NO PERMIT NUMBER (2) 2o44o I TOWN CENTER LANE 'Lot Na.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51027. 7
� -
Sanitary No. 4604
Data 011121 1965 r _
Application is hereby made for a permit to
Erect a 1 story. Type 5-F-2-1Hr.
to be occupied only as Frn£rsR a� Offi nes
-in accordance with Plot Plan, Plans and Specification filed herewith..
Estimated Value of Improvements ' $ 4j ,000.00
FEE$ 12'3. 00 Plan Check $ (,Creevan
owner Chrisman Homes , Inc . Address 654 Georgia Ave P.A .
Contr. V Address
Phone DA 5-9168 20=6'7o6
State License
Approved _ J.A . Busto/h
APPLICATION FOR ELECTRICAL PERMIT
Date 96 - FEE$
Conir. QQ /� Address v
Phone - 3l O�l' 1. State Lica nse .
V 4AA proved III &L AJ
/V11/4'4 PLICATION FOR PLUMBING & GAS PERMIT
Date � '- 7 196 6. GAS FEE $ /42
PLUMBING FEE $/
Contr. _ t���,�2Y O-G� o�
r' Address p�
Phone - ✓�7 a - 9srYA '-State License (� ��U9p7O
Approved
AP/PLICATION FOR APPLIANCE PERMIT,
196 (n FEE$ ""p
Contr.'- �e.Cc-✓/�[(i' .t� L address
'/ //
Phone - �iy7 `"`���� State License
Approved
Applicants agree not to uiola'te any of the
Workman's Compensation Laws of the
State, of California
i
REf:a,R,O_OF JNS ECTION APPROVAL5
� '�' BUILDING
FDA ION
Date Inspector
UNDERFLOOR
Date Inspector
ate ` nspector
- LA PLASTER L
•"�Qa to ZV
In ctor
FI A
t a tar
ELEC L ��—
,OUTLETS 0 SERVICE SIZE O
SWITCHES UNDERGROUND
72
t Inspecror
RECEPTACLES Z. UGH WIRING
FIXTURES S " Jns actor
INISH WIRING Xl1
ns 'for
H.P. CHARGE M IXTURES
Data Inspector
PERMIT FEE I I I — Motors
TOTAL FEES FINAL e - 1 pe cfor
Dates rr Iector
0002 L 4 5.+� nsp#oma
616PLUMBING & GAS.
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZES TERIAL
}ice G(is..�G
312-/'c
WATER S SY TEM SIZE TER
TOTAL FIXTURES 3b —CTvN ERGR UND
FIXTURE FEE PARTIAL ROUGH 0(mob
Data nspector
MAIN DRAIN FEE - ROUGH COMPLETE
a r
STORM DRAIN FEE MAIN DRAIN O-
-TD
WATER SYSTEM FEE � ?AS PING
,GAS PIPING FEE � Fl WkA L
Date Inspector
PERMIT FEE 020, MISC
Date Inspector
TOTAL FEE 0 �'_j MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNI •A �� MISC
GAS RANGE MISC
GAS DRYER PERMIT E •` a'O�
FLOOR FURNACE TOTAL E _ 0 d'f
INSPECTED
Date _ Inspector
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
L] Sewer Connection Sanitary Permit No. cd
...............................
I �Iurubing Final Plumbing Permit No.
Lot No. ......-----
� .......
Owner or Tenant ......... ..../ .......... ... - ------------------------
At .... ..... .... ..... .. .....
Tract ............................-c--: ...... . . ...... ---------------
Date Connected .........................!....— 1..0
. .... . .....................................................
DateFinal ..................................I--)--------- i......... ... ... . .......................
It I 7/63-IM PLUMBING INS E OR
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GAS *SERVICE NOTICE OFFIC:
COP)'
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
0 f'ottiareereb),Qauth( ize to connect GAS 196�c
1c 9-mce for
Owner or Tenant .. .....
A, . ..... ..
No. o.f Meters ........ New Service
..... Reconnect .... . ...... .... ...........
Move Service ... ....................
No. of Add. Meters ...... M Meter ...........
v
......
PLUMBING INS.P.E80
• OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
. yypp
You are hereby a hori ed to connect electrical s ry a for
Owner or T ant .................. :.
,<a= U �-p
At �
No. of Wires ..... --------- Size of Wir+2s�w.�'.Msmof Swit ....�
-----
Motor
-..Motor Load -------------------------- Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage
B %C2-X
.... Reconnect..................
•. I L ht......� I1U._/ e
. + . �.No. of Meters....................
Heat................. 220........... r .... Move Service............
No.of Add. Meters............
Power............... Thr .... Move ter..............
....... .. ................ .P Oa
TIM0 y "ELECTRICAL SE
4
� 'tX& RVICEzvb
. .............. ' Fee: ........ ......
7k - .... .......................
MAR 2 9 196 -, - I
OWNER: -------------------
CITY QUPPWM4--o
- ------------------------------------------------- ..
LOT: ........ C
------------- ........ -
------ - ................... ----------------------------- ---
REASON: .............
........................ .... ... .. ........... _----
The
-----The undersigned agrees to be responsible for the electrical s r i
c a the a ove location,
until the b 'Id ng is rea for occupancy, and is released by the Building Department,
City
of C K'ti
no
Phone --- ---- -- -- ------- ------
'lone
I ' ............
INSPECTOR
'1/63-500 TENANT OR OWNER
Ack V'RY ' GAS SERVICE
GAS
........ Fee:
----------
uu
AT: .
. ...... ...............................
LOT- A7
----------I--- -- --- ----- -
REASON:
..................
The undersigned agrees to be responsible for the gas se at e above location,
until the building is ready for occupancy, and is released
t - Iding Department,
City of Cupertino. i
- A--------%-------------------.-------------
.... Pho
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-DINSPECTOR TENA.NT OROWNR117 1/63-500 -----------------
'ROUTE SLIP
File No . •S/n ��
Date Out_/cp
Date In
Location
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Subject
Notes F. F yy � uG�z .2/J�j2n�cc�
Approved
Date Insp;ctor
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I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S LJ
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. ro
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