b ..gt.!1..._....ij �::'v.tC/i .:,'�•- C
y - - ---- ....-------------------------------------....................... ....
Has Been (CoA Pled])
( For Use As: .......... .) ,t
--------------------------------------------------- .............................................
.----- -------.------............-.........--------....-------......--------.....----------- -------------------..---- ----
.............`J_--1-'--`!A----.f...:I-.--------------------------
BUILDING INSPECTOR
102 12/66-1M
OMCE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
i
...........
To
You are hereby aut o 'z to connect electrical service f
Owner or Te/n�ant ......... . .. .. ....�- y�__.._.. �,�
No. of Wires ._1Z.... .. ....... Size of Wires . '......:.Y... Size of Switch f.0.c).pr-:.
Motor Load .......................... Voltage ...... --.................... Phase ...___..._.............._....
Heating Load ........r............... K. W. .....---- .......:.......----.... Voltage _............ ...
I Light.._.. ./._.... IIO.,/._... New Servic<✓._... Reconnec ........No. of Meters......_. .._.....
Heat................. 220_... Three it .. .. ......... Move Service..........
No. of Add. Meters..........:.
Power_.................._-_ Thr P e. ......_..... Move Meter..............
ELECTRICAL 111 CTO
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIX 0 196....P.
To
You are hereby authorized to connect the GAS service for
Owner or
At
`
New Service ..........................
No. of Meters ../............. Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter
I�C,
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No.
M"flumbing Final Plumbing Permit No
-- ---------
Lot No. ---- - ------ ---- --
5;41�el------------ - .... -------------------------
Owner or Tenant ............ .OAVA
At
Tract ---------
Date Connected ---------------
----------------------------------
19,,-—-----
Date Final
----------------------------------- -----I---------------------- 19
--
--- -------- -
PLUMBING INSP_E_INSPECTOR
-------------
111 12/66-1M
CT LOT NO. �.
NO. STREET r'
y -
CITY OF CUP.ERTINO
-
'CITY 6F CUPERTIN&
AUGI PPLIICATION.FOR ELECTRICAL PERMIT
P
C1' Permit No.
Date ,19 - - Fee$
Application is hereby made to.the,City,of..Cuperttno-4ora.permit to install electrical,;_;
_ - wiring and/or fixtuies as.listed,on=,the reverie side hereof; 'eAd iogrees-.,to,install.said, -
wiring:;and/or fixtures in accordance with 'the provisions•of the Electrical Code of the 4.
City of Cupertino,and all other lows'dpplicablechereto11 .
'Use of .. / Work To Be
-.Premises "S,'IVGLr FA,'11L7rV&A&ierformed
O /1/
wner' F •�lA L/- /:. Address�9�}""2
Phone 5 L 3 999 7
By r/�6G&"LLFCTRiL' ,da;e.: v ' STUuT ST' S J. 9SM9
Contractor,Agent' pt
Phone 21-9'
'State License 2 2 9 �'/ i APProve r.
-' - - - Elect/rr al Insp or
>1 I AGREE d WILL NOT'VIOLATE ANY OF THE WO CMEN S "
'('� COMPENSATION LAWS OF THE STATE OF CALI ORNIAY
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C� FOR PLUMBING PERMIT
wp 20 1969 (CITY OF CUPERTINO
x o Sanitary No.
o a D1te— —•- 1962— Permit No
r Vul E IAV ' Pee $ d'- JPO
o Application is hereby, made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
0
Use of Premises
0
0 a Owner(A s' Address
7i
. t By Address o771Y I- 111
O CONIRACTOR, AGENT
3r
- m Phone a y/- 337n
wZ
aoState LicenseApproved/�C&�vuJ:�/
U PLUMBING INSPECTOR /�
J = $ £ /free " ee * ( » / = ;a
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