51145 t
II.
MONROVIA Lot N..-21.Z
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51149
'Sanitary No.—,4416Z9
Dare 7-16 196 5
Application is hereby made for a permit to
CnnGi-r int, a l story, Type F—T—.T
to be occupied only as Single Family Dwelling
in accordance with Plot plan, Plans and Specification filed herewith..
Estimated Value of Improvements $ 21 ,000. 00
FEE$ 66. oo - Plan Check $ 33 . 00
owner _Ward Crump DevelopmentAdqV6$e Box 634, Cupertino
Cant,. By Ward Crump Address
Phone 253-0800 State License 1926og
Approved W.D. BenevichYhm
�j APPLICATION FOR ELECTRICAL PERMIT
Date onZ S/(� 196 FEES
Cont'. Address 770
Phone �� — L State License -C/ 3 G 22-- 3 1/O 'f
Approved !�( ��t-e—��_t�tiCC Jai
APPLICATION FAR PLUMBING & GAS PERMIT
y t�
Date / — "2 � 196 -7�— GAS FEE $ /
PLUMBING FEE $
Cont,. 1% ',U-� Address
Phone 3'ZX 2Z IL State License —�23 U -/d 7
Approved
APPLICATION FOR APPLIANCE PERMIT / pi
Date //7 — 1% S FEE$
Coat,. JYtr��.. e^' /,��r��t-�a�i-AZldess �J ��Ci`-COe �IP'`f�•'�`7—../c-d'
Phone 4 3 � $tato License C 2 d/
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION ING
UNDERFLOOR q
FRAME Da pector
ate
LAT PLASTER _ -�- S pector
ate ns pector
FINAL _
Date 41-1 Insoector
ELECTRICAL
,OUTLETS /( Cv SERVICE SIZE
SWITCHES /y /?0 UNDERGROUND
Je ctor
RECEPTACLES ROUGH WIRING
/(o / 60 Data ns actor
FIXTURES FINISH WIRING - � •l
Date
H.P. CHARGE OV FIXTURES Ins pector
(.ter / Date Inspector
PERMIT FEE Motors
..p3e pector
TOTAL FEES � � FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN I SIZE I lIaL4TERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES = UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date n }
MAIN DRAIN FEE ROUGH COMPLETE
a� r
STORM DRAIN FEE MAIN DRAIN
r..Z. Dam r
WATER SYSTEM FEE / GAS PIPING -LS
Data
GAS PIPING FEE /� FINAL —�2
Date Inspector
PERMIT FEE 07 MISC
yO� Date Inspector
TOTAL FEE M_ ISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS .REGISTERS
BLOWER FURNACES /P= COMBUSTION VENT
SUSPENDED UNIT MISC '
GAS RANGE MISC /
GAS DRYER PERMIT FEE 20�
FLOOR FURNACE T TOTA FEE
INSPECTED' - 'G
Data Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... .......................... Building Permit
The Building Located at L
Owned by ..... ....... ..........
.1
Has Been -Wk�et;Q� or Use As: .... ......................................
(Altered) .....................
.................................................................................................................................................
.................................................................................................................................................
.........................................................................
....... .. .............................................
... ............................ ..........
C
............
102 1/63-500 �-BNLDINSPECTOR
ING
+'Idz. Dept
utt,'
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No- -----141VII?------ ----
gj, Vlumbing Final Plumbing Permit No.57-z*6...........
Lo --------- ----
Owner or Tenant . ....... 00 ......................
At .411--rI4:a�
Tract ........ ----------------------------
Date Connected ......------------------------
,001//.!Lf--------------------------------------------------
DateFinal ..................... ............. ..............................................
15- �- ------------------ ......---------
PLUMBING INSPECTOR
Ill 7/63-IM
GAS SERVICE NOTICE OFFICfi
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
To
You are hereby
authorized to connect the GAS service for
Owner or Tenant GANG!/GG(/_. .. . _..-... _.....•. te
At ..t�2��/_. ... .......... ..
New Service ...4 ......_.....
No. of Meters .4._........... Reconnect ...... ............
\love Service .......................
No. of Add. Meters .............. Move Meter ...........
PLUMBING INSPECTOR
OFFI(Y- COPY
ELECTRIC SERVICE NOTICE
Z BUILDING INSPECTOR'S OFFICE
CITY OF CUPERT'INO
_ -ate 1945
To
You are hereby auth ' e to co ct lectrical service o
Owner or Tenant ............. .. . ... .....
At _.►. r.. ...... .. ..
No. of Wires ......i4.._....... Size of Wires ..�............. Size of Switch h.&'
Motor Load .......................... Voltage --..._.... Phase
HeatingLoad ........................ K. W. ..... _.._............__._... Voltage . ................ ...
}.
Light... illi./ ew Service...J... . Reconnect...... .
No. of Meters..........'........ -------
Heat................. 220... .. Thr it ........_.... Move Service..._._..
No. of Add. Meters............
Power............... h ..........._._ M ve Meter..............
ELECTRICAL NSP TOR
TEMPORARY GAS S'E'lt VICE
DATE: .... ............... Fee: ...
OWNER: -------
AT: ._ ----..
------------- - - -------
LOT:
(DEC 1. 0 1965
REASON: .....
The undersigned agrees to jC
be responsibDqfstlpjgasr &) ve location,
until the building is ready for occupancy,
d i eased)t?=Ylg Department,
City of Cupertino.
Phone ---
-------------- ---------------*......*--------------- .....4-
-------t----------- . ..........
0— 117 1/63-500 INSPECTOR TENANT OR OWNER
ROUE SLIP
File No . `7 S
Date Out—
Date In
Location
Sub j eat
Notes
Approved "T
Date Insp:c or
ti.
ROUTE SLIP'
File No . `T'/
$
Date Out _�— J6
Date In
Location47,
J"
Subject . Vof 4nnoe-
Notes
Approved `7• Z 3.6o�
Date Inspector
PAO 4R4g4/ Safts.r1 g