NO PERMIT NUMBER (2) ;r
Lot No. b 7
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
a� is
Sanitary No.
Data � ' � 196 71
plication is hereby made for a permit to T
u C-2- story, Type V
to be occupied only as
in accordance5' h Plot pian, Plans and Specification filed herewith.
Estimated Value of Improvements $
O
FEE$ Plan Check'$
Owner Address _
Q.,r. 45
Address
or
Phone It>- J -7 State License /,r/7
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date `� /� 196 7 FEE$
Contr. ",bi"—X� Address '51a S
Phone _ 7 State License 'Z ✓' 1_�'O /
Approved �`""`" "`"'��
APPLICATION FOR PLUMBING & GAS PERMIT
AZ
Data 196 GAS FEE $ / u
� PLUMBING FEE E ,?,L2-2L
� '-y//
Contr. �"'-'"" V-/w�l _ Address �a 3 /� � "yLIZ,
Phone 02 -50 S A 3 Z.q State License
'• Approved
APPLICATION FOR APPLIANCE PERMIT /3 yS—
Dote 196 FEE$
Cont,. Address ( i
Phone ;z 6)6) 9 State License
Approved
Applicants agree not to violate any of the iy
Workman's Compensation Laws of the
Stale of California
tdSLSc.e
>a1-ck,- Y'c
RECOR 0 SP T 0 P�QQyVA_LS7
FOUNDATION �.3�(o BUILDING
UNDERFLOOR
D 7-7-6 Inspec r
p//� 7
FRAME _ Lr�`6r Inspector
DWa, -_C nspecfor
LATH !/L-
PLASTER
Daf n ect
FINAL
eb
Date Insoector
ELECTRICAL
,OUTLETS ,\ RVI S
SWITCHES UNDERGROUND V'
date In cfor
RECEPTACLES ROUGH WIRING of '
' to Inspector
FIXTURES FINISH WIRING
Inspector
H.P. CHARGE FIXTURES
Inspector
PERMIT FEE Motors
TOTAL FEES FINAL 40Ins pactor
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
r
MAIN DRAIN FEE ROUGH COMPLET a e
to or
STORM DRAIN FEE MAIN DRAIN 149^1U—
ufe r
WATER SYSTEM FEE GAS PIPING /— '
� Date ns
GAS PIPING FEE FINAL 7
Date Ins pe2tor
PERMIT FEE MISC
Dote Inspector
TOTAL FEE M_ ISC
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 t i TOTAL FEE
INSPECTED ,�;12�r
Do fe Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date----//_.......91--------------------- 19.6..7 Building Permit N0,5716-Al
The Building Located at ------ ao�
Ownedby ---- ..........CfAIA-10............................................................................
Has Been (Completed) For Use As: .......
.................................................................................................................................................
........................................................... .....................................................................................
-------------------------------------------------------------------------------------------------
-
---------**..... ............
.........................
102 7/63-500 BUILDING INSPECTOR
ROUTE SLIP
File No . SII6
Date Out —d
Date In ;
Location /(t r3 Wa,.
Subjeot
Notes
07
Approved /1- 1-9 7
Date Insp:cto
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No.
9-Inumbing Final Plumbing Permit No.
Lot No. ..A0KA7....
Owner or Tenan
... r.... ....`....-... ------------------------------------------------------------
At
----------------Tract --------------------
... .......
Date Connected
-----------------------------------------------------------
DateFinal ------------------------------ ---------------------------------------i------*-----------*--- 1919([47
----- ------
..... ---- ---- --
.....
PLUMBING INSPECTOR
111 12/66-IM
GAS SERVICE NOTICE OFFICI:
BUILDING INSPECTOR'S OFFICE corY
CITY OF CUPERTINO r�
_..__...........,� :.. .........._................ 196./..
To
You are hereby authorized to connect the GAS service for
Owner or Ten ... "_ �yC e ............... ...................................
Tenant .. .:c. ..
i_ New Service ..�•. _.............
No. of Meters ../.............. Reconnect .......... .................
..
i
Move Service .......... .............
i
No. of Add. Meters ....... Move Meter ........... .._........
..
PLU BING INSPECTOR
FFICE C PY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
�. CITY OF CUPERTINO I '
.................._........I.......�...�............. 196
To
You are hereby t or' ect electrical service for
Owner or Tenant . ............. ..... .
nt .............. ... .1.....� ........ ...... ... . ......... -oar ....................
No. of Wires .... ............ Size of Wires ... y... Size of Switch' O C
Motor Load .......................... Voltage ................................ Phase .............. ............._..
Heating Load ........................ K. W. .................................. Voltage
r..........`.................
.....
V ........
' Light.._/. 110/ New Service./.. .. Reconnec......
No. of Meters................... /
Heat................ 220.... .......- ... Move Service............
No.of Add. Meters............ ��?2//yy
h Power............... e..:..... ... Move Met ............
...........\ - ................... . . . ......... .
ELECTRICAL INSPECTOR
L hSCfi LOT NO.
NO. STREET
w Q AP ® C A ON FOR BUILDING PERMIT
Q o ® CUPERTINO /V" 64 cul F/o
0 a Sanitary No. S6S'S
u
Date G 0 1 6 Permit No. .'S—//6 7, /
0
o ; Application is hereby made for a permit to
! Y , /�
a In a s y TP�, Building
w
r to be occupied only as ~/, �di�'• in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee'
> 0
Estimated Value of Improvements, $ Fee$ ! C�
oa
z J It is hereby agreed that the requirements/of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within th C'`y of
o Cupertino-v 1 be mnpli with. �/, /
3 a Owner Address � Ap -
N
W Z
WW Address a-
Phony -'Z� —��/D` Approved WILLIAM! D. F7r-ntrvte+u/
State License �j / BUILDING INSPECTOR J