FILE 51073No.
Street
Lot No.
APPLICATION FOR BUILDING PERMIT
® p I TY OF CUPERTINO
File No.
DSI073
JUL 9 1964 ¢lG 9
a Sanitary No.
Date-
L;1 Y UP U
Application is hereby made for a permit to
.. C"2Cc7 a story, Type
to be occupied only as 5"C
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements
FEE$ -jj e7�Ot)
Owner 2* Cclcc-�// /),CV,CO
Phone 12 / d d (o
1�~
$
Plan Check $
Address 5-/L) lo, ,�/171JIC vv
Address
1
State L
Approved
,
1- JUL��PL`
/ RTI � OR ELECTRICAL PERMIT
Data -fib � FEE$ �/1•�-s /
Contr. V Address
Phone$fate Licenset-4.4 7-
p Ar+pr ova.4 .
BING & GAS PERMIT:
ao
Date 196
CITY OFAICURER101—
Contr. 'jIqn Tn ,Alnmarin $9fIGf3mra,
P one
State Li ll529J i
- DEC
17 9964
APPLICATION FOR
Do to196
Contr:...�°T-YY per",'
Phone
P—
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
GAS FEE $ /
PLUMBING FEE $ 17-00
Address
State Lic
ens
Approved
APPLIAs
PERMIT
FEE$ Q v/ �
Address /� 11- /`-(�i.-.._._� �
l/ I
State License
t
Approved
a>u
A.
RECORD OF INSPECTION
APPROVALS
UNDERGROUND
MATERIAL
BUILDING
STORM DRAIN
FOUNDATION
L,6TERIAL
ate
j5
pector
UNDERFLOOR
U ROUGH WIRING
e
UNDERGROUND
pector
FRAME
t o0
7.
nn
PARTIAL ROUGH
Dat
spe ctor
LATH ]PLASETERn_ `
+1,4FIXTURES
FINISH WIRING
FINALo2
1
ROUGH COMPLETE Y"
pecfor
Do to
Ins De cfor
Date
ELECTRICAL
Inspector
SERVICE SIZ
SWITCHES L7
SIZE
UNDERGROUND
MATERIAL
UNITS
STORM DRAIN
SIZE
L,6TERIAL
to
j5
Inspector
RECEPTACLE
U ROUGH WIRING
_
UNDERGROUND
oi
'FIXTURE FEE
t o0
7.
nn
PARTIAL ROUGH
Date
Inspector
FIXTURES
+1,4FIXTURES
FINISH WIRING
Z-ub
1
ROUGH COMPLETE Y"
GAS DRYER
A Dof9
'%-
Date
STORM DRAIN FEE
Inspector
H.P.�H R G E
FEE
� p
q of
r
fkc
If
GAS PIPING
Date
Inspector
PERMIT FEE
/
Motors
L
FINAL - 'b
r�yp
Date
at
PERMIT FEE
actor
TOTAL FEES
2/a
FINAL - �-
Date
nspeetor
TOTAL FEE -
Data ell
Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
4
MATERIAL
UNITS
STORM DRAIN
SIZE
L,6TERIAL
REGISTERS O- 4--C
j5
v2
WATER SYSTEM SIZE �ITERIAL
TOTAL FIXTURES •`
COMBUSTION VENT
UNDERGROUND
'FIXTURE FEE
t o0
7.
nn
PARTIAL ROUGH
MISC
D.t�te
specfor
MAIN DRAIN FEE
Z-ub
1
ROUGH COMPLETE Y"
GAS DRYER
A Dof9
'%-
n r
STORM DRAIN FEE
FLOOR FURNACETOTAL
MAIN DRAIN d"
FEE
� p
q of
r
WATER SYSTEM FEE
If
GAS PIPING
fj0
// to
n r
GAS PIPING FEE
L
FINAL - 'b
r�yp
Date
ns pector
PERMIT FEE
`
MISC
Date
nspeetor
TOTAL FEE -
pplyu
(b
MISC'
APPLIANCE
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE :
UNITS
FEE
CIRCULATING HEATERS
REGISTERS O- 4--C
v2
BLOWER FURNACES
COMBUSTION VENT
2
SUSPENDED UNIT.
MISC
GAS RANGE
MISC
GAS DRYER
PERMIT FEE
FLOOR FURNACETOTAL
FEE
Im
INSPECTED �'�f�
IN-.- Insoe cfor
QFFI
,�E frrelPl_ i
To
You are hereby
Owner or Tenant ""I
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
------------------ &.Z — ----------- 196.4Z
to
At .... aCcr.=..J........ l.,.vewF.sAc.1
No. of Wires ..w .............. Size of Wires
Motor Load
Voltage
Size of Switch �U.l._ -
Phase
HeatingLoad ............
............ K. W .
............................ Voltage
................................
Light..._...........
110............ New Service .............
Reconnect
of Meters....���--"'����
Heat ................
220..... Three Wire ----------------
ice............
Move Service
No. of Add. Meters............
No.
Power ...............
base...............
Meter ..............
Move Me
. N
..... ................................ ................—........
ELECTRICAL INSPECTOR .
104 7/63-500
Date
Inspection
Location
File
Inspector
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
.....................//.:7/ .......................... 19h�
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ..6A
At ..... *&. %G%'� ...L�j.,
.-
New Service ................
No. of Meters .... / ............ Reconnect ..............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
PLUMBING INSPECTOR
ItWg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No.......�f'.-I!l/
49 .................
,�`-4l` r,Z 3
GJ/Plumbing Final Plummgermit No....�..�.-.:.!s�J.. �%.............
Owl
At
Trac
Date Connected
Date Final ............................. �F...— .. ...
Ill 7/63 -IM
...................................................19............
.......................................
�- -
------- '---- ---------------- --
PLUMBING INSPECTOR
CERTIFICATE' 0E----C„0MPLETI0N
BUILDING INSPECTOR'S OFFICE.. .
CITY OF CUPERTINO
Date ..... ./.- o, :........ .....,jtl„ir?�-
ff
The Buildidg Located atg�r"�w`t4P 1(�z�3�” ss°
..
Owned by ..- .. a
(�Conf'1— dj .
Has Been a As _ ,�,, j,.� ............... Y
P/f Gf t R
('Altered')
.............................................. ..... / .. ....
...... - .....
`BG,.INSPECTOR
102 7/63-500 ..