NO PERMIT NUMBER (2) 20.392 I TOWN CENTER LANE Lot No,
No. Street -
APPLICATION,FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 511027. 7
Sanitary No. 4673
Date March 2 196 6
Application is hereby made for a permit to .
Erect a 1 story, Type e 5-1,-2
to be occupied only ds ]Medical—Dental Building
in accordance with plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements f _ 46.,000. 00
FEES 1.30. 50 Plan Check E
owner .. Chrisman Homes , Inc. Address _ 654 Georgia Ave . P.A.
Contr. C .B. Chrisman Address
Phone DA 5-q168 State License 206706
Approved W.D. Benevich/h
P
APPLICATION FOR ELECTRICAL PERMIT
Date. 3d Q 196 V FEES
Contr. f���-C��=y="—.h'�J Address ^rd S
Phone '37�� / 6•� State License \ �a/tea 717
Approved 14�
APPLICATION FOR PLUMBING & GAS PERMIT
Dote `3/� 196 �_ GAS FEES '
02 /_0
/� � PLUMBING FEE' $
Contr. C��R-Cr'._i �✓�[rr1_ Address
Phone �7�- 9s3',f State License. �o -7Y�
ec
Approved '�-�Y_:a= �
APPLICATION_ FOR APPLIANIIE PERMIT
Date 196 - FEES
Contr. - , Address
Phone State License
Approved
Applicants agree not to violate any'of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS . .
FOUNDATION ( BUILDING
D e actor
/ N Fa Inspector
`FRAME
4?�iwrQ/1. Dot spactor
LAT 8 PLASTER - ('
FINAL Da Ins pactor
Dote ns or
�r T - ,
,OUTLETS
SWITCHES ° NDE O SERVICE 1
-y �p�VI i� A,�G�.P Day Inspector
RECEPTACL�7 ROUGH WIRIN 'rj 'S
,j
FIXTURES � � FINISH WIRING Date Inspector
DP Inspector
H.P. ARGE oZ .S FIXTURES I '
o nd� Inspector
PERMIT FEIE r,2 Oa Motors -�
TOTAL FEES FINAL
Inspector
- a Inspector
B Q4 9i6 �
r • o
STORM DRAIN SIZE TERIAL
2. 754-61A. r$. o•tole (4N
G�y�
c.
ATERS TEM
!!s '
TOTAL FIXTURES 3' °^ - ND GROUND �
FIXTURE FEE PARTIAL ROUGH_t-
Date Inspector
MAIN DRAIN FEE I oZ- ROUGH COMPLETE
STORM DRAIN FEE MjWN DRAIN
1 O - '1 Dar Ins pactor
Inspector
WATER SYSTEM F E
GAS PIPING FEE FINAL I� i� Date Inspector
om I actor
s
PERMIT FEE
09 " D to Inspector
TOTAL FEE MISC
D 3 V7 j5a Date Inspector
APPL ANCE
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 PER&T FEE
FLOOR FURNACE TOTA EEi
INSPECTED luw
Date _ Inspector ,-
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. 44P-IA---------
�Lmbing Final Plumbing Permit No.
Lot No.
Owner or Tenant ......Ei-3e�......-A�
............ ......
At ------------- —-------
--------------- ...................................
Tract ............................ -------- ---- --------i:; -----------
Date Connected ------------------------------J-p------ 19
Date Final ......................................1.0----T--, L
........... -----
111 7/63-1M
ELECTRIC ?iRVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Jo -
....................................... ................. 196 ?.
To
You are her y au ori ed to co nett, I icalZ4ervice for
Owner or Tenant .... ...... ....
At
t7
No. of Wires ........................ Size of Wires ...................... Size of Switch ....................
Motor Load .......................... voltage Phase
Heating Load ........................ K. W. ............................... Voltage .............
....................
(Light.... ... I10.__.: New Setvic .....� Reconnect_....._...._...
No. of Meters...................1
No. of Add. Meters............ Heat..."'�/"' 220.. � T ee W r ................ Move Service............
Power............... P e............... Mo Meter..............
i
n
.......
ELECTRICAL INS C OR
�
ELECTRIC 'SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN
�
To . .. ..........., 196(
'
You are here y a�r' to con ect rival service for
Owner orTenant ............................ .........................
........................
At ... ... ..... C{ Z'.`_............................
No. of Wires ........................ Size of Wires ...................... Size of Switch ....................
