FILE 51167 I
21593 I CASTLETON ST. Let No. 32
No. Street '
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No, 571167
Sanitary No. 4771.
Do to 4/�7/6 196
Application is hereby made for a permit to
r nj2 S:L 32110 r Ia 1 story, Type 55 I J
to be occupied only as Single Family Dwelling
in accordance with Plot plan, Plans and Specification filed herewith.
Estimated Value.of Improvements s 31,000.00
FEES _9i. 00 Plan Check $
Owner Dt4Z-Crane Address BOX 509, San Jose
Contr. Address
Phone 297-9544 State License 151791
257-1110
Approved W. D'. Benevich/h
j:
t;
APPLICATION FOR ELECTRICAL PERMIT
Date S 11916 G FEE$ p /S
Contr. 1�4�-tf'G.1--¢� Address
0
Phone 7j� '.. - Stu to License TZ2—
'- f. Approved
APPLICATION'F/OR PLUMBING ✓f< GAS PERMIT
Date 2 7 196 b GAS FEE $ d�
. l PLUMBING FEE S
Conti. Addresa 02/3 ' y
Phone - �S �� State License
Approved L/�✓-�.e-+Cjl
APPLICATION FOR APPLIANCE PERMIT lQ }
Date ^y/ 196 �r FEE$
Contr. """ -�)p1�1.C.Vl� Address 1-?,d .C�.�Gc..e�'>.-v.✓(.0-cy
Phone - Fh' b''�j�yL State,License
�J�
V,1 Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State.-of California I
I
RECORD OF INSPECTION APPROVALS `
FOUNDATION BUILDING
I eefor
UNDERFLOOR
_/� �P1of� actor
FRAME ^` („
Date pector
LAT PLASTER Zi (•
_ to Inspector
FINAL
Do to Ins as c for
ELECTRICAL
,OUTLETS
SERVICE SIZ
SWITCHESo 0 UNDERGROUND
�L > Date Spector
RECEPTACLES ROUGH WIRING
ate Inspector
FIXTURES / FINISH WIRING
7 / 5Z L Date Inspector
H.P. CHARGE FIXTURES
Date Inspector'
PER IT FEE o-a Motors
at�y actor
TOTAL FEES & s4S O J "'LFINAL e
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL /
TOTAL FIXTURES // �/ _ UNDERGROUND
FIXTURE FEE PARTIAL ROUGH "✓
fee ctor
MAIN DRAIN FEE �� ROUGH COMPLET - ,�
Dae or
STORM DRAIN FEE MAIN DRAIN - p
D
WATER SYSTEM FEE % GAS PIPING
ote r
GAS PIPING FEE ' 6
- FINAL " -&1
Date Inspector
PERMIT FEE a'� MISC
Date Inspector
TOTAL FEE � 6- MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS .REGISTERS 13 �S
BLOWER FURNACES / COMBUSTION VENT 9.` Z 0 0
SUSPENDED UNIT MISC '
GAS RANGE MISC
GAS DRYER ,' PERMIT FEE
FLOOR FURNACE / TOT EE o
INSPECTED b t
Data Inspector
xs CERTIFICATE OV"C.OMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF `CUPERTINO
• 19.x~
Bui•ld..i•n•rig4'Permit No...' %%rDate ......... fy.
�t
The Building Located at ..- ...... ... ..: ..:._.-: t....;N....CTK!
Owned by ........4i'.
....' ..�'............_c%.,.;.? t.`�........................
Has Been (C'Al ler )) For Use As:
(Altered) . . :.,.. r_:,
w
.............................................................................................
.................................................
.................................................................................................................................................
.................................................
n 102 1/63-500
'� BUILDING INSPECTOR .
GAS SERVICE NOTICE orrlas
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
....... '190-
.............
To
You are hereby authorized to connect the GAS service for
Owner or Tenant
At
....................
New Service, .......
No. of Meters ....... Reconnect ............... ........
Move service*....................
No, of Add, Metcrs Move Meter'.........................
PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
..a: Ao —
TO ............................ ............... 196.
You are hereby aut!? for
,ed service
Owner o 2
L.Tenant .... .......
At
--�:...... ......t....... ... .... ......... ..
............ ....................
A MW ......................................... ........
No. of Wires Size of Wires .... .... Size of Switch/
Motor. Load ....... ........ Voltage ............................... Phase ........................... ------
HeatingLoad ..../................... K. W. .................................. Voltage ................................
No. of Meters..._... Lig Nelv,Service............... Reconnect.....:............
Hea220............ Three Wire................ move Service........._.
No.of-Add. Meters.........'.. - . � I
Power................ hose..................
..... .Move Meter..............
... ...........::..r......................... ............ .
'
'00
LEc I
%J: ELECTRICkl:.�iNSPECTOR
T
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ......L,,.(/..7/._.........
Er'flumbing Final Plumbing Permit No -:1—//&.7.......
/� f Lot No. .��....................
� Owner or Tenant... t.. . ..
At
..............................:
Date Connected .....:1..................;�, .......:........ - ............:,... ?9fG!/�...
Date Final ----...................... .:...-�..._......... S.r
--' ............................. 1 .....
•'„ .lflY
` PLUMB G INSPECI'OR
LII 7/63-IM
ROUTE SLIP
File. No.. S//G7
Date Out y
Date In
Location .2J
Suvject
Notes _
Approved 9 is 6c
ate Ins ctor
ROUTE SLIP
Fri 1•e—No . S/ (o 7.
Date Out
Date In
Location
Sub'jec't
Notes
Approved ld.-Ilbz4o i LG��
Date Inspector
NOTICE OF ADDITIONAL CHARGE
CITY OF CUPERTINO
BUILDING INSPECTOR'S 0I7I7ICF.
Datc,.l-yc''cG a oZ r...................., 19/' Permit No. .........
T ........
----------------------- ....... .............................
Address '
� 1
Reason �fa i\ C�/�yC `, / L Ccs_: / G r.,.....,_
_... .....` L
..................... ...
......:3................... ........ . ...�.... ......c
Amount$e+Z....---- Signed ......`................. .n* f� `..................................
106 3/59-300
C Lor NO.
N F:T
AL'f
w Z ® AT O OR BUILDING PERMIT
F
Y ° (
JUN 11 1970cI F CUPERTINO
3 0
Sanitary No.
i UarP 196_ Permit No.
r 0 T nNI
o Application is hereb� m 'a`prmit to e,0&X7,w Cr
z N a story,T pe //.t�/T� . Building
W
r
to be occupied only asir cordance with
0 o Plans, Specifications an Plott-Plan filed herewith. Pl Ck Fee
Estimated Value of Improvements, $ 3 G a'0 �. Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
d 0 Cupertino will be complied with.
3 N Owner Address
W
W W
a By
W
uF 25! / — z 3r�` pp
< .
t4�/� Phone ,, `` __ Approve
State License O� T / Y LDING INSPP.Q'Oa