51145 r
21661 LINDY LANE
51145
F
WARD CRUMP DEV
SCANNED BOX # 709
�.
44-
21661
21661 J LINDY LANE Lot No.189
No. Street (324)
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERT}NO
File No. 51145
Sanitary No. 4744
Date M2 196
Application is hereby made for a permit to
Erecta �-� story. Type 5 I J
to be occupied only as Single Family Dwelling •-
in accordance with Plot Plan, Plans and.Specification filed herewith,
Estimated Value of Improvements $ Pri .777. 00
FEES 78. 00i
Plan Check f
owner Ward Crump Dev. Address Box 634
Contr. Address
253-0800 192609
Phone State License
Approved W.D.Benevieh/h
1 VV
APPLICATION FOR ELECTRICAL PERMIT
DateA�n�� 196-1n FEE$ �`f� ,�`m/`
Contr. i��/J C�l�..a_L/✓ FZ Address 7 7 0 �r ""pip""v /yy/
Phone % 7��3-3 State License /10
Approved ea
APPLICATION FOR PLUMBING & GAS PERMIT
aZ.
Date `s /r j-� 196 � GAS FEES
fin,• / PLUMBING FEE
Cont,, �^-�'�"�"-� ""�v Address
Phone -�,7'4- '�'s ry State License 2-30 `,o 7
Approved
APPLICATION FOR APPLIAN PERMIT 7- zZ
Date r 196 FEE$
Cantr, 1 "`- /=�^-�/ // /T'd'dre ss -/7
Phone 13 -c+L�'' �`� State License
Approved WILLIAAT fl
Applicants agree not to violate any of the
Workman's Compensation Laws of the.
State of California
RECORD OF INSPECTION APFROVA_I-S
FOUNDATION BUILDING
D t _ actor
UNDERFLOOR
FRAME
D t^ V pector
�
° / (0 Inspettar
LATH 8 PLASTER v
_ of ns pector
FINAL
Date Ins oe ctor
ELECTRICAL
,OUTLETS / SERVICE SIZ
SWITCHES yV UNDERGROUND
tt,�CC to n pector
RECEPTACLES'S S ROUGH WIRING 04
q Tate las pet tar
FIXTURES // FINISH WIRING 1 p
V S `[f 1. ( Ins parlor
H.P. CHARGE av FIXTURES 11
/ d-o Dam Inspector
P MIT FEE o a Motors t— AL/
TOTAL FEES �/ � FINAL ` Df te,K.! ply�pe ctor
Date, Inspector,
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LoTERIAL
WATER SYSTEM SIZE tTERII G �l
TOTAL FIXTURES (p �-° UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
D
MAIN DRAIN FEE 'Z4= ROUGH COMPLETE - -e C
Dgtg
STORM DRAIN FEE MAIN DRAIN G
q�eWn,
r
WATER SYSTEM FEE a� GAS PIPING -I- v
td p
GAS PIPING FEE FINAL Y-1-date
tti Dater
PERMIT FEE MISC
7`2 MISC Date Inspector
NOTA L'FEE �
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS /D SO
BLOWER FURNACES / �'� COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE c� ='
FLOOR FURNACE / TOTAL FEE 7 S b
INSPECTED
Date Inspector
TIFICATE OF COMPLETION
!})
f BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ..... .......
1.............................. 19Z. .... Building Permit No--,%!�t1..''�
The Building Located at .......
a................................r...........................................
Owned by .... �106 .? .. t....:r �.? {r:r t.......................................
Has Been ("05 ed For Use As: ........:. L 'lei,f..f'...'..................... ..........
(Altered) /
.............. ........ .. ................... .................. .. . ........ ................................. ............
................... ............................................. ............. ......... ..............................................
................ ................................ .. ......................... ..,.._. ......................................:......
.-.: BUILDING INSPECTOR
102 1/63-500
Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ...... / .:..
Plumbing
o- ------
plurnbmg Final Plumbing Permit No. ------
Lot No. ...............
Owner or Te:nant�.-/e,/.......... - --- . - --"I
;2- -------------- -- ---- --------
At C�� .......... ------------ ......
........... .... ..... ............ .. ..................
Tract ---------- --- - ---- .... ....................... ...............................
7
_te
Date Connected ------------- ------------ __7-19
--..7-/----------------------------------------------------------
DateFinal .................................. /-------------------------------------------- ------------
PL RING INSPECTOR
III 7/63-IM