NO PERMIT NUMBER V 3 _ �ire.we� Lot NoA /
No. Stree /6 %/
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO L
File No.
Sanitary
Sanitary No. S '14@A—
Date �196 P'
lication is hereby made for a permit to T
a story, Type 2 %
to be occupied only as
in acco
rda6lwith Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements $ Q /4 d e Q
FEE$ y 4n , Plan Check $ �}t
Owr,er _ 's%w r,:/�,�,.y,J Address �a'9.rA L/
97 CJ
Contr. Address Q
Phone A d".a SJ State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date S/3 196 'Y FEE$ �'�O•CS ,
Contr. ' u-...�Qa � Address 4R f
Phone - 7e'>' 5-.L/ State License Id-
Approved
aApproved
APPLICATION FOR PLUMBING & GAS,PERMIT
Date 196 GAS FEE $ — ��`s
PLUMBING FEE $ 'J—V
Contr. Address eI 3 54
Phone o2S —�`3o State License
Approved - WILLIAM D. Rr rj gCj_S
/ APP CATION FOR APPLIANCE PERMIT
Date 196FEES 1�- 's__0
Contr. �e-C-K' Address 0—i
Phone — 3 7 rf' (J G State License
VPILLIA„7 p•
ApprovedI
Applicants agree not to violate any of the
Workman's Compensation Laws of the t
State of California >
\.REC/ORD OF INSPECTION AePROVALS
r�"" " �8��� � BUILDING
FOUNDATION �Q
DATE r SPECTOR
UNDERFLOOR
ATE pJ CTOR
FRAME .zY-6 P9
DATE INSPE OR
LATH
PL AST R 2 V-6
PATE CTOR
FINAL P
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
If
! ^ gATE 'INSPECTOR
ROUGH WIRING l'� 1 `
DATINSPECTOR
FINISH WIRING
.( LDqG(� INSPECTOR
FIXTURES �'[U (])/
INSPECTOR
MOTORS
/ VIATV INSPECTOR
FINAL L�l /k-7 I
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE P CTOR
PARTIAL ROUGH
pqT ECTOR
ROUGH COMPLETE
pAp NSPECTOR
MAIN DRAIN (199
/ � DA�y INSPECTOR
GAS PIPING
qT INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED � �Y
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
'MISC
DATE INSPECTOR
ROU'PW SLi'P
File No.s/z2
Date
Location _
ib
Subject 6,U/f �p� i
Notes
Approved ] -6�
Date Insp c or
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
(pj CITY OFyy CUPERTINO
Date ........Y. ... ................ 19.�!?...--- Building Permit No. 5XI.F.T.
The Building Located at ......�G.V3..&Y.......... 1!!�G9... ^'4:.....................:
Owned by ......1/ G✓...1 ........ .
.4........ .............................................................
Has Been (Completed) For Use As: .....'�....J..... .�l..
........................................................ ................... .................... ........................................
...............................................................:..................................................................I...............
.. . .................. ..................... h
—BUILDING INSPECTOR
102 12/66-1M
I OFFICE COPY
ELECTRIC SERVICE NOTICE
I
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO a �/
V 1
................._.��. �/. D_.. ......� 1'J ..
To
You are hereby autho i d nnec electrical service for
f
Owneror Tenant ............. .. ...... ... ........... . ............................................... ....
r
! ..
No. of Wires .... ......._..... Size of Wires .__ Ak-:� Size of Switch tkx)J
Motor Load .......................... Voltage ..................... .......... Phase ..................
I
HeatingLoad ........................ K. W. ............................___ Voltage ............_ ............
((Light...._+..... Il0_ New Service.....Reconnect........
..........
No. of Meters........�..........�
Heat................. 220....E .-Thr Wire.... .. . Move Service............
No. of Add. Meters............ .
Power............... Th Phase..........: ... Move Meter..............
................... '... .. .... . .. .. .
ELECTRICAL INSPECTOR
k C� n�� GAS SERVICE NOTICE OFFICE
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUP E R T I N
TO
YOU are hereby authorized connect th GAS service for
,I M 'I
Owner or Tenant ............... Q-
A,
New
No. of Meters ..... . ..... Reconnect .......... ..............
Move Service ...... ........
No. of Add. Meters ............... Meter
PLUMBING INSPE
•
bldg Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
tn�Sewer Connection Sanitary Permit No. .............. .!
Plumbing Final Plumbing Permit No. 1. ......
S-91
Lot No. ......... --- I........
Owner or Tenant .........C...
.. ........ . . .. .....:;.........................................
...... .....................
.
Tract .................................... ... ...... . . ....... .. ............................
Date Connected ................................ ..................... 19............
DateFinal .................. .................... . ... ..........&.- -- -----------i... 19--..........
............................... ....................... ..... ......... ..
PLUMBING INSPECT R
Ill 7/63-1M