NO PERMIT NUMBERJ
20430 I TOWN CENTER LANE
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date Oct . 21 1965
Application is hereby made for a permit to
to be occupied only as
Lot No.
File No. 51027.7
Sanitary No. 4605
a 1 story, Type 5-F-2 1Hr.
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value ofilmprovements $ 43,000.00
FEE$ 123 • 00 Plan Check $ 61:50 (Creegan )
Owner Chrisman Homes, Inc. Address 654 Georgia Ave. P.A.
Cont,.
Address
Phone DA 5-9168 1
State License 2o67o6
Approved J.A. Busto/h
/
APPLICATION FOR ELECTRICAL PERMIT
Date ter` 196-(C FEE$ 7 -2u
Contr. A �', i�.e�>.. lj �Q�C� / Address `� s.~ -y
Phone .37 -% n / �- State License
Approved
.APPLICATION FOR PLUMBING & GAS PERMIT
0
Date 196 . GAS FEE $
l//r'�1/G ,w/� PLUMBING FEE! $$
Contr. _ a-Ze- � ✓ , Address
Phone — 7? .♦'.f— State License v20 7 "4
_/%✓eye f'`'�`�-� Approved /4f�rtii�/.C/
3 �jZ� APP.LIC'ATION FOR APPLIANCE fR3�
Dote' p ' 196//i2
Contr. ^—�e�.�--a-(tJ (.C.C.�,.i.,//^.Ll'.(�GC.C^ ss —o21sL /�%
Phone - 0197—.�0 k) State Lice nse���s/���,
Approved
Applicants agree not to violate any of the L/
Workman's Compensation Laws of the
State of California ,
e,
REC RD S C
6
FOUNDATION
UNDERFLOOR.L�
FRAME 'LG
AT PLASTER
Do fe
FINAL
Date
C
I ns pec ",,
Inspecfo
I ns as c for
ELECTRICAL
SERVICE SIZE
E
ROU WIRIN
ofa
FINISH WIRING J '
ate
FIXTURES—
Motors
IXTURES Motors
FINAL Z'e YJ
Inspector
pector
pector
pector
o1.R=.7:'L
r - "sf_
MAIN DRAIN SIZE I
I
,OUTLETS
c
SWITCHES 14
0
RECEPTACLES
FIXTURE5, 33
3'3°
H.P. CHARGE
IT(EIAL
PERMIT FEE
/
TOTAL FEES
7
C
I ns pec ",,
Inspecfo
I ns as c for
ELECTRICAL
SERVICE SIZE
E
ROU WIRIN
ofa
FINISH WIRING J '
ate
FIXTURES—
Motors
IXTURES Motors
FINAL Z'e YJ
Inspector
pector
pector
pector
o1.R=.7:'L
r - "sf_
MAIN DRAIN SIZE I
I
MATERIAL
TYPE OF APPLIANCE
STORM DRAIN SIZE I
FEE
LmTERIAL
�p
IT(EIAL
CIRCULATING HEATERS
WATER SYSTEM SIZE
REGISTERS
TOTAL FIXTURES /,Lod
�—T'
UNDERGROUND
FIXTURE FEE
PARTIAL ROUGH
MAIN DRAIN FEE
� %°
D� n
ROUGH COMPLETE at i
Datjt 1 r
STORM DRAIN FEE
ov
MAIN DRAIN [�
Dae r
7/'
WATER SYSTEM FEE
GAS PI NG
��
_ of pecto
GAS PIPING FEES'""—
FINAL 0
Date Insp ctor
PERM FEE ;2
oo
MISC
.S'a
Date Inspector
TO AL FEE IL 4' /S� °�'-
MISC
TYPE OF APPLIANCE
UNITS
FEE
TYPE OF APPLIANCE
UNITS
FEE
�p
SZ
_
CIRCULATING HEATERS
REGISTERS
BLOWER FURNACES
COMBUSTION VENT
a e 3
ov
SUSPENDED UNIT
MISC
GAS RANGE
MISC '� r
GAS DRYER
PERMIT FEE
FLOOR FURNACE
TOTAL FELT
INSPECTED
Date _ _ _ Inspector
I
BUILDING INSPECTOR'S ,OFFICE
CITY OF CUPERTINO
❑ Sewer Connection
Plumbing Final
Owner or Tenant
At------.s>2a.
Tract
Bldg, Dept
Oifica Copy
Sanitary Permit No... 4 b r
oS/p27.%
Plumbing Permit No.
Date Connected------- -- ��J-------------.--------------------._..- 1 ..
DateFinal ... ------------------------------------ 1-Z.. �. —--------
.6
_
-- - ---- - -- --��------�--- --1
PLUMBING IN E OR
111 7/63-1M
'�GAS _SERVICE NOTICE OFFIC!
BUILDING 'fNSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
To......... 196(1r)
YOU are hereby atho iz d o connect the GAS writ for
Owner or Tenant ........ bo I.,
. . ... .............
A, ._..._..77o_ '-�S 0 .....
................................./..........
New Service
...........
No. of Meters ......A....._._..
No.....A. --
No. of Add, Meters .. ...... ...
Reconnect ...
l4ve Service .......................
Meter
OFFICE COPY
I:SELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
'CITY OF CUPERTINO
44 .....................-....6 .. .... ......196....
TO
You are hereby uthol' e to connect electrical s e for
Owner or Tenant((........- .
A
At ...................................................................... .. .. ............ .... . ...... (0
.... mt'm .....
No. of Wires ... .............. Size or wires ......... �.. Size of Switch/P;.--.*
MotorLoad .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W........-........:.............. Voltage ................................
No. of Meters ......... (LightPqlce, .......
HEEL ................ 220............ �fi;;*ire.. V' Service............
-No. of Add. Meters ............
Power ............... Meter ... A .....
.... .............. ........ :* ......... I ........ v.... ..
ELECTRICAL INSPECTOR
"iR Y
Jj T E ELECTRICAL SERVICE
DATE: ..... - -- ------- ...... ----- Fee: .. ........
PER.... . .....
: .. .... ---- --
AT: .......... ------j-d
---------------------------------------------------------------- ........
LOT: .....
REASON: ----------------------------
The u2ii5) igned agrees to be responsible for the electrical service at the above location,
until __ild is ready for occupancy, and is released by the Building Department,
City u
n
Phone�.S.I�k 669
. ... ..
-----------------
......................... ........ ....
......... ... . --- - ---- ..................
N -- -------------
1, SSP� ------- - -------
'J� 116, 1/63-500 E T R TENANT OR OWNER
ROUTE SLIP
File No.
-2
7 J
Date Out�—
Date In
Location
Subjeet
Notes d�74r)
Approved
Date Ins p:ctor
FAO
e2,
Mb
l 2� L =,. Z"3 y3 23
3
�. 3n
21
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