Motor Load .......................... Voltage ................................ Phase ..................................
Heating Load ........................ K. W. ......................... ...... Voltage
�................................
No. of Meters.........�.......)(
Light................ 110.__._... New is .. - Reconnect._..........
...
No.of Add. Meters............1 Heat................. 220....... . Thr ............. Mo Service............
Power............... . ............ v Meter..............
......... ..... ... ....... ....
EL CAL INSPE OR
GAS SERVICE NOTICE oldrlCil
BUILDING INSPECTOR'S OFFICE Coln"
CITY OF CUPERTIN�
...................................... 196L
1 To
You are hereb),(autt or zed to connect the GAsVvice for
Owner or Tenan, ........
New Service
No. of Meters ........ Reconnect ................
Move Service ... . .............
No. of Add. Meters .............. M ve Meter ..... ............
PLUMBING IN eECOR
GAS SERVICE. NOTICE OrriCr.
BUILDING INSPECTOR'S OPPICE COPY
CITY OF CUPERTIAjQ
...... ._.................._............, 1Y6......
To
You are hereby tho i ed to connect the GAS service for (�
Owner or Tenant .........�... __........_.._..._. ......:......� .I,...� .`"""ua�
I
At .. .. ... .._.X93-.....
New Service ...
No. of Meters ..... . ......._... Reconnect
"1
ove Service _........ .. .........
No. of Add. Meters ......._..... ove Mete
PLUMBING 111 PI:: TOR
009-£9/I Gll
UUMMO YO .LNVNgl .I,7HdSNI
...................................... --------- ............ ... .......................................
............................................ auoyg
•om do ,fall
luawmdaQ dmplmg aya Sq pasealai si puc.',Vuzdnr»o Jo3 6peal sr 8ulplmq aya pun
'uoileZ)oj anogc aya jr a.)l.vas svd aqa jo3 alglsuodsai aq of saaAds paudisiopun ayy
..--..................------ ---.................---------..........----...------ ----........ :BIOSVRH
-- ----. ----- :.LOI
------- -----....
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•HHN/a10
...... :3.LVQ
301AUS SVS 'AlVbOdW31
i
OFFICE COPY
ELECTRIC ERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...........
194,
To
You are here a,t orized to,connect I ctricat service
it Owner or Tenant
At
No. of Wires ........ Size of Wires ....... .. Size of Switch •...... .._..
Motor Load ------------------------.- Voltage ........ .... .................
Phase ...............
Heating Load ........... --------- - K. W. .. ..... ......— - ..-. Voltage ..... .............—
No. of Meters.... Light................ Ito............ New Ice............... KeConnect...— ........
Heat
No.of Add. Meters............� 't
Thr H 2-01. Th 4il...... Move Service..........
Power......... / 's ,
Three as —........... Move Meter....._.......
EC OR
ELECTRICAL 1
Y`- OFFICE COPY
ELECTRIC ! VICE NOTICE
I \
BUILDING*INSPECTOR'S OFFICE
CITY .OF CUPERI'IN0 196.(0
To
You are hereby uth i d to connect electricals vice for
Owner or Tenant .........
No. of Wires ........ ....._.. Size of Wires .. ..Q.. .... Size Of Switch J—
Motor Load .......................... Voltage .........................__... Phase ......
Heating Load --------. ..........._. K. W. —..... ...... Voltage
... Light...../....... 110... New Senicr. ... Reconnect.................
No. of Meters..............
Heat................. 220.. ./ Three Wire...-. ......... Move Service..........
No. of Add. Meters............
Power......... h ase.......... Move Meter..............
aLECTa1CAc 1 PEC R -
TEMPORARY' E.UCTRICAL SERVICE
1 .•�] .�.9- ----------- Pee: ------- -
-- ------------------
CITY OF CUPERTINO
LOT: -- ............................................ ---------------- -
-------------
REASON: .--- -
-------... .. T
..------`..
The undersigned agrees to be responsible for the electric I se above location,.
until the building is ready for occupancy, and,is releaseng Department,
City of Cupertino.
C.. 0 — hone
INSPECTOR =1:6hmNT OR OWNER \
/� 1161/63.500 - - -
ROUTE SLIP
File No. �/� d 7. 7
Date Out 7/-7,, izj
Date In 7`—
Location .32
Subject
Notes
Approved
Date Inspector•
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