51145-SFD 21545 I MONROVIA TSTREET Lot No. 209
No. Street Model
' #423
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51145
Sanitary No. 4627 .
Date Nev• 196
Application is hereby made for a permit to
Construct a l story, Type 5 I J
to be occupied only as Single Family Dwelling
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Volue'of Improvements $ 18,000•oo
FEES 97-00 Plan Check $
D„,r„r Ward Crump Dev. Address Box 634
Contr. Address
Phone 253-0800 State License 1926o9
Approved W. D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
/ J-7e5`s
Date Z- /X 196 � FEEE
Contr.
Address 77 0
Phone -. /G a ��3 �1 State License /s70 —
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date S� 196y GAS FEE $ /
PLUMBING FEE $ S
Contr. ✓ �� ' Address 411L �� y
Phone A7 !Z= uS� State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date � — 1p9,6, �, ,A-FEeE$ /,,/�//�� ,O '
Contr. `-t"^^' "�""A�dress 7791 'i`l
Af
Phone 9�- a"� State License ����-�
' Approved
Gv l�/3 .0
Applicants agree not to violate any of the '
Workman's Compensation Laws of the - I
i
State of California
RECORD OF INSPECTION.APPROVALS
FOUNDATION � S�BUILDING
_ D to pector
UNDERFLOOR
FRAME _ ate 1 ,pector
Daps - / pector
LATH PLASTER ooCC / b
FINAL - to - ,pector
Date Ins oector
ELECTRICAL
,OUTLET$ / p
SERVICE SIZE
SWITCHES UNDERGROUND pp / /
RECEPTACLES, `3 /a ROUGH WIRING �e�ia` (O or
D �e actor
FIXTURES / d FINISH WIRING '�"
1 z5 ate_ pector
H.P. CHARGE / Om FIXTURES -
/ I Date Inspector
PE MIT FEE / Motors ,.,,Dat.c4 aTOTAL FEES / FINAL �
Date Inspector
M000W000W
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN I SIZE I lm,6TERIAL
WATER SYSTEM SIZE ITeRIAL
TOTAL FIXTURES _ 0 0_ UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date/`
MAIN DRAIN FEE --��" ROUGH COMPLET eZ,eb
Do to Xff r
STORM DRAIN FEE. - MAIN DRAIN
Dp) or
WATER SYSTEM FEE D'U GAS PIPING
_ oJ�
GAS PIPING FEE A FINAL - L clot
p-v Date Inspector
PERMIT FEE MISC
Dote Inspector
TOTAL FEE -MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS 9 dQ6
BLOWER FURNACES / 0� COMBUSTION VENT /Oti
SUSPENDED UNIT MISCX2,4,7— / O�
GAS RANGE MISC
GAS DRYER PERMIT FEE o2 Vi
FLOOR FURNACE ! TOTAL FEE oZ-S
INSPECTED
Date Inspector
low
J
06
20
GAS SERVICE NOTICE OFFICI;
BUILDING INSPECTOR'S OFFICE COPN"
CITY OF CUPERTINO
..........
To
You are hereby authorized to connect the GAS service for
Om ner or.Tenant
At
New Service ...... .......... ..
No. of Meters ....... .... Reconnect
..............................
Move Service ........ ...............
No. of Add. Meters ............. Move Meter --.....................
INSPECTOR
PLUJ' ING NSi T'
'Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
f-I Sewer Connection Sanitary Permit No. -----------
[..}"P�Iurnbing Final Plumbing Permit No. . ---------
Lot No. .0129?----------------
Owner-or Tenant --- - ---------------
At 170,02 1
- ----- -------------
- -------------------------------------------
Tract -----------------
--
----------...--------------------------------------------//---//---
I' Date
-------------------------------------- --------------------
Date Connected
Date Final _--------------------------
------------ ---- ------------- ------
111 7/63-1 IM j:,� PLUMBING INSPECTOR
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIt
TO
You are hereby uth ized to co ne electrical service for
Owner joren ant .. . . .................
........... ......�z......
At .. ........ ....... ......
......................................a.__........ -------- ................... .............
No. of Wires ....�4.............. Size of Wires .............. S ize of Switchb;�Q.A...
Motor Load .......................
--- Voltage ................................ Phase .................
Heating Load ........................ K. W. ... .......... ..... Voltage ....... ... ........
No. of Meters........ I 10. mice. .... ....... econnect...........
ve S
No.of Add. MetersHeat220....�.�. ih, Wi. ......... ov, Service.......
ove M
Power......... P ov Meter.,O..:-.....
;9ELEC`rJU
ELECTRICAL INSPECTOR
EOIITF SLIP n
File No .
Date Out
Date In
Loratior:
Subjec-t
Notes -4—W �.
s-
Approved
lisle inspector
itj-fes/� tiu` w� etiZ G�C+Ec Za a �ZZ` , .3'Qer�
N ROUTE S -P
File No .
Date Out /L--
Date In
Location Co
Subject .
Notes
Approved
Date Inspector
ROUTE SLIP
File No .
Date Out /aS—
Date In
Location /
,>2 s
Subject . `e a�
Notes
Approved
Date Inspector
, . , .
,. . .
� -
- _ - �
. _ � �� ..
i
.. _ ._..�.�� _� •Yf. .
i
G