NO PERMIT NUMBER (2) 21623 I LA PLAYA CT.
Lot No. 229
`!a. Street Model #403
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51145
Sanitary No. 4633
Date Nov. 196 5
Application is hereby made for a permit to
Construct a l story. Type 17) T ,T
to be accupic.d only ns Single Family Dwelling
in accordance with plot Plan, Plans and Specification filed herewith,
Estimated Valae of Improvements $ 24,000. 00
FEES 7� . no Plan Check $
0,,,a, Ward Crump DevelopmentAddrass Box 634, Cupertino
Contr. Address
253-0800 1926og
Phone State License
Approved W. D. Benevich/h
APPLICATION FOR ELECTRICAL PERMIT
Date �— a 196 FEES
Contr. � .t/ �t Address 77 0 '(J ��t"'^-> ✓ (J/
Phone �t�'g-' 5� 3 >' State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
S�
Date 4a' -2d 196 `r GAS FEE $ /
� PLUMBING FEE,$ i
//I `
Contr. " "' //iV!/�A Address d
Phone .J 7 9- 24S State License 6. 3�6� 2 3 Q �d 7
Approved
/ `Lr
APPLICATION FOR APPLIANCE PERMIT a o
Do to T_ ��/,,1-96Q�,`�/1 FEES /��//�
ContrC
. /'' """' '� /""""""' �d ra s s 7 9 `�
Phone a (, ` —
State Lice ns/e, �9�a'F � AI
Approved _`"' /" /6= ✓`�-^_�/�
Applicants agree not to violate any of the
Workman's Compensation Lams of the
State. of California
RECORD OF INSPRCTION APPROVALS
FOUNDATION �— iC✓�' BUILDING
D to spector '
UNDERFLOOR — ,S
Zee
nspector
FRAME —9""
Date spector
24TH & PLASTER — —
_ Dot9 ( Inspector
FINAL l s
Date Insoector
ELECTRICAL
,OUTLETS If / yo
SWITCHES "LJ 7. 30 SERVICE SIZE
UNDERGROUND /
RECEPTACLE/ 310 ROUGH WIRING at�4 for
g 1 90 afe p
FIXTURES // FINISH WIRING i pector O
�ZJ 7 Yj ata n pector
H.P. CHARGE Pv FIXTURES
0
PER IT FEE Inspector
Motors ///
Date/ _ -spea r-
TOTAL FEES �f FINAL v
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN I SIZE I j4TERIAL
WATER SYSTEM SIZE ImATER1AL
TOTAL FIXTURES 13 UNDERGROUND
FIXTURE FEE PARTIAL ROUGH/—/7/-,l,/S_
Da to n c
MAIN DRAIN FEE em
ROUGH COMPLETE 66
Date for
STORM DRAIN FEE MAIN DRAIN e — L
py
WATER SYSTEM FEE � 0� GAS PIPING — 6`fe
_ Date
GAS PIPING FEE FINAL
I spector
PERMIT FEE � MISC Date
Date Inspector
TOTAL FEE �` M_ ISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS / 02/
i�
BLOWER FURNACES / O�O COMBUSTION VENT
SUSPENDED UNIT MISC CCI
GAS RANGE MISC
GAS DRYER PERMIT FEE o2-`
FLOOR FURNACE TOT FEE
INSPECTED
Do to Inspector
ICERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
�, -------------------- 19..Ln.L. Built Permit No.
f y�
The Building Located at �'F . �U.
..........
`�
Owned by -----/ �"`�' .. ..0. � _ �. ....
omPleted) a7 -- - -----------------_.............--....
Has Been ``--- or Use As: ....--.:..-. .-- ,.�
(Altered)
.............................._..--....----..-.--.-... --------------
--
.. -----
.----
............._---..------
......
.__...- ......
.-.....
....-......--.....
._._.....--................-..--..._......_....----...---..... ........................................
BUILDING INSPECTOR
102 7/63-500
Bldg.'Dept
Offu� Copy
BUILDING INSPECTOR'S OFFICE
CITY 01' CUPERTINO
Sewer Connection Sanitary Permit No. ......-4-fes ?- -
----
------ ---------
['Plumbing Final Plumbing Permit No. -2��--------
I Lot No C� ---------------
Owner or Tenant ..t.........._---------------------
--- --- - ....
----- -------- ...................
At
. -- --- ---... ... . ... .... ... .. .. ...............
Tract --------------- - ------- --------------------
DateConnected - ------------------ --------91 ---7-------------------------- --------- --------
Date Final ................................. ... r----- -------------------- - - ---
---- --------------
------- ------ - - - ---------------- -- -----
pj�tj J13INIC, INSPECTOR
iij 7/63-IM
GAS SERVICE NOTICE OFFIG
coPr
BUILDING, INSPECTOR'S OFFICE
CITY OI' CUPERTINO ,
_.. ....... -�3�.................__........._., t96.6
You are hereb),authorized to connect the GAS service for
Owner or Tenant � e. CGa;� ...... zell ................._.............
At
// New Service _�...............
No. of Meters ....J..._._....... Reconnect ............. .......
_......
Move Service ...._......_..........
I
No. of Add. Meters .... ....... Move Meter ..........................
�
IB NG INSPECTOR._.......................
I�, PLUS
OFFICE COPY
ELECTRIC SERVICE NOTICE
NILDING INSPECTOR'S OFFICE
C=
OF CUPERTIN&
. ........I........ .. .....................
U
You yj, i Ed to 6o6ne't cat service
Owner o Tenant ......Cc 4/.,At z -
------- .............
No. o f Wires
........................
Motor Load ......... .............. Voltage ... ..................... Phase ........ ...........
Heating Load ........ ............... K. W. ..... -------- Voltage .... .......
C
h I Io......../"�m sery c Re'onntct-..............
No. of Meters.................... Lig I-- 220............ Three I .... ....... ve Service............
Hclt..
No. of Add. MetesPower............... Thr haze. ------ ve Met .....
................ ..
ELECTRICAL INSPECT R
ROUTE SLIP
File No . .S // 4/`S
Date Out
Date In
Location c
subject Notes, ---------------j
Approved 4--14;,b_& -Insp _
Date
ROUTE SLIP
File No . // T�
Date Out / i — G --s—
Date In
Location 47
Subject
Notes Q
Approved
Date Inspector