NO PERMIT NUMBER (2) 21576 I LA PLAYA COURT Let No. 234
No. Street
APPLICATION FOR BUILDING PERMIT (303)
CITY OF CUPERTINO
File No. 51145
sanitary No. 4654
Dote Dec . 20 196 5
Application is hereby made for a permit to
Erect a 1 story. Type 5-1-1
to he, occupied only n.a Single Family Dwelling
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Valae of Improvements $ 21 ,000. 00
FEES 66• 00 Plan Check $
ow,.e, Ward Crump Dey. Address P. O. Box 634
Cent,, by Ray Crump Address
Phone 253-0000 State License 1926o9
Approved W. D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
Date Y 7 196 FEE$
Phone / 6 3 State License -7
�/ � �J M Li
�i /2l"'�tf/":7
Approved t
APPLICATION FOR PLUMBING & GAS PERMIT
,s
Date / `�S 1966 GAS FEE $ /
PLUMBING FEE $
Contr. l7d Address
�s State License ��
Phone 0
Approved (�//✓/�„`�''n't�t"iCj i
_ APP ICATION FOR APPLIANCE PERMIT
y
Date 7 196 FEE$
canr. 7 7X411'
J /oi2J S/
w " X`9/
State License
Approved
Applicants agree not to violate any of the "�e
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION /APPROVALS
FOUNDATION �—(O BUILDING
ate ctor
UNDERFLOOR
at pector
FRAME -
Dot pector
L4TH PLASTER --
_ of nspector
FINAL —
Date Insoector
ELECTRICAL
,OUTLETS % G o SERVICE SIZE
SWITCHES / %O UNDERGROUND
jS 3
SZ) D eI r
RECEPTACLES ROUGH WIRING - - _
FIXTURES / a FINISH WIRING — (/ e� n pector
H.P. CHARGE �� FIXTURES
pector
'
PE MIT FEE / �'J Motors pqt y�
TOTAL FEES 3 &$ FINAL v1e /v
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE liomfiL4TERIAL
WATER SYSTEM SIZE ,.,ATERIAL
TOTAL FIXTURES C UNDERGROUND �7
77
FIXTURE FEE PARTIAL ROUGH 'd -
,� Date / (/1 lcovcfor
MAIN DRAIN FEE 1^ ROUGH COMPLETE ,j G
Date for
STORM DRAIN FEE MAIN DRAIN
0� 'J�Z Ogtq In r
WATER SYSTEM FEE GAS PIPING 7- LGy
FINAL ���
GAS PIPING FEE /-3� -�p I r
Data Inspector
PERMIT FEE �`��- MISC
Date Inspector
TOTAL FEE �Qr`s� MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
Cy a cPS "
BLOWER FURNACES / G`J COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMITrFEE oZ.
,
FLOOR FURNACE TOTAL FEE �S
INSPECTED -
Data `I ns pe c for
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ...... ............. 19Z
Building Permit No,Ml -15
The Building Located at., ,fir ..... .
4, 1.......... ......
Ownedby ----- ......................................
'o pi tt
e
Has Been For Use As: ------- ------ ...........
—(Altered)
........... ......................................... ................ .
........................................ ............... .... ...........
.................................................................................................................................................
------------------- ...............................:-------*-- ------ ....................�.:...................................
.... ..........................
.... ..... .........
fi BUILDING INSPECTOR
102 7/63-500
'Bldg. Dep[
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .....
Plumbing Final Plumbing Permit No. /4 --------
Lo No. ---------
---- -- -------- - -- -----------
Owner or Tenant
- ----------------------------- -----------------
At -,:7w- ---- ----
Tract
-------------------
--------------- 6�z- . ...... ........ ................. ........................
! / .. ---- ------------- 19-
Date Connected ............
DateFinal - ----------------- ---- - - ---- - - ........... 19
,..........:.; ly ------ --- - ------ --------
PUM
L'Up',
Ill 7/63-1111 ",:5 PBING INSPECTOR
GAS SERVICE NOTICE orrlc:
coPr
BUILDING INSPECTOR'S 017PIC17
CITY OF CUPERT[N0
196.E
You are hereby authorized to connect the GAS service for
Oscnct of 1 enant � �.... .. ..............
At .1�119/ 74 �: ... J�'/� /. .. . . . . . ..
!/ Neu- Service _fie ..............
No. of meters ..._ ..._._.... Reconnect .._................_......
..
Move Service ........................
No. of Add. Meters .............. Move Meter ......
PLUMBING INSPECTOR
ELECTRIC SERVICE NOTICE OFFICE COPY
BUILDING INSPECTOR'S OFFICE
CITY 017 CUPERTINO
.......... .... ................
To
You are hereby a UAn.or I z d t 1 0 co ne rical service for
.......... . ... ..
Owner or Tena .. .... .... ... ...... ..
At .......... Z. �- �
....... .......7..-Q.................. ........ -11. ..... .. .................
No. of Wires ............. Size of Wires ......... Size of Switch ...........
MotorLoad .......................... Voltage .... ... .................. .... Phase ..............................—
Heating Load ........................ K. W. .... ........... ---------- Voltage ................................
Light.... ..... Se ice. Reconnect..............
No. of Meters........I..........
Heat.......5��"
......... 220....... ree Vire... ....... Move Service............
No.of Add. Meters............
Power............ Thr hase.
base Move ter..............
............. ... . ..... -.... .............
�L IN
..-
ELECTRICAL IN ECTOR
ROUTE SLIP
File No .
Date Out
Date In _
02 7
Locat'ion a —
_ tX 15 - --
sutj'ec't `�''''e ~ �
Notes
Approved
Date Inspector