FILE 51145 21536 I MONROVIA STREET Lot No. 238
No. Street i
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 511 45
Sanitary No. 4657.
Data Dec. 20 196 9
Application is hereby made for a permit to
Erect a 1 story, Type 5-I-2
to be occupied only as 4i ngl P FATHi l y Dwpl l 1 ng
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements s 24.000. 00
FEE$ 75 . OO Plan Check $
owner _ Ward Crump Dev. Address P. O. Box 634
Contr. her Raar Crmm; Address
Phone 29 -0800 State License 192609
Approved W.D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
L/
Date �' 21' �1)96 /a FEE$
Contr. �4�- l�`•ZN-Lm �6t-C J(ddress
Phone State License /-70
p O / fy 5
Approved APPLICATION FOR PLUMBING & GAS PERMIT
Date�- a 7 196 GAS FEE $
� PLUMBING FEE $ 0
Contr. �/u'-t�t/"�/ V "�. Address —44 eo.�'4A
Phone - '3 7 �� State License �r'��--3p 7
Approved
7— APPLICATION FOR APPLIANCE PERMIT
Data o-0
196 6 FEES
Contr. ��' �J� Addres
s 7 7���j V
Phone - �-�� Os- - State License
/ I/$/�0,
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION - 3— _ BUILDING
_�L_ azar
UNDERFLOOR yy �r
FRAME -��- tfo ctor
_Dae /
� LATH R PLASTER --?
pector
._./" a t s pe ctor
FINAL
Date Ins De ctor
ELECTRICAL
,OUTLETS 19 go SERVICE SIZE
SWITCHES `/i3 2 3=' UNDERGROUND
Dyt tar
RECEPTACLE/ ROUGH WIRING
FIXTURES rf 0 FINISH WIRING ector
H.P. CHARGE ° e for
'/ 'T' FIXTURES
/ �' spe for
FERMI FEE o� pector Motors
TOTAL FEES `F � FINAL ���111"'
Date Inspec or
PLUMBING & GAS.
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN I SIZE ImmTERIAL
i
WATER SYSTEM SIZE 11TERIAL
TOTAL FIXTURES2-� UNDERGROUND
FIXTURE FEE PARTIAL ROUGH - �—(,/G
Date Zor
MAIN DRAIN FEE r�C�- ROUGH COMPLETE
atb for
STORM DRAIN FEE MAIN DRAIN
WATER SYSTEM FEE .GAS PIPING vlo7-b6 or
Dgte a or
GAS PIPING FEE FINAL' G
Date ns pector
PERMIT FEE MISC
q Dote Inspector
TOTAL FEE !J MISC '
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS 1 REGISTERS a c�
BLOWER FURNACES / Ob COMBUSTION W/�T-v VENT
SUSPENDED UNIT MISC !/'
GAS RANGE MISC
GAS DRYER ' PERMIT FEE
FLOOR FURNACE TO
INSPECTED
Data Inspector
A
� a ^
0
Bldg. Dept
(itt-ice Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ......7--(0-? -------
Plumbing Final Plumbing Permit No.,671 W- ...........
Owner or Tenant
v .....................................................
At ...0 lxyd..—
e,
Tract 6----------- 76C :f-
14Z . ...... .....
- -- -------- ...... ...... .. .. ..................
DateConnected ....e/.............. -------------------------------------------..........
DateFinal ................................op�aw------------------------ ------------------------------ 19a.
BI�
I G1NSPE OR ---------------- -
III 7/63-IM
�XIA
GAS SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE COPY,
CITY OF CUPERTIN
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. Meters .... ...... . Move Meter . ...... ... .. ... ......
UMBING INSPECTOR
FFI COPY y
ELECTRIC SERVICE',,NOTICE
'I BUILDING INSPECTOR'SI'OFFICE
CITY OF CUPER ,INO ;
/' F ;
............. .........._%.._. ......_....., 1 ....
To
You are hereby a h rt to n e 'tical service for
Owner Tenant ...... ...... . .....' �.`. - _...... .
_...............
At ...........�.s3 ................ . ... ....................;..........: .
No. of Wires ... ................ Size of Wir .:........ Size of Switch �bo.......r.
Motor Load .......................... Voltage ................................ Phase .............................::::.':
HeatingLoad ........................ K./W�.................................. Voltage ................................
1
No. of Meters.... Light...........„. 110.. ery
New S ' .......... Reconnect..................
?..............
No.of Add.Meters............
Heat.....r... 220...........Jis� ' e........ ... . ve Service—.........
Power............... Three e..:. . .. Mete ............
ELECTRICAL,INSPECTOR
,ROUTE SLIP
File No .
Date Out :72-7A
p ' Date In .
Location
Subject . lT� •-Q
Notes
Approved
Date Inspector
ROUTE SLIP
{ File No .
Date Out
Date In
Location 41
Subjeat
Notes --
Approved -
Date Insp:ctor