NO PERMIT NUMBER (2) 21524 I ACONRADIA COURT Lot No. 216
No. Street
(Model 303)
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51145
Sanitary No. 4650
Date Dec. 20 196 5
Application is hereby made for a permit to
Erect a 1 story, Type -I-J
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 $
Owner Ward Crump Address P• 0. BOX 634
Cont,, _ Prig-0600 Address
Phone State License 192609
Approved W.D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
8?
Date 196 � � // � FEES
Cont,. yqq"'�q/('' M":—& . Address 7
Phone :2(e "��� State License 1 7 0 '?1c'---S /
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address 4/z
Phone -177 — S / State License
Approved
_ APP ICATION FOR APPLIANCE PERMIT a S,
Date / -7 /I 1% ) ,/p� �• FEES
Contr. 4'YK^'t�' �^^-�'°"c� X�'�-'�'�' Ad ress "_ 7 7�
Phone d S State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION -&4 BUILDING
actor
UNDERFLOOR -62 /AW2 //(.r�
e 6 pe ctor
FRAME a (•
D t s actor
LATH PLASTER
ate/ nspector
FINAL f•
Date Insoector
ELECTRICAL
.OUTLETS / /'60
SERVICE SIZ
SWITCHES %`f / 9a UNDERGROUND
�' 3- �" • 66 )50..pector
RECEPTACLES 3 ROUGH WIRING
167 I Spector
FIXTURES FINISH WIRING � ' � '
l'" D Inspector
H.P. CHARGE p-' FIXTURES S�
ffi," actor
P MIT FEEMotors TOTAL FEES FINALIns peetor
Date Inspector_
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I 10,16TERIAL
WATER SYSTEM SIZE ITERIAL
or
TOTAL FIXTURES /0 UNDERGROUND p
FIXTURE FEE PARTIAL ROUG 'p^&/
tar
MAIN DRAIN FEE � ROUGH COMPLET C
oJ6 4m
tar -
STORM DRAIN FEE MAIN DRAIN (r
_D
pt or
WATER SYSTEM FEE / GAS PIPING �Cp
GAS PIPING FEE FINAL S-� r-4 fee or
Date spector
PERMIT FEE �� MISC _
Date Inspector
TOTAL FEE - /�"'" MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS aS
BLOWER FURNACES 01-0 COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE a
FLOOR FURNACE TOTAL FEE
INSPECTED
' -- Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .....2—_,:%-------------------- 19--C.C. Building Permit No. `.
The Building Located at .........................
Ownedby .... . ............. .............
aim
......................................
Has Been ( or Use As: .....
(Altered)
...........................................................I....................................................................................
.............:...................................... .............................................
.............................................
......................................................................................I..... .....................................................
............ .........................
BUILDING INSPECTOR
102 7/63-500
GAS SERVICE NOTICE OFFIC!:
MIN' '
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
........... ........ 196..a
To
You are hereby//authorized to connect the GAS service for
Owner or Tenant
At ........
New Service .141�... ......
No. of Meters ..../_.........._ Reconnect ..............................
Move Service .............
No. of Add, Meters .............. Move Meter ............... ......
,.Op P MBING INSPECTOR
Bldg. Dept
office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ..... ..........
[Plumbing Final Plumbing Permit No. --------
Lot No. .. . .. .................
Owner or Tenant ... . ... ................................
..... . ............................ ..................
At c�Pl
Tract ............. . . .. ...... ....... .............................. ................................
e'2P
DateConnect d --------------------- -----------------------------. .................
Date Final ........................... --------------------- 19 .. ...
------------z
.... .......
. . . . ..........................
- - ----------- .... ..
P UMBING INSPECTOR
Ill 7/63-IM
FILE COPY
ELECTRIC SERVICE NOTICE
` a BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
(.
..................................
To
You are hereby auth iz to co e e ectrical service for
Owner or Tepant ...........
�l "u'...... .............. ............ .................... - ...
......
. ....
rte........ �
No. of Wires ..4................. Size of Wires ..71......... Size of Switci 000—...
MotorLoad .......................... Voltage .'............................... Phase ..................................
HeatingLoad ........................ K. W. .................................. Volta ................................
0 ........ New ............ Reconnect..................No. of Meters... .
rvi
No.of Add.Meters............
Heat... ...... 220./....... W re........ .... Move Service............
Power............... P e ..... . . Move Meter..............
... .................... .......... ................. .. ...............
ELECTRICAL INSPECTOR
ROUTE SLIP
File No .
Date Out
Date In
Location 42�--n a✓
Sub;jeat ��� _
Notes
Approved vlW
Date Insp;ctor
r L
ROUTE SLIP
File No. 1�i � 5-
Date Out
Date In
Location
Subj ec���eC �y��c�c •�,
v�
Notes
Approved ' /�--t�-GSr IGt.Al�
Date Inspector
� . agree . will not __ any athe _tee
Compensation laws athe State acm,,+ \
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