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FILE 5114521594 I LA PLAYA COURT Let No. 232 No. Street ( 404 ) APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Fife No. 51145 Jan 12 6 Sanitary No. 4669 Date 196 Application is hereby made for a permit to Erect a 1 story, Type to be occupied Only ns Sinwle family Dwelling in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements - $ 26, 000. o0 FEES 80.50 Plan Check $ Ow r.er Ward Crump Dev. Address Box 634, Cupertino Contr. by Rav Crump Phone 253-0800 Address State License 1926og Approved W. D. Benevich/h APPLICATION FOR ELECTRICAL PERMIT Date 1, �% RECORD OF INSPECTION APPROVALS SERVICE FOUNDATIONBUILDING ,OUTLETS Date UNDERFLOOR "' O F /C I ctor FRAME .t� 47 lr�e ctor i ROUGH WIRING ector LATH PLASTER 4 6'T J H. P. CHARGE �(�e FINAL r� ` Spector Date Insoector ELECTRICAL SERVICE MATERIAL ,OUTLETS L /C SWITCHES vj 2 47 iy RECEPTACLES 390 ROUGH WIRING FIXTURES 6'T J H. P. CHARGE 1 p -e PER FEE ROUGH COMPLETE pc TOTAL FEES _ ELECTRICAL FINAL .T-1;,27.1 I pecfor Date Inspector PLUMBING & GAS MAIN DRAIN SERVICE MATERIAL MATERIAL IIZ SIZE UNDERGROUND UNDERGROUND sDptar / FIXTURE FEE ns pecfor ROUGH WIRING BLOWER FURNACES 6'T Date Inspector ota FINISH WIRING ROUGH COMPLETE MISC'/�b,01 Inspector FIXTURES Dota Inspector Dute Motors GAS DRYER Data ilnspe ct^r FINAL .T-1;,27.1 I pecfor Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL MATERIAL STORM DRAIN SIZE ,il4TERIAL UNDERGROUND WATER SYSTEM SIZE FEE MATERIAL UNITS TOTAL FIXTURES CIRCULATING HEATERS UNDERGROUND FIXTURE FEE PARTIAL ROUGH BLOWER FURNACES 6'T Date or MAIN DRAIN FEE SUSPENDED UNIT ROUGH COMPLETE MISC'/�b,01 DatA tar STORM DRAIN FEE MAIN DRAIN GAS DRYER Data ilnspe ct^r WATER SYSTEM FEE ,:2-- GAS PIPING GAS PIPING FEE S� Dote FINAL I for Z Date L Inspector PERMIT FEE MISC Date Inspector TOTAL FEE —' MISC Vote Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS 3 BLOWER FURNACES 6'T COMBUSTIONVENT / U� SUSPENDED UNIT MISC'/�b,01 /P= GAS RANGE MISC GAS DRYER PERMIT FEE ,:2-- FLOOR FURNACE TOTAL FEE dam° a INSPECTED�J—CC 7[TL_1� Data e Ins pecfor A Lot No. No. Street V APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO �r File No. y Sanitary No. Dote G � 796 to he accupierl only a., i is reby madcAr a permit to story, Type, in accordance with Plot Plan, Plans and Specification filed herewith„ Estimated Volae of Improvements $ FEES Plan Check $ Owner Address _ Cont,. Address _ Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Cont,. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 196 GAS FEE $ l PLUMBING FEE $ � Contr. / OZ �'� _� �/ Address l� `�,v("�`�"'� "'�' p� 77 Phone MZ9 A� d State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEES Contr. Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS SIZE FOUNDATION UNITS BUILDING SWITCHES UNDERGROUND Dote_ RECEPTACLES Date Inspector UNDERFLOOR H.P. CHARGE Inspector Dote PERMIT FEE ROUGH COMPLETE TOTAL FEES Date Date FIXTURES STORM DRAIN FEE Inspector FRAME Inspector Motors W Date Inspector Dote Inspector Date Inspector LATH 8 PLASTER TOTAL FEE Dote FINAL �( r PERMIT FEE C;2-^— Inspector Date FINAL Jy Date Inspector TOTAL FEE � ;Oe-'� MISC Date Insoector ELECTRICAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SERVICE SIZE ,OUTLETS UNITS TOTAL FIXTURES SWITCHES UNDERGROUND RECEPTACLES Date ROUGH WIRING FIXTURES H.P. CHARGE Inspector Dote PERMIT FEE ROUGH COMPLETE TOTAL FEES Inspector Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SERVICE SIZE ®...ATERIAL UNITS TOTAL FIXTURES UNDERGROUND UNDERGROUND Inspector Date ROUGH WIRING BLOWER FURNACES ' Date Inspector Dote FINISH WIRING ROUGH COMPLETE MISC Inspector Date FIXTURES STORM DRAIN FEE Date MAIN DRAIN Inspector Motors W Date Inspector WATER SYSTEM FEE Inspector Date FINAL GAS PIPING FEE TOTAL FEE Dote FINAL �( Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE FEE ®...ATERIAL UNITS TOTAL FIXTURES CIRCULATING HEATERS UNDERGROUND FIXTURE FEE PARTIAL ROUGH BLOWER FURNACES ' Date Inspector MAIN DRAIN FEE SUSPENDED UNIT ROUGH COMPLETE MISC Date Inspector STORM DRAIN FEE MAIN DRAIN W Date Inspector WATER SYSTEM FEE '� GAS PIPING GAS PIPING FEE TOTAL FEE Dote FINAL �( r PERMIT FEE C;2-^— Date MISC nspector Jy Date Inspector TOTAL FEE � ;Oe-'� MISC Dote Inspector APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC - GAS DRYER PERMIT''FEE FLOOR FURNACE TOTAL FEE INSPECTED Date Inspector ._ �.: 'CERTIFICATE Of COMPLETION BUILDING 'INSPHGZ WS OFFICE ' CITY OF: C mnnNO ; Date ...... -'.. 17 ...................... 1,9, S , Bu Wlnng Pm" No..jVe "N�Z The Huilding`Loiated �t',..ar .�'• :..,,rif'i..{..ter, ..............,... Owned by:.... : / ............. ) For Um As:...�,;;�%ff . ....:_...._.......... _ ._... ........4: •• _ . _ ......... 102 7/63-M ., a3'y GAS SERVICE NOTICE OFFIC! n „ BUILDING INSPECTOR'S OFFICE cot ~ CITY OF CUPIiRTINO '1'0 You are hereby /authorized toconnectthe GARS s ervice for Owner or Tenant ............._................. New Scrcicc .. ✓_............ .. No. of Meters ..../._......... .. Reconnect ... ...... ......... .......... Dtovc Service ........ _............ No. of Add. Meters .... Move Meter ................ ._...... i PLUXII31NG INSPECTOR Bldg. Dept (Xfim Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO F-1 Sewer Connection Sanitary Permit No . ..... ------------- Plumbing Final Plumbing Permit No. .......... - ---------------- Lot No. --- ---------- Owner or Tenant ----------------- ---------------- At------ --- -- ------ - -- ----- --------- -- Tr1ct ...--- ----- ----- Date Connected -------/---------..._-----------------------... --------------------- Date Final ------- - -------------- ------ -- - ----- ------- ------------ -- - ------------------ ---- 1, MBING INSPEC'T'OR 111 7/63- im OFFICE COPY ELECTRIC SERVICE NOTICE BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINNO� t ........._.....a.l.... 7....._ ............._..., 196.f4// C To You are hereby authorized to conn ct electrical sere'for Owner-Oo�r Tenan/t�... S�``.L........../...........:................................. At................y�Z...................................... ...................................................../................. No. of Wires .... .............. Size of ire��............ Size of Switch/�..,q..'.. MotorLoad .......................... Voltage ................................ Phase .................................. HeatingLoad ........................ K. W . .................................. Voltage ................................ j No. of Meters........ Light ............... 110 �.__ _ ... New Service.._..Reconnect................ /.......� Heat ................. 220. /. Three Wire................ Move Service............ No. of Add. Meters............ Power ............... e................ Move Meter.............. _. .......... ............................. ��HLECTR[CAL INSPECTOR , ROUTE SLIP File No./ Date Out Date In L,cation Subject. Notes Approved ¢ _ GC� Date Inspector OTO',' E SLIP mile No, Date Out%—�(;--� Date In Location /-<--y 3 Z — Subject Motes Approved Date Insp:ctor