NO PERMIT NUMBER s� MONROVIA Lot No.
No. Street -/-o-�/ •{O
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51145
Sanitary No.
Dore _ 7-16 196 5
Application is hereby made for a permit to
Construct a 1 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 $ 26,000. 00
FEES - 80. 50 Plan Check E 40. 25
owner _Ward Crump DevelopmentA",s Box 634, Cupertino
Cant,. By Ward Crump Address
Phone 253-0800 State License 1926og
Approved —W•D.Benevich/hm
APPLICATION FOR ELECTRICAL PERMIT
Date S/.2 S— ,fJ196 �� FEES /.�` 6 1�' ,p ,(Jn
Contr. �2' A' �.Y� C.(�tcX� Address 770 'Jazl�"' /`d" /�Y
L/
Phone .3 7�"' -,-1 :5- /'� State License, /CR3 - .�3v fLp 7
Approved LL/x
APPLICATION FOR PLUMBING & GAS PERMIT
��Jj
Dote _.2_ 196 �— GAS FEE $ �b
, / 'PLUMBING FEE $ O'o
Contr. C�G`-�L/N.✓ '//l. �4, "4 Address Z-1-1V1 r ��
Phone - / / _ �S / /
State License C _ O
Approved t/
7— �I APPLICATION FOR APPLIANCE PERMIT S�
Date 19/6 �-4- FEES
Contra-.�Je
Phone '3 ��`7�c State License -L o2
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS'�
FOUNDATION ->-3 'DING
D t 5— pector -
UNDERFLOOR
A —te spec for
FRAME J
Date Inspector
LATHO& PLASTER
I— ,PNe/ Inspector
FINAL J tv�+
Date Ins ae ctor
ELECTRICAL
,OUTLETS / ,
SERVICE SIZE
SWITCHES o-,3 oZ 30 UNDERGROUND
J7 to - actor
RECEPTACLES/ rF
9 IRING —
0211 - P e spa czar
FIXTURESd D pector
H.P. CHARGES ataInspector
P RMIT FEE TOTAL FEES
ns ector
Dote Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN I SIZE I LLATERIAL
WATER SYSTEM SIZE IATERIAL
TOTAL FIXTURES o-� UNDERGROUND
• FIXTURE FEE PARTIAL ROUGH
D to I s to
MAIN DRAIN FEE 4, ROUGH COMPLETE � /S.
Do to
STORM DRAIN FEE MAIN DRAIN
Do
WATER SYSTEM FEE GAS PIPING �.3-L tf or
ate
GAS PIPING FEE S FINAL
Date nspector
PERMIT FEE a MISC
Q S� Date Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC �O
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE / TOTAL FEE
INSPECTED �� g— b
- - Date Inspector " '
i
'CERTIFICATE OF COMPLETION
t.
BUILDING INSPECTOR'S OFFICE
i
CITY OF CUPERTINO
Dar ... ................_.., 19.. Building Permit No.,,�1/,,/ �......
The Building Located aL1. �w 44y :c�... fl'^j.;;/, f.G.............._............
Owned by ...... :,J / ......,. �r�..G
r(Com leted 1 1J .a !/
Has Been P )
—For Use As: . �(Altered)
::::> .:....: ..... - ..... -- ...,.— -�..
............. ............. ............................... ♦.
-------------- 11.;:x... .
-"JFK BL¢LDING INSPECTOR
102 7/63-500 (.%
B1.1g. Dept
Oifi,-e Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPFRTINO
❑ Sewer Connection Sanitary Permit No- -----.!f'.1all------- --
H-`Plumbing Final Plumbing Permit No. ..... -------
L t No.
Owner or Tenant
At ------- ---- --
.. .0�, ----- - ------- - - -------------------- ------------------ --- ---------------
Tract ---------- ------ //---
-------------------------------------------
Date Connected --
-------------------
7.5--- ------------------------- --------------------- 19
------ -------------------
Date Final ---------- .....................27-Av ----------- 19-4C,
............................
PLUMBING INSPECTOR
111 7/63-IM
P.O;;Tr SLIP
File No.
Date Out
Date In
Location
Sub i ec.t. '""
M C
Notes ✓ �'
Approved 5 164
Date Inspector
GAS SERVICE NOTICEO1FICi
COPY
BUILDING INSPECTOR'S OPPICE
CITY OF CUPERTINO
To
You are hereby authorized to connect the GAS servic
e
for
Owner or Tenant
At .
a� mss- `• .
New Service .4m�.... ....:....
No. of Meters .../............ Reconnect
More Service ........................
No. of Add. Meters ...... Move Meter
..........................
................................
PLUMBING INSPECTOR
TtMPORARY GAS SERVICE
DATE: ... ....... 7.. Fee: .. ..2
.....:7=
. ---
OWNER: ...Z2)d- z
-------------------------------------
Al.. ..............4.6
- - ------ - ----- ------- ------
LOT
............................. .
REASON: -----------------
The undersigned agrees to be responsible fo V, gQFserfiJJ URY[UQ location,
until the building is ready for occupancy, and is released by the Building Department,
City of Cupertino.
Phone ......
........................................ --------------------------- ..... .......
117 1/63-500 INSPECTOR TENANT OR OWNER
,,OTJrT'T SLIP -
File Wo . J ��
Date Out
Date In
Location
Subject .
Notes _
Approved 7-23-6tO' st. 4t .,e
Date Inspector
PAo sz-ay 4a i. 8i