NO PERMIT NUMBERV
, A _z ; (1- Lot No.`2'
No. Street O
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date L 196 1
Application is hereby made for a permit to
to be occupied only as
a
File No. Na/!2-2-
Sanitary No.-55�rr
story, Type
in acctrdany Jhith Plot Plan, Plans and Specification filed herewith,
pE�stimated Value o4 Improvements $ e4.2 10 t7'd O't/
FEE$ - Q V Plan Check $
Owner Address✓e-
Contr. f Address 'S
Phone 74 ` ��6 State License _2 SS,�� l .-s
Approved 62e /sem= A
1;4K
APPLICATION FOR ELECTRICAL PERMIT
Date 16— 196 LF FEE$ 3. 7 a
Contr. ��'7-ri-�-t-'��� Address
Phone State License - y, �,-�Z/if
' Approved �`"�'v 4ZZ414/�
APPLICATION FOR PLUMBING & GAS PERMIT
Date =L 196 a GAS FEE $
PLUMBING FEE $ --e2 ,-, a -r)
Contr. _ e-r..'-Q^_•�� �."r�w^"�-�'
Phone ap/y'U r�b
Address
State License
Approved
�— C APPLICATION FOR APPLIANCE
PERI T.
Date 196
FEE$
Contr.
Address 779 159Q
n '
C --
Phone
State License
Approved
t
ul fLLiAA9 D.
6"t,1r.'✓lCH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PL BING 8 GAS
��
UND
PAR
ROU
MAIN
GAS
FINA
MISC
MISC
ERGROUND
TIAL
GH
INSPECTOR
DATE
ROUGH -�
RECORD OF INSPECTION APPROVALS
DATE
COMPLETE ���
RECTOR
BUILDING
CTOR
DATE.
PIPING
SPECTOR
L ^ pDATE
YDATE
FOUNDATION
INSPECTOR
DATE
DATE
�3-6�
I SPECTOR
UNDERFLOOR
— A E f
I ECTOR
FRAME
DAT
�6
INS CTOR
LAT & PLASTER
r
IN OR
DOOff/TE
FINAL
^-- —�
DATE
INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE
INSPECTOR
UNDERGROUND
OA
r, � `�
INSPECTOR
ROUGH WIRING
DA
INSPECTOR
FINISH WIRING
� � �
DATE
INSPECTOR
FIXTURES
— -
DATE
INSPECTOR
MOTORS
ATE
INSPECTOR
FINAL
�1j
DATE
INSPECTOR
PL BING 8 GAS
��
UND
PAR
ROU
MAIN
GAS
FINA
MISC
MISC
ERGROUND
TIAL
GH
INSPECTOR
DATE
ROUGH -�
ECTOR
DATE
COMPLETE ���
RECTOR
DA
DRAIN - -�
CTOR
DATE.
PIPING
SPECTOR
L ^ pDATE
YDATE
SPECTOR
INSPECTOR
DATE
INSPECTOR
INSPECTED
MISC
V nlE - INSPECTOR
APPLIANCE
DATE
INSPECTOR
DATE
FINS4 PECTOR
DATE INSPECTOR
ROUTE SLIP
File No. 5/ / rg
p Date
Location 8p-�
Subjectar��
Notes
Approved -5-6,g 1L
Date n ctor
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date.................................... 19-6f Building
Permit
•yN�_r_
/o..�_l.-L
The Building Located at ------ ...........
P T • ' '! ( __-._
I--------.-------.......... .......
GF v /
Owned by ...........t....r :�i.-......r�u_{+1�'�' r'-------------------------- ----- -!
(Completed)
HasBeen (A$ered) For Use As: ------------------------------------------- ---------------- -------------------
.f~ �� -- .............................................
-------------------------------------------------------- .... .........--------- .. -----------------
----------
------------
---------
.......................---------
BUILDING INSPECTOR
102 12/66-IM
GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINP
...... ... 196?
To
You are hereby authorized to connect the GAS service for
Owner or Tena.ntc`�� ....... ............
.............................. ....................
57
At
New Service ..................
No. of Meters Z ............... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
PLUMBING INSPECTOR
BlJg. Dept.'
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
E] Sewer Connection Sanitary Permit No.
0?'Plumbing Final Plumbing Permit No. s-�—
// q, -0)
,-AMC -------
LotNo......,, .....................
Owner or Tenant .._4 Z95 T ?�.�;Y
PLUMBING INSPECTOR
111 12/66-1M
OFFICE COPY
` 2, ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINOq— I
_' 4
........._.......... ................_............., 196. P.
To
You are hereby a , o 'zed to nnect�eI ctricaI service for
Owneror Tenant......._....................._�......._..-.;., _.._........ .. ......._.._._........
No. of Wires ............_.. Size of Wires ...-..._--_Y. Size of Switch r..C�.�.A.`.
Motor Load ......................... Voltage ....... ................. ....._ Phase ... ......._....... .......... ...
Heating Load ..........----........- K.W. ------ - - ...... Voltage .......
Light-...r... I IU.. / New Service .............._ Keconnect....... .._......
No. of Meters..................
Heat................. 220...._ ree W' e... -. .. .._ Move Service ...
No. of Add. Meters............
Power ............... .-.... .. ....-. Move Meter..............
....................... ...............
F.LECTMCAL INSPECTOI