NO PERMIT NUMBER 21546 I MONROVIA STOETI Lot No. 237
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51145
Sanitary No. 4679 .
Do to 1-27 196 6
Application is hereby made for a permit to .
.Erect a 1 story, Type 5-1-J
to be occupy d only as Si Ylal (, .F'ami l V Dwelling
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 21 ,000.00
FEE$ 66. oo Plan Check $
ovr r,<r Ward Crump Dev. Aad.ees Box 634
Contr. bV RaY Crump Address
Phone 2�_-Qanc) State License 1 t-1?Fil7Q
Approved W. D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
Date
y �.' 196S// FEES o 13
p �•� � y/—
Conte �L lb �u"-+b Address 770 ,C/
Phone State License - � 70
Approved `
APPLICATION FOR PLUMBING & GAS PERMIT N
Date l 'z"� 196 GAS FEE $
�_ 1 �/ PLUMBING FEE /$
Contr. ✓a7-�c�W-r�./ O-C/t/'r Address -A ` fLt ZLIL C
Phone -3/ / J State License d`3 U
Approved �✓ �/
RECORD OF INSPECTION APPROVALS
FOUNDATION 1.9 BUILDING
n _Data_ /f pactor
UNDERFLOOR 'y (O�/
FRAME 3�//^ CC Inspector
_ ns actor
LATH PLASTER 3
to/� Inspector
FINAL L
Date Insoector
ELECTRICAL
,OUTLETS /Ce / 0
SERVICE SIZ
SWITCHES / O UNDERGROUND
4'Sa� nspecfor
RECE PTACLE"S 3 ROUGH WIRING
UP
/0 ate Inspect
' FIXTURES / FINISH WIRING or
ate Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERWIT FEE Motors
ter( pecfor
TOTAL FEES .3 �� FINAL (e
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LIATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES dam UNDERGROUND
FIXTURE FEE PARTIAL ROUGH,?-16--9
D e /C or
MAIN DRAIN FEE ROUGH COMPLETE 'G
' _ Dat9 In r
STORM DRAIN FEE MAIN DRAIN 3 — Z
-Date or
WATER SYSTEM FEE
at for
GAS PIPING FEE /' FINAL -G
Date Inspector
PERMIT-FEE MISC
Date Inspector
TOTAL FEE � / � M_ LSC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS t REGISTERS
BLOWER FURNACES % COMBUSTION VENT
SUSPENDED UNIT MISC 1-1160
GAS
--
GAS RANGE MISC
GAS DRYER PERMIT FEE 3 `�
FLOOR FURNACE .TOTAL FEE "�=S
INSPECTED 7l4G t
—' Do to Inspector
'CERTIFICATE F', COMPLETION
BUILDING INSPECTOR'S OFFICE
!� - CITY OF CUPERTINO
Date..........f.....:.Z ................ 19..Wle Building Permit No.w.`,-/6; 7
XfThe Building Located at
Ownedby ------ I ,-................................
f Gottipl'ele� -+A� .
Has Been Alteudor Use As ""...... ,,f„F
..--'-----...................-_...-----.........----...............................----...................---.........-----...........
--...............-.......----.........--------........_....-----..........._...........-'--'-....."`'--------.....---`----.........
.............-------............----............------..............--------...........----.........._...........-----....................
A[71LDING INSPECTOR
102 7/63-500 - ��
GAS SERVICE NOTICE ' 01:171c!;
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-....... ..
.... ......i7/�5 .. ..
.. ....... ..... ...... 1964e"
Tuc
You are hereby authorized to connect the GAS service for
Owner or Tenant ...
At
_—U&_...... ..- ....-........ . .... ..........
New Service .......
No. of Meters Reconnect .......
Move Service .. ...... ... .........
No. of Add. Meters .............. Move Meter .... ....................
PLU BING INSPECTOR
I OFFICE COPY
37
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO r /
............._...--..- — J„ .._.....-......., 196.4.
To
You are hereby/aau�th''orized to conn electrical servic or
iOwner or Tenant ..Lt1 ...
At
, . .. ..-.. ... ... :................................................... ......
No. of Wires .............. Size of Wires'.`a..:....... Size of Switch/t�i.�.....f/..a.
Motor Load' .......................... Voltage ................................ Phase
Heating Load ........................ K. W. ..........---- --.........-------- Voltage .... ...........................
✓
No. of Meters.. Light...._._....-. t10..._....-.. New Service-....-......_.. Reconnect..............
...
c Heat..............__ 220...:.^..... Three Wire................ Move Service............
No.of Add. Meters............
Power......:........ hue................ Move Meter..............
LECTRICAL INSPECTOR
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No- -----+-'�7!?............
Plumbing Final Plumbing Permit No.-15-148 --------
Lot No. ze?7
Owner or Tenant ---Z4,)a,1.e5t5,
------------- ----------------------------------
Tract ........... 7t5
----------------------- --------------------------------------------------------
Date Connected 3-/-.----------- -------
r. Date Final .. ..... ....... .. ...........
.. .... - --------- ------------------------
.
-- -----------------..........
---- -----------
M�BING INSPECTOR
111 7/63-IM
ROUTE SLIP
File No : -5
,Date Out
Date In
Location 0247
Subject
Notes
Approved_d%S_
Date Inspector
ROUTE SLIP
File No . .S 11 Y'S—
Date Out_% L c;
Date In
Location
C>� oz
- S-
Subjeet
Notes
Approved
Date Insp:ctor
I