NO PERMIT NUMBER r� ,
pC .4 �f � � �► MiG Lot No. / t
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No. d�J d�
Do to ___-�196
Application is
is hereby made for a permit to
/n_ r
✓^pl ` o t story, Type J 1 T
to be occupied only as
in accori.44ith Plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements ej V d C—
1
,FEE$ �� Sub Plan Check $
Owner Address OALf rOlk IL
Contr. Address fL
Phone Z //x'Z State License
Approved
k
APPLICATION FOR ELECTRICAL PERMIT
ry '/
Data 196 d FEE$71 >r 7,
Contr. 1 a.il Address L�!`J� S
Phone cl? 7 D State License 19 73 J t
Approved �
APPLICATION FOR PLUMBING & GAS PERMIT
Date r�2' 196 A GAS FEE $
t PLUMBING FEE $ 07 •/3�
Contr. iV(i�W-S� Address /"Z � a - / 7,E4 S 1Z
Phone - Lf75-- � >4o State License -2- 9o 9s" -)—
Approved _
APP ATION FOR APPLIANCE PERMIT
Date 196 FEE$ ' rn��'I ndd
Contr. �J
--e Address
p
Phone - ✓7e—U 999 Ile State License
63=Pd'iTOrfj-�
Applicants agree not to violate any of the Approved WrLLIAm L,
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
[`� BUILDING
FOUNDATION ( -3 -eg 8 C
DATE IN SPE OR
UNDERFLOOR _ z3-
DATE IN SPEC OR
FRAME - Z 7- O p
LATH
ATE
PLASTER �
r INSPECT
12 A E _ IN SP OR
FINAL ,/^
4 ECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING y
DATEINSPECTOR
FINISH WIRING l
DATE INSPECTOR
FIXTURES Y
INSPECTOR
MOTORS --�-�
DATE INSPECTOR
FINAL V
DATE INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE ECTOR
PARTIAL ROUGH
DATE PECTOR
ROUGH COMPLETE
/ /PATE RECTOR ,
!
MAIN DRAIN
-� pp TE I SP£CTOR
GAS PIPING /I{'
DATE INSPECTOR
FINAL � /-
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE EC TOR
MISC �
DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY SOF CUPERTINO
Date ...:.L....------ ..Z-- ................. 119!/.�%e.. Building Permit No.J"D---...
The Building Located at ... �.7 b-✓ ''''Nc•G'�l ��........................... ..............
- Owned by . ja -------------------------------------------------- -------------------- ------------------- /--
(Completed) 'C- F )/
Has Been ( For Use As: ........ ..............'".< .....h-.-----------------------------------
------------- --------------- ---------------
----------....--------------------------------- ---------------.----- -.-----
.--------
-----------------
---
.-----
-------------------------------------------------------------------.......-----...--.-'-------....................----........----........
---------------------------........
BUILDING INSPECTOR
102 12/66-IM
GAS SERVICE NOTICE OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTI;qp
. ...... .........-/////
....................... 196.p
To
You are hereby authorized to connect the GAS service for
Owner or Tenant .... V��I
.............. ............
At
New Service ........
No. of Meters .../..... Reconnect ..............................
Move Service ..........--........
No. of Add. Meters ........... Move Meter ......... ...........
PLUMBING INSPECTOR
Bldg. Bept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No.
50,-Plumbing Final Plumbing Permit Nol�5—//?/----------
Lot No. ..../--
Owner or Tenant ......
At -1413
- -- --- ----16d01------------------------------------------------
Tract ------- /,4
. .......................................
Date Connected .................
.................... ------------------------------- 191-1/
DateFinal ---------.......................
- ------------------------- ----------------------------------------
-----------(.��:,
--------
v-r
LU
Nfii][NG INSPECTOR
111 12166-IM
FICE COPY
ELECTRIC SERVICE NOTICE
t � BUILDING INSPECTOR'S OFFICF,
CITY OF CUPERTINO�/ 4
-- ........._.._...._.._ ..t._�_.Y....... ..... 1961
To
You are hereby ahq'zto meet electrical service for
Owner or Tenant .....---
l
No. of Wires ...;Z—............ Size of Wires ..�.....�,c:._ Size of Switch'..0(3(�_.._
Motor Load -------------------------- Voltage ..... ............._ ....... Phase .......
Heating Load ._.._................. K. W. .............._...._........ .... Voltage
Light..../....... Iin../....�.. New Service,/.:�Reconnect.._..............
No. of Meters....................
HeaL.........._.... 220....... r. Wi .. ... .. Move Service..........
No. of Add. Meters............ �'
Power............... Ph se...... ...�... Move Meter..............
ELECTRICAL INSPECTOR
.',;ROUTE SLIP
File No .
,Date Out 1 - 3
Date In , /-3 6B
Location
Subject
Notes C3J Z,
Approved_1-3�9
Date Inspector