NO PERMIT NUMBER (2) 21565 I MONROVIA ST. Lot No.207
No. street Model #4o4
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 511455
`Sdnitary No. 4629
Dote NOV. 1 196 5
Application is hereby made for a permit to
Construct a 1 story, Type -5 I J
to be occupied only as Sini4le Famlly Dwelling
in accordance with plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ ' 26,000. 00
FEE$ 80. 50 Plan Check $ 40. ?5i
Owner Ward Crump Dev: Address Box •634
Contr. Address
Phone 253-0800 State License 192609
Approved W.D. Benevich/h
v APPLICATION FOR ELECTRICAL PERMIT
Date O 196 •b 1 (, FEE$ lr 5 A
Canty. ��—e-i/ CiCQ�t'�it„cX(11 ty Tess 7 7
Phone - �7l 1p-- State License / 7 0
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date �`�—lie 196 1C GAS FEE $
PLUMBING
FEE
� $
Conte Address [�-J a
Phone -37 l
State License
Approved
J — APPLICATION FOR APPLIANCE PERMIT (rp
Data f — 7 196 L FEES
Contr. Ca�...�.�-�/.cu.e."z -� ,�"a rens 9 GQ2R l
Phone '3�—j�� —6 ofState License Z"6'
Q
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS ✓
FOUNDATION - - ,j BUILDING
Data. _ ctor
UNDERFLOOR
re / actor
FRAME - S
Da e n pecror
L H 8 PLASTER _
/,D tam lA- pe ctor
FINAL
Date Ins Dec tar
ELECTRICAL
,OUTLETS ot./ /c
SWITCHES Z SERVICE SIZE
UNDERGROUND
^� .y D e // pector
RECEPTACLE�� ROUGH WIRING "- 6/0
,21 .2 DoteIpector
FIXTURES FINISH WIRING
.73tor spec for
H.P. CHARGE v-D FIXTURES
*�" Inspector
PER T FEE Pv Motors
at/ nspector
TOTAL FEES S4= FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE ,'-ATERIAL
WATER SYSTEM SIZE -.aATERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE j PARTIAL ROUGH - J'C5
D e�
MAIN DRAIN FEE �'� ROUGH COMPLETE � o
y
STORM DRAIN FEE MAIN DRAIN 3�2--gt Mor
Date r
WATER
FEE / J GAS PI IN :v Y
era _ or
GAS PIPING FEE FINAL
ry Date Inspector
PERMIT FEE ` MISC
Dote Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE .
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS / 02 3 61
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC (� j
GAS RANGE MISC
GAS DRYER PERMIT FEE a2 s�C
FLOOR FURNACE TOTAL FE 59
INSPECTED -
""- " Date Inspector
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
/-.........................
D a t eBuilding Permit No.
The BuildingLocated at,
Owned by -----
'.............................
6_4
(Completed)
Has Been ---For Use
-(Altered) As: --------
...............................
.................................................................................................................................................
...............................................................................................................................................
------------------.................1..................."........_.............-------
U, DING INSPECTOR
:102 7/63-500
Bidg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ------------
P-*'Plumbing Final Plumbing Permit No.15-2/1i�& ........
Lot No. -40.7---------------
Owner or Tenant
At
Tract ..............
----- .... ✓---- --- ---
Date Connected ........ ........ 9-
DateFinal ................................... ----------------------- ---------------------------- 19.
-------------- ........
PW BING INSPECTOR
111 7/63-IM
�1 GAS SERVICE NOTICE coir`
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
T�
......._ , -.. ... 196.6
i You are hereby authorized to
connect the GAS service for
Owner or Tenant
At
New Service ..� ..
No. of ,Meters ........ Reconnect
I
Move Service .............. .........
No. of Add. Meters —,......_.. Move Meter .._......
I
PLUMBING INSPECTOR
kZd� E TRIC SERVICE NOTICE OFFICE COPY
1 ILDING INSPECTOR'S OFFICE
CITY OFCUPERTINO
3_
To
You are hereby a h i to ntject lectrical service foq
Owneror Tenant ...... .... .............................-................ ... . ...\.
.................................
At
No. of Wires ........................ Size of Wires .........
........ Size of Switch :...................
Motor Load .......................... Voltage .......................... ..... Phase ......_....._............ ..
Heating Load ........................ K. W. ......... ........................ Voltage ......_.... ............
No. of Meters............
........rht........ 110.... ew Se ice._... ...... Reconnect......._.....1No. of Add. Meters............ at................. 220... Three ire............. Move Service...........
er............... hree 1. Move M r..............
e.. . ... .
.......................... ....... ........
ELP.CnUCAL INSPecro
I
:ROUTE SLI?
File No .
Date Outa/�
Date In
Location
Subject . /may
Notes moi,
App.'oved_3
Date Inspector
' ROUTE SLIP
File No .
Date Out /02 6; .- ,3—
Date
3—
Date In
Location oZ �za GFX�*j wvzzl� � —
02
Subject
Notes
Approved /y�{o—(o .`••7 R21
Date 0 Inspector
4n