NO PERMIT NUMBER -a 3.a iI Lot No.JP-3
No. Street /,7 /)
APPLICATION FOR BUILDING PERMIT ` j
CITY OF CUPERTINO
File No. J77'00/1 3
Sanitary No. S'.y1
Date 196 7Z--
Application is hereby made for a permit to
a story, Type •�- = J
to be occupied only as
in accordan ith Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements § -4 C). C) d Q O
FEE§ 9d, S--w Plan Cheek §
Owner Address C23 if
Contr. Address q f
Phone eG 44/ F l ( State License - C 7
Approved
7
APPLICATION FOR ELECTRICAL PERMIT
Dare, /r/jam" 196 /� FEE§ a' S - �0
Contr. ._&_11.A Address 9 `- -A
Phone State License /97
Approved V'✓fLI IANI Q —
APPLICATION FOR PLUMBING & GAS PERMIT
Data �L 196 GAS FEE §
�f PLUMBING FEE §
Contr. - `""�� ��-� Address 34`f-7 �
Phone State License a3,FF
Approved ^J/.� '�/-t-• J/
z� APPLICATION FOR APPLIANCE PERMIT /�
Date , , 196 � pFEES
Contr. i-`_•`- �d-L�e-x�l� � 'Addrese 7 7 '/ (/-t-f.0 l-4'T-'--.-'eM ✓'�tl"
Phone -2State License
er
Applicants agree not to violate anApproved
y of the
Workman's Compensation Laws of the
State of California
Vcull Y /RECORD OF. 165pPCPPROVALS
IV-111,91L DING
FOUNDATION
Date � ns pecfoT '
UNDERFLOOR
FRAME Dat
atO1tq rb s a to
ATH PLASTER 3
FINAL
Do to Insoector
ELECTRICAL
,OUTLETS SERVICE SIZ
SWITCHES UNDERGROUND
12 r`O nepactor
RECEPTACLES ROUGH WIRING C
fe Inspector
FIXTURES FINISH WIRING
tolkkmInspector
H.P. CHARGE FIXTURES
*Inspector
nspector
PERMIT FEE Motors1Date6nspectorTOTAL FEES FINALj�Date
PLUMBING 8 GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUG — C
a a or
MAIN DRAIN FEE ROUGH COMPLET
Date for
STORM DRAIN FEE MAIN DRAIN —
ctor
WATER SYSTEM FEE GAS I PIPING
/ Date ctor
GAS PIPING FEE FINAL
Data Ins pactor
PERMIT FEE MISC
Dote Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE/— ry TOTAL FEE
INSPECTED
n,.ta Inspector
CERTIFICATE -OF "•- COMPLETION '
BUILDING INSPECTOR'S OFFICE
CITY OF CUPBRTINO
Date
� jf - ----- �Buil �g�. rmit No.� qoI:-�
n
Ile Building
Olt
Owned by . : .. .
Has (Completed) S�,ov�� (A4tere+) For Use As: ----- ...........................................................
Q ........
BUILDING INSPECTOR
102 12/66-1M - -
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
... .. ..... ... .... ....... .. j 96.�..
To
You are hereby ut 'ze to yeA-ectical servi for
to
Owner or Tenant ................. ........ w
At ...cN�, 33...1.. ......
. ... ..
No. of Wires ......Z............... Size ofire Size of Switch
Motor Load .......................... Voltage ...... .... .............. Phase ......
Heating Load ......................... K. W/........._....._.._......_..._. Voltage ........
(Light......_...... I70....:
Service.... ReconneLt.._.......
No. Of Meters.......•........._ c 'Lc
No. of Add. Meters............
Heat.............._ 220_.......... hree re.. Move Service......._...
e
Power............... ree e._ ..'Move Meter.............
e P
...................................................... ... .......
ELECTRICAL INSPECTOR
GAS SERVICE NOTICE .: OFFICE
BUILDING INSPECTOR'S OFFICE Corr
CITY OF CUPERTINO (y
T1 O ..................5�........ 196-i
You are hereby authorized to conned the GAS service for
Owner or Tenant ... . .... ...........'.:......!'... .............
At .. �?331..-.... :. -�! .: _......._...
/ New Service ..............
No. of Meters ........ Reconnect .............................
Move Service ._...:................
No. of Add. Meters .............. Move Meter ........:..........
................
CAMBING INSPECTOR
LU . . .. . . ..
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .......
E2,'Plumbing Final Plumbing Permit No.Z7zM/W--1-
Lot No. ...
7
V-1-------------------
Owner or Tenant 2 ........ .. .............................
At ------
...............................................
Tract ............ ...........................................
Date Connected ...........................A 19-67.
Date Final ...... ............................
...........................
.....,...,... ..r
. ...
..................._.
. ...,._....
i/ PLUMBING
INSPECTOR
111 12/66-IM